Exhibit B - Independent_Contractor Certification.pdf
PDF 59 KB Posted
- Attached to
- CMS #211060 RFQ Pre-Disaster DRR
- Solicitation number
- RFQ NLAA 2027000003 5
- Issued by
- Denver County, Denver City, Colorado
About this file
Exhibit B - Independent Contractor Certification
This is an Independent Contractor Certification document associated with Colorado's CMS #211060 RFQ for Pre-Disaster Disaster Risk Reduction (DRR) services. The certification form establishes the framework for verifying independent contractor status and compliance requirements for vendors participating in this state contract opportunity. The document serves as a prerequisite attestation that contractors must complete to demonstrate their eligibility and legal standing to perform work under the contract. Specific terms regarding project scope, deliverables, response deadlines, and contract duration would be detailed in the primary RFQ documentation rather than in this certification exhibit.
The Independent Contractor Certification establishes binding representations regarding contractor classification, tax obligations, insurance requirements, and statutory compliance. Contractors executing this certification attest to their independent status, confirm they are not employees of the state, and agree to maintain appropriate business licensing, liability insurance, and workers' compensation coverage as applicable. The certification typically requires contractors to acknowledge their understanding of tax reporting obligations and their responsibility for self-employment taxes, while confirming they meet all state and federal requirements for operating as an independent contractor in Colorado.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
EXHIBIT B - INDEPENDENT CONTRACTOR STATUS-Part of PO or Contract #
1. DIRECTION AND CONTROL-REPRESENTATION
Vendor (the term “Vendor” includes Contractors and Grantees) shall perform all of its services and other obligations under the Purchase Order (PO) or Contract (the term “Contract” includes Agreements and Grants) to which this Exhibit is attached, free from the direction and control of the State. Vendor represents that it is customarily engaged in an independent trade, occupation, profession, or business related to the services performed. The latter is a material representation made by Vendor to the State, upon which the State relied in issuing this PO or Contract, and without which, this PO or Contract would not have been issued. In accordance with the foregoing, the State does not and shall not:
A. Require Vendor to work exclusively for the State; except to the extent Vendor chooses to work exclusively for the State for a finite period of time specified in the PO or Contract;
B. Establish a quality standard for Vendor; except that the State can provide plans and specifications regarding the work but cannot oversee the actual work or instruct Vendor as to how the work will be performed;
C. Pay a salary or hourly rate but rather a fixed or contract rate;
D. Terminate the work during the PO or Contract period unless Vendor violates the terms of the
PO or fails to produce a result that meets the specifications of the PO or Contract;
E. Provide more than minimal training for Vendor;
F. Provide tools or benefits to Vendor; except that materials and equipment may be supplied;
G. Dictate the time of performance; except that a completion schedule and a range of mutually agreeable work hours may be established;
H. Pay Vendor personally but rather makes checks payable to the trade or business name of
Vendor; and I. Combine the State’s business operations in any way with Vendor’s business, but instead maintain the State’s and Vendor’s operations as separate and distinct.
2. DISCLOSURE
Vendor is not entitled to unemployment insurance benefits unless unemployment compensation coverage is provided by Vendor or some other entity, and Vendor is obligated to pay federal and state income tax on any moneys paid pursuant to the independent contractor relationship created by this PO or Contract. The State shall issue and, Vendor shall accept as proper for tax reporting purposes, a Form 1099 to Vendor for all payments made to Vendor pursuant to this PO or Contract if this payment is 1099 reportable.
VENDOR
INSERT-Vendor's Business Name
By: INSERT-Name of Authorized Individual Title: INSERT-Official Title of Authorized Individual
*Signature
Date: _________________________
* Persons signing for Vendor hereby swear and affirm that they are authorized to act on Vendor’s behalf and acknowledge that the State is relying on their representations to that effect.
| 1. DIRECTION AND CONTROL-REPRESENTATION |
| A. Require Vendor to work exclusively for the State; except to the extent Vendor chooses to work exclusively for the State for a finite period of time specified in the PO or Contract; |
| B. Establish a quality standard for Vendor; except that the State can provide plans and specifications regarding the work but cannot oversee the actual work or instruct Vendor as to how the work will be performed; |
| C. Pay a salary or hourly rate but rather a fixed or contract rate; |
| D. Terminate the work during the PO or Contract period unless Vendor violates the terms of the PO or fails to produce a result that meets the specifications of the PO or Contract; |
| E. Provide more than minimal training for Vendor; |
| F. Provide tools or benefits to Vendor; except that materials and equipment may be supplied; |
| G. Dictate the time of performance; except that a completion schedule and a range of mutually agreeable work hours may be established; |
| H. Pay Vendor personally but rather makes checks payable to the trade or business name of Vendor; and |
| I. Combine the State’s business operations in any way with Vendor’s business, but instead maintain the State’s and Vendor’s operations as separate and distinct. |
2. DISCLOSURE
File details come from the government source that posted it. Updated .