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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)