HR Contractor CCA

HR CONTRACTOR CCA

Parties and Engagement

Client Name:    Contractor Name:

Client Address:

Contractor Address:

Effective Date:    Expected Term / End Date:

Position and Services

Compensation and Expenses

Fee/Rate:    Payment Frequency:

Reimbursable Expenses Allowed:   If checked, reimbursable expenses are subject to prior written approval and submission of receipts as described in the invoice terms.

Independent Contractor Status; Taxes

The parties acknowledge that Contractor is retained as an independent contractor and not an employee of Client. Contractor is solely responsible for all federal, state and local taxes, insurance, and benefits relating to compensation paid under this Agreement. Client will not withhold payroll taxes or provide employee benefits.

Contractor Tax ID / SSN (last four digits acceptable):

Confidentiality; Intellectual Property

Contractor will have access to proprietary and confidential information. Contractor agrees to keep confidential all such information, will not disclose it to third parties, and will use it solely to perform services under this Agreement. All work product, inventions and deliverables created by Contractor in connection with the services shall be the exclusive property of Client and are hereby assigned to Client. Contractor shall execute all documents necessary to effectuate such assignment.

Compliance; Background and References

Contractor authorizes Client to contact former employers, references, and to obtain background checks, criminal records checks, or professional license verifications as required for performance of services. Contractor certifies that the information provided in this form is true and complete and understands that material misrepresentation or omission may be grounds for termination.

Consent to background check and references:   I authorize Client to conduct background and reference checks.

Insurance; Indemnification

Contractor shall maintain appropriate insurance coverage as required by Client and indemnify and hold Client harmless from claims arising from Contractor’s acts or omissions in performing services, except to the extent caused by Client’s gross negligence or willful misconduct.

Term; Termination

This Agreement begins on the Effective Date and continues until completion of the services unless earlier terminated by either party upon written notice. Upon termination, Contractor will deliver all work product and return Client property. Client will pay Contractor for services rendered through the termination date in accordance with agreed payment terms.

Legal Provisions

Governing Law: This Agreement shall be governed by the laws of the state specified below. The parties waive jury trial to the extent permitted by law. If any provision is held invalid, the remainder shall remain in force. This Agreement constitutes the entire agreement between the parties and supersedes prior understandings. Amendments must be in writing and signed by both parties.

HR Applicant Information

Employment History (Most Recent)

Education

References

Legal Disclosures and Acknowledgements

At-Will and Relationship Acknowledgement: Contractor acknowledges that this engagement does not create an employment relationship. Nothing in this Agreement shall be construed to create an employer-employee relationship, partnership, joint venture, or other agency relationship between Client and Contractor.

Equal Opportunity Statement: Client is an equal opportunity organization. Contractor will not engage in discriminatory practices in violation of applicable law and acknowledges Client’s nondiscrimination policies.

Applicant Certification and Authorization

I certify that all information given in this form and any attachments is true, accurate and complete to the best of my knowledge. I understand that any material misstatement or omission may be grounds for immediate termination of this Agreement or withdrawal of offer.

Certification:   I certify the foregoing.

Authorization to Contact Employers/References:   I authorize Client to contact the employers, educational institutions and references listed above and to obtain verification of any information provided.

Notices

Sign Now