APPROVED WC WAIVER- Beverly Weissenbornpdf.pdf

This document is a Workers' Compensation Waiver for a Sole Proprietor/Independent Contractor, issued by the Arizona Department of Transportation (ADOT) Procurement Division. The form involves Beverly Weissenbun of Weissenbun Appraisal, located in Tucson, Arizona, and is associated with Contract Identification Number CTR054976. The document outlines the terms under which ADOT engages with an independent contractor, specifically detailing the department's obligations and limitations in the working relationship.

The contract appears to be for professional services, with ADOT explicitly stating that it will not provide tools, dictate performance times, or require exclusive work from the contractor. The agreement specifies that payment will be made according to a fixed contract amount, rather than an hourly or salary rate. The document was signed on 3/26/23 and has been accepted by ADOT Risk Management, indicating that the independent contractor has met the necessary requirements for engagement with the department.