CONTRACT SERVICES AGREEMENT                        

 

This Agreement is entered into between the University of Houston-Victoria through the Department/School of  ______________________ (“University”) and ___________________________

_____________ (“Contractor”) for the purpose of defining the service being offered to the University by Contractor.

 

1.       STATEMENT OF SERVICES TO BE PERFORMED (attach detailed description if necessary):

 

2.       COMPENSATION:

The University shall compensate the Contractor in the amount of ___________, plus reasonable travel and other business-related expenses (when applicable; upon submission of receipts) not to exceed ________, for a total payment not to exceed ____________.

 

3.       TERMS OF AGREEMENT:

a.        Services are to begin on                                         and will terminate on _______________.

b.       All applicable laws, regulations, and University of Houston policies and procedures relative to conduct on University premises shall govern the services provided under this Agreement.

c.        Contractor agrees to indemnify and hold harmless the University from any claim, damage, liability, injury, expense, or loss arising out of his/her performance under this Agreement.

d.       This Agreement shall be construed under the laws of the State of Texas, and venue in any action brought hereunder shall be in Harris County, Texas.

e.        Contractor certifies that he/she is not currently employed by the University of Houston-Victoria or any component of the University of Houston System.  If Agreement provides for consulting services (as defined):   Contractor certifies that he/she has not been an employee of the University of Houston System during the previous twelve (12) month period.

f.        This Agreement constitutes the sole agreement of the parties and supersedes any other oral or written understandings or agreements and may only be amended in writing.  It is not assignable.

g.        The University or Contractor can terminate this Agreement in writing at any time with ________ days notice.  University shall only be liable for payment of services and expenses incurred prior to termination.

h.       For agreements between the University and a corporation:  Contractor certifies that upon the effective date of this agreement, it is either (1) not delinquent in payment of State of Texas corporate franchise taxes, or (2) not subject to the payment of such taxes.  Contractor agrees that any false statement with respect to franchise tax status shall be material breach hereof, and University shall be entitled to terminate this agreement upon written notice thereof to the Contractor.

i.         Under section 231.006 of the Family Code, Contractor certifies that the individual or business entity named in this contract is not ineligible to receive the specified payments under this contract and that this contract may be terminated and payment may be withheld if this certification is inaccurate.

j.         The University is an independent contractor and not an agent or employee of the Contractor.

k.       If Contractor is not a United States citizen/national or a Permanent Resident Alien, provide information under “Nonresident Alien Information” on back.

UNIVERSITY OF HOUSTON-VICTORIA

3007 N. Ben Wilson

Victoria, Texas  77901-5731

 

I certify that services are essential, unavailable from UH employees, and a selection process and fee evaluation were utilized.

 

School or Department Head

 

Signature                                                                                            

 

Name Typed:                                                            Date:                

 

Title_________________________________________________

 

Cost Center:                                                                               

 

(Other – Grant Officer, Secondary Acct, etc.)

 

Signature____________________________________________

 

Name Typed____________________________    Date________

 

 

Contracts over $5,000 require the following signatures:

 

Provost/Vice President for Academic Affairs

 

Signature:___________________________________________

 

Name Typed:                                                            Date:                

 

 

Vice President for Administration and Finance

 

Signature:                                                                                           

 

Name Typed:                                                            Date:                

 

 

 

CONTRACTOR   (Note:  If you are a  minority or woman owned

 business, are you interested in HUB certification?   yes/no  If yes,

our HUB office will contact you).

 

Business/Independent Contractor:

 

Name:_______________________________________________

 

Address:                                                                                            

 

                                                                                                          

 

 

CIRCLE ONE:         SSN          OR         Tax ID

 

Number:                                                                                            

 

Signature:                                                                                          

 

Name Typed:                                                            Date:               

 

Title:                                                                                                 

 

Phone:                                                 Fax:                                       

 

Attachment:  Form No. OGC-S-99-24 Alternative Dispute Resolution Clause

Nonresident Alien Information

 

Important Note – If you are a Nonresident Alien and wish to claim exemption from withholding from U.S. Federal Income Tax based upon an Income Tax Treaty, you must have a U.S. Social Security # and submit two (2) original copies of Form 8233 (Exemption From Withholding on Compensation for Independent (and Certain Dependent) Personal Services of a Nonresident Alien Individual).

 

                                                                                                                                                                                                               

  (Name – Family, First, Middle)                                                                                                           (U.S. Social Security #)

 

                                                                                                                                                                                                               

  (Country of Residence for Income Tax Treaty Determination)                                                     (Visa #)

 

                                                                                                                                                                                                               

  (Country Issuing Passport)                                                                                                                                (Passport #)

 

                                                                                                                               

  (Permanent Street Address to be used for year-end tax reporting)

 

                                                                                                                                                                                                               

  (City)                                                    (State or Province)                               (Zip or Postal Code)                            (Country)

 

How many days will you be in the United States this calendar year?                                                        

 

                                                                                                                                                                                                               

  (Description of personal services to be performed for the University of Houston-Victoria)

 

                                                                                                                                                                                                               

 

VISA TYPE – Please indicate the immigration designation with which you intend to enter the United States on this visit.

 

                                B-2 *  or WT (visa waiver tourist classification)

                                Entering the U.S. on this visa will prohibit the University of Houston-Clear Victoria from

                                making any payments or expense reimbursements to you.

 


                                B-1 *  or WB (visa waiver business classification)

                                Entering the U.S. on this visa will prohibit the University of Houston-Victoria from

                                making any payments to you, except reimbursement for accommodation,

meals, and travel expenses.

 


                                J-1 Exchange Visitor or Short Term Scholar.

 

 


                                Q-1 Participant in an International Cultural Exchange Program.

 

                                Other – please specify:                                                                                                                                      

 

* For a visa classification of B1/B2, it is important that you secure the B1 designation on your I-94 card when you enter the U.S. if you have been offered reimbursement of your actual travel expenses from the University of Houston-Victoria.

 

Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true, correct, and complete.

 

Signature:                                                                                              Date: