Laserfiche WebLink
Income taxes and local head taxes incurred pursuant to this Contract. Vendor shall (a) provide <br /> and keep in force worker's compensation and unemployment compensation insurance in the <br /> amounts required by law, (b) provide proof thereof when requested by the State, and (c) be <br /> solely responsible for its acts and those of its employees and agents. <br /> 3. FORMER STATE EMPLOYEES <br /> Contractor certifies that within the six months prior to the execution of this contract s/he has not been <br /> employed by a state agency, nor has any employee of the contractor been employed by a state agency where <br /> such employment was directly involved with matters that are within the scope of this contract. Pursuant to <br /> 24-18-206 C.R.S., a person who knowingly violates this condition or any other condition specified in Article 18, <br /> Part II C.R.S. commits a class 1 misdemeanor (18-1-501 C.R.S.). <br /> 4. INDEPENDENT CONTRACTOR INFORMATION <br /> Yes No <br /> A. Are you registered with the Secretary of State's Office and/or the IRS to <br /> conduct business as an independent contractor? Lle <br /> a. If Yes, Colorado Secretary of State or <br /> b. Internal Revenue Service <br /> B. Do you offer services to the general public and have other clients? L o <br /> C. Do you hire retired state employees to perform the work? <br /> Please explain all "Yes"answers to Questions B and C: <br /> 5. ENTITY TYPE <br /> Yes No <br /> A. Are you a sole proprietor or individual? X <br /> B. Are you a one-person corporation or LLC? X <br /> C. If neither A or B, what type of entity are you? <br /> 6. ENTIRE AGREEMENT <br /> These provisions together with the attached Purchase Order or Contract, and any referenced attachments, <br /> constitute the entire agreement between the parties, and supersede all prior proposals, agreements or other <br /> communications between the parties. <br /> VENDOR STATE OF COLORADO <br /> John W. Hickenlooper, GOVERNOR <br /> Vertd 's Busine s Name DEPARTMENT OF NATURAL RESOURCES <br /> z 1 0 LTrz, Mike King, Executive Director <br /> BY: Name of Authorized Individual <br /> )CL) <br /> Title: Official Title of Authorized Individual Name and Title of person signing for DNR <br /> *Si gnature: / Signature: <br /> Date: c1 70 l4 Date: <br /> *Persons signing for the vendor hereby swear and affirm, at they are <br /> authorized to act on Vendor behalf and acknowledge that the State is <br /> relying on their representations to that effect. <br /> 2 <br />