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Inspiring Innovation. Growing Leaders. Advancing Kentucky.
Purchasing Department 400 East Main Street ASB, 2nd Floor Room 241 Frankfort, KY 40601 purchasing@kysu.edu
Speaker/Entertainment Contract
Purchase Order Number:
Purchase Order Number: Requesting Department: KSU Point of Contact:
Requesting Department:
KSU Point of Contact:
This Contract is made and entered into this Day of ___, 20 by and between Kentucky State University (KSU) and;
This Contract is made and entered into this
day of
, 20
NAME:
NAME:
ADDRESS: CITY:
ADDRESS:
SSN or EIN
SSN or EIN
CITY:
STATE: ZIP:
STATE:
ZIP:
Services: The Contractor will perform the services described below:
PAYMENT: As fee for the services described, KSU agrees to pay the Contractor a sum not to exceed $ AUTHORIZED FEES AND EXPENSES
PAYMENT: As fee for the services described, KSU agrees to pay the Contractor a sum not to exceed $
Hourly: $
Hourly: $
/hour
Fee: $ /service
$
boxed small Mileage current KSU rate; small Airfare boxed smallbigtriangleup bigtriangleup; smallbigtriangleup bigtriangleup; bigtriangleup bigtriangleup; bigtriangleup bigtriangleup; bigtriangleup bigtriangleup; bigtriangleup bigtriangleup boxed small Lodging
Mileage current KSU rate
Lodging
Airfare
Meals
□Other Transportation □Phone
Other Transportation
□ Phone □ Miscellaneous
Phone
Miscellaneous
Describe other method of payment, if applicable, and include any expenses that will be paid directly by KSU.
Describe other method of payment, if applicable, and include any expenses that will be paid directly by KSU.
Payment To Be Made: ☐ Upon Completion DQGIQYRIFH ☐ Other
Other
Other
Upon Completion DQG LQYRLFH;
, 20
Contract Dates: Beginning- ,20 ; Ending-
, 20
Contract Dates: Beginning -
20; Ending-,20
Ending -
Speaker/Entertainment Contract Provisions
The Contractor shall maintain supporting documents to substantiate invoices and shall furnish same if required by Kentucky State University. If reimbursement of expenses is authorized, the reimbursement shall be only on an out-of-pocket basis. Request for payment of the same shall be processed upon receipt from the Contractor of valid, itemized statements submitted periodically for payment at the time any fees are due. Original copies must be submitted for airline ticket receipts, lodging receipts, restaurant charges, and rental car charges. All other charges shall be either original or certified copies. Contractor shall not be reimbursed for any expenses not listed or marked on the first page of this contract.
Governing Law. The laws of the Commonwealth of Kentucky shall govern all questions as to the execution, validity, interpretation, construction and performance of the Contract. Furthermore, the parties hereto agree that any legal action that is brought on the basis of this Contract shall be filed in the Franklin County Circuit Court of the Commonwealth of Kentucky.
Cancellation. The Contractor or Kentucky State University reserve the right to terminate this contract without cause with a thirty (30) day written notice.
Payment. The University will make payment within thirty (30) working days of receipt of contractor's invoice or of acceptance of goods and/or services in accordance with KRS 45.453 and KRS 45.454. Payments are predicated upon successful completion and acceptance of the described work, services, supplies, or commodities, and delivery of the required documentation. Invoices for payment shall be submitted via email to: accountspayable@kysu.edu.
Conflict-Of-Interest and Principles. The Contractor certifies that he/she is legally entitled to enter into this contract with Kentucky State University, and certifies that he/she is not and will not be violating any conflict of interest statute (KRS 45A.330-45A.340, 45A.990, 164.390, or any other applicable statute) nor KSU's Ethical Principles and Code of Conduct.
Discrimination Prohibited. During the performance of this Contract, the Contractor agrees not to discriminate illegally against any employee or applicant for employment on the basis of race, religion, color, national origin, sex sexual orientation, gender identity, age, physical or mental disability, or status as a Vietnam Era veteran. During the performance of this contract, the Contractor agrees to comply with all provisions of Executive Order No. 11246 of September 24, 1965, as amended, and of the rules, regulations and relevant orders of the Secretary of Labor. The Contractor further agrees to comply with the provisions of the Americans with Disabilities Act (ADA), Public Law 101-336, and applicable federal regulations relating thereto prohibiting discrimination against otherwise qualified individuals under any program or activity.
Campaign Contributions. The Contractor hereby swears that neither he/she, nor any member of his/her immediate family having an interest of ten (10) percent or more in any business entity involved in the performance of this contract, contributed more than the amount specified in KRS 121.056(2), to the campaign of the Kentucky gubernatorial candidate elected at the election last preceding the date of this contract.
In addition, Contractor further swears under the penalty of perjury, that neither he/she or the Company which he/she represents, has knowingly violated any provisions of the campaign finance laws of the Commonwealth, and that the award of a contract to him/her or the Company which he/she represents will not violate any provisions of the campaign finance laws of the Commonwealth.
8. Independent Contractor. The Contractor is an independent contractor for KSU; therefore, KSU is not liable for Social Security contributions pursuant to Section 418,42 U.S. Code. Furthermore, IRS Form 1099 will be forwarded at the end of the calendar year if total payments exceed $600.00.
KENTUCKY STATE UNIVERSITY:
Prepared by:Approved:
Signature/DateExecutive Vice President, Finance and Administration
Type or Print NameCampus Phone #
CONTRACTOR:
Signature/DateThis contract form is to be used for services described in KRS 45A.095(4)(f) which include visiting speakers, professors, expert witnesses and performing artists, if it is determined a contract is necessary. Contract is excluded from the provisions of the Personal Service Contract statutes as per OAG 90-124
SIGN
Signature/Date
Type or Print Name
Campus Phone #
Signature/Date
Type or Print Name
Type or Print Name
Visa Status:
Are you a US Citizen: Yes ☐ No ☐ If no, country of permanent residency: Visa Status:
If no, country of permanent residency:
No
If no, country of permanent residency:
Visa Status: