Independent Contractor by MikeJenny

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									                           Independent Contractor
                                 Agreement




This Agreement is being signed on ___________________________between

_____________________ (myself, as the Independent Contractor providing supports)

and _____________________________ (the person contracting my support services).

___________________________ will be the key contact(s) for ____________________.




                                          TERMS

       The purpose of this Agreement is to make sure that everyone who is signing this
        understands and agrees to the responsibilities listed and how payment for the
        supports will be made.

       This Agreement for providing personal support will begin on
        ____________________ and be finished on ____________________.


       As the independent contractor, I am contracted for
        _______ hours per week.

        From time to time, support requirements may change and as a result the number
        of hours may vary accordingly. Any change will be mutually agreed upon.

       This contract includes the use of an automobile

        Yes              No      

        If yes, I will provide an automobile and $1,000,000.00 Third Party Liability
        insurance.




1
                                              .
1.     SUPPORT PLAN

       As the Independent Contractor, I will assist ___________________ to achieve the
       goals, explained in the Outcomes that are provided by ________________.
       See attached.



2.     EMPLOYMENT STATUS

       It is understood that I ______________________________as the Independent
       Contractor have explored and understand the implications of being an
       Independent Contractor for this contract.



3.     PAYMENT/REIMBURSEMENT

                                   The fee for the provision of personal supports has
                                    been set at $______________ per hour.

                                   The fee for the use of my vehicle while travelling
                                    with ___________________ is $ ______________.

                                   All other expenses related to providing this personal
                                    support is included in the fee or requires further
                                    negotiation.


     I will be responsible for claiming my own income and income tax.
                   A T-4 income tax form will not be issued.


       3.1   Claiming Payment/Reimbursement

                    Hours will be written on an invoice and then submitted for
                    reimbursement
                                        weekly
                                        every two weeks
                                        every month
                                        other__________________________


                     *See attached sample INVOICE.

The person, Key Contact(s) and or a designate, will sign the invoice, approving the
hours worked, etc.
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4.    CONFIDENTIALITY

             All information will be kept private and confidential.

             Any release of information requires written permission from
             ______________________ and/or the key contact(s).




5.   REVIEW OF AGREEMENT

This document is in effect for ____ month(s). At that time it will be reviewed, unless
everyone has agreed to change it before that.



6.   TERMINATION OF AGREEMENT

If anyone who signs this agreement wishes to end it before the finish date, they
can give two weeks notice.

Both of us have the right to change the Agreement with two weeks notice in writing. The
notice period can be different if everyone agrees. This Agreement may be finished
without notice, if there is a breach of a fundamental term of this Agreement such as any
wilful misconduct, or if this contract cannot be completed, or I, as the independent
contractor, did not do what I signed that I would do.


Additional information:

______________________________________________________________________




I agree to provide supports as stated in this Independent Contractor Agreement.

__________________________________________________
                               Independent Contractor

DATE: __________________________


3
                                             .
                          _______________________ and the Key Contact(s)
                         agree to contract for the supports as stated in this
                         Independent Contractor Agreement.




__________________________________________________
                         Person contracting for supports


__________________________________________________
                                       Key Contact(s)



DATE: __________________________


Attachments:
    Outcomes




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