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Home My Public Portal AboutPolice Department Crossing Guard David GanselCONTRACT FOR SERVICES THIS CONTRACT, made and entered into this day of August 2013, between the CITY of Crestview, hereinafter called CITY and David B. Gansel 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. Executed and witnessed our hands and seal this (SEAL) ATTEST: DAVID CADLE MAYOR LIZ ETH ROY CIT CLERK David B. Gansel SCHOOL CROSSING GUARD day of 4(1 U s (-- 2013. CITY OF CRESTVIEW, FLORIDA AKA Form W.9 {Rev: Deambar 19963 interne %vim. Sligo/ .�a Request for Taxpayer identification Number and Certification Nam* nt account or you reeved your name. See »Dottie 4ntruetioni on page 2) �.. (If apiv,''r l�rt?Se Overate name. If different frorn above. (Sae SPecilfc 4tstrvodene an Pae* 2a Check appropriate box: Address number, wetted apt. tx tutu no.) a86.3 p/tiL- k#1, C.- Ohre farm to the requester., Do parr send to the IRS. IndMduaysoie Prowletor Corporation ❑ Partnership 0 Other 1i/quasa 's and address @peons° City, stets, and ZIP coda o CS rt1 L. 3�53`% Taxpayer klantificnt,km Number (TIN) Enter your TIN In the a box, For individuals, this is your social security number (SSN). However, if you are a resident alien OR a setae proprietor, sea the Instructions on page 2. For other entities. It Is your employer Identiflcatkin number (EiN). If you do not have a number, see How To Get a TR on page 2. Now if the eccatrrt is in more than one name, see the chart err page ? 1br guideline's on whose nuMbbr to eater. awe- etrtiiication siliZip 4 go [c 191 OR lover lidk�il� rtlon tK.r,br (� List account number(t? here fop/Joni/0 Part 11 For Payees Exempt From Backup Withholding (See the insbuctla15 on page 2.) Under penalties of perjury, t tenthly 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 L 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) then I am subject to backup withholding as a result of a failure to report all interest or dividends, or (e) the IRS has notified me that i am no longer subject to backup withholding. Certification me ante. -.You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withhoktog because you have failed to report ail interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage. interest paid, acquisition or abandonment of serlured property, cancellation of debt, contributions to an individual retirement arrangement ORA), and genenely, payments other than interest and dividenda, you are not required to sign the Certification, but you resat provide your correct TIN. (See the instructions on • )2.) g Here Pill/Ole of Forrst,.*,A parson Who is reiitdfbd tr0 ty)e an'InfannetkM return with the IRS must. get your =Tact taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions,. mortgage Interest you paid, acquisition or abandonment of secured pnoperty, cancellation of debt, or contributions you made to an IRA. Use Form W-9 to give your correct TIN to the person requesting it the requested and, when applicabie, 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 wlthhoidlrva if you ens art exempt payee. Nam if a requester gives you, a form other can a W-9 to request ynx.ir 7 N, you must OW the requester's form if K is substantially similar to this Form W-9. What Is Sado* Withhalding3—Parsons making certain payments to you must withhold and pay to the IRS 31 % of such payments under certain conditiOns. This is called 'backup withholding." Payments that may be subject to backup withholding include. Interest, dividends, broker and barter exchange transactions, rents, royalties, nanempkryee pay, and certain payments from flstiVv 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 ►ntithhoiding. 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 & The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax retum (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 Cat No.10231X Date ► 6 - 0 6 (-3 5. You do not certify 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-S, Penalties Fogure To furnish TIN. --If you fall to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to wilrful neglect. Chill Penalty for Fake intonation With Respect to Withholding.,-11 you maize a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal Penalty for information.— Willfully falsifying g certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment Misuse of't7lYsttf the requester discloses or uses TINs In violation of Federal law, the requester may be subject to civil and criminal penatt►eis, Fam W-S (Rev. 12-aei