SPRINGTOWN INDEPENDENT SCHOOL DISTRICT CONSULTANT SERVICE CONTRACT
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1 CONSULTANT SERVICE CONTRACT The Springtown Independent School District, hereinafter referred to as District, and independent contractor,, hereinafter referred to as Consultant, enter into a contract on this the day of,, for the provision of consultant services. 1. District agrees to engage Consultant, and Consultant agrees to perform personally, in a manner satisfactory to District, the following services: Unless discontinued earlier by District, the services are to be performed at the following times and places: District agrees to pay Consultant a fee of $ as compensation for services rendered. This agreement shall be in effect from through, unless terminated by either party at any time prior, with or without cause. In the event of termination by District or Consultant prior to completion of the contract, compensation shall be prorated on the basis of hours actually worked, and Consultant shall only be entitled to receive just and equitable compensation for any satisfactory work completed and expenses incurred up to the date of termination. Consultant may not assign this contract to a third party without the written consent of the District. Consultant must conduct a criminal background check, at the Consultant s expense, of all employees employed under this contract, except District employees. Consultant is not an employee of District, and is not entitled to fringe benefits, pension, workers compensation, retirement, etc. District shall not deduct Federal income taxes, FICA (Social Security), or any other taxes required to be deducted by an employer, as this is the responsibility of Consultant. Consultant agrees to hold District harmless from any and all liability incurred by District by reason of Consultant's negligence or breach of contract, including, without limitation, damages of every kind and nature, out-of-pocket costs, and legal expenses. Revised August 2016
2 IN WITNESS WHEREOF, Springtown Independent School District and Consultant have executed this contract, effective the date first herein written. SPRINGTOWN INDEPENDENT SCHOOL DISTRICT By: Superintendent or designee CONSULTANT -- By: Social Security/Federal Tax ID Number: Signature of SISD Staff Contact Person: Phone Number: Date of Board approval: (for contracts of $50,000 or more)
3 CONSULTANT INVOICE FOR FEES AND EXPENSES Name: Address: City/State/Zip: FEES: $ per day... $_N/A_ $ per hour... $ Private conveyance: $.35 per mile... $ Plane, bus, train... $ Taxi... $ Lodging... $ Meals (not to exceed $45.00 per day)... $ Materials, if applicable... $ TOTAL DUE... $ Original receipts are required and must be attached to document all expenditures listed above. Signature of Consultant Social Security/Federal Tax ID Number Signature of Contact Person Requesting Consultant Services Date
4 Consultant Evaluation Name of Consultant: School/Department Contracting the Services: Description of Services Rendered: Dates: Mark the point on the scale which best describes the services rendered: A. Presentation relevant to purpose B. Effectiveness C. Evidence of Preparation Not Relevant Very Relevant Not Relevant Very Relevant Not Prepared Well Prepared D. Amount of Interaction (in relation to the type of service) Low High E. Reception by Participants Not Well Received Very Well Received Staff member comments: SISD Staff Contact Person s Signature: File this with copy of consultant contract.
5 301 EAST FIFTH STREET S PRINGTOWN, TEXAS (817) F AX (817) MIKE KELLEY SUPERINTENDENT Employee s Acknowledgment and Agreement By checking the box below, candidate authorizes the school district to conduct an investigation of candidate pursuant to The School Code to determine whether candidate has been convicted of any criminal or drug offenses as set forth in such statue, and, upon request, agrees to execute an investigation authorization form as a condition for candidate s employment. The School Code also stipulates that the School District perform a check on the Statewide Sex Offender Database. Candidate may not be employed unless such investigations have been initiated. I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in the application to verify my statement, and I authorize past employers, all references and any other person to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information. I, agree to the terms above. I agree Print Name Signature Date Background Check Info This information is being collected to provide information to run criminal history background check and to verify certification(s). *SSN: *Date of Birth: *Driver s License Number:
B y: S uperintendent or designee CONSULTANT -- B y: S ocial Security/Federal Tax ID Number: S ignature of AI SD Staff Contact Person: P hone Number: D
C ONSULTANT SERVICE CONTRACT The A rp I ndependent School District, hereinafter referred to as District, and independent contractor,, hereinafter referred to as Consultant, enter into a contract on this
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