HomeMy Public PortalAboutCrossing Guard Contract For Services Raetta DaughertyCONTRACT FOR SERVICES
THIS CONTRACT, made and entered into this Lo day of August , 2013 between the CITY
of Crestview, hereinafter called CITY and Raetta Daugherty hereinafter called SCHOOL
CROSSING GUARD for a period of the 13 / 14 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
WITNESS
Executed and witnessed our hands and seal this day of
(SEAL)
ATTEST:
ELIZABETH ROY
CITY CLERK
2013.
CITY OF CRESTVIEW, FLORIDA
AKA
DAVID CADLE
MAYOR
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Request for Taxpayer
Identification Number and Certification
(if spirt accuurt or You changed your name, see Semitic inim odone
t,efa:
Business Hama If different from Specific
kw:wean■ on page 2)
Check dpproprfete box Q IndlNduaVSoie proprietor 0 corporation
Address Nattier, street and apt or sues no)
11,01.4211 14v� °13
City, sl.tes Zde
R� 71IPecow L 3 a5
Taxpayer icientiffpation Number (TIN)
Enter your TIN In the appropriate box. For
individuals, this Is your security number
(SSN). However, if you are a resident alien OR a
sole proprietor, see the Instructions on page 2.
For other entities. It is your employer
identification number (EIN). If you do not have a
number, see How To Gat a TIN on page 2.
Note; ff the ecc aunt is in more than one name,
see the chant on page 211x guideline's on whose
nurturer to enter,
wee 2a
Give farm to the
requesttor. Do NOT
sand to the IRS.
Partnership ❑ titter
Mgr Cterdffcaticxr
M
1-013-1.c)45p_t i c is 1G
OR
RRequuee tr's and address
6.1J at
List newt number(s) +sere (optionan
Part 11
For Pates Exempt From gaettcp
Withhciding (Ste the Instructions
on pago 2.)
Under penalties of perjury, t eerily that
1. The number shown on this farm Is my correct taxpayer identification number (or I am waiting for a number to be rued to me), grid
L I am not subject to backup withholding because: (a) 1 am exempt from backup withholding, or (b) I have not been notified by the internal
Revenue Service pR5) that t am sutliecx to backup withholding as a result of a failure to report all interest or dividends, or (a) the IRS has
notified me that I am no longer aubjact to backup wanhcildin9.
Certification ktettuctorta.--You must cross out Item 2 above If you have boon marled by the IRS that you are currently subject to backup
withholding because you have failed to report ail interest and dividends on your tax return. For real estate transactions, item 2 doers not apply.
For ma'igage, interest paid, acquisition or abandonment of gemmed property, cancellation of debt, contributions to an individual retirement
arrangement ORA), and , pa _ er than interest and dividends, you are not required to sign the Certlficadon, but you must
provide your correct �, - : instructions • • e 2.}
Sign
Here
NN\.�
Ptipes! of .Form, n who Is
racjgked to efe an'i atlon return with
the IRS must get your correct taxpayer
Identification number (TIN) to report, for
example, Income paid to you, real restate
transactions, mortgage Interest you paid,
acquisition or abandonment of secured
property, cancellation of debt, or
contributions you made to an IRA.
Use Forth W-9 to give your correct TIN
to the person requesting it Me requester)
and, when applicable, to:
1. Certify the TIN you are giving is
correct (or you are wafting for a number to
be issued),
L Certify you are not subject to backup
withholding, or
3. Claim exemption from backup
withholding if you are art exempt payee.
Nola; if a f equester glves .year.+ a form other
than a W-9 to request your T7N, you artist
use the ter's form tf It is substantially
similar to this Form W-9.
%that Is Ratduip HM thholding?—Persons
making certain paymerxs to you must
withhold and pay to the IRS 31 % of such
payments under certain condition& This Is
called 'backup withholding.' Payments
that may be subject to backup withholding
inciu interest, 'dends, broker and
berg exchang :, .: nsactions, rents,
royaides, nonempksyea pay, and certain
payments from fish boat operators. Real
estate transactions are not subject to
backup withholding.
If you give the requester your correct
TIN, make the proper certifications, and
report all your taxable Interest and
dividends on your tax return, payments
you receive will not be subject to backup
withholding. Payments you receive vrW be
subject to backup withholding If:
1. You do not famish 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 are subject
to backup withholding because you did not
report all your Interest and dividends on
your tfix return (for reportable Interest and
dividends only), or
4. You do not certify to the requester
that you ere not subject to backup
withholding under 3 above (fax reportable
interest and dividend accounts opened
after 1983 only), or
me. I. AN 13
5. You do norcertIly your TIN When
required, See the Part III Instructions on
page 2 for details.
Certain payees and payments are
exempt from backup withholding, See the
Part II instructions and the separate
Instructions for the Requester of Form
W-a.
Penalties
Fahfit,ir• To Furnish TIN. —if you fail to
furnish your correct TIN to a requester, you
are subject to a penalty of $60 for each
such failure unless your failure is due to
reasonable cause and not to wittful neglect.
CIA Penney for Fake Information WM
Respect to NRthholdhng.--If you make a
false statement with no reasonable basis
that results In no backup withholding, you
are subject to a $500 penalty.
information. —Criminal Penalty Willfully in
lly falsifying
certifications or affirmations may subject
you to criminal penalties including fines
and/or Imprisonment.
Misuse of'Inalstlf the requester
discloses or uses TINS in violation of
Federal law, the requester maybe subject
to CM and criminal penalties,
Cat. No. 10231X
Forth W-$ (Ray. 12-98)