APPROVED WAIVER- Douglas Estes.pdf

PDF 385 KB Posted

Attached to
Master Agreement AZ|CTR054968
Contract number
CTR054968
Issued by
Arizona

About this file

This document is a Workers' Compensation Waiver for a Sole Proprietor/Independent Contractor between Landpro Valuation, LLC and the Arizona Department of Transportation (ADOT) Procurement Division. The contract is identified as CTR054968 and was accepted by ADOT Risk Management. The document outlines the terms under which ADOT will engage with the independent contractor, specifically defining the non-employment relationship and establishing guidelines for contract performance.

The document does not specify the exact goods or services to be provided, but it establishes the operational framework for the independent contractor. Key terms include that ADOT will not require exclusive work, will not provide business registrations or licenses, will not pay a salary but rather a contract-fixed amount, will not provide tools, will not dictate performance times, and will maintain separate business operations. The contractor's address is listed as 4110 E. Falcon Dr., Suite 119 in Mesa, AZ 85415. The document was signed on 3/14/2023 and includes signatures from both the independent contractor and an ADOT contract administrator.

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Text version

DocuSign Envelope ID: C575E06C-52D5-41DB-82B8-C4DD7E88561E

Arizona Department of Transportation - Procurement

CTR054968

ACCEPTED

ADOT Risk Management

File details come from the government source that posted it. Updated .