PROFESSIONAL SERVICES AGREEMENT
PART I: GENERAL INFORMATION
Service Provider Information:
Name:____________________________________________________________
Address:__________________________________________________________
_________________________________________________________________
| Check One: | ___Single Proprietor | - Supply Social Security Number______________________ |
| ___Partnership | - Supply Fed EIN __________________________________ | |
| ___Corporation | - Supply Fed EIN___________________________________ | |
| x | ||
| Check One: | ___U.S. Citizen | |
| Affiliate is: | ___Permanent Resident | |
| ___Foreign National | - If you checked this box, please contact payroll regarding tax classification. | |
| American University Information: | ||
| Department:________________________________________________________ | ||
| Contact: ___________________________________________________________ | ||
| Telephone: _________________________________________________________ | ||
2. Services to be Performed.
During the term of this Agreement, the Service Provider shall
perform the following services:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
3. Term of Agreement.
The retainer of the Service Provider shall begin_______________,
and shall end __________________,
unless this Agreement is terminated earlier, as provided in
Paragraph 9 of this Agreement.
4. Compensation. The
University shall pay the Service Provider the following compensation for
services performed under
this Agreement:
________________________________________________________________________________
________________________________________________________________________________
The Service Provider shall
submit monthly time sheet for service time performed by the Service Provider
to _____________________________________
, American University, 4400 Massachusetts Avenue,
NW, Washington, DC 20016-_______;
such compensation to be paid within thirty (30) days after
the time sheet is received
and verified.
5. Independent Contractor.
The Service Provider is retained by the University and shall perform
the services under this
Agreement as an independent contractor. The Service Provider shall not
be
considered under the provisions
of this Agreement or otherwise as having an employee status or be
extended coverage under
unemployment and Workers' Compensation insurance, or be entitled to
participate in any plans,
arrangements or distributions by the University pertaining to or in
connection with any pension,
bonus or similar benefit plans.
The Service Provider has
no power or authority to act for, represent, or bind the University in
any
manner. The Service
Provider is solely responsible for the payment of his/her self-employment
taxes.
6. Indemnification/Hold
Harmless. The Service Provider shall indemnify and hold harmless the
University from any and
all loss or damage to persons or property which the University or its
employees may suffer on
account of any accident or occurrence caused by the Service Provider.
In consideration of the mutual
agreements set forth in this Agreement, the Affiliate relieves, acquits,
and forever discharges the
University of and from any and all actions, courses of action, claims,
demands, and damages on
account of, or in any way growing out of any accident or occurrence
transpiring during and under
the terms of this Agreement, unless it is established that such accidents
arose out of the negligent
acts of the University, its agents or employees.
7. Confidential Information.
In the course of performing services under this Agreement,
the University may communicate
information to the Service Provider or the Service Provider may
have access to University
information, which may or may not be related to this Agreement. The Service
Provider shall treat all
such information as confidential, whether or not it is identified as confidential.
The Service Provider shall
not disclose to any third party or use, for purposes not set forth in
this Agreement, any reports,
recommendations, opinions, and/or conclusions which the
Service Provider may provide
to the University as part of his/her services.
8. Termination. The
University or the Service Provider may terminate this Agreement at any
time, upon giving not less
than thirty (30) days written notice to the other party.
9. Governing Law. This
Agreement shall be governed by and construed in accordance
with the laws of the District
of Columbia.
10. Signatures.
With the consent of the University and the Service Provider, facsimile
signatures
will be considered originals
in the execution of this Agreement.
11. Entire Agreement/Amendments.
This Agreement contains the entire agreement
of the University and the
Service Provider and no terms may be modified or waived except by
the mutual written consent
of both the University and the Service Provider.
| AMERICAN UNIVERSITY | PROFESSIONAL SERVICES PROVIDER |
| Signed: __________________________________ | Signed: _________________________________ |
| Patricia L. Kelshian | |
| Title:
Executive Director,
Contract and Risk Management |
Title: ___________________________________ |
| Date: ____________________________________ | Date: __________________________________ |