INDEPENDENT CONTRACTOR ACKNOWLEDGEMENT FORM.pdfINDEPENDENT CONTRACTOR ACKNOWLEDGEMENT FORM.pdf

This is an Independent Contractor Acknowledgement Form related to pest control services at Chillicothe Correctional Institution, an Ohio Department of Rehabilitation and Correction (ODRC) facility located at 15802 S.R. 104, North, Chillicothe, Ohio 45601. The form serves as a contractual acknowledgement document that contractors must complete and sign to confirm their understanding of their status as independent contractors and their acceptance of the terms and conditions associated with providing pest control services to the institution. The form establishes the framework for the contractor's obligations, including compliance with applicable regulations, maintenance of required insurance coverage, and adherence to facility security protocols and operational procedures specific to correctional facility environments.

The document requires the contractor to acknowledge their independent contractor status, confirm their understanding of compensation terms, and agree to maintain all necessary licenses, certifications, and insurance policies required for pest control service provision. The form typically includes representations regarding the contractor's qualifications, acceptance of facility rules and regulations, and understanding that they are not an employee of ODRC. This acknowledgement serves as a prerequisite to contract execution and helps establish the legal relationship between the independent contractor and the state agency prior to commencing pest control operations at the correctional institution.