HomeMy WebLinkAboutPoplarski, Jeffrey
THIS AGREEMENT made this 20th day of November. 2012, between the
TOWN OF SOUTHOLD, a municipality of the State of New York, having its T
principal office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New O
York 11971 (the "Town") and (The Instructor):
W
Dr. Jeffrey Poplarski N
PO Box 477
Amityville NY 11701 C
598-7034
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:
GOLF FITNESS
3. The Instructor hereby agrees to commence the rendering of services on
January 13. 2013 and to render instructional services during the following time
period:
January 13 - February 17
Sundays, 9:30 -10:45 a.m.
Southold Town Recreation Center
4. The Town agrees to pay the Instructor and the Instructor agrees to accept
for such services, the compensation of 55 per class/heWpersen 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: Minimum Enrollment 7 Maximum Enrollment 15
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 OUTHO
Scott X. Russell, Supervisor
~C- lot rp- L-y 'C IVAK~7 001-A04 0 Instructor Instructor's Social Security Number
T! 30036 y~
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
11971 (the "Town") and (The Instructor):
W
Dr. Jeffrey Poplarski N
PO Box 477
Amityville NY 11701
598-7034 C
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:
GOLF FITNESS & YOUTH FITNESS PROGRAMS
3. The Instructor hereby agrees to commence the rendering of services on
March 24, 2013 and to render instructional services during the following time
period:
Golf Fitness Program Youth Fitness Program
MARCH 24 - MAY 12 MARCH 24 - JULY 7
SUNDAYS, 8:00 - 9:15 A.M. SUNDAYS 9:45 -11:15 AM
Southold Town Recreation Center Program will not be held on April 21, May
Program will not be held on April 21 19, June 9 & 16.
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $ 55 per classMewOReFSea
(golf fitness) and $ 65 per class JkeueF! (youth fitness) 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 15
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
-A4d
Scott A. Russell, Supervisor
Z~ 0~3
Instructor Toda 's Dat
-)530036 q
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):
Dr. Jeffrey Poplarski
PO Box 477 '
Amityville NY 11701
598-7034
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:
Golf Fitness
3. The Instructor hereby agrees to commence the rendering of services on
September 22. 2013 and to render instructional services during the
following time period:
9/22 - 12/8/13
Sundays 8:00 - 9:15 a.m.
Location: Southold Recreation Center
No Class 9/29,10/13 & 20,11/17
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $551class 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 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
scoff. Russell, Supervisor
$~3I13
structor Today's Date
S ~tNe'Vwi w PoPcA~Sk. ~,C, at ~S306 3`44
Business Name (if applicable) Federal ID Number (if applicable)
THIS AGREEMENT made this 30th day of Julv, 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): c
Dr. Jeffrey Poplarski j
PO Box 477
Amityville NY 11701
598-7034
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:
Youth Fitness
3. The Instructor hereby agrees to commence the rendering of services on
September 22, 2013 and to render instructional services during the
following time period:
9/22 - 12/22/13
Sundays 9:45 -11:15 a.m.
Location: Southold Recreation Center
No Class 9129, 10/13 & 20, 11117
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $65/class 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 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
Sc A. Russell, Supervisor
Instructor Today's Date
"SGf-fQZ O CAU/A0 P00AKSA-A U( Q 0034 yy
Business Name (if applicable) Federal ID Number (if applicable)
4
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):
Dr. Jeffrey Poplarski
PO Box 477 +a
Amityville NY 11701
598-7034
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:
Golf Fitness
3. The Instructor hereby agrees to commence the rendering of services on
January 5, 2014 and to render instructional services during the
following time period:
1/5 - 3/23/14
Sundays 8:00 - 9:15 a.m.
Location: Southold Recreation Center
No Class 1/19, 2/16, 3/9 & 3/16
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 551class 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 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.
TO OF SOUTHOLD
colt A. Russell, Supervisor
Instructor Today's Date
SC-,FFe -1 CO WA49 POPLAA k D, C LL~ SBW 43 9
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 Q
11971 (the "Town") and (The Instructor): W
Dr. Jeffrey Poplarski N,
PO Box 477
Amityville NY 11701
598-7034
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:
Youth Fitness
3. The Instructor hereby agrees to commence the rendering of services on
January 5, 2014 and to render instructional services during the
following time period:
1 /5 - 4/6/14
Sundays 9:45 - 11:15 a.m.
Location: Southold Recreation Center
No Class 1/19, 2/16, 3/9 & 3/16
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 65/class 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 9 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 $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TO O
FSOUTHOLD
D 4~~
*oft A. Russell, Supervisor
lI rli~l~3
Instructor Today's Date
SCr e-16- 0WAi$ POPLAO ei s3003~ q(/
Business Name (if applicable) Federal ID Number (if applicable)