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Home My Public Portal AboutPolice Department Crossing Guard Doris MiloneCONTRACT FOR SERVICES THIS CONTRACT, made and entered into this oia day of August , 2012 between the CITY of Crestview, hereinafter called CITY and Doris Milone hereinafter called SCHOOL CROSSING GUARD for a period of the 12 13 school year unless terminated by either party. WITNESSETH: WHEREAS, the CITY Council has directed the Police Department to establish and implement a School Crossing Guard Program WHEREAS, incumbent CITY personnel resources cannot provide the manpower required to implement this program. WHEREAS, it is deemed prudent, wise, and beneficial for the CITY to utilize the services of local residents that possess the capacity to function in a part-time contractual work environment. NOW, THEREFORE, THE PARTIES HERETO AGREE AS FOLLOWS: ARTICLE I SCOPE OF SERVICES OF SCHOOL CROSSING GUARD The _SCHOOL CROSSING GUARD shall be responsible to provide services for the CITY to wit: 1. To ensure the safety of children and pedestrians crossing the streets and highways at designated intersections and/or school crossings. 2. To be on the crossing at the prescribed times and not.to leave the crossing unattended unless in an extreme emergency. 3. Compliance with uniform regulations with respect to attire, equipment, and appearance. 4. Providing their own transportation to and from the assigned crossing. 5. Maintaining an accurate record of arrival, departure, and any unusual occurrence on the assigned school crossing. 6. The immediate notification of the Police Department in the event a person is injured or a motor vehicle accident occurs. 7. Operates communications devices as directed by the Chief of Police. 8. Operate CITY owned vehicles as directed by the Chief of Police. 9. Possess a valid Florida Driver's License. 10. Display and employ tact, firmness, and communication skills with the public and department members. ARTICLE II GENERAL REQUIREMENTS OF SCHOOL CROSSING GUARD The SCHOOL CROSSING GUARD shall abide by the terms and conditions below: 1. Provide services on a scheduled basis, determined by the Chief of Police. 2. Accept the sum of $ $30.00 daily paid each Friday; CITY shall not withhold or match Social Security, Federal withholding tax or any other amount requested by SCHOOL CROSSING GUARD; IRS Form 1099 to be provided at the end of taxable year. 3. Attend any required training sessions. 4. Receive direction and supervision from the Chief of Police or his designate. 5. Agree to be evaluated by written documentation on CITY evaluation forms as required. 6. Arrive punctually for work and be properly attired. 7. Acknowledge the fact that should a vacancy occur within the regular CITY workforce, training achieved under this contract is one of the basis whereby SCHOOL CROSSING GUARD may enhance his/her selection opportunity notwithstanding personnel and procedures of Crestview, Florida currently in effect. 8. Provisions of this contract may be amended by either party subject to written notification and agreement by the other party. Doris Milone SCHOOL CROSSING GUARD WITNESS Executed and witnessed our hands and seal this (Y 1 / Y \() 1),/)ti-e-- SIGNATURE day of 2012. (SEAL) CITY OF CRESTVIEW, FLORIDA AKA ATTEST: Eliz et h Roy CI CLERK Uwe( eit,tP� DAVID CADLE MAYOR Fornn W.9 ptw• Gepmew 11190 �� Request for Taxpayer Identification Number and Certification a Address inure 124D '�,og IF spirt accourt or crimped your none. see Sp:aNe keMeiwoos . l 1)r7 S-" M i t ion.. • Business nine. M divert }rem above (Jae *Pacific lrneryaerlarv�gn pope 24 Give Veen to the requester. Do NOT send to the Rs. Ma 24 Creak appropriate bvrc ❑ indkiduenaie proprietor corporatluon_ PertnershIP -- e,Y1Vf_. Par t I Fetsr TIN In the box. For nurnber ISSN). However, if yIs �ou��alien OR ■ sole prop, see the instructions on page 2. For other entities. It is your employer Identification number (E1N). If you do not have a number, see Hai To Get a lily on page 2. Now If the account is in more than one risen, see efts dirt an page Y for guidelines on whose numb, to ender. Under penalties of perjury, t certify Chet and zp code TOMMY& tMoil Number mN! 0jbl`OYiP45141710 OR ❑ Omer pa91Je�r'a and Lisp account number(.) hen (optlansj Dart II For Payees Exempt Frain Sega* Withholder (See the In-1=d= on Pegs 24 1. The number shown on this farm Is my correct taxpayer Identification number (ar I am waiting for a number to be issued to me), and L I am not subject to backup withholding because; W I am exempt from backup withholding, or (b) 1 have not been notified the InternalRevenue Service (IRS) Chet I am sutlecx to backup withholdha as a result of a failure to report all Interest or dividends, or (g the IRS has notified me that 1 am no longer autiect to backup withholding. CertlMseden tnsbwyikna.—You neat crass out hem 2 above! you have been notified by the IRS that you are curnintly Ssubject to backup wahhokiing because you have failed to report all Ind and avidaetds on your tax return. For real estate ransacMert3, Item 2 does not apply. For mangoes ko rai paid, acquisition Of abandontyent of secured property. cancellation of debt, contributions to on individual retirement wr'enperrnant PRA). and generally. permits other then keen:at end dividends, you ere not required to provide your correct TIN. (see the instructions on pegs 2.) sign the Certification, but you must Sign _ Hem 8,1gneame ► 'I �J rLe r�, �i�,? Plor*fl ot.Fa !Iff- k person who is *Weed td Ate irt'InfbrMation rebel with the IRS must. gat your correct taxpayer Identification member Met to report, for example, Incline paid to you, reel estate transactions,.mortxjage Interest you paid, acquisition or abandonment o on�.ment of soured property, cancellation debt. or caranhutlons you made to an IRA. Use Fomy W-9 W give your correct TIN to the person requesting it Me requester) and, when applicable, to: 1. Certify the TIN you are giving Is coram, you ant welting for a number to L Certify you ere not subject to bacicup Withholding, or 9. Claim exemption from withholding ifyou are an exempt payee. dean a W-9�er gives you a Ibrm other to r+A4uetstyour 7IA4 you exist use the 's fore.. N R is substrntilNy similar to d Form W-9. What Is Backup s making certain payments to you must wkhhold and prey to the IRS 31 % of such psyments under certain conditions. This is called 'backup withholding." Payments that may be subject to beeck„p withholding Include interest, dividends, broker and bestir exchange transactions, gents. royalties, nonenl Bepal, and certain payments from g boat operators. Real estate transactions are not subject to backup Withholding. If you give the requester your correct TIN, make the popper cotificadons, and report el your taxabie Interest and dividends on tax limn, payments you receive will not be subject to backup withholding. Payments you receive toll be subject to backup withholding If: 1. You do not furnish your TIN to the requester, or 2- The IRS tells the requester that you furnished an Incorrect TIN, or 1 The IRS tees you that you are to Grp withholding because yew did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or 4. You do not certify to the requester that you are not subject to backup withholding under 3 above (for reportable Interest and dividend accounts opened after 1983 only), or Get es. 104nx Dote. to L You do not certify your TIN when required. See the Part III instnuedons on pegs 2 for details. Certain payees and payments ex from backup v ithF are . See the Part II instructions end the separate Irysbm uodons for the Remeester of Fae w_' Penalties Fa> un To Furnish TIN. --If you fell to furnish your correct TIN to a you are subject to a penalty of 350for each � such failure unless your failure is due ter reasoneb(e cause and not to wilful neglect. ChM Persity for False hrdormetlonRespect to tllltle �eif nmake a fa statement with basis that results In no backup withholding. you are subject to a 1500 penalty. criminal Penalty alsifying tnforedent ill�fully rllfalsifying certifications or affirmations may subject you to criminal penalties Including fines and/or Imprisonment. Mum of 77Ns--If the requester discloses or uses TINS In violation of Federal low. the requester maybe subject to civil end rximlrial penaldts, Farm W-9 (rev. 12-e11