The URL can be used to link to this page

Home My Public Portal AboutPolice Dept Contract for Services Crossing Guard David GanselCONTRACT FOR SERVICES THIS CONTRACT, made and entered into this AD day of August , 2012, between the CITY of Crestview, hereinafter called CITY and David B. Gansel 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. WITNESS David B. Gansel SCHOOL CROSSING GUARD 11 (a_q Executed and witnessed our hands and seal this NATU NATUR day of 2012. (SEAL) CITY OF CRESTVIEW, FLORIDA AKA ATTEST: )22 ELIABETH ROY CITY CLERK kbk bud,e)�. DAVID CADLE MAYOR Form W.9 pm December 10e0 Dmornwr Teasley berm ee� Sonia Request for Taxpayer Identification Number and Certification Gil: farm to the requester. Oo NOT sand 10 the IRS. a tamp fit spirt %omit or you changed your name. See tl soft begreotoea on papa 2J aviOomse/ • Rushee revs, if Minn from above. (See Sprees kwfxoYor on pegs 2) Corporadon Chock Opp box: Q individual/See proprietor Address (numbe►, and apt, or andba no.) ?go3 lane cis Ma and ZP 1 / U P 7e Ly-/ric��t' 32539 Taxpayer Identification Number [f11y) +� accentnumb�:r(*) hers *time) Frew TIN In the a box. For Ns Is your(SsHowever, if you aro�nesidint 1 urity R a sale proprietor, see the instructions on page 2. Zi 8 J lli 1 b4 8131 D 1 1 For other erkitive It Is your employer Fart II identification number (EIN). If you do not hove a OR number, sea How To Get a TM on page 2. Sena M tltal **punter Myr llearrisastlarare�.r(des isdart an rerrrib9r to etraon � �'�tltxt 1iaQuestaT'R and adduces For Pates Exempt From pup Wldibbiding {See the Instructions on pogo 2 ) Under penalties of witty, t certify that 1. The number shown on this form is my correct taxpayer idweificadon number (or I am waking for a number to be issued to me), and L I am not subject to baciwp withholding because: W I ern exempt from backup withholding. or pd I have not been notified the internal Revenue Service pR5) the 1 am subject to backup withholding as a result of a (allure to report all Interest a dividends, or (a the IRS hes notFred me that 1 am no longer subject to backup withholding. Certlegatian Instructiene.. -You mutt cross out Item 2 oboe If yyoouu have been notified by the IRS that you are parrentl�r subject to backup wldhhhoidng because you have faded to report el interest and kSvldsends on your tax return. For real estate iransaetiore, 2 dogs not apply. For mortgage interest paid, acquisition or abandonmhent of soured property, cancellation of debt, contributions to an Individual retirement aningemert ORA), and y, priments other then interest end dividends, you ere not required to sign the Certlncet on, but you must P1evide your correct TIN. (Sin tea instructions on 2.) 7 ut,,:e1.7J Sign Here urmom . Pl.innt• of.E-.A forego who b redtlitid >d WI "lri1brri atkfn ransom with Vie IRS must,.get your correct taxpayer iderai(cegon number MN) to report, for e xample, hlconro paid to you, real estate transacdons, mortgage Interest you pall, aequhition or abandonment of sutured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 to give your convect TIN to the person requesting it Rho requester) and, when applimbb, to: 1. Certify the TiN you are giving 1s • r,you ere waiting for a number to be issued) witht or to not subject to backup holding,S. (gain exemption from backup withholding if you are an exempt payee.Now if *motet , titre as W-9 8� �r a form other request your TIM ,your must use the requestw's four; if it Is substandelfr similar to this Form W-9. maldng certain What Is Mockup WIthholdIngT—Persons you withhold to the IRS 31� ' of etch psyrnents under called 'backup certain PaymentsPh that may be subject to backup withholding s include interest, dividends, broker and barter exchange transactions, rents. royalties, nonemploye pay, and certain payments from fishing boat operators. Real estate transecdons are not subject to backup Withholding. If you give the requester your correct TIN, make the proper cerlikedons, end repot al your taxable Interest and dividends on yow tax return, payments you receive rill not be subject to backup withholding. Payments you receive will be subject to backup withholding If: 1. You do not furnish your TiN to the requester, or L The iRS tells the requester that you furnished an incorrect TIN, or 2. The iRS tells you that you ere subject to backup withholding because you did not report all your interest and dividends on your tact return aor reporteble Irnbsest and dividends only), or e. You do not Certify to the requester that you are not sulljec.t to backup withholding under 3 !bole (for reportable Interest and dividend accounts opened after 1983 only), or CIL No. 10111x Dee. •,-, K ^ to You do not certify your TIN when required, Sea the Part III instructions on page 2 for details. certain payees and payments are exempt ham backup withholding. Sea the Part II instructions and the separate Instruction, for the Requester of Fenn Penalties Fire To Funds* TIN. --If you fall to furnish your cornett TIN to # you are sub to a penalty of $50for sedi � such failure unless your failure is due to reasonable cause and not to wand neglect. CM Penalty for Fable Infournatbn Witit Reopen to WNhholdbp.—,tf you make a false statement with no reasonable basis that results In no backup withholding, you are subject to a $500 penalty. Criminal Pena for FabIfyIng Information. —Willfully falsifying certifications or affirmations may subject you to penaides including firms Cr � Mane of TIN!. —if the requester discloses or uses TiNs in violation of Federal law, the requester maybe subject to civil and Criminal penaltiels, Form W-9 (Rear. 12-11eI