HomeMy Public PortalAboutParks & Rec. Contract for Services-Christopher BellParks & Recreation
CONTRACT FOR SERVICES
THIS CONTRACT FOR SERVICES made and entered into this / /4 day of .5-1,006- , by and between
the City of Crestview, a municipal corporation, hereafter referred to as "City" and
eile:574P»AEZ t-- , hereafter referred to as "Vendor".
VVITNESSETH:
WHEREAS, the City has chosen to procure services for the recreation of children: and
WHEREAS, the City charges the Parks & Recreation Division with the overall responsibility of
administering said services; and
WHEREAS, the City directs that measures be taken to procure services of qualified providers through
a contract of services not to exceed the FY 2014-2015 Budget payable in one lump sum of
NOW, THEREFORE, in consideration of the mutual covenants contained herein the parties agree as
follows:
1. VENDOR agrees to perform scheduled work on behalf of the CITY.
2. VENDOR agrees to receive Form 1099 at the end of the City's business year for tax purposes.
3. VENDOR understands that managerial direction and supervision of assigned duties shall
emanate from, the Parks & Recreation Division.
4. VENDOR agree that the City reserve the rights to lessen the lump sum amount if the class size
doesn't add up to or exceed the lump sum amout.
5. CITY agrees to provide facilities essential to carryout services by the VENDOR.
6. Provisions of this contract may be terminated at any time with thirty days notice to either party in
written form.
7. This contract constitutes the entire agreement between the parties and any changes or
amendments hereto must be reduced to writing and signed by both parties to be legally binding.
IN WITNESS WHEREOF, the parties have set their hands this / q day of 71-1,( tC"..
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VENDOR
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ELIZ TH M. ROY, CITY CLEKK
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City of Crestview Parks & Recreation
100 N Hathaway • Crestview, FL 32539 Telephone (850) 682-4715
STATEMENT FOR PREVENTION OF CHLLD ABUSE
The goal of the City of Crestview is to provide a healthy atmosphere for the development and growth of
children. Affectionate touch and the warm feelings it brings is an important factor in helping a child grow
into a loving and peaceful adult. However, City of Crestview staff and volunteers need to be sensitive to
each person's need and right for personal space, regardless of age. The mistreatment or neglect of
children and the resulting severe effects are of primary concern.
Policies and guidelines help in recognizing, reporting and preventing child abuse. Because of the City of
Crestview's concern for the welfare of children, the following guidelines for staff and volunteers have
been developed:
Guidelines for Ethical Behavior
> Do not discipline children by use of physical pnnishment or by failing to provide the necessities
of care.
> Do not verbally or emotionally abuse children.
> Inform children in a manner that is age appropriate of their right to set their own touching limits.
Touching should:
• avoid breasts, buttocks, and the groin,
• be governed by age and developmental stage,
• be open and not secretive.
> Avoid being alone with a single child where other staff or adults cannot observe you
> At the first reasonable cause to believe child abuse exists, report it to Park Staff where the
procedure for reporting to the proper authorities will be promptly reviewed and followed.
> Be sensitive to the need for confidentiality; refrain from discussing any abuse matters with co-
workers or parents. Limit conversations to the appropriate supervisor or designated office staff.
> Document, in writing, any information regarding abuse, suspected abuse, or potential abuse. Be
sure to record all factual observations.
> Release children to authorized persons only.
> Do not date a participant in a program who is under 18 years of age.
> At no time will a coach, assistant coach, staff member, or volunteer (or anyone assisting with the
team) be allowed to attend any team function under the influence of alcohol or illegal substances.
In the event an incident or suspicious activity is reported which involved a volunteer, regardless of when
the alleged incident took place, the volunteer will be immediately suspended pending further investigation
pursuant to City policy.
I understand this Statement for Prevention of Child Abuse and agree to abide by the
Guidelines for Ethical Behavior outlined therein:
Signature: Date: ff 1/AP-Nic 2 7
Print Name: clyx-572),ere, 8e2c_
Form W-9
(Rev. August2013)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
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Name (as shown on your income tax return)
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Business name/disregarded entity name, if different from above
appropriate
❑ Individual/sole
. Limited liability
box for federal tax classification:
Trust/estate
I.
Exemptions
Exempt payee
Exemption
code (if any)
(see Instructions):
code (rf any)
proprietor E C Corporation Ii S Corporation Ii Partnership ❑
company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership)
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from FATCA reporting
III Other (see instructions)
Address (number, street, and apt, or suite no.
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Requester s name and address (optional)
City, state, and ZIP code
C ✓r.s 14.-r' �.— I L 32_5-34„
List account numbar(s) here {optional}
Part
! Taxpayer Identification Number {T!N}
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line
to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Social security number
3
Y
Employer identification number
Part I
Certification
H
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below), and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt
Certification instructions. You must cross out item 2 above if you have been
because you have failed to report all interest and dividends on your tax return.
interest paid, acquisition or abandonment of secured property, cancellation of
generally, payments other than interest and dividends, you are not required to
instructions on page 3.
Sign
Here
Signature of
U.S. person I.
General Instruction
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. The IRS has created a page on IRS.gov for information
about Form W-9, at www.irs.gov/w9. Information about any future developments
affecting Form W-9 (such as legislation enacted after we release it) will be posted
on that page.
Purpose of Form
A person who is required to file an information return with the IRS must obtain your
correct taxpayer identification number (TIN) to report, for example, income paid to
you, payments made to you in settlement of payment card and third party network
transactions, real estate transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or contributions you made
to an IRA.
Use Form W-9 only if you are a U.S. person (Including a resident alien), to
provide your correct TIN to the person requesting it (the requester) and, when
applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a number
to be Issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable share of
any partnership income from a U.S. trade or business is not subject to the
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from FATCA reporting is correct.
notified by the IRS that you are currently subject to backup withholding
For real estate transactions, item 2 does not apply. For mortgage
debt, contributions to an individual retirement arrangement (IRA), and
sign the certification, but you must provide your correct TIN. See the
Date► /, � �^� 7
withholding tax on foreign partners' share of effectively connected income, and
4. Certify that FATCA code(s) entered on this form (if any) indicating that you are
exempt from the FATCA reporting, is correct.
Note. If you are a U.S, person and a requester gives you a form other than Fonn
W-9 to request your TIN, you must use the requester's form if it is substantially
similar to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are considered a U.S.
person if you are:
• An individual who is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or organized in the
United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or business in
ttie United States are generally required to pay a withholding tax under section
1446 on any foreign partners' share of effectively connected taxable income from
such business. Further, In certain cases where a Fonn W-9 has not been received,
the rules under section 1446 require a partnership to presume that a partner Is a
foreign person, and pay the section 1446 withholding tax. Therefore, If you are a
U.S. person that is a partner in a partnership conducting a trade or business in the
United States, provide Form W-9 to the partnership to establish your U.S. status
and avoid section 1446 withholding on your share of partnership income.
Cat. No. 10231X Form W-9 (Rev. 8-2013)