SKAGIT COUNTY GUEST SPEAKER CONTRACT

Skagit County (“COUNTY”), by and through the Skagit County _____________ Department, and _____________________________________ (“GUEST SPEAKER”), agree that the GUEST SPEAKER will furnish services for the COUNTY. It is understood and agreed that the GUEST SPEAKER possesses distinct skills/experience for performing the services described below; that COUNTY contracts for said services, that GUEST SPEAKER understands and believes the services are being performed upon the following terms and conditions:

TITLE OF PRESENTATION: ___________________________________________________

FEE PER PRESENTATION: _________	MAXIMUM COMPENSATION: _________

(NOT TO EXCEED $500)

DATE(S) OF PRESENTATION: _____________________________________________

DURATION OF CONTRACT: From ________________ to ________________, but in any case not to exceed one year from date of execution.

INDEPENDENT CONTRACTOR: The parties agree that GUEST SPEAKER is an independent contractor, and not an employee nor agent of Skagit County. GUEST SPEAKER agrees not to make any representations to any third party, nor to allow such third party to remain under the misinterpretation that GUEST SPEAKER is an employee or agent of Skagit County.

LIABILITY COVERAGE: The GUEST SPEAKER will not be an insured party under any applicable liability coverage obtained by the COUNTY covering the activities performed by the GUEST SPEAKER pursuant to this contract.

TERMINATION OF CONTRACT: The COUNTY may terminate this contract by written notice with or without cause. Said termination will be effective at the time stated in the written notice.

DATE: _________________________, 20____

GUEST SPEAKER	APPROVED FOR SKAGIT COUNTY

______________________________	________________________________

Guest Speaker’s Signature	Department Head

______________________________	________________________________

Print name	Risk Manager

______________________________	________________________________

Mailing Address	(Approved as to form by the Skagit County

Prosecuting Attorney’s Office)

______________________________

City, State & Zip (Print)

______________________________

Day Phone	Home Phone

(Please provide copy of W-9)

All information must be completed for contract to be valid.

Guest Speaker Contract

SKAGIT COUNTY HEALTH DEPARTMENT

briany

2007-01-23

Skagit County