ࡱ>  ШbjbjcTcT 4>> ;~~8 467!# 3333333$?68J3$33$$3hQ4((($X3($3((r1T2`&M%23g404(2+9% +92+92$$($$$$$33($$$4$$$$+9$$$$$$$$$~ : SERVICES CONTRACT  Alamance Community College (ACC) 1247 Jimmy Kerr Road P.O. Box 8000 Graham, NC 27253-8000 and  FORMTEXT      , (Contractor) Name  FORMTEXT      Street/PO Box  FORMTEXT       FORMTEXT       FORMTEXT      City State Zip Social Security Number:  FORMTEXT      or Federal Tax ID No.: FORMTEXT       in consideration of the mutual covenants and agreements set forth below, do hereby agree as follows: Term: The term of this agreement shall be from FORMTEXT      through FORMTEXT      [In no event shall this agreement extend beyond the end of the fiscal year.] Contact/Reporting Information: Primary Contact: FORMTEXT      Phone: FORMTEXT      E-mail Address: FORMTEXT      Fax: FORMTEXT       [Check any applicable items in the ownership column, and one item in the withholding column.] Ownership-----Withholding of NC Income Tax----- FORMCHECKBOX Minority owned FORMCHECKBOX Withhold 4% NC income tax unless: FORMCHECKBOX Female owned FORMCHECKBOX Services are other than Workshop, Performance Entertainment, Athletic Event, Speech or Creation of film, radio or TV Program FORMCHECKBOX Disabled owned FORMCHECKBOX Non-profit FORMCHECKBOX NC Vendor FORMCHECKBOX GovernmentIncorporated?Out of State Vendor has NC Certificate of Authority (Attach Copy)No FORMCHECKBOX Yes FORMCHECKBOX Certificate No. FORMTEXT      Ownership information is required for reporting purposes, but in no instance shall ownership affect the terms or award of this or any agreement. Contractor Responsibilities: [List services to be provided.]  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       ACC Responsibilities: [List any support, space, facilities, etc., to be provided by ACC.]  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Travel: Any travel and or subsistence expenses to be reimbursed by ACC under this agreement will be specified in writing by the parties and attached to this document. Payment: ACC shall pay contractor for services in the amount of $ FORMTEXT      per FORMTEXT       not to exceed a maximum of $  FORMTEXT      Upon satisfactory completion, in full or in part. [Check and initial one of the following:]  FORMCHECKBOX Payment shall be made within 15 days from submission of an invoice.Initials FORMTEXT       FORMCHECKBOX Payment shall be made [monthly, quarterly, etc.] FORMTEXT      Initials FORMTEXT       FORMCHECKBOX Payment shall be made upon approval by [name] FORMTEXT      Initials FORMTEXT      [position] FORMTEXT       Marketing of Services: Contractors are to provide instruction to SBC attendees and should not solicit them for additional business as doing so is prohibited. We are wards of public funds and the public trust and solicitation of SBC attendees for additional business would be using state assets for private profit. Implied in our willingness to allow Contractors to offer business cards and place their logo on presentations and handouts is an understanding that Contractors will not market to our attendees either during the class or after the class Individual attendee information, including e-mail addresses, is not to be provided to Contractors for marketing purposes, nor are Contractors to gather marketing information from our attendees. Insurance & Indemnification: It is understood that ACC assumes no liability, including medical, professional, premises or automobile for the contractor or the contractor's employees. As an independent contractor, the contractor is responsible for meeting all state, federal, and FICA tax obligations, and for maintaining all required insurance coverage. 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Contractor shall indemnify and hold harmless ACC from any and all losses, damages, costs and expenses (including reasonable attorney fees) caused by or arising out of any act or omission of Contractor, its principals, agents, officers, directors and employees.  FORMCHECKBOX Contractor shall maintain Workers Compensation coverage as required by laws. Initials--N/A [Contractor check and initial, or administrator mark N/A and initial if no employees]  FORMTEXT       FORMCHECKBOX  Contractor shall maintain and provide proof of liability insurance coverage for personal injury and property damage. [Contractor check and initial, or administrator mark N/A and initial if not required.]  FORMTEXT       FORMCHECKBOX Contractor shall maintain and provide proof of: [Specify any other insurance required, and initial.]  FORMTEXT       FORMTEXT       Termination & Renewal: This contract may be terminated at any time on mutual consent of both parties or  FORMTEXT      [ usually 30] days after either party provides written notice without cause. In addition, this contract may be terminated immediately with cause, upon written notice by either party. Cause shall be documented in writing, detailing the grounds for termination. Provision for payment of liquidated damages may be included. Assignment: This contract may not be assigned by either party, without the expressed written consent of the other party. This is a personal service contract, and contractor s duties and responsibilities must be performed by  FORMTEXT      , Unless specific arrangements are made  with  FORMTEXT      ,the administrator of this contract. 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