PSC Number ___
Start Date ___
End Date ___
<div style="text-align: center;"><img src="imgs/img_in_image_box_66_81_73_703.jpg" alt="Image" width="9%" /></div>
| This Personal Service Contract for | is made and entered into this Department |
|---|
| day of _____, 20____, by and between Eastern Kentucky University (EKU) and: |
| Name of Individual and/or Firm (The Second Party) | Social Security or Federal I.D. Number |
|---|
| Street Address | City | State | Zip Code |
|---|
| Service: EKU has determined that either University personnel are not available to perform the described services or use of EKU personnel would not be feasible. EKU has determined that the second party is qualified to perform the services described "in detail" below: |
Payment: As fee for the services described, EKU agrees to pay the Second Party a sum not to exceed $___ upon receipt of signed invoice(s). No other fees or expenses are authorized unless specifically identified in this contract. Payment will be made as described "in detail" below:
Service: ___
Travel:
(Travel will be reimbursed only with prior approval and in accordance with EKU travel regulations.)
Other Expense: ___
Cancellation - By either party upon 30 days written notice.
Choice of Law - The Second Party agrees that the applicable law of relating to this contract are the laws of the Commonwealth of Kentucky and further agrees that if legal action arises, the venue will be Franklin Circuit Court.
During the performance of this contract, the Second Party will not discriminate against any employee or applicant for employment because of race, religion, color, national origin, sex, age, or handicap.
The Second Party is an independent contractor for EKU, therefore, EKU is not liable for Social Security Contribution pursuant to Section 418, 42 U.S. Code. Furthermore, IRS Form 1099 will be forwarded at the end of the calendar year if total payment(s) exceed $600.00.
Eastern Kentucky University
Submitted by:
The quick brown fox jumps over the lazy dog.
Signature/Title Date
Approved:
Second Party
Signature Date
2023
Title
Director, Purchases & Stores Date
___
Note: Second Party may not begin work until contract has been stamped “received” by the Legislative Research Commission. Second Party may not be paid until the contract is “approved” by Legislative Research Commission. Foreign Vendor Second Party may not begin work until they have been registered with the Kentucky Secretary of State (please see page two).