HomeMy Public PortalAboutPolice Dept Crossing Guard Reatta DaughertyCONTRACT FOR SERVICES
THIS CONTRACT, made and entered into this 02 a day of August , 2012 between the CITY
of Crestview, hereinafter called CITY and Raetta Daugherty 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.
Raetta Daugherty
SCHOOL CROSSING GUARD
09a(L4-12i4LLI,
WITNESS
6-Ad64\--------SIGNARE
Executed and witnessed our hands and seal this day of 2012.
(SEAL) CITY OF CRESTVIEW, FLORIDA
ATTEST:
7 /141-Y
(ELIZABETH ROY
CITY CLERK
AKA
F,)kw,L cam,
DAVID CADLE
MAYOR
Fonts W9
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Request .for Taxpayer
Identification Number and Certification
Give farm to the
f o NOT
send to the REi.
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Business �•�.. r Moroni from. ,. case. inr.rirarer. cn"
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0 oth r •
Address (number, serf. grid apt. or ante no
Toyer
dun
Number
(ssN�Fnau rla in box, For
. However, Is you are ,
sale proprietor, see the Instructions an page 2.
For other os tides. It ls_your employer
identification number (EIN). N yaw do not hove a
number, see Hoer To Get a TIN on page 2.
Now IF the account h in more unarm one Irma,
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Part II
For Payees Exempt From iaartkat
Withholding (See the lnstrucdOnS
an pego 2 )
110
Under Rondos of pedury, I certify that
1. The number shown on this farm is my Correct taxpayer Iderhdficatlon number (or 1 am welting for a number to be issued to me), and
L I am not subject to backup wMNholdlng because (e) I em exempt Iron beckup withholding, or pg I have not been notified by the Immo,
Revenue Service ORS} thet I am suttect to backup withholding as a result of a failure to report all interest or diidends, or (a) the IRS her
notified me that I am no longer subject to backup withholding,
Cenil eadon bnattecdons.—You must apse out Item ! above If yyaa have bean notified by the IRS that you are currently subject to backup
within because you have failed to report aN interest and cNvkknds on your tau return. For real estate transacdons. item ! does not apply.
For mortgage interest paid, acquisition or abandonment of seared property, canceaadon of debt, contribudons to en individual red eners
arrangement ORN, and generally. paymn then knerest and dividends, you are not required to
provide your correct TIN. (See die ireaructfona sign the CarHficaefon, but you moat
� ‘
Purrs to oft rOrefo-. ik Person who is
requltbd 1a ff in inforrinatIOn retie, with
the MS must:gat your correct taxpayer
Identification ,number (TIN) to report, fix
example, Income pald to you, real estate
transecdons, mortgage Interest you paid,
acquisition or abandonment of sewed
property, cancellation of debt, or
contributions you made to an IRA.
Use Form W9 to give your cement TIN
to the person requesting It Rho requester)
and, when applicable, to:
1. Certify the TIN you are giving Is
rs�,you are warring for a number to
be it cry you we not subject to backup
withholding, or
i CMaim exemption from backup
withholding if you ere art exempt payee.
Noun than R f a gives Jeu a farm other
request your Talk you must
use the sor's farm r R h substantially
similar to this Form W-9.
Whet Is Backup s
making certain payments to you moat
withhold and pay to the IRS 31 % of such
payments under certain conditions. This
celled "backup withholding." Payments
that may be subject to baclarp withholding
ds, broker and
boar exchange ., rents.
rn royalties, merhhployee pay, and certain
payments estate sanctions are
'subject
tors. Real
backup Withholding.
ff you gNre the requester your correct
TIN, make the proper certifications, and
report al your taxable Interest and
dividends an your tax return, payments
you receive rill not be subject W 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
i The IRS tells you that you are submit
to backup withhhokdng because you did neat
report IN your interest and dividends on
your tin 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 a above (for reportable
Interest and dividend accounts opened
after 1983 only), or
Cat. No. Minx
Data to B.11. lg/2—
L You do not cettiy your TIN when
required. Sae the Part III Instructions on
pegs 2 for details.
Certain moil
payrneres are
dexempt from backup v . See the
Pert II Instntcdons and the separate
Iratmedens fior the Requester of ♦Fame
Panahllties
Failure To Furnish -TIN. --If you fel to
furnish your correct TIN to a
such eunless yourare penalty of :SO� for your feikae Is due to
reasonable cause and not to willful neglect.
CNN Pawky for False information With
Reapers to �F make a
fa statement reasonable basis
that results In no backup withholding. you
are subject to a $500 penalty.
Carnival y for Felelf7ing
bNormatioawknP — Willfully falsifying
certifications or affirmations may subject
you to (Amine! pomades krchkgrig ones
and/or Imprisonment.
Meuse of Talc. —If the requester
discloses or uses TINS in violation of
Federal low, the requester maybe subject
to civil and cakrmnar punkas.
Fonn W-9 (ter. ti-aa}