ACCEPTED CTR076736 WC WAIVER - Gene Brown.pdf

This document is a Workers' Compensation Waiver for a Sole Proprietor/Independent Contractor issued by the Arizona Department of Transportation (ADOT) Procurement Services Division. The waiver involves Gene Brown/G E Brown Service, located in Mesa, Arizona, and is specifically related to contract CTR076736, which has been accepted by ADOT Risk Management.

The document establishes the terms of an independent contractor relationship, explicitly stating that ADOT does not require the contractor to work exclusively for them, provide business registrations or licenses, pay a salary, provide tools, or dictate performance times. The contractor acknowledges that they are not entitled to workers' compensation benefits from ADOT and understands that if they have employees, they must maintain workers' compensation insurance. The contract appears to be for a specific job or piece of work, with the contractor operating independently and being paid according to the terms of a written agreement.