HomeMy WebLinkAboutZablotny, Kerri THIS AGREEMENT made ,this 17th day of November, 2015, between the T ,,
TOWN OF SOUTHOLD, a municipality of the State of New York, having its O
principal office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New
York 11971 (the "Town") and (The Instructor): W
Kerri Zablotny N
1385 Jasmine Lane
Southold NY 11971 C
.O
WITNESSETH: T
1. e The Town does hereby agree to hire the Instructor as an independent
contractor, and the Instructor does hereby agree to provide instructional services �y
to the Town for the program(s) hereinafter described, subject to the terms and
conditions hereinafter set forth.
2. i The Instructor shall provide instructional services for the following
program, to wit:
Raise A Reader
3. 1 The Instructor hereby agrees to commence the rendering of services on
January 19, 2016 and to render instructional services during the
following time period:
1/19 - 2/9/16
Tuesdays 11:15 a.m. - 12:15 p.m.
Location: Peconic Lane Community Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is, agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion,"of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 6 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..he -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
Sco'ffVRussell, Supervisor
r
Federal ID Number (if applicable)
THIS AGREEMENT made this 9th day of February, 2016, between the TOWN T
OF SOUTHOLD, a municipality of the State of New York, having its principal 0
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York
11971 (the "Town") and (The Instructor): W
Kerri Zablotny N
1385 Jasmine Lane
Southold NY 11971 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:
Spring Storytime
3. The Instructor hereby agrees to commence the rendering of services on
April 5, 2016 and to render instructional services during the
following time period:
4/5 - 5/10/16
Tuesdays 1:30 - 2:30 p.m.
Location: Peconic Lane Community Center, Room #2
No Class 4/26
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment, in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 5 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. Them 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,c 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
Scott A. Russell, Supervisor
WL" vZ
Federal ID Number (if applicable)
THIS AGREEMENT made this 9th day of February, 2016, 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
Kerri Zablotny N
1385 Jasmine Lane
Southold NY 11971 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:
Game Time
3. The Instructor hereby agrees to commence the rendering of services on
April 5, 2016 and to render instructional services during the
following time period:
4/5 - 5/10/16
Tuesdays 3:45 - 4:45 p.m.
Location: Peconic Lane Community Center, Room #2
No Class 4/26
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 5 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to the
Instructor. The Instructor is expected to utilize his/her independent judgment in
fulfilling his/her Instructor tasks.
12. The Instructor will not receive payment for any services rendered until this
contract is signed and returned to the town clerk's office prior to the beginning of
said program.
13. The Town of Southold shall, as part of the Instructor's compensation,
cover the individual Instructor from claims for bodily injury, death or property
damage which may arise from the performance of his/her services under the
Agreement in limits of $1,000,000. and $2,000,000 aggregate liability for bodily
injury and property damage. This coverage does not inure any other benefits
upon the independent contractor nor does it alter or modify the Instructor's status
as an independent contractor.
IN WITNESS WHEREOF the parties hereto have hereunto set their hands and
seals the day and year first above written.
TO OFSOUTHOLD
Ott A. R ssell, Supervisor
Federal ID Number (if applicable)
THIS AGREEMENT made this 3rd day of May, 2016, between the TOWN OF ;T
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): w
Kerri Zablotny N
1385 Jasmine Lane
Southold NY 11971 C
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:
Children's Reading Club
3. The Instructor hereby agrees to commence the rendering of services on
June 27, 2016 and to render instructional services during the
following time period:
6/27, 28, & 29
Monday, Tuesday, & Wednesday 9:30 - 10:30 a.m.
10:45 — 11:45 a.m.
Location: Southold Recreation Center
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for-such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment.in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 5 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a competent and professional,manner. The Instructor
represents and agrees that he or she is an independent, contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
Instructor. There shall be no workers compensation benefits offered to- the
Instructor. The Instructor is expected to utilize his/herindependent 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.SO�LITHOLD_ - - - - -
Scott A. Russell, Supervisor
Ke-Y-r z
0�_6 d451h I(P
Instr
Federal ID Number (if applicable)
THIS AGREEMENT made this 9th day of August, 20161 between the TOWN OF T
SOUTHOLD, a municipality of the State of New York, having its principal office at O
53095 Main Road (Route 25), P.O. Box 1179, Southold, New York 11971 (the W
"Town") and (The Instructor):
Kerri Zablotny N
1355 Jasmine Lane
Southold NY 11971 C
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:
Royal Storytime
3. The Instructor hereby agrees to commence the rendering of services on
September 22, 2016 and to render instructional services during the
following time period:
9/22 - 10/27/16
Thursdays 1:30 - 2:30 p.m.
Location: Peconic Lane Community Center, Room #2
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.
6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist with the solicitation of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as ,
follows: Minimum Enrollment 6 Maximum Enrollment 8
10. The Instructor agrees to prepare accurate attendance records of all
persons enrolled in the program and to file the same with the Recreation
Supervisor within one week after the last class of the program.
11. The Instructor represents that he or she is competent by reason of training
and experience to provide the instruction provided for in this contract, and will
provide such services in a.competent and professional manner. The Instructor
represents and agrees that he or she is an independent contractor and is solely
responsible for payment of taxes arising out of this employment. The Instructor
agrees that he or she is an independent contractor and that the Town of Southold
shall not be liable for any taxes or withholding. There shall be no fringe benefits
associated with this Agreement. There shall be no health benefits offered to the
_ v -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.
=
Z
OFSOUTHOLD
rom A"4
Q
oft A. Russell, Supervisor
Y /luhu
Federal I'D Number (if applicable)
THIS AGREEMENT made this 9th day of November, 2016, between the TOWN T
OF SOUTHOLD, a municipality of the State of New,York, having its principal
office at 53095 Main Road (Route 25), P.O. Box 1179, Southold, New York O
11971 (the "Town") and (The Instructor): RECEIVED W
Kerr! Zablotny N
1385 Jasmine Lane NOV 2 8 2016
Southold NY 11971 C
WITNESSETH:
Southold Town Clerk O 1. The Town does hereby agree to hire the Instructor as an independent P
contractor, and the Instructor does hereby agree to provide instructional services Y
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: = =
Little Scholars Club
3. The Instructor hereby agrees to commence the rendering of services on
January 5, 2017 and to render instructional services during the
following time period:
1/5 - 319/17
Thursdays 12:30 - 2:30 p.m.
Location: Peconic Lane Community Center, Room #1
No Class 2/23/17
4. The Town agrees to compensate the instructor for satisfactory
performance as described herein in the amount of 30/hour to be paid in semi-
monthly installments.
5. It, is agreed that the Instructor shall report to the Supervisor for the
Recreation Department of the Town. The Instructor shall determine that scope
and manner of work to be performed and the hours for which it will be performed.-
6.
erformed.6. It is agreed that the Instructor shall be responsible for the establishment of
the program, to assist With the solicitation 'of participants therein, and the
completion of all the classes planned for such program.
7. In the event of the temporary illness, inability of the Instructor to conduct
classes as and when scheduled, or cancellation due to inclement weather, the
Instructor shall immediately notify the Recreation Department. The Instructor will
assist and/or cooperate with the supervisor to contact all participants notifying
them of the class cancellation and to provide for makeup classes.
8. In the event that the enrollment in the program is less than the minimum
enrollment as hereinafter set forth, the Town shall have the right to terminate this
agreement. In the event that the Instructor fails or neglects to perform such
instructional services in accordance with provisions of this agreement, then and
in such event, the Town in the exercise of discretion, shall have the right to
terminate this agreement.
9. The minimum and maximum enrollment of the class for the program is as
follows: Minimum Enrollment 6 Maximum Enrollment 8
10. The Instructor agrees'to prepare accurate attendance records of all
persons', enrolled in the program and to file the same with the Recreation
Supervisor within dne 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 OFSOUTHOLD -
Scott A. Russell, Supervisor
[
Federal ID Number (if applicable)
t -