HomeMy WebLinkAboutForte, Susan
THIS AGREEMENT made this 20th day of November. 2012, between the T
TOWN OF SOUTHOLD, a municipality of the State of New York, having its
principal office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New O
York 11971 (the "Town") and (The Instructor): W
Susan Forte N
1400 Evergreen Drive
Cutchogue NY 11935 C
734.6468 p
WITNESSETH: P
1. The Town does hereby agree to hire the Instructor as an independent y
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
EBAY & IPAD COURSES
3. The Instructor hereby agrees to commence the rendering of services on
January 28. 2013 and to render instructional services during the following time
period:
EBay iPad Skills for Beginners
January 28 - February 13 February 25 - April 15
Mondays & Wednesdays Mondays, 6:30 - 8:30 p.m.
6:30 - 8:30 p.m. Peconic Lane Community Center
Peconic Lane Community Center
4. The Town agrees to pay the Instructor and the Instructor agrees to accept
for such services, the compensation of 30 per class/hour/persGn to be paid at
semi-monthly intervals by the submission of vouchers therefore to the Town.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows:
EBay: Minimum Enrollment 7 Maximum Enrollment 8
Pad: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOWtOUTHOLD
9F-WA. Russell, Supervisor
4,rt l U--&,c
Instructor Instructor's Social Security Number
- SDC~ ey.G~s ~f5- Ll 7 '1~3 V,6 3
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 26th day of February, 2013, between the TOWN
OF SOUTHOLD, a municipality of the State of New York, having its principal T
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York O
11971 (the "Town") and (The Instructor): W
Susan Forte N
1400 Evergreen Drive
Cutchogue NY 11935 C
734.6468
O
WITNESSETH: P
1. The Town does hereby agree to hire the Instructor as an independent y
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
IPAD, MICROSOFT EXCEL, AND EBAY COURSES
3. The Instructor hereby agrees to commence the rendering of services on
April 22, 2013 and to render instructional services during the following time
period:
iPad Skills for Beginners Introduction to Microsoft Excel EBay Selling
April 22 - June 17 April 24 - June 12 May 3 - June 14
Mondays, 6:30 - 8:30 p.m. Wednesdays, 6:30 - 8:30 p.m. Fridays, 9:00 -11:00 a.m.
Class will not be held on May 27
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $ 30 per skHWhourpsFssa
to be paid in semi-monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOW "F SOUTHOLD
S&ft A. Russel, Supervisor
_ u52~ ~sP7C 3-0-13
Instructor Today's Date
7Y3y o3
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 7th day of May. 2013, between the TOWN OF
SOUTHOLD, a municipality of the State of New York, having its principal office at T
53095 Main Road (Route 25), P.O. Box 1179, Southold, New York 11971 (the O
"Town") and (The Instructor):
W
Susan Forte N
1400 Evergreen Drive
Cutchogue NY 11935 C
734-6468
O
WITNESSETH: P
1. The Town does hereby agree to hire the Instructor as an independent y
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Wad Course
3. The Instructor hereby agrees to commence the rendering of services on
July 8. 2013 and to render instructional services during the following
time period:
7/8 - 8/26/13
Mondays, 6:30 - 8:30 p.m.
Location: Peconic Lane Community Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 301hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOW OF SOUTHOLD
Sco A. Russell, Supervisor
U~ ~bQ 5-19-13
Instructor Today's Date
F - Serve c e-6 95-'f7q 3No3
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 7th day of May. 2013, between the TOWN OF
SOUTHOLD, a municipality of the State of New York, having its principal office at T
53095 Main Road (Route 25), P.O. Box 1179, Southold, New York 11971 (the O
"Town") and (The Instructor): W
Susan Forte N
1400 Evergreen Drive
Cutchogue NY 11935 C
734-6468 O
WITNESSETH: P
1. The Town does hereby agree to hire the Instructor as an independent y
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Ebay Course
3. The Instructor hereby agrees to commence the rendering of services on
July 10, 2013 and to render instructional services during the
following time period:
7/10 - 8/21/13
Wednesday, 6:30 - 8:30 p.m.
Location: Peconic Lane Community Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 301hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program..
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TO OF SOUTHOLD
cott A. Russell, Supervisor
Instructor Today's Date
-Ste.- v1c~.s 41 - '><-7 Lf 3 yD 3
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 30th day of July, 2013, between the TOWN OF
SOUTHOLD, a municipality of the State of New York, having its principal office at
53095 Main Road (Route 25), P.O. Box 1179, Southold, New York 11971 (the
"Town") and (The Instructor):
Susan Forte
1400 Evergreen Drive e
RrCutchogue NY 11935
734-6468
WITNESSETH:
1. The Town does hereby agree to hire the Instructor as an independent
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Ipad
3. The Instructor hereby agrees to commence the rendering of services on
September 9. 2013 and to render instructional services during the
following time period:
9/9 - 11/4/13
Mondays 6:30 - 8:30 p.m.
Location: Peconic Lane Community Center
No Class 10/14
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOWN 01 SOUTHOLD
Sco A. Russell, Supervisor
i - l8- l3
Instructor Today's Date
-~v,c25 /f5 _ q-)-,/ 5Y63
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 30th day of July. 2013, between the TOWN OF
SOUTHOLD, a municipality of the State of New York, having its principal office at
53095 Main Road (Route 25), P.O. Box 1179, Southold, New York 11971 (the
"Town") and (The Instructor):
VX7
Susan Forte
1400 Evergreen Drive
Cutchogue NY 11935
734-6468 C'
WITNESSETH:
1. The Town does hereby agree to hire the Instructor as an independent
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Whone
3. The Instructor hereby agrees to commence the rendering of services on
September 12, 2013 and to render instructional services during the
following time period:
9/12 - 11/7/13
Thursdays 6:30 - 8:30 p.m.
Location: Peconic Lane Community Center
No Class 10/31
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $301hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOWN SOUTHOLD
Scott. Russell, Supervisor
Instructor Today's Date
-5~-U1 ce5 'V- - L~-7 L/3V63
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 6th day of November, 2013, between the TOWN
OF SOUTHOLD, a municipality of the State of New York, having its principal
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York
11971 (the "Town") and (The Instructor):
Susan Forte N.:
1400 Evergreen Drive
Cutchogue NY 11935
734-6468
~_p A7
WITNESSETH: P.
1. The Town does hereby agree to hire the Instructor as an independent a1g
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Wad TV
3. The Instructor hereby agrees to commence the rendering of services on
February 18, 2014 and to render instructional services during the
following time period:
2/18 - 3/11/14
Tuesdays 9:00 - 11:00 a.m.
Location: Peconic Lane Community Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 6 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TQ F SQUTHQI_D
7- colt A. Russell, Supervisor
501V -T6- / - / - IV
Instructor Today's Date
y5 - g7y3 yt) 3
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 6th day of November, 2013, between the TOWN
OF SOUTHOLD, a municipality of the State of New York, having its principal,
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York (j
11971 (the "Town") and (The Instructor):
Susan Forte "
1400 Evergreen Drive y"
Cutchogue NY 11935
734-6468
WITNESSETH:
1. The Town does hereby agree to hire the Instructor as an independent
contractor, and the Instructor does hereby agree to provide instructional services `
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Wad E-Reading
3. The Instructor hereby agrees to commence the rendering of services on
January 21, 2014 and to render instructional services during the
following time period:
1/21 - 2/11/14
Tuesdays 9:00 - 11:00 a.m.
Location: Peconic Lane Community Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 6 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOWN SOlJTHOLD
Sc A. Russell, Supervisor
Instructor Today's Date
y7 93L/t)3
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 6th day of November, 2013, between the TOWN
OF SOUTHOLD, a municipality of the State of New York, having its principal
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York
11971 (the "Town") and (The Instructor):
Susan Forte
1400 Evergreen Drive
Cutchogue NY 11935
734-6468
WITNESSETH:
1. The Town does hereby agree to hire the Instructor as an independent
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Whone
3. The Instructor hereby agrees to commence the rendering of services on
January 30. 2014 and to render instructional services during the
following time period:
1/30 - 3/20/14
Thursdays 6:30 - 8:30 p.m.
Location: Peconic Lane Community Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOWI OF SOUTHOLD
ic0
S tt A. Russell, Supervisor
T 7LLe
13 L4 S &411, Instructor Today's Date
V5 --Y7q 34p3
Business Name (if applicable) Federal ID Number (if applicable)
~a
THIS AGREEMENT made this 6th day of November. 2013, between the TOWN
OF SOUTHOLD, a municipality of the State of New York, having its principal
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York
11971 (the "Town") and (The Instructor):
Susan Forte
1400 Evergreen Drive.
Cutchogue NY 11935 = x<
734-6468 Ilk
1
WITNESSETH:
1. The Town does hereby agree to hire the Instructor as an independent
contractor, and the Instructor does hereby agree to provide instructional services;
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Wad Session B
3. The Instructor hereby agrees to commence the rendering of services on
January 31. 2014 and to render instructional services during the
following time period:
1131 - 3/21/14
Fridays 9:00 - 11:00 a.m.
Location: Peconic Lane Community Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOWN SOUTHOLD
10
Sc . Russell, Supervisor
~U SAV' 6w .T
Instructor Today's Date
- Se-v LIces q - Lt - q 3Vb3
Business Name (if applicable) Federal ID Number (if applicable)
t
J.
THIS AGREEMENT made this 6th day of November. 2013, between the TOWN T
OF SOUTHOLD, a municipality of the State of New York, having its principal
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York vO
11971 (the "Town") and (The Instructor): W
Susan Forte N
1400 Evergreen Drive
Cutchogue NY 11935
734-6468
WITNESSETH:
1. The Town does hereby agree to hire the Instructor as an independent
contractor, and the Instructor does hereby agree to provide instructional services
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. The Instructor shall provide instructional services for the following
program, to wit:
Pad Session A
3. The Instructor hereby agrees to commence the rendering of services on
January 27, 2014 and to render instructional services during the
following time period:
1/27 - 3/24/14
Mondays 6:30 - 8:30 p.m.
Location: Peconic Lane Community Center
No Class 2/17
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 7 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TO OF SO THOLD
86oftA. Russell, Supervisor
V
Instructor Today's Date
3yv3
Business Name (if applicable) Federal ID Number (if applicable)