EXHIBIT E - Independent Contractor Certification Form.docx

This is an Independent Contractor Certification Form for a state and local contract opportunity in Oregon. The form requires contractors to certify compliance with specific standards established under Oregon Revised Statutes Chapter 701. Contractors must confirm registration under ORS Chapter 701 if required for their labor or services, demonstrate tax filing compliance by submitting federal and state income tax returns or Schedule C documentation from the previous year, and confirm they will furnish all necessary tools and equipment for the contracted work. Additionally, contractors must possess the authority to hire and terminate employees who perform the labor or services.

To qualify as an independent contractor under this certification, contractors must demonstrate they represent their labor or services to the public as being provided by an independently established business. This requirement is satisfied when at least four of six specified circumstances are present: maintaining a separate business location distinct from residence, purchasing commercial advertising or business cards, maintaining a separate business telephone listing, performing labor only under written contracts, providing services to two or more different clients within a one-year period, or assuming financial responsibility for defective workmanship through performance bonds, warranties, errors and omissions insurance, or liability insurance. The contractor must identify and check at least four of these circumstances to complete the certification.