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INDEPENDENT CONTRACTOR AGREEMENT

Quick and Safe EMS (Q&S), a Georgia limited liability company, located at 2997 Johnson Ferry Rd, Marietta, GA 30062, and

located at

Multi-line address

Collectively the (Parties) make this Independent Contractor Agreement (Agreement) on Today’s Date. We selected you because you demonstrated a sincere interest in our team and superb skills needed for the success of our organization. Most importantly, you embody the values of establishing and maintaining a team environment and a winning focus.

WHEREAS Contractor agrees to the Services of an Emergency Medical Technician as set forth pursuant to the terms of this Agreement.

NOW, THEREFORE, in return for payment of the Services set forth herein, and such other good and valuable consideration, Contractor agrees to perform and abide by the terms and covenants of this Agreement, including but not limited to those relating to confidential information, non-solicitation and non-competition (unless otherwise approved by Q&S).

1. Services. Description of Services:

Contractor agrees to perform services as provided in Attachment A: Statement of Work (the “Services”) during the Term of this Agreement and any Subsequent Term.


2. Payment.

2.1 Payment Terms.

Q&S shall pay Contractor at the rate specified in Attachment B: Compensation of Services.


2.2 Banking Deposit Information.

Contractor will be paid on a weekly basis.


3. Relationship of Parties; Taxes; Insurance.

3.1 Independent Contractor.

Both Parties agree that Contractor will act independently in the rendering of Services under this Agreement. Accordingly, Contractor shall be responsible for payment of all taxes including Federal, State, and local taxes relating to Contractor’s Services, including by way of illustration but not limitation, Federal and State income tax, self-employment taxes, unemployment insurance, taxes, and any other taxes or business license fee as required. Neither Contractor nor its employees or agents, if any, shall be entitled to participate in any plans, arrangements, or distributions by Q&S pertaining to any stock options, profit sharing, insurance, paid annual or sick leave, or similar benefits that may be available to Q&S employees.

3.2 Not a Partner.

Contractor is neither a partner, joint venture, nor employee of Q&S. Contractor shall have no authority whatsoever to bind Q&S by contract or otherwise. To properly perform Services, Contractor may require frequent contact with Q&S’ Client. Contractor shall immediately notify Q&S if at any time Contractor believes Client is affecting or attempting to effect a change to this Agreement.

3.3 Insurance.

Contractor assumes all risk of personal injury to and/or by its agents and employees, and all risk of damage to or loss of personal property furnished by Q&S.


4. Professional Standards.

Contractor agrees to adhere to the process and procedures in performing Services and ensure consistency in a manner calculated to attain satisfactory results. Contractor agrees to use best efforts to perform the Services to the highest professional standards and quality.


5. Property Rights; Confidential Information; Pre-Existing Works; Return of Proprietary Materials.

5.1 Confidential Information.

Contractor agrees to:

  • (a) hold in strict confidence all confidential, proprietary business information, including Trade Secrets relating to Client, Q&S, and its affiliates (“Confidential Information”);

  • (b) not disclose such Confidential Information to anyone except authorized persons;

(c) not use such Confidential Information for Contractor’s own advantage or anyone else's advantage.

Exceptions:

The restrictions do not apply if:

  • (a) the information becomes public without Contractor’s fault;

  • (b) disclosure is required by law or court order (with advance notice to Q&S if possible).

5.3 Return of Materials. Upon termination or expiration of this Agreement, Contractor agrees to immediately return all Confidential Information, documents, and Q&S property in Contractor’s possession or control.


6. Non-Solicitation; Conflict of Interest.

Contractor warrants no conflict of interest exists and agrees to notify Q&S if one arises. Contractor agrees not to disclose compensation rates with Client or other Q&S personnel during the term of this agreement.


7. Term and Termination.

7.1 Term. The Agreement remains effective until terminated by either Party.

7.2 Termination. Either Party may terminate via written notice.

7.3 Procedure upon Termination. Upon termination, Contractor must:

  • Cease work immediately

  • Submit itemization of completed work

  • Deliver work in process

  • Provide related passwords and system access

  • Return all Q&S property immediately.

8. General.

  • Notices: Must be in writing.

  • Entire Agreement: Supersedes all prior agreements.

  • Amendment: Only by written agreement signed by both Parties.

  • Governing Law: State of Georgia; venue in Northern District of Georgia or Fulton County.

  • Assignment: Not permitted by Contractor.

  • Binding Agreement: Binding upon successors and assigns.

  • Indemnification: Contractor will indemnify Q&S for claims except those caused solely by Q&S negligence.

  • Force Majeure: Neither Party liable for uncontrollable events.

  • Partial Invalidity: If any part is invalid, the rest remains effective.

  • Separate Counterparts: Agreement may be executed separately.

  • Opportunity to Review: Parties confirm review and understanding.

  • Survival: Sections 3, 5, 6, and 8 survive termination.

Policies & Procedures

Attachment A

Statement of Work


The period of performance will begin on the first date of Services performed by the Independent Contractor, or as agreed upon by both parties.

The Contractor shall:

  • Show up to work in a timely manner with a neat and clean uniform and appearance as described in the Contractor Handbook.

  • Take work orders from the dispatcher to transport clients to their destinations on time, while safely assisting clients as they get into and out of the vehicle and inside of their pickup and drop-off locations.

  • Transfer various items in and out of the vehicle as needed, such as wheelchairs and luggage for patients.

  • Report traffic delays and patient delays en route back to the dispatcher.

  • Drive a vehicle for long periods of time and tolerate working outside in inclement weather despite discomfort.

  • Immediately report any incidents, accidents, injuries, or exposures to hazardous materials to the dispatcher after ensuring the safety of yourself, the client(s), the vehicle, and the general public.

  • Record detailed information on the "Accident, Incidents, Injuries, or Exposures" form after reporting to the dispatcher and ensuring safety.

  • Record any potential hazard that could cause incidents, accidents, injuries, or exposures to hazardous materials using the "Potential Hazard" form.

  • Turn in all paperwork on time, as described in the "Driver Contractor Handbook" or as requested by a supervisor.

  • Adhere to and comply with all safety and documentation requirements as described in the "Driver Contractor Handbook."

  • Maintain the cleanliness and safety of the entire vehicle by following the cleaning and safety procedures and policies outlined in the "Driver Contractor Handbook."

  • Operate wheelchair lifts safely and ensure that clients or non-contractors are prevented from operating the lifts.

  • Adhere to all company policies and protocols as described in the "Driver Contractor Handbook."

  • Consistently demonstrate the ability to maintain a level head in a busy environment.

  • Attend all required safety meetings.

Attachment B

Compensation for Services The Consultant will be paid for the following: Rate of $21.00 per hour. Weekly:

Date
Month
Day
Year
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