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Home My Public Portal AboutPublic Services Parks and Rec Contract Moya MooreParks & Recreation CONTRACT FOR SERVICES THIS CONTRACT FOR SERVICES made and entered into this % day of J v I� by and between the City of Crestview, a municipal corporation, hereinafter referred to as "City" and MOYA MOORE , hereafter referred to as "Vendor". WITNESSETH: 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 for services not to exceed FY 2012-2013 Budget payable in one lump sum of $ 0 O, DO 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 the tax purposes. 3. VENDOR understands that managerial direction and supervision of assigned duties shall emanate from, the Parks & Recreation Division. 4. CITY agrees to provide facilities essential to carryout services by the VENDOR. 5. Provisions of this contract may be terminated at any time with thirty days notice to either party in written form. 6. 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 MOYA MOOR NDOR LIZABETH . ROY, CITY CLERK day of .J ',1 I \I 2013. Form W-9 (Rev. December2011) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Fonn to the requester. Do not send to the IRS. N a) a as °- c ° a) c 0 0 a- Ci E a CO Name (as shown on your income tax retum) U/1. 0Or(-12 Business name/disregarded entity name, if different from above Check appropriate IndividuaVsole box for federal tax classification: Trust/estate P. proprietor E C Corporation ii S Corporation M Partnership in company. Enter the tax classification C=C co corporation, S=S corporation, P=partnership) ► Limited liability hY( Exempt payee . Other (see Instructions) Address (number, street, and apt. orsuiteno.) I () 1 5 10Cui� �11 � JI`-- 11 Requester's name and address (optional) City, state, and ZIP cod Y5 _ 3 �'J I \I K t I List account number(s) here (optional) kdani axpayer iaentiTication Number 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 vL 3 3 Z I I 3 Employer identification number Part II Certification 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). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4. Sign Here Signature of U.S. person ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who Is required to file an information retum with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, 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 withholding tax on foreign partners' share of effectively connected income. ri7(6-UL— Datel Note. If a requester gives you a form other than Form 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 the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the 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 withholding on your share of partnership income. Cat. No. 10231X Form W-9 (Rev. 12-2011) 00'SOSIZ$ :viol CINVn 00°017S$ 1V1O1 00'OLZ$ 00'0£$ WdSVIT-WdST:OT UVd00:OT-INd0£:8 8Z-9Z-VZ 3 N fl f SW 213AIH 1VOHS IMOD A21111(1O3 SSOHD M313)13f 8 A113)1 (17T-TT) (TT-6) 111/8A311OA 00'OLZ$ 00'0£$ WdSVIT-WdSPOT 1A1V00:OT-UVd0£:8 TZ-6T-LT 3111flf SW H3AIH 1VOHS HOV03 A21111(1O0 SSO21D M313)1Of18 A113)1 (tiT-TT) (TT-6) 11d8A311OA 00'009$ 1d1O1 00'00£$ 00'0£$ IAIVS0:ZT-WdS0:OT ZT-8 Aim 3931103 NH311111OS INVH9NIW2118 3H00I 11 VAOW (ZT-6) SINN31 00'00£$ 00'0£$ Wd00:OT-Wd00:8 ZT-8 Alflf 3931103 NH3H1flOS INdH9NIW2118 3HOOW VAO1A1 (8-9) SINN31 00'0517$ 1d101 00'00E$ 00'0E$ INVOO:TT-INV00:6 8Z-VZ 3Nflf SH M31/USR13 HJb/O3 HMOS NO1lIIM 31110DS (dfl'8 9) HMOS 00'OST$ 00'0E$ IAId00:0T-Wd00:6 8Z-VZ 3Nflf SH M31A1S3a3 H3V03 HMOS NO11IW 31110DS (S-b) 1:13330S 00'O1a$ 1V101 . 00'0tiZ$ 00'OE$ Wd00:8-Wd00:9 8Z-SZ 31\lflf SH M31/LLS3217 2101nna3 moalf10 NIIHVIN 31N213 (ZT-S) 9NIHS13 00°SL9$ WWI 00'SZZ$ 00'OE$ INVOO:T-INVOE:6 Z1-8 Alflf SW tl3A121'VOHS H3V0311d813)ISVEI M313113118 HI111N (ZT-OT) SA08 111/813)1SdB 00'SZZ$ 00'0E$ Wd0E:6-IAId00:8 ZT-8 Alflf SW 1:13A1Z11VOHS IMOD 11d813)ISd8 M313113f18 H3111A1 (6-L) SA0811d813)1SV8 00'SZZ$ 0010 INVOE:6-IAId00:8 TZ-LT 3Nflf SW 1:13A1H IVOHS H3V0311d813)1Sd8 M313113f18 H3111A1 (ZT-L) S1211911V813)1Sd8 1SOD klnoH 113d 31A111/31da HOl MLISN1 A11ALDV S3111ALDV t W m ns ETU Water fun playground picnic Tables Restrocros CUM; I Uit'S EAEr 11oURss Closed Mondays Tues—Suns J a to 8 p Parties m ,' not be held Inside the playground area. Use picnic tables outside of the playground. No cooking grills In the playground area. Facilities are on a first come first serve basis. 0 Total TWIN HILLS Cost $30 TENNIS CAMP Ages 642 yrs. Week of Juiy 0 - Odoet-Friday 6-8 yr. 8:00-10:00 am 9-12 yr. 10:05am-12:05 pm Must have your own racquet. Instruction by Maya Moore. Moya Moore is presently the #lseed on the Birmingham Southem College Tennis Team. She finished the 2013 Tennis season 7-4 in Southem Collegiate Athletic Conference play. She was the Southern Athletic Asso- ciation player of the week for March 12. Moya won 3 single matches in- cluding a victory against #13 ranked Campbellsville, a Div II College. Moya's assistant coach, Bill Moore, has been the Head Tennis Coach the last 15 years at Shoal River and Richbourg Middle School. Mission: All players will have the opportumity to leam skills in ground strokes, serving and volleying along with the rules of the game. • • • • ••• Digital Child ID kits Twin Hills Gym June 26 8 28 9am-12 noon EZ Child ID.cern ♦®®•••••s•••••••♦ • BASKETBALL CAMP TWIN DILLS GYM GIRLS CAMP 7-12 YR. JUNE 17-21 8AM TO 9:30 AM BOYS CAMP JULY 8.12 7-9 YR. 8:00AM TO 9:30 AM 10-12 YR. 9:30AM TO 11:00AM CAMP INSTRUCTOR COACH MITCH BLCKELEW Coach Buckelew is the Boys Basketball Coach and Athletic Director at Shoal River Middle School. He has coached basketball for the past 27 years, with stops at Crestview High, Laurel Hill, Paxton, and Briarwood in Birmingham, Al. He played collegiate ball at Southeastern Bible College in Birmingham He is a family man. He enjoys the game, and loves teaching the importance of the team concept, hard work and discipline. Mission : All players will have the opportunity to learn ball handling, defensive, shooting, passing and rebounding skills. These skills will allow your youngster to become a better basketball player. Drills will be given where each camper can take them home and improve. TOTAL COST $30.00 "MEET THE FIREMEN" PRESENTED BY THE CRESTVIEW FIRE DEPT. PROMOTES FIRE SAFETY. COME SEE THE FIRE TRUCKS. JUNE 20 l0a-noon I C,AiA LD " Week of June 25- 28 Tues. thru Friday 7:30 - 9:30am each evening. Ages 5 - 12 yrs. Old Under 9 yrs old must have a parent present. BRING YOUR OWN CANE POLE TOTAL COST $35 The class size will be limited to the flrst twenty kids who register. INSTRUCTOR Ernie Martin Ernie has fished with Shaw Grigsby Jr. as a partner. He is the outdoors education instructor at Crestview High School. Avid outdoorsman and has fished many major salt and freshwater tournaments as well as an International fishing rodeo. ADULT COED VOLLEYBALL REGISTRATION June 17 thru July 5 VCR olal�® CAUL C82-4715 YOUTH REGISTRATION SC➢➢EDULE BASEBALL JANUARY FOOTBALL/SOCCER JUNE TO JULY 5TH BASKETBALL OCTOBER SOCCER S+p June 24 �P To June 28 Maas. thru Frio 9-10am 485yr. COST $30 9-11am 6 8 up COST $45 Instruction by Scottie Milton Crestview HS Soccer Coact Camp Director Scottie Milton, from Pensacola, has been involved in soccer at all levels for many years. Scottie has coached at the University of West Florida as an as- sistant and a head coach at Andrew College. He is the current coach of Crestview High School. Also coach Scot- tie is a highly respected youth coach in the Pensacola community where he coaches several youth teams for the Gulf Coast Texans. He is also a National License Goa!keeping Coach for the National Soccer Coaches of America. X r X b Coach Kelly Buckelew was a setter in high school and was a back 5 row specialist in college at UAB. She coached the 2005 CHS JV volley- •;, ball team to a one loss season. Coach Buckelew is currently coaching the Cross Country Team at Shoal River Middle School. She is married s to Mitch Buckelew and the mother of 3. 54.- kr. -He -4--ii,--/,.-J„-- Stttti[ ttt fIALI. CIf tif_[ITAI I NC REGISTRATION THE MONTH OF JUNE THRU JULY 11 $65 THIS IS A RECREATION LEAGUE. ALL GAMES PLAYED LOCALLY NO TRAVEL REQUIRED. AUGUST THRU OCTOBER. SOCCER U6-08-U10-U12-U15 FOOTBALL 6-8, 9-11 CHEERLEADING 4- 12 .••••••5••••••0•• ***FREE*** ® eACYCLE 4AFEi"1`i COURSE S PRESENTED BY THE CRESTVIEW ♦ POLICE DEPARTMENT • JUNE 18 6 20 ♦ 9:00am-12:00pm ♦ BRING YOUR OWN S BIKE AND HELMET ••••••••®•®•••••• -4°-'.N�--` ew� TWIN HILLS GYM VOLLLYBALL CAMP JUNE 17-19-21 M-W-F AGES 9-11 yr. 8:30am-10:00am COST $30 AGES 12-14 yr 10:15am—11:45am COST 35 JUNE 24-26-28 M-W-F AGES 9-11 yr. 8:30am-10:00am COST $30 AGES 12-14 yr. 10::15am — 11:45 am COST $35 Visit our Twin Hills Park Walk Path/Fitness Park Area r 5 CHILD SAFE r� SEAT LNSPECTIONS WEDNESDAY 9:00 am to 12:00 pm JUNE 19TH MUST SIGN UP WITH PARK OFFICE IN ORDER TO TAKE PART IN THIS h'RI I-. SERVICE. PROVIDED BY THE CRESTVIEW PONCE DEPT. 2013 5101t111E1MME IEVETern4P TWIN Hays PARK 85a682 4715 Parks & Recreation Mon. 3pm-7:p, Tue—Fri. 9am -7pm Sat 9am-5pm