Copyright Envision Corporation. 2002. All rights reserved.

Protected by the copyright laws of the United States & Canada and by nternational treaties. ! S
""E#A" A$% S!&C!"' P&()*!E% !( %S!&*U!E+ PU*"S)+ (,,E& ,(& SA"E+ "CE$SE (& SU*"CE$SE+ #-E (& %SC"(SE !( A$' (!)E&
PA&!'+ !)S P&(%UC! $ )A&% C(P' (& %#!A" ,(&.. A"" (,,E$%E&S /"" *E SUE% $ A C(U&! (, "A/.
ACKNOWLEDGMENT OF INDEPENDENT CONTRACTOR
!his Ac0nowledg1ent of ndependent Contractor 2the 3Agree1ent34 is 1ade and effective this 5%A!E6+
BETWEEN: [COMPANY NAME] 2the 3Co1pany34+ a corporation organi7ed and e8isting
9nder the laws of the 5S!A!E:P&(-$CE6+ with its head office located at;
AND: [CONTRACTOR NAME] 2the 3Contractor34+ a corporation organi7ed and e8isting
9nder the laws of the 5S!A!E:P&(-$CE6+ with its head office located at;
$(/+ !)E&E,(&E+ in consideration of the 19t9al agree1ents and covenants herein contained the
Contractor+ hereby ac0nowledges that it has been retained by the Co1pany+ for p9rposes of;
5%ESC&*E6
n consideration of the foregoing+ the Co1pany agrees to pay the 9ndersigned pay1ent as follows;
5%ESC&*E A.(U$! A$% .E!)(% (, PA'.E$!6
1. TERMS
a. !he 9ndersigned shall be dee1ed an independent contractor and is not an e1ployee+
partner+ agent+ or engaged in a <oint vent9re with Co1pany.
b. Consistent with the foregoing+ the Co1pany shall not ded9ct withholding ta8es+ ,CA or any
other ta8es re=9ired to be ded9cted by an e1ployer as ac0nowledge 1y responsibility to
pay sa1e as an independent contractor.
c. f9rther ac0nowledge that shall not be entitled to any fringe benefits+ pension+ retire1ent+
profit sharing or any other benefits accr9ing to e1ployees.
$ /!$ESS /)E&E(,+ the parties hereto have e8ec9ted this Agree1ent as of the date first above
written.
C(.PA$' C($!&AC!(&

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Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by nternational treaties. ! S
""E#A" A$% S!&C!"' P&()*!E% !( %S!&*U!E+ PU*"S)+ (,,E& ,(& SA"E+ "CE$SE (& SU*"CE$SE+ #-E (& %SC"(SE !( A$' (!)E&
PA&!'+ !)S P&(%UC! $ )A&% C(P' (& %#!A" ,(&.. A"" (,,E$%E&S /"" *E SUE% $ A C(U&! (, "A/.
A9thori7ed Signat9re A9thori7ed Signat9re

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