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Home My Public Portal AboutDoris Milone Crossing GuardCity of Crestview City Clerk Coversheet Doc III II 111,11,111 II II 1 Contracts Year II i i II i i i i II * 2 O 1 2 * 2012 5/3/2019 CONTRACT FOR SERVICES THIS CONTRACT, made and entered into this 26th day of March , 2012 between the CITY of Crestview, hereinafter called CITY and Doris M. Milone hereinafter called SCHOOL CROSSING GUARD for a period of the 11 / 12 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. tiL!1 ITNES Doris M. Milone SCHOOL CROSSING GUARD SIGNATURE Executed and witnessed our hands and seal this r day of Ct."-Cl--J 2012. (SEAL) CITY OF CRESTVIEW, FLORIDA AKA ATTEST: 4/7i,/ ti-f_c DAVID CADLE MAYOR Elizabeth Roy CITY CLERK /2 Li o l?abnelle hell.) , errata and ZiP cods Form IN4 (Rev. December 1090 interne Renew Unice • Dipartrnert or re Treasury Request for Taxpayer Identification Dumber and Certification Name Of a jdieit account or you changed your name. see spasirre Ilarma dnae on page 2.) wort S _-M• PIi ltYne • Customs name, if different horn above Mae Sprcifio 4reavodone on page 2.) Give farm bp the requesttat Do NOT sand to the IRS. I•Immm••••••• Check appropriator box: ❑ IndlvidualfSda proprietor � Corporation (] Pip ❑ Other ► aan Address fnber wok. and apt. creeks no j llrquesdr's rarer � and address joprlornq ,44 ratie-tvLe \A/ F 2536 Z Texpayer ,denti ication Number MP4 Enter TIN kt the a box. For individuals, this is your security number (SSN). however, if you are a resident alien OR a Cola proprietor, see the Instructions on page 2. For other entities. ft is your employer Identification number (EiN). If you do not have a number, see How To Get a 111i1 on page 2. Mated ff the eccount is in more than one name, sea the Chlet on page 2 for guidelines on whose number to enter, Mgr �! r it iCation sealer seeurier rawinr 1)-104/41-064siti 1710 OR 1 T i 1 J t List account ru,mber(s) here (optional) Fart II For Payees Exempt From Backup meowing (See the inslructlons on pago 2.) Under penalties of perjury, I certify that m 1. The number shown on this farm is my correct taxpayer identification number (or I am wafting for a number to be issued to me), and t 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) that I am suttlec:t 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 subject to backup withholding. Certification Irethec cans. --You must cross out Item 2 above K you have bean notified by the IRS that you are currently sutdact to backup withholding because you have failed to report all interest and addends on your tax return. For real estate transactions, itern 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to en individual rateenient arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but malt Provide your correct TiN. (See the instructions art page 2.) Y°Lr Skin Hire Striatum l► Prune of.forTro-PA parson MMo !s refired tri ilia an'Inforinatlbn return with the lidS must get your correct taxpayer Identification number (TIN) to report, fat example, income paid to you, real estate transections,.moftgage Interest you paid, acquisition or abandonment of secured property, cancellation of debt. Or contributions you made to an IRA. Use Form W-9 to give your correct TIN to the person requesting it (3he requester) and, when applicable, to: 1. Certify the TIN you are giving Is correct (or you are wafting for a number to be is -sued), t Certify you are not subject to backup withholding, or 3. Claim exemption from backup whhhokling if you are art exempt payee. Notes if a requester gives you a fore ocher then a W-9 to request your Turd, you muse use the requester's form 1 it is substantially similar to this Farm W-9. Vifhet Is Backup ns making certain paymerts to you must withhold and pay to the iRS 31 % of such payments under certain conditions. This is tailed 'backup withholding." Payments that may be subject to backup withholding Ewe ► /:7�/ 2 Includeinterest, dividends, broker and barter exchange transactions, rents, royalties, nonem pay, and certain payments from fishing operators. Real estate transactions are not subject to backup Withholding. N you give the requester your correct TIN, make the proper certifications, and report an your taxable interest and dividends on your tax Tatum, payments you receive will not be subject to backup withholding. Payments you receive will ba subject to backup withholding If: 1. You do not furnish your TiN to the requester, or Z The iRS tells the requester that you furnished an Incorrect TIN, or 3. The IRS tells you that you ere subject to backup withholding because you did not report ell your Interest and dividends on your tax return (for reportable Interest and dividends only), or e. You do not certify to the requester that you tee not subject to backup withholding under 3 above (for reportable Interest and dividend accounts opened after 1983 only), Or Curt. No. 10231X 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 withtwiding. See Ole Part II instructions and the separate Instructions for the Requester of Faun W-Y. Penalties Failure To Furniah Ti511.--if you fail 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 willful neglect. Chrtl Penalty for False Information'With Respect to WIthholdtrts.---if you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. information. —Criminal Penalty for Willfully falsifying g certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Mutts• of Titus. --if the requester discloses or uses TINS In violation of Federal law, the requester maybe subject to civil and criminal penaltieis, Fceri W-$ Nev. 12-ad) IVER LICENSE 450-173 DORIS M MILONE 1240 GARP4 Opxxion M a motor volloto adMl sites cros!`Y to scoculadi -cuittrzl _ - a-Afe w'at•__H S _€BSA—.. 3 — x mccroworurmio