WC Waiver 2019.07.pdf

PDF 903 KB Posted

Attached to
Master Agreement AZ|CTR074349
Contract number
CTR074349
Issued by
Arizona

About this file

This document is an Independent Contractor Agreement from the Arizona Department of Administration's Risk Management Division. The agreement involves the State of Arizona and an independent contractor, with the specific contractor being an entity named Kl Hmmry/gbt Emily Entrepreneurial Services, located in Nazlini, Arizona. The document is designed for use by state agencies, boards, commissions, and universities utilizing independent contractors, with specific exclusions for the construction industry.

The agreement outlines the terms of engagement between the state agency (DES/DOD/AZEP) and the independent contractor, with a focus on maintaining a clear separation of business operations. The contract establishes that the independent contractor will perform services primarily or exclusively for another person, without being considered an employee. Key stipulations include that the contractor will not be provided with tools, will not have their performance time dictated, will be paid in the name appearing on the written agreement, and will maintain separate business operations. The document was signed on 7-1-19 by the independent contractor and countersigned by the agency on 7/12/19, with a final review by a Risk Management Authorized Signer on 7/11/2019.

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