Contractor Responsibility Agreement

CONTRACTOR RESPONSIBILITY AGREEMENT

This Contractor Responsibility Agreement (the Agreement) is entered into as of Effective Date: by and between Company Name: (Company) and Contractor Name: (Contractor). The parties agree as follows.

Parties and Contact Information

Personal Information

Position Information

Anticipated Start Date:   Expected End Date:

Scope of Services and Deliverables

Contractor Responsibilities

The Contractor shall: (a) perform the Services to the standards customary for the profession and in accordance with any schedules and specifications set forth in this Agreement; (b) provide and maintain all tools, equipment and materials required to perform the Services unless otherwise agreed in writing; and (c) comply with all lawful directions of the Company in connection with the performance of Services.

Contractor represents and warrants that Contractor has the necessary qualifications, licenses, and permits to perform the Services and will maintain such qualifications, licenses, and permits for the duration of the engagement.

Independent Contractor Status; Taxes

The parties agree that Contractor is an independent contractor and not an employee, agent, partner, or joint venturer of the Company. Contractor is solely responsible for all federal, state and local taxes, contributions or withholdings imposed on Contractors, including but not limited to income tax and self-employment tax. Company shall have no obligation to withhold taxes or provide benefits typically provided to employees.

Insurance and Indemnification

Contractor shall, at Contractor's expense, maintain liability insurance appropriate to the nature of the Services, including commercial general liability and, when applicable, professional liability insurance. Contractor shall name the Company as an additional insured where required by contract and provide certificates of insurance upon request.

Contractor shall indemnify, defend and hold harmless the Company from and against all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of Contractor's negligent acts, omissions, or willful misconduct in performance of Services.

Confidentiality and Intellectual Property

Contractor acknowledges that during performance of the Services Contractor may receive Confidential Information. Contractor shall hold Confidential Information in strict confidence and shall not disclose or use any Confidential Information except as necessary to perform the Services. All Confidential Information remains the property of the Company.

Except as otherwise agreed in a written work-for-hire agreement signed by both parties, Contractor hereby assigns to the Company all right, title and interest in and to all work product, inventions, designs, software, documentation and other tangible or intangible results of the Services, whether or not patentable or copyrightable. Contractor shall execute such documents as may be reasonably requested to confirm such assignment.

Background Checks; Authorization to Verify

Contractor expressly authorizes the Company to obtain and verify background information, including criminal history, employment history, education verification, and references. Contractor authorizes previous employers and references to provide truthful information to the Company. Contractor further understands that any false or misleading statement or omission may constitute grounds for termination for cause.

Authorization to obtain background checks: I authorize the Company to obtain and evaluate background information as described above.

Term; Termination

Unless terminated earlier as provided herein, this Agreement shall commence on the Effective Date and continue until completion of the Services or until terminated by either party upon thirty (30) days written notice. The Company may terminate immediately for cause if Contractor materially breaches any provision of this Agreement.

Representations; Compliance with Law

Contractor represents that Contractor's performance of the Services will comply with all applicable federal, state and local laws, regulations and ordinances. Contractor further represents that Contractor is authorized to work in the applicable jurisdiction and will comply with immigration law requirements.

At-Will Statement and Equal Opportunity

The Company is an equal opportunity employer. The Company does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other protected characteristic. Nothing in this Agreement creates an employment relationship; however, to the extent any engagement by the Company results in an employment relationship, such employment would be on an at-will basis unless otherwise expressly provided in a separate written agreement signed by an authorized representative of the Company.

Employment History

Education

References

Representations, Certifications and Authorizations

I certify that all information provided in connection with this Agreement, including personal data, employment history, education and references, is true, complete and correct to the best of my knowledge. I understand that false statements or omissions may disqualify me from engagement or constitute grounds for termination.

Certification: I certify that all information provided is true and complete and that the Company may rely on these statements in entering into this Agreement.

Authorization to Contact: I authorize the Company to contact current and former employers and listed references for purposes of verifying information and evaluating my suitability for engagement.

Miscellaneous Provisions

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the state indicated by the Company in its internal records. Venue for any dispute shall be in a court of competent jurisdiction located in that state.

Severability: If any provision of this Agreement is held invalid or unenforceable, the remainder of this Agreement shall remain in full force and effect.

Entire Agreement: This Agreement constitutes the entire understanding between the parties concerning the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral, relating to such subject matter. Any modification must be in writing and signed by an authorized representative of the Company and the Contractor.

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