Fillable Printable CONSULTANT CONTRACT AGREEMENT - New York City
Fillable Printable CONSULTANT CONTRACT AGREEMENT - New York City
CONSULTANT CONTRACT AGREEMENT - New York City
Revised Ju ne 2 009
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.
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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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IN WITNESS WHEREOF, the parties undersigned have executed the Consultant Agreement
effective as of date and year first written above.
Contractor
Consultant
BY:
BY:
Signature of Authorized Agent
Signature of Consultant
Name (Print)
Name (Print)
Title (Print)
Social Security Number
Date
Date
Approved:
Department of Youth and
Community Development
BY:_________________________
____________________________
(print name)
Assistant Commissioner (or designee)
______________________________Unit
Date
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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
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CONSULTANT AGREEMENT
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 $ ____________
