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Independent Contractor Agreement 4
This agreement made this _____ day of _______________, 200 __ at the city of Morton Grove, in the state of Illinois,
by and between
________The Quilter’s Palette, Inc________
(hereinafter referred to as the “Owner”) and
NAME: ____________________________________________________________________
(hereinafter referred to as the “Independent Contractor”).
WHEREAS, the Independent Contractor desires to contract with the Owner to perform the Work described herein on
the terms and conditions herein set forth and the Owner desires to have said work performed by the Independent Contractor on
the terms and conditions set forth.
NOW, THEREFORE, in consideration of the premises and mutual covenants and agreements herein set forth, the
parties hereto agree as follows:
1. The Independent Contractor shall perform the labor necessary to________________________________________
___________________________________________________________________________________________ (the Work”).
Said Work shall be completed on or before ________________________________. Workman’s Compensation Insurance, if
any, in conjunction with the “Work”, for the benefit of the Independent Contractor, its agents and employees shall be
purchased by the Independent Contractor at its own expense. Independent Contractor and its employees, if any, shall not
receive any benefits that the Owner provides or may provide for the Owner’s employees.
2. The Work shall be performed and completed in a workmanship-like manner for the sum of $ _________________,
payable in full upon completion. Any alteration or deviation from the described work above involving extra costs shall be
executed only upon the written orders of the Owner.
3. The parties hereto expressly intend and agree that this Agreement establishes an independent contractor
relationship between them and that no employer/employee or master/servant relationship shall be created between the parties.
Owner shall have no control and shall have no right of control over the Independent Contractor’s performance of the Work
contemplated by this agreement. Owner is interested only in the results to be achieved and the conduct and control of the
Work shall lie solely with the Independent Contractor.
4. The Independent Contractor shall indemnify, hold harmless, and defend the Owner from and against any and all
losses, claims, damages, liabilities, costs, attorney’s fees and other expenses of every nature whatsoever incurred by or asserted
against the Owner by the Independent Contractor, its agents or employees or any third persons due to personal injury or
property damage arising out of the Independent Contractor’s performance of the Work contemplated by this agreement.
5. The Independent Contractor hereby represents to the Owner that the Independent Contractor’s Social Security or
Federal Employer’s Identification Number is _____________________________.
6. This Agreement constitutes the entire agreement between the parties and all prior or contemporaneous agreements,
understandings and representations are superseded hereby and merged herein. The invalidity of any provisions hereof shall
not effect the other provisions hereof, and the Agreement shall be construed in all respects as if such invalid provision were
DATED: __________________________________
__________________________________________ __________________________________________________
Independent Contractor Owner/Management
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Independent Contractor Agreement 4