Waiver_of_Claims_for_Worker.pdf
PDF 94 KB Posted
- Attached to
- AT2015-005 Coveralls-Voc Clothing BPA
- Solicitation number
- AT2016_005COVERALLS
About this file
Wavier of Claims
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Other files
| File | Type | Posted |
|---|---|---|
| Vendor_Questionnaire.pdf | ||
| AUTHORITY_TO_COMMIT_11.24.15.pdf | ||
| Trades_Coveralls_03292016.xls | XLS spreadsheet | |
| W9_form.pdf | ||
| AT2016-005_COVERALLS_VOCATIONAL_TRADE_CLOTHING_BPA.pdf |
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Text version
Waiver of Claims for Worker’s Compensation Benefits
Contractor, _________________________, understands and acknowledges that
Contractor is not an employee of Center and therefore Contractor shall have no right to and hereby waives any right to claim worker’s compensation insurance benefits that
Center may provide to its employees, officers, or other contractors. This waiver shall be made a part of the Subcontracting Agreement between Contractor and Center dated
CONTRACTOR
Signature: ________________________________ Date: ____________________
Print Name: ______________________________
Atterbury Job Corps Center
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