Z:\Forms\IndependentContract

FORM

SFA - 4

SPONSORED FUNDS

ADMINISTRATION

DIVISION OF RESEARCH

State University of New York at Binghamton

INDEPENDENT CONTRACTOR AGREEMENT

FOR CONSULTANTS, LECTURERS, TECHNICAL SERVICES AND INTERNATIONAL VISITORS

Independent

Contractor name:

Project:

Task:

Award:

___US Citizen ___ Resident Alien ___ Non-resident Alien Are necessary tax and immigration forms attached?

Country of Citizenship:

VISA/NAFTA status:

Contract Fee for

service:

Expenses such as travel

and meals:

Scheduled date(s) of service:_______________

Explain need for Independent Contractor and describe selection criteria:

1. The Classification as Independent Contractor or Employee for Technical or Professional Services form must be

completed if the payment is greater than $200.00

before we can make this payment.

Has the independent contractor been a Research Foundation employee previously? _________ If yes, when? _________

If the individual was recently employed by the Research Foundation, in some cases we will need to treat individual as

employee rather than independent contractor. Contractor agrees to perform as Independent Contractor and not as an

agent or employee of the Research Foundation. Independent Contractor is not affiliated with Binghamton University as

faculty, staff, student or other Binghamton University employment organizations on campus. No State University of New

York (SUNY) employee shall receive payments either directly or indirectly for consulting or lecturing services performed

on any sponsored project at his/her home campus. This requirement applies to the academic year as well as during the

summer period. Services performed by Research Foundation of SUNY employees, students or other individuals

associated with the University cannot be classified as consultant or independent contractor. Payment of honorarium to

faculty affiliated with other SUNY campuses

can receive up to a maximum of $100.00 per day.

2. In most cases payment cannot be made in advance of the services. If contract fee is less than $599.99 the agreement

does not need to be signed by Independent Contractor

. If contract fee is betw

een $600.00 and $2,499.99 the agreement

must be signed and returned to Research Foundation. If contract fee is greater than $2,500.00 a formal contract must be

signed and returned before we can make payment (s). In most cases the Independent Contractor must be provided a

copy of this agreement. This agreement is also used to make payment for incidental services such as lecturing or

honoraria. However, independent contractor does not need to sign or be given this agreement if contract fee is less than

$600.00.

3. It is understood and agreed that the Research Foundation may terminate this agreement upon written notice by

registered mail addressed to the Independent Contractor when the Research Foundation determines that such termination

is in the best interest of the Research Foundation. Likewise, the Independent Contractor

may terminate this agreement

upon 30 days written notice to the Research Foundation when the Independent Contractor determines that such

termination is in the best interest of the Independent Contractor.

4. The Independent Contractor agrees that the material to be produced hereunder shall be considered "work for hire"

which shall be owned by the Research Foundation.

5. It is understood and agreed that the services to be rendered by the Independent Contractor are unique and the

Independent Contractor shall not assign, transfer, subcontract or otherwise dispose of the Independent Contractor's rights

or duties hereunder, in whole or in part, to any other person, firm or corporation.

PO Box 6000, Binghamton, N

, 13902-6000. Ph: (607) 777-6752. Fax: (607) 777-4354.

FORM SFA 4

Revised 6/07/04

Description of services to be performed:

Submit by Email

6. This agreement shall not be construed to contain any authority either expressed or implied, enabling the Independent

Contractor

to incur any expense or perform any act on behalf of the

Research Foundation. The Research Foundation will

not assume any liability for Workers Compensation and Unemployment Compensation claims for the Independent

Contractor.

7. This Agreement represents the entire Agreement and understanding of the parties hereto and no prior writings,

conversations or representations of any nature shall be deemed to vary the provisions hereof. This Agreement may not

be amended in any way except by a writi

ng duly executed by both parties hereto.

8. The Independent Contractor certifies that s(he) is in compliance with all federal, state, local reporting and appropriate

tax requirements.

9. This agreement acts as an invoice from Independent Contractor.

10.If you agree to the above conditions please indicate by signing this Agreement in the space provided below. The

above conditions are hereby accepted:

Independent Contractor's signature

Date

Independent Contractor's address

Independent Contractor's SSN,

EIN or ITIN (Required for

payment)

Approval for payment: I certify that the work performed was essential to the project, that the services could not be

provided by any other person receiving salary support under the grant, and that the rate is appropriate based on the

qualifications of the selectee and the nature of the work done.

Signature of Project Director or

authorized designee

Date

Authorization Signature Research Foundation of SUNY

Director or authorized designee

Date

PO Box 6000, Binghamton, N

, 13902-6000. Ph: (607) 777-6752. Fax: (607) 777-4354.

FORM SFA 4

Revised 6/07/04