HR Vendor Setup Package

HR VENDOR SETUP PACKAGE

Vendor Identification

Corporation    LLC    Sole Proprietor    Partnership    Other (specify below)

Primary Contact / Representative

Representative Full Name:

Services, Rates & Payment

Standard Payment Terms: . Late payment interest or fees:

Banking / Remittance Instructions

Check    ACH / Electronic Transfer    Wire Transfer

Compliance, Insurance & Certifications

Provide proof of the following where applicable. Check all items attached or on file.

W-9 or equivalent tax form    Certificate of Insurance    Workers' Compensation Evidence    Professional Liability Insurance

Employment History (Representative)

Employer 1

Start Date:    End Date:

Employer 2

Start Date:    End Date:

Education

Professional References

Reference 1

Reference 2

Reference 3

Legal Disclosures & Representations

At-Will Employment Statement: The vendor acknowledges that any individual hired by the company in connection with this vendor relationship is subject to the company's employment policies. Where applicable, employment relationships between the company and any employee are at-will, which means employment can be terminated by either party at any time, with or without cause or notice. The vendor further agrees to include any required employment disclosures for its staff assigned to company work.

Equal Opportunity Statement: The vendor represents and warrants that it is an equal opportunity employer and will comply with all applicable equal employment opportunity laws and company non-discrimination policies in the sourcing, employment, and assignment of personnel to perform under this engagement.

Terms, Confidentiality & Indemnity

Independent Contractor: The parties expressly agree that vendor is an independent contractor and not an agent, partner, joint venturer, or employee of the company. Vendor shall be solely responsible for all federal, state and local taxes, withholdings, and other statutory obligations related to its performance, except as otherwise required by law.

Confidentiality & Data Protection: Vendor shall maintain in strict confidence all confidential, proprietary or personal information received from the company or its employees, including HR records, candidate data, payroll data and any personally identifiable information. Vendor shall protect such information using industry-standard administrative, technical and physical safeguards, and promptly notify the company of any unauthorized disclosure.

Insurance & Indemnification: Vendor shall maintain insurance coverage adequate to the scope of services, including general liability and professional liability where applicable, and shall indemnify, defend and hold the company harmless from and against all claims, liabilities, losses and expenses arising from vendor's performance, breach of this agreement, or the acts or omissions of vendor's personnel.

Compliance with Laws: Vendor represents and warrants that it shall comply with all applicable federal, state and local laws, rules and regulations in performing its obligations, including employment, labor, tax, immigration, and privacy laws.

Background Checks and Verification: Vendor authorizes the company to verify any information provided herein, including contacting listed employers and references and performing criminal, credit or other background checks where permitted by law and relevant to the services provided. Vendor affirms that all information provided in this package is true and complete to the best of its knowledge.

Certification & Authorization

Vendor Certification: I certify that all information provided in this HR Vendor Setup Package is accurate, complete, and submitted in good faith. I certify that I am authorized to execute this document on behalf of the named vendor, and I agree to notify the company promptly of any material changes to the information provided.

Authorization to Contact: By signing below, vendor authorizes the company and its agents to contact previous employers, references, and licensing authorities to verify the information provided and to perform background checks as necessary for compliance and risk mitigation.

Accept terms and authorizations: I certify acceptance of the statements and authorizations above.

Additional Notes / Exceptions

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