NORTH CAROLINA DEPARTMENT OF COMMUNITY COLLEGES RALEIGH, NORTH CAROLINA
PROFESSIONAL SERVICES AGREEMENT
Coastal Carolina Community College
, herein referred to as the Institution, and
, herein referred to as the Contractor enter into an agreement for Professional
Services.
I. The Contractor agrees:
A. To provide professional services as described:
B.
At a rate of:
C.
D.
Period Covered From:
To:
E.
Source of Funds:
F. Payment of all Federal and State income taxes and Social Security applicable to the compensation received is the
responsibility of the Contractor and not the Institution.
II. The Institution agrees:
A. To make payment to the Contractor upon completion of services rendered and upon certification by the responsible
members of the College.
III. Attest:
A.
Contractor
Name
Address:
Street
City, State
Zip
EIN # or last 4 of SSN #
Print Name
Signature
Date
B. Institution:
1. Appropriate
Vice President:
Signature
Date
2. President:
David L. Heatherly
Signature
Date
Rev. 09/14/2017
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit