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Service Provider agrees that Service Provider is not an employee or worker of the City under <br /> Chapter 51 of the Revised Code of Washington,Industrial Insurance for the service performed in <br /> accordance with this Agreement,by certifying to the following: <br /> (1) Service Provider is free from control or direction over the performance of the service; and <br /> (2) The service performed is outside the usual course of business for the City,or will not be <br /> performed at any place of business of the City, or Service Provider is responsible for the <br /> costs of the principal place of business from which the service is performed; and <br /> (3) Service Provider is customarily engaged in an independently established business of the <br /> same nature as the service performed,or has a principal place of business for the service <br /> performed that is eligible for a business deduction for federal income tax purposes; and <br /> (4) On the effective date of this Agreement, Service Provider is responsible for filing a schedule <br /> of expenses,for the next applicable filing period,with the internal revenue service for the type <br /> of service performed; and <br /> (5) By the effective date of this Agreement or within a reasonable time thereafter, Service <br /> Provider has established an account with the department of revenue and other state agencies, <br /> where required,for the service performed for the payment of all state taxes normally paid by <br /> employers and businesses and has registered for and received a unified business identifier <br /> number from the state of Washington; and <br /> (6) By the effective date of this Agreement, Service Provider is maintaining a separate set <br /> of records that reflect all items of income and expenses of the services performed. <br /> C. Any and all employees of Service Provider,while engaged in the performance of any Work, <br /> shall be considered employees of Service Provider only and not of the City, and any and all <br /> claims that may or might arise under the Worker's Compensation Act on behalf of said <br /> employees or Service Provider,while so engaged in any and all claims made by a third party as <br /> a consequence of any negligent act or omission on the part of Service Provider's employees, <br /> while so engaged on any of the Work, shall be the sole obligation and responsibility of Service <br /> Provider. <br /> D. Service Provider shall comply with all applicable provisions of the Fair Labor Standards Act <br /> and other legislation affecting its employees and the rules and regulations issued thereunder <br /> insofar as applicable to its employees and shall at all times save the City free,clear and <br /> harmless from all actions,claims,demands and expenses arising out of said act,and rules and <br /> regulations that are or may be promulgated in connection therewith. <br /> E. Service Provider assumes full responsibility for the payment of all payroll taxes,use, sales, <br /> income,or other form of taxes(such as state and,city business and occupation taxes),fees, <br /> licenses, excises or payments required by any city, federal or state legislation which are now <br /> or may during the term of the Agreement be enacted as to all persons employed by Service <br /> Provider and as to all duties,activities and requirements by Service Provider in performance <br /> of the Work and Service Provider shall assume exclusive liability therefore,and meet all <br /> requirements thereunder pursuant to any rules or regulations that are now or may be <br /> promulgated in connection therewith. <br /> Page 4 <br /> (Form Approved by City Attorney's Office March 16,2015) <br />