Fillable Printable CONSULTANT AGREEMENT - New York City

CONSULTANT AGREEMENT - New York City

DYCD Form Revised March 2007

CONSULTANT AGREEMENT

THIS CONSULTANT AGREEMENT (“Agreement”) is made as of the _____ day of

_________, 20___ by and between _____________________, located at

__________________________________________ (“Contractor”) and

_____________________, an individual whose address is

________________________________________________________________ (“Consultant”).

RECITALS:

A. Contractor has entered into Contract I.D. #_________ (“Contract”) with the New

York City Department of Youth and Community Development (“DYCD”) to provide a youth or

community development program (“Program”) with a budget approved by DYCD.

B. The Contractor wishes to engage Consultant, an individual not otherwise employed by

Contractor whose resume is attached in Appendix A, to perform certain Program services not

otherwise performed by Contractor’s paid or unpaid staff, as set forth in Section 2 below

(“Services”), and Consultant is able a nd willing to provide the Services.

NOW, THEREFORE, the parties agree to be bound as follows:

AGREEMENTS:

1. Term: The Services shall be provided beginning ____________ and ending

____________ (“Term”), during the term of the Contract.

2. Scope of Services: Consultant shall provide the Services set forth in the Workscope,

attached hereto as Appendix A, in accordance with all applicable terms and conditions of

the Contract.

3. Payment: Subject to approval of this Agreement and the availability of Program budget

funds, Contractor shall pay Consultant at the rate of $_______ per _______, not to

exceed ____________________, for the Services.

4. No Conflicts of Interest: Neither the Consultant nor any member of the Consultant’s

immediate family is employed by Contractor or related by consanguinity, adoption, or

affinity to any person engaged by Contractor in any management capacity, including as

an officer or member of Contractor’s board of directors.

DYCD Form Revised March 2007

5. Contractual Relationship: Nothing in this Agreement shall create or imply a contractual

or employment relationship between Consultant and DYCD or operate to impair the

rights of DYCD under the Contract.

6. Termination: This Agreement will terminate:

a. After ten (10) days prior written notice by

i. either party upon the failure of the other to

perform as required by this Agreement, or

ii. Contractor upon a reduction of the Program

budget;

b. Immediately upon termination of the Contract.

7. Entire Agreement: This Agreement contains all the terms and conditions agreed upon

by the parties, and no other agreement, oral or otherwise, regarding the subject matter of

this Agreement shall be deemed to exist or to bind any of the parties, or to vary any of the

terms herein. Any waiver, modification, cancellation or replacement of this Agreement,

or any of its provisions, must be agreed upon in writing by the parties and shall not be

effective without the prior written approval of DYCD.

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DYCD Form Revised March 2007

IN WITNESS WHEREOF, the parties undersigned have executed the Consultant Agreement

effective as of date and year first written above.

Contractor

Consultant

BY:

Signature of Authorized Agent

Signature of Consultant

Name (Print)

Title (Print)

Social Security Number

Date

Approved:

Department of Youth and

Community Development

BY:_________________________

____________________________

(print name)

Deputy Director,______________Unit

Date

DYCD Form Revised March 2007

STATE OF NEW YORK )

COUN TY OF _________________ ) ss:

On this _____ day of _______________ 20 ____, before me personally came

________________________ (Consultant), to me known, and known to me to be the person

described in, and who executed the foregoing agreement, and acknowledge to me that he

executed the foregoing as such for the purposes therein mentioned.

__________________________________

NOTARY PUBLIC

CORPORATE – WITH SEAL

STATE OF NEW YORK )

COUNTY OF ________________ )ss:

On this _____ day of _______________ 20____, before me personally came

________________________, to me known, who being by me duly sworn, did depose and say

that he/she resides at ______________________________ and that he/she is the

______________________________ of the corporation described in, and which executed the

above instrument, that he/she knows the seal of the said corporation; that the seal affixed to said

instrument is such corporate seal; that it was so affixed by order of the Board of Directors of

said corporation, and that he/she signed his/her name thereto by like order.

_____________________________________________

NOTARY PUBLIC

CORPORATE – WITHOUT SEAL

STATE OF NEW YORK )

COUN TY OF ________________ )

On this _____ day of _______________ 20 ____, before me personally came

_________________________, to me known, who being by me duly sworn, did depose and say

that he/she resides at _____________________________ and that he/she is the

______________________________ of the corporation described in, and which executed the

foregoing agreement; that he/she signed his/her name thereto by order of the Board of Directors

of said corporation, and that the corporation has no seal.

_____________________________________________

NOTARY PUBLIC

UNINCO RPORATED ASSOCIATION

STATE OF NEW YORK )

COUNTY OF _______________ )ss:

On this _____ day of _______________ 20 ____, before me personally came

_________________________, to me and known to me to be the

______________________________ of the unincorporated association described in and which

executed the foregoing agreement; and who acknowledged to me that he/she executed the

foregoing agreement on behalf of said unincorporated association.

__________________________________

NOTARY PUBLIC

DYCD Form Revised March 2007

APPENDIX A WORKSCOPE

Consultant Name ___________________________________ ____________________

Address ____________________________ State __________ Zip Code _________

Contractor _________________________________________ Contract ID # ________

Description of Services _________________________________________________________

_____________________________________________________________________________

Consultant Qualifications (attach resume):_________________________________________

______________________________________________________________________________

Schedule (for each City fiscal year of the Agreement):

Service Period

Start and End Dates

No. Hours per Day

No. Days per Week

No. Weeks per

Year

Total Hours/Days/Weeks _________ X Rate $_________ = Amount Due $ ____________