Contracted Service Agreement between
Lansing School District and Contractor:
I. Terms of Agreement: This agreement shall be effective upon completion of this document, and shall
automatically terminate upon any of the following conditions: (a) completion of all responsibilities described in this
agreement; (b) the June 30 following the execution of this document (unless renewed in writing); or (c) upon
written notice from either party to the other of termination, with 30 calendar days notice.
II. Description of Relationship: The parties intend that an independent contractor relationship shall be created by
this agreement. Contractor is not to be considered an agent or employee for any purpose, and is not entitled to any
of the benefits that are provided to the District's employees. The District does not agree to use the Contractor
exclusively. The Contractor is free to provide similar services to others while he/she is providing these services to
the District.
III. Liability: The work to be performed under this agreement will be performed entirely at the Contractor's risk and
he/she assumes all responsibility for the risks inherent in the performance of this contract.
IV. Non-Discrimination: The Contractor will not discriminate in terms of providing services under this agreement
on any illegal basis, including race, sex, age, height, weight, marital status or handicap. Additionally, Contractor
agrees he/she will not discriminate against any employee or applicant for employment with regard to terms and
conditions of employment based on statutorily protected status which is unrelated to the individual's ability to perform
the duties of a particular job or position.
V. Property Rights: Any and all research or production for named school by Contractor shall be the property of the
Contractor and under his/her copyright, and named school may use said materials for its students only and shall not
be responsible or obligated for any loss of said materials.
VI. Modification: Any amendment or waiver of the terms of this Agreement is not valid unless such amendment or
waiver is in writing and executed by both parties to this agreement.
VII. Entire Agreement: With respect to the services contemplated in this agreement, this document supersedes all
previous understandings and agreements, written or oral, between the District and the Contractor and/or their
representatives, and constitutes the entire agreement between the parties.
VIII. By signing contract, this constitutes a certification by the contractor that the vendor is not suspended or
excluded from receipt of federal funds. Additionally, contractors are responsible for not sub-contracting to suspended
or debarred parties.
IX. Prior to commencement of services, the Lansing School District may require a criminal history file search as
outlined in Public Act 68 of 1993 and Public Act 83 of 1995 at the cost of the contractor.
The services described and the terms & conditions are agreed to, and the signatories have authority to make the
commitments referred to in this agreement.
Independent Contractor Signature / Date Administrator Signature / Date
Independent Contractor Street Address City/State/Zip
E-mail Address Phone # Fax #
Independent Contractor's Tax ID / Social Security #
Have you ever been a part of Michigan
Public School Retirement System?
Yes No
Administrator Contact Person(If not Administrator) School(s) / Program(s)
Start Date
End Date Time(s) of Service Grade Level
Description of Services (if multiple dates, enter here)
Not to Exceed Total Amount Requisition #
ASN - Account (include % or $ if multiple accts) To be Paid:
AFTER BOTH PARTIES HAVE SIGNED ABOVE (pg.1), SUBMIT TO APPROPRIATE OFFICE FOR APPROVAL.
Compliance Officer Approval (Grant Funded) / Date Human Resources Approval / Date
Chief Financial Officer Approval / Date Live Scan / iChat
Completed
*All sections should be filled out using the fillable form option. If signatures can not be done digitally, then
after all is filled out, it may be printed and signed.
Please send completed for to purchasing@lansingschools.net.