Fillable 1000-1Reg.Form1 - ECSU Policy Manual Adopted 6-14-05

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1000-1Reg.Form1 - ECSU Policy Manual Adopted 6-14-05

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1000.1[Reg.]
Form 1
(Last updated: 06/12/07)
Page 1 of 2
Elizabeth City State University
Contract For Independent Contractor Services $1,500.00 or less
THIS AGREEMENT is made and entered into by and between ELIZABETH CITY STATE
UNIVERSITY, a constituent institution of the University of North Carolina, (hereinafter referred to
as "ECSU") with an address of 1704 Weeksville Road, Elizabeth City, North Carolina, USA, and
____________________________ (hereinafter referred to as "Independent contractor") whose business
address is: __________________________________________________________________________.
RECITALS:
In consideration of the mutual promises and agreements of the parties, ECSU shall obtain the
professional services of Independent Contractor in the manner set forth below:
1. It is acknowledged and agreed that Independent Contractor is not an employee and shall have
exclusive control over the details of the performance and the means and methods utilized in fulfilling
all contractual obligations.
2. Independent Contractor shall furnish workers compensation and liability insurance as may be
necessary to protect Independent Contractor and Independent Contractor's agent(s) and/or
employee(s) in connection with fulfilling the contractual obligations.
3. Independent Contractor shall have the following duties under this agreement:
________________________________________________________________________________.
4. Independent Contractor shall perform the contractual obligations on the following date(s) and
location(s): ______________________________________________________________________.
5. ECSU shall pay Independent Contractor a total sum of ____________________________________
dollars ($_________) as the fee for the satisfactory performance of contractual obligations. ECSU
shall not withhold federal taxes, state taxes, social security, workers compensation, employment
security contributions or any other benefits from Independent Contractor's fee for services rendered.
6. ECSU shall be responsible for providing the following items and/or technical requirements under
the agreement, if applicable: _______________________________________________________
7. Except as set forth in SECTIONS 5 and 6 above, Independent Contractor shall be responsible for
paying all other costs and expenses in connections with the contractual obligations, if any.
8. In the event that Independent Contractor fails to perform the contractual obligations, due to an
"act of God," or any other cause beyond the reasonable control of the parties, then reasonable
attempts shall be made to reschedule the service(s) at a mutually agreeable date and time. If no
alternate date and time can be agreed upon, then both parties shall be relieved from the obligations of
the contract.
1000.1[Reg.]
Form 1
(Last updated: 06/12/07)
Page 2 of 2
9. If Independent Contractor fails to perform for any reason other than those identified in
SECTION 8 above, ECSU may at its option terminate this agreement or seek to reschedule the
service(s) at a mutually agreeable time.
10. If Independent Contractor's professional services require a license, Independent Contractor shall
provide ECSU with documentation from relevant North Carolina licensing board evidencing
current licensure.
11. Independent Contractor agrees to hold ECSU, its Board of Trustees, employees, and agents
harmless from any claim, suit or proceedings arising out of its acts and/or omissions, or the
acts and/or omissions of its agent(s) and/or employee(s) or breach of its duties as described in
this contract, including to indemnify ECSU for reasonable expenses in defending such claims.
12. If any provision of this agreement is deemed unenforceable, it shall not affect or cause the
remaining provisions to be invalid.
13. Independent Contractor warrants that he/she is fully able to perform the contractual obligations
with the highest professional standards and that he/she shall perform said services and shall not
assign or delegate the duty to any other individual(s).
14. This agreement shall be governed by the laws of the State of North Carolina, USA. Each party
agrees to be subject to the jurisdiction of the courts of the State of North Carolina, USA should
litigation arise between the parties.
15. This agreement replaces all prior written agreements and incorporates all the terms and conditions
agreed upon by the parties regarding the engagement. There shall be no modifications or
amendments except in writing signed by the parties.
IN WITNESS WHEREOF, the parties have executed this agreement as of the dates indicated
below. This agreement shall not become effective until executed by ECSU.
ELIZABETH CITY STATE UNIVERSITY INDEPENDENT CONTRACTOR
By: ________________________________ By: ________________________________
Title: _______________________________ Title: _______________________________
Date: _______________________________ Federal Tax ID: ______________________
Telephone Number: ___________________
Date: _______________________________
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1000-1Reg.Form1 - ECSU Policy Manual Adopted 6-14-05

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Completed 16 November 2019

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