Revised 8/12/15
Professional Services Agreement
Professional Information
Name
* Payment will be remitted to the mailing address listed on your invoice.
Address
City, ST, Zip
Phone & Fax
Email
Is the Professional a Daytona State College a) Employee,
b) Trustee, c) or related to an Employee or Trustee?
Yes No
If yes, provide the following:
Name
Relationship
Agreement
This agreement is entered into on
(date)
by DAYTONA STATE COLLEGE, representing and hereinafter referred to as
the College and
(Professional’s name),
hereinafter referred to as the Professional.
The Professional will perform all services and furnish all labor at his/her own risk, assuming full responsibility for completion of the services stipulated
below. The College and Professional do mutually agree that the following professional services will be performed:
The Professional shall commence performance of this agreement on
(date)
and shall complete performance of the agreement
to the satisfaction of the College no later than
(date)
.
All agreements made between the College and the Professional are exclusively herein contained. This agreement may be terminated by either party
upon written notice. This agreement may be unilaterally cancelled by the College if the Professional refuses to allow public access to all material made or
received by the Professional pursuant to the agreement. Bills, fees, other compensation for services or expenses must be submitted to the College in
detail sufficient for proper pre-audit and post-audit review. The individual named in the performance of the work hereunder shall be subject to and shall
abide by all of the rules, regulations, and policies of the College and of the Statutes of the State of Florida that affect and govern the College.
Signatures for Approval
Professional Date Department Manager/Di
rector Date
Dean/AVP/VP Date President Date
(if total <$100/hr or <$1,600/appointment) (if total >$100/hr or >$1,600/appointment)
For Department Use Only: Send original comple
ted agreement to Purchasing. Requisition# ______________
Depa
rtment Information
Department Name
Contact Person
Phone
Hours Worked
Contract Amount
$
