Henry West Laboratory School PTO (West Lab PTO)

Vendor Contract

For After School Clubs and Activities

Name of Club or Camp ______Session: ______

Vendor name ______(if applicable)

Instructor Name(s): ______Phone:______

______Phone:______

Parent Coordinator: ______Phone:______

Coordinator Email address: ______

Meeting Dates: ______

Meeting Time: ______Location/Room: ______

# of Participants ______Amount Charged per participant:______

Vendor Payment Terms

Check(s) Payable to: ___West Lab PTO______

______

Disbursement: Payment(s) by: ______

Payment(s) on: ______

Contribution to PTO: The vendor agrees to a minimum contribution of 20% to the West Lab PTO.

West Lab PTO will reimburse the vendor for services provided for the maximum

amount of 80% of the total income generated through the after school club or activity. Please note that West Lab PTO will not guarantee checks that bounce. West Lab will make all efforts to collect on checks, but after three failed attempts to collect, Vendor will be debited portion from next disbursement.

Note 1: Check requests must be submitted it to the Treasurer using a West Lab PTO Check Request Form. If the instructor incurs expenses, and expenses are approved by the West Lab PTO Board, they will receive a separate expense reimbursement check (not included in 1099).

Note 2: For all vendors and/or payees that are not established as a corporation and have been paid $600 or more in the calendar year, a 1099 report will be generated and mailed to the payee by January 31st of the subsequent year.

Worker’s Compensation Claims Waiver

The above listed Vendor / Instructor(s) ,______and ______, agree to indemnify and hold harmless Miami-Dade County Public Schools (M-DCPS) and Henry West Laboratory School PTO (West Lab PTO) for any injuries sustained while performing work on behalf of West Lab PTO on M-DCPS Property. The vendor will not submit claims against the Miami-Dade County Public Schools District Workers’ Compensation Insurance for injuries sustained while performing work on behalf of West Lab PTO on M-DCPS Property.

Forms on File (if applicable):

(List any required forms that have been obtained and signed and attach copies to this form)

APPROVAL / SIGNATURES

Vendor Representative / Instructor: ______

Print Name

______Date: ______

Signature

West Lab PTO Representative ______

Print Name

______Date: ______

Signature

West Lab PTO Vendor Contract.doc

Form updated: 9/12/2013