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, specifically applying to the State of Arizona, its agencies, boards, commissions, and universities. The agreement is between the state and an independent contractor for services, with the document dated and revised in November 2012 and signed in July 2019.

The independent contractor is located in Navajo, Arizona, and appears to be providing services related to Emily Tintinewestion Services, though the specific scope of services is not detailed in the document. The agreement outlines standard terms for an independent contractor relationship, including provisions that the contractor will not be considered an employee, will not receive employee benefits, and will maintain separate business operations. The document emphasizes the contractor's independence, including restrictions on the hiring entity providing tools, dictating performance times, or combining business operations. The contract was signed by the independent contractor on 4-1-19 and by the state agency on 7-12-19, with final Risk Management authorization on 7-11-2019.

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Other files

File Type Posted
AZ_Dept_Health-2.pdf PDF
Mistake Discovered After Award.pdf PDF
WC Waiver 2019.07.pdf PDF
CTR074349_Contract_Documents.pdf PDF
Contract_Summary_Document.xlsx XLSX spreadsheet
Independent Contractor Agreement form - 18903 (1).pdf PDF
CTR074349_A1.pdf PDF
2025.02.07 COI.pdf PDF
2026.02.07 COI CGL AL SAM.pdf PDF
CTR074349_Pricing.xlsx XLSX spreadsheet

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