HomeMy WebLinkAboutNorth Fork School For Dogs
r
THIS AGREEMENT made this 20th day of November. 2012, 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):
North Fork School For Dogs
Attn: Dawn Bennett
1120 Bridge Lane
Cutchogue NY 11935
734.8331
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:
DOG OBEDIENCE LESSONS
3. The Instructor hereby agrees to commence the rendering of services on
January 12, 2013 and to render instructional services during the following time
period:
Dog Obedience Pre-therapy/CGC S.T.A.R. Puppy Program
January 12 - February" 16 January 16 - March 13
Saturdays, 10:00 -11:30 a.m. Wednesdays, 7:00 - 8:15 p.m.
Southold Town Recreation Center Southold Town Recreation Center
4. The Town agrees to pay the Instructor and the Instructor agrees to accept
for such services, the compensation of 90.00 per Glass/hGudperson enrolled
(Pre-therapy) and 70.00 per GlaWbeur/person enrolled (Puppy program) 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 or inability of the Instructor to conduct
classes as and when scheduled, the Instructor shall immediately notify the
Recreation Supervisor. The Instructor will assist and/or cooperate with the
supervisor to provide for makeup classes and/or substitute qualified instructors.
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.
s
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 4 Maximum Enrollment 10
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 ther
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 OF UTHOLD
Scott A Russell, Supervisor
1~ Iwl ~ l~ r~~ z r I V1---k Z- --X
Instructor Instructor's Social Security Number
~L02'~-r"(-GCJC SC., oc l tU2IXS-LS
Business Name (if applicable) Federal ID Number (if applicable)
M
THIS AGREEMENT made this 20th day of November, 2012, 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):
North Fork School For Dogs
Attn: Dawn Bennett
1120 Bridge Lane
Cutchogue NY 11935
734.8331
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:
DOG OBEDIENCE LESSONS
3. The Instructor hereby agrees to commence the rendering of services on
January 12. 2013 and to render instructional services during the following time
period:
Dog Obedience Pre-therapy/CGC S.T.A.R. Puppy Program
January 12 - February 16 January 16 - March 13
Saturdays, 10:00 -11:30 a.m. Wednesdays, 7:00 - 8:15 p.m.
Southold Town Recreation Center Southold Town Recreation Center
4. The Town agrees to pay the Instructor and the Instructor agrees to accept
for such services, the compensation of 90.00 per Glass/#oudperson enrolled
(Pre-therapy) and 70.00 per Glass/hGur/person enrolled (Puppy program) 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 sliall 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 or inability of the Instructor to conduct
classes as and when scheduled, the Instructor shall immediately notify the
Recreation Supervisor. The Instructor will assist and/or cooperate with the
supervisor to provide for makeup classes and/or substitute qualified instructors.
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.
r
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 4 Maximum Enrollment 10
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 thff
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 OF UTHOLD
- ?AtCia Z~
Scott A Russell, Supervisor
Instructor Instructor's Social Security Number
~.LoR+y.'r-ocic Sc~oo~ ~vrcbcs~S
Business Name (if applicable) Federal ID Number (if applicable)
Town of Southold
Recreation Department
PO Box 267
Peconic NY 11958
; & .~00100001010-0
Background Check Permission Form
To be completed prior to first day of instruction/class/employment
I < s 1?~ , do hereby give permission to the
Town of Southold to conduct a background check using the information provided below,
which I believe to be true and accurate. I understand that any information gathered
thereto may, within the sole discretion the Town, be the basis for immediate termination
of my contract for services or employment with the town.
Please Print:
A ; T_>7411~4\13 Lis
Last Name First Name Middle Initial
Former Name(s) - if applicable
Last Name First Name Middle Initial
Po 3q I
Mailing Address Legal Address if different
G~ ~c~Sv~ Itq~S
city State t,4 Zip Code City State Zip Code
Date of Birth
Home Telephone Number
E-Mail Address (Please print legibly)
The Town of Southold is seeking background check data for all applicants for
employment, or to continue ongoing service with the town. All applicants have the
following rights:
1) The right to be informed that the Town of Southold will request a background check
on me prior to employment;
a) For purposes of employment or continuation of employment;
b) To determine whether I have been convicted of any Background Check Crime;
2) The right to be informed by the Town of Southold of the response to the background
check and to obtain from the Town, if I request in writing, a copy of the background
check report;
3) The right to obtain from the Town any record that forms a basis for the report;
4) The right to challenge the accuracy and completeness of any information contained in
the report or record;
5) The right to be informed by the Town if my application to be employed with, or the
opportunity to continue as an employee has been denied because of the results of said
background check.
My signature below certifies I am the individual listed on this form and that the
information provided is true.
Signature Today's Date e
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 0
principal office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New
York 11971 (the "Town") and (The Instructor): W
North Fork School For Dogs N
Attn: Dawn Bennett
1120 Bridge Lane C
Cutchogue NY 11935 0
734.8331
P
WITNESSETH: Y
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:
DOG OBEDIENCE LESSONS
3. The Instructor hereby agrees to commence the rendering of services on
January 12, 2013 and to render instructional services during the following time
period:
Dog Obedience Pre-therapy/CGC S.T.A.R. Puppy Program
January 12 - February 16 January 16 - March 13
Saturdays, 10:00 -11:30 a.m. Wednesdays, 7:00 - 8:15 p.m.
Southold Town Recreation Center Southold Town Recreation Center
4. The Town agrees to pay the Instructor and the Instructor agrees to accept
for such services, the compensation of 90.00 per Glass//person enrolled
(Pre-therapy) and 70.00 per elass/hear/person enrolled (Puppy program) 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 or inability of the Instructor to conduct
classes as and when scheduled, the Instructor shall immediately notify the
Recreation Supervisor. The Instructor will assist and/or cooperate with the
supervisor to provide for makeup classes and/or substitute qualified instructors.
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 4 Maximum Enrollment 10
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 OF UTHOLD
SCR FA Russell, Supervisor
/1-7 -7Z --7 "ZS~t
Instructor Instructor's Social Security Number
~5F:~9
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
North Fork School For Dogs N
Attn: Dawn Bennett
1120 Bridge Lane C
Cutchogue NY 11935
734-8331
P
WITNESSETH: y
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:
Dog Obedience
3. The Instructor hereby agrees to commence the rendering of services on
July 17, 2013 and to render instructional services during the
following time period:
7/17 - 9/4/13
Wednesday, 7:00 - 8:15 p.m.
Location: Southold Recreation Center
No Class 8/7
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $70/person 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 4 Maximum Enrollment 12
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 Cott A. Ru sell, Supervisor
DAz-~~ b~,v~?~?=c' I-Li- 1 zT
Instructor Today's Date
ur rr~ k,~4 Dots l / -7 - 72 7Z
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):
North Fork School for Dogs
Attn: Dawn Bennett
1120 Bridge Lane
Cutchogue NY 11935
734-8331
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:
Dog Obedience Puppy STAR
3. The Instructor hereby agrees to commence the rendering of services on
January 8, 2014 and to render instructional services during the
following time period:
1/8 - 2/19/14
Wednesday 7:00 - 8:15 p.m.
Location: Southold Recreation Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $70/person 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 4 Maximum Enrollment 12
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 OF SOUTHOLD
Scott A. Russell, Supervisor
Instructor Today's Date
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):
North Fork School for Dogs ` .
Attn: Dawn Bennett
1120 Bridge Lane 44.
Cutchogue NY 11935 r
734-8331
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:
Dog Obedience Pre-Therapy
3. The Instructor hereby agrees to commence the rendering of services on
January 4. 2014 and to render instructional services during the
following time period:
1/4 - 2/15/14
Saturday 10:00 - 11:15 a.m.
Location: Southold Recreation Center
No Class 1/25
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $90/person 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 4 Maximum Enrollment 12
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 1 1::72
Instructor Today's Date
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):
North Fork School for Dogs
Attn: Dawn Bennett
1120 Bridge Lane
Cutchogue NY 11935
734-8331
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:
Dog Obedience Pre-Therapy
3. The Instructor hereby agrees to commence the rendering of services on
January 4, 2014 and to render instructional services during the
following time period:
1/4 - 2/15/14
Saturday 10:00 - 11:15 a.m.
Location: Southold Recreation Center
No Class 1/25
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $901person 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 4 Maximum Enrollment 12
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-A. Russell, Supervisor
Instructor Today's Date
, _ l-I Z-~Z J
Business Name (if applicable) Federal ID Number (if applicable)