Att K_Independant Contractor Cert.pdf

PDF 83 KB Posted

Attached to
USDA Child Nutrition Program Processor Pricing Agreements
Solicitation number
S-DASOBO-00013701
Issued by
Marion County, Oregon

About this file

This document is an Independent Contractor Certification form (Attachment K) that outlines the standards and requirements for an independent contractor. The form requires the contractor to certify several key points, including being registered under ORS chapter 701, having filed appropriate tax returns, providing their own tools and equipment, and having the authority to hire and fire employees. The contractor must also demonstrate that they operate an independently established business by meeting at least four out of six specified criteria, such as having a separate business location, purchasing commercial advertising or business cards, maintaining a separate business phone listing, working under written contracts, serving multiple clients within a year, and assuming financial responsibility through performance bonds or insurance.

The certification serves as a legal document to verify the independent contractor status, with the contractor required to sign and date the form. The six criteria provide a comprehensive framework for determining whether the individual qualifies as a true independent contractor, focusing on the business's operational independence, professional representation, and financial accountability. By checking at least four of the listed circumstances, the contractor affirms their status as a distinct business entity rather than a traditional employee.

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Text version

ATTACHMENT K

INDEPENDENT CONTRACTOR CERTIFICATION

Contractor certifies they meet the following standards:

1. I am registered under ORS chapter 701 to provide labor or services for which such registration is required.

2. I have filed federal and state income tax returns in the name of my business or a business Schedule C as part of the personal income tax return, for the previous year, or expect to file federal and state income tax returns, for labor or services performed as an independent contractor in the previous year.

3. I will furnish the tools or equipment necessary for the contracted labor or services.

4. I have the authority to hire and fire employees who perform the labor or services.

5. I represent to the public that the labor or services are to be provided by my independently established business as four (4) or more of the following circumstances exist. (Please check four or more of the following):

_____ A. The labor or services are primarily carried out at a location that is separate from my residence or is primarily carried out in a specific portion of my residence, which is set aside as the location of the business.

_____ B. Commercial advertising or business cards are purchased for the business, or I have a trade association membership.

_____ C. Telephone listing used for the business is separate from the personal residence listing.

_____ D. Labor or services are performed only pursuant to written contracts.

_____ E. Labor or services are performed for two or more different persons within a period of one year.

_____ F. I assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance, or liability insurance relating to the labor or services to be provided.

Contractor Signature: Date:

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