SOFTBALL UMPIRE by F1A01P

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									                      River Trails Park District
                      1500 E. Euclid Ave
                      Mt. Prospect, IL 60056
                      847-255-1200 www.rtpd.org


                                       SOFTBALL UMPIRE
                              INDEPENDENT CONTRACTOR AGREEMENT

        As an independent contractor of the River Trails Park District, I acknowledge and agree that I am not
covered under the workers compensation program of said District and I am personally responsible for any injury
or illness resulting from and in the course of performing my contracted service. As an independent contractor I
shall have sole control over the ways and means of performing the work referred to in this agreement.

        In addition, I acknowledge and agree that any suit, claims, damages, fines, fees and costs filed against
me which may result from the services for which the District has contracted me, will not be covered by the
District. Instead, I shall procure and maintain comprehensive general liability coverage through the ASA
(Amateur Softball Association).

         It is highly recommended that each umpire obtain and maintain additional comprehensive general
liability coverage specifically naming the River Trails Park District as additional insured.

       I further acknowledge and agree that the cost of any loss or damage to any personal property owned by
me and used in the course of performing said contracted services shall be borne by me and shall not be the
responsibility of the District.

       I further agree to indemnify and hold harmless and defend the District, its officers, agents, servants and
employees from any and all claims resulting from injuries, damages and losses sustained by me and arising out
of, connected with or in any way associated with the services for which I have been contracted.

        I further acknowledge that as required by the 1982 Tax Equity and Fiscal Responsibility Act, the District
is required to report to the IRS earnings of $600.00 or more to an independent contractor for services rendered.
To assist the District in complying with this legislation, I will provide all information required below.

       I have read and fully understand this INDEPENDENT CONTRACTOR AGREEMENT and Waiver and
Release of All Claims.


Name:__________________________________               Signature:_______________________________________

Address:________________________________             City/State/Zip:____________________________________

Social Security #:_________________________          Date:__________________________

District Representative:_________________________________ Date:__________________________

								
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