Independent Contractor Agreement Form printable pdf download

Wheeling Park District

INDEPENDENT CONTRACTOR AGREEMENT

It is the intention of the Wheeling Park District (hereafter, Park District), to create a non-exclusive

Independent Contractor Relationship with ____________________________________

(hereafter, Contractor). This agreement shall not be construed as creating an employee/employer

relationship or joint employment relationship between the parties.

Contractor acknowledges and agrees that s/he is not entitled to any benefits or

protections afforded employees of the Park District or bound by any obligations of

employees of the Park District. Contractor understands and fully agrees that s/he will not

be covered under provisions of the unemployment compensation insurance of the Park

District or the workers’ compensation insurance of the Park District and that any injury or

property damage on the job will be Contractor’s sole responsibility and not the Park

District’s. Also, it is understood that Contractor is not protected as an employee or as a

person acting as an agent or employee under the provisions of the general liability

insurance of the Park District and therefore, Contractor will be solely responsible for

his/her own actions. The Park District will in no way defend Contractor in matters of

liability.

It is the intention of the parties to create a non-exclusive independent contractor

relationship. Contractor may engage in other business activities and provide similar

services to other entities and business; provided such services do not create a conflict or

interest or interfere with the performance of the services contemplated by this agreement.

Contractor agrees not to hold him/herself out as an employee or joint employee of the

Park District to members of the public.

Contractor acknowledges and agrees that s/he is solely responsible to pay all applicable

federal, state and local income and withholding tax obligations or contributions imposed

by social security, unemployment insurance and worker’s compensation insurance on

behalf of Contractor and those employees, if any, employed by him/her.

II.

Services to be performed by Contractor include:

Results to be achieved by Contractor include:

Days and hours of work to be performed by Contractor include:

Independent Contractor Agreement Form