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<br />. <br /> <br />CERTIFICIITION <br /> <br />. <br /> <br />I <br /> <br />TO: Rudolph Livingston <br />Executive Director <br />Department of Personnel <br />118 State Centennial Building <br />1313 Sherman Street <br />Denver, Colorado 80203 <br /> <br />RE: Personal Service Contract Classification <br /> <br />The undersigned hereby certifies the attached contract, Contract Routing <br />No. , from the Department of Natural Resources(Departmentl, <br />has been examined, and the following have been determined concerning the correct <br />classification of the contractor undertaking the services and work which are the <br />~ suLject of the contract. The contractor is a firm or individual -- <br /> <br />(a) -- who is responsible for the results of the work to be unde-rtaken, <br />but is not subject to the State's control as to the means and methods <br />of accomplishing these results. <br /> <br />x <br /> <br />YES NO <br /> <br />(b) -- who selects his clients and is free to work for one or more during <br />any given interval. <br /> <br />x <br /> <br />YES <br /> <br />NO <br /> <br />. <br /> <br />(c) -- who determines the time and place the work will be performed. <br /> <br />x <br /> <br />YES <br /> <br />NO <br /> <br />(d) -- who provides the tools,. materials and office space needed to <br />perform the work. <br /> <br />x <br /> <br />YES <br /> <br />NO <br /> <br />(e) -- who does not participate directly or indirectly in benefit <br />programs of the State. (For example, is not covered by the State <br />for Workmen's Compensation insuring for injury to himself; for <br />Public Liability insuring for injury to others; or for unemployment <br />compensa tion) . <br /> <br />x <br /> <br />YES <br /> <br />NO <br /> <br />(f) -- who may agree to perform specific services for a fixed price <br />and generally does not receive regular amounts at stated intervals. <br /> <br />x <br /> <br />YES Wl <br /> <br />Affirmative responses to the listed classification indicia identify the <br />services to be contracted as those of an independent contractor, negative <br />responses as those of a (temporary) employee. Any negative response where the <br />certified classi"fication is that of an independent contractor will require, in <br />addition, a qualification by written explanation accompanying this certification. <br />If the explanation is not attached,the classification shall be presumed to be <br />tha t of an employee. I . <br /> <br />Accordingly, the attached contract is determined to be and is so certified <br />as an independent contractor/temporary employee (strike one) contract. <br /> <br />SIGNED this :s D day of <br /> <br />.~ <br />t/ <br /> <br />, 1978. <br /> <br />STATE OF COLORADO <br />DEPARTMENT OF Natural Resources <br /> <br />By TI~i~~~ <br />