HomeMy WebLinkAboutLittle Red Barn
THIS AGREEMENT made this 26th day of February, 2013, between the TOWN T
OF SOUTHOLD, a municipality of the State of New York, having its principal O
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York
11971 (the "Town") and (The Instructor): W
The Little Red Barn N
c/o Kate Nickles
PO Box 128 C
Southold NY 11971
O
566-1690
P
MTNESSETH. P
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:
HORSE & PONY CAMP
3. The Instructor hereby agrees to commence the rendering of services on
May 18, 2013 and to render instructional services during the following time
period:
MAY 18 & 19
SATURDAY & SUNDAY
9:00 A.M. -12 NOON
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $ 100 per sl;-w&44&w 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 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 Instructor agrees to carry appropriate insurance coverage from claims
for bodily injury, death or property damage which may arise from the
performance of their services under the Agreement in limits of $1,000,000 and
$2,000,000 aggregate liability for bodily injury and property damage. The Town
of Southold (53095 Main Road, Southold, NY 11971) must be named as
additional insured.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TO OF SOUTHOLD
S tt A. Russell, Supervisor
14(& -Uwne.-
~Ccriahne /)u~icc Z3°/A/-13
Instructor Today's Date
Business Name (if applicable) Federal ID Number (if applicable)
Town of Southold
* Recreation Department
PO Box 267
Peconic NY 11958
Background Check Permission Form
To be completed prior to first day of instruction class/employment
I,C(1h, 7i'Y~ CX~CI , do hereby give permission to the
Town of Southold t nduct 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:
wI c x L C-( 77/ 2 N
Last Name First N e Middle Initial
Former Name(s) - if applicable
Last Name First Name Middle Initial
PO' aox i GIs ZO P7 C,
Mailing Address Le al Address if different)
Sou cl d 5971 So a Lm fz&ll 9cqoJ
Ci " to Zip Code City State ? Zip Code
Date of Birth
-SL& /~90
Home Telephone Number
~4z E-Mail Address (Please print legibly)
Please see reverse side of this form
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
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
53095 Main Road (Route 25), P.O. Box 1179, Southold, New York 11971 (the
"Town") and (The Instructor):
The Little Red Barn
c/o Kate Nickles
PO Box 128
Southold NY 11971
566-1690
W/TNESSETH.
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:
PONY CAMP
3. The Instructor hereby agrees to commence the rendering of services on
July 22, 2013 and to render instructional services during the following time
period:
Session A: July 22, 23, & 25 Session B: July 29, 30, & August 1
Session C: August 5, 6, & 8 Session D: August 12,13, & 15
9:00 a.m.. -12 noon for all sessions - Program held at The Little Red Barn, Jamesport
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $ 100 per elassA4aw 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 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 Instructor agrees to carry appropriate insurance coverage from claims
for bodily injury, death or property damage which may arise from the
performance of their services under the Agreement in limits of $1,000,000 and
$2,000,000 aggregate liability for bodily injury and property damage. The Town
of Southold (53095 Main Road, Southold, NY 11971) must be named as
additional insured.
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 301th 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):
The Little Red Barn
Attn: Kate Nickles
PO Box 128
Southold NY 11971
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:
Pony Camp
3. The Instructor hereby agrees to commence the rendering of services on
September 28. 2013 and to render instructional services during the
following time period:
9/28 & 9/29/13
Saturday & Sunday 9:00 a.m. -12 noon
Location: The Little Red Barn - Jamesport
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of $100/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 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 Instructor agrees to carry appropriate insurance coverage from claims
for bodily injury, death or property damage which may arise from the
performance of their services under the Agreement in limits of $1,000,000 and
$2,000,000 aggregate liability for bodily injury and property damage. The Town
of Southold (53095 Main Road, Southold, NY 11971) must be named as
additional insured.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TOWN SOUTHOLD
Id 41W
Scott Aw Russell, Supervisor
Instructor Today's Date
Business Name (if applicable) Federal ID Number (if applicable)