HomeMy Public PortalAboutPolice Dept Crossing Guard Carolyn HulionCONTRACT FOR SERVICES
THIS CONTRACT, made and entered into this day of August , 2013 between the
CITY of Crestview, hereinafter called CITY and Carolyn E. Hulion 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 S S30.00 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
{
Carolyn E. Hulion
SCHOOL CROSSING GUARD
eaft_clt Lth_;;‘)
' SIGNATURE
Executed and witnessed our hands and seal this' , day of At agu 3`k 2013.
(SEAL)
ATTEST:
4TSY ROY
CITY CLERK
CITY OF CRESTVIEW, FLORIDA
AKA
DAVID CADLE
MAYOR
'Form W*9
(Rev. December l en)
�r
Fist for Taxpa
identification Number and Certification
a
n l c c� J %1,n W K R_,L,
City, stets, and ZIP cods
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jj---- i z S �1
t I T :, a IdeVi utioft Number MN)
Enter your TIN In the appropriate box. For
individuals, this is your social security number Social areur4 ember
(SSN). However, if you are a resident alien OR a
Sala proprietor, see the Instructions on page 2. 4 ‘ I S1L IL ji 1
For other entities. It Is your employer
identification number (EIN). If you do not have a OR
number, see How To Get a TiN on page 2. _
Moto If the eccou tt is in more
see dye cart on page ? fa. no se t -L I
number to enter,
• Certilkation
arc (if anoint accourt or you changed your name see Specific imen cdnns on page 2.)
BWh1Ms name, if from *bows. Mee Specific k stnicaoru on page 2.�
Give form to the
requester. Do NOT
send to t;lfte IRS.
Chock epprowiste box; 13 IntiMdual/Sole proprietor artnership ❑ Other S.
Address (number, meet. end apt, or suite nos Requesuee ram and address Ocoee*
6-4
ust account number(*) hers (optional)
Dart 11
For Payees Exempt From gaup
Withholding Pee the instrucdorts
on pago 2.)
Under penalties of perjury, I certify that
1. The number shown on this form is my correct taxpayer identification number (or I tun welting for a number to be issued to me), end
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or () i have not bean notified by the internal
Revenue Service (IRS) that I am sulalect to backup withholding as a result of a failure to report all interest or dhadends, or (a) the IRS has
notified ma that I am no longer subject to backup wtthho(ding.
Certification ktstnwaons.--You must cross out item 2 above If you have bean notified by the IRS that you are currently subject to backup
withholding because you have Wad 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 secured property, cancettation of debt, contributions to an individual radrement
arrangement y ORAL and generally, paymentsthan irrlterestt and dividends, you are not resquired to sign the Certification. but you must
provide correct TIN. See the � a p .)
sign
Here Sri"
(�
01 Fmk --A person who Is
required to file en'Information rim with
the IRS must, get your correct taxpayer
Identification -slumber (TIN) to report. for
example, Income paid to you, nee( estate
transactions, mortgage Interest you paid,
acquisition or abandonment of secured
prop', Cancellation of debt, or
Contributions you made to en IRA.
Use Form W-9 to give your correct TIN
to the person requesting it (the requester)
and, when applicable, to:
1. Certify the TIN you are giving Is
correct (or you are waiting for a number to
be issued),
L Cerny you are not subject to backup
withholding, or
3. Claim exemption from backup
withholding if you are an exempt payee.
Nola: tf a requester gives you a form other
than s W-B to request your 7 N, you must
use the requester's form If h is substantially
similar to this Form W-9.
making I c� up leRthholding?—Persons
payments to you must
withhold and pay to the
payments underi
certain conditions. ThRS 31% of is is
coifed 'backup w(ttthodrig." Payments
that may be subject to backup withholding
die
. t_L_ Efate . 0
Include interest, dividends, broker and
barter exchange transactions, rents,
royalties, nonemployee pay, and certain
payments from fishing boat operators. Real
estate transactions are not Subject to
backup withholding.
If you give die requester your correct
TIN, make the proper certifications, tend
report all your taxable interest and
dividends on your tax return, payments
you receive will not be subject to backup
withholding. Payments you receive will be
subject to backup withholding F;
1. You do not furnish your TIN to the
requester, or
L The iRS tells the requester that you
furnished an incorrect TIN, or
a The IRS tells you that you are subject
to backup withholding because you did not
report all your interest and dividends on
your tint return (for reportable Interest and
dividends only), or
4. You do not certify to the requester
that you are nit subject to backup
Withholding under 3 above (for reportable
Interest and dividend accounts opened
after 19113 only), or
06 - /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. Sea the
Part II instructions and the separate
Instnuctiers for the Requester of Form
w-1:,
Penalties
Failure Te Fwrdeh you fail to
runtish your correct TIN to a requester, you
are subject to a penalty of $50 for each
such failure unless your failure la due to
reasonable Cause and not to willful neglect.
Cave Penalty for False Information With
Respect to Viithhotdbp.—If you make a
false statement with no reasonable basis
that results In no backup withholding, you
are subject to a :MO penalty.
Criminal alsifying
Information.— illfully falsifying
certifications or affirmations may subject
you to criminal penalties including fines
and/or imprisonment
Misuse of'tlllts.—If the requester
discloses or uses TiNs in violation of
Federal law, the requester maybe subject
to Civil and criminal penalties,
Cat. No. 10231X
Form W-$ Nev. 12-981