Department of Purchasing
Akron, OH 44325-9001
(330) 972-7340 Office
(330) 972-5564 Fax
Page 1
LECTURE AGREEMENT
TODAY’S DATE:
SPEAKER:
PURCHASER:
The University of Akron
(an independent contractor, made up of all personnel whom are used in the
performance of this Agreement on the part of the Speaker.)
ENGAGEMENT DATE:
STUDENT ORGANIZATION NAME (if applicable)
Obligations of the Parties
Speaker agrees to speak at the place and time specified below (Engagement) in consideration for
Purchaser’s obligations to pay $
a flat guarantee, and provide a licensed place to speak.
Payment, by University check, will be made after Speaker has performed as agreed.
Each of the Speaker’s team members agree to be bound jointly and severally to the obligations and
conditions of this Agreement. Each team member may enforce this Agreement. However, any terms
and conditions listed in Exhibit A are not made part of this agreement prior to review, approval and
signature of appropriate University representative(s).
Speaker represents that neither Speaker, nor any agents of the Speaker, have paid or agreed to pay
directly or indirectly any person, firm, or corporations any money or valuable consideration for assistance
in securing this agreement and that no such money or reward will be hereafter paid.
Speaker further represents that: no Purchaser employees, or their family members, have a financial
interest in Speaker submitting this Agreement; Speaker is not, and has not been an employee of the
Purchaser; and that the Speaker does not have any relatives or family members employed by the
Purchaser. To the extent that Speaker cannot make all of these representations, Speaker understands
that Speaker must complete a more extensive disclosure, attached as Exhibit B.
Specifications
1.
ENGAGEMENT ADDRESS:
2.
TOPIC/TITLE OF PRESENTATION:
3.
DATE OF ENGAGEMENT:
TIME:
Start:
Finish:
4.
TICKET PRICE (if applicable):$
5.
UNIVERSITY CHECK MADE PAYABLE TO:
Social Security #:
Corporate ID #:
Department of Purchasing
Akron, OH 44325-9001
(330) 972-7340 Office
(330) 972-5564 Fax
6.
TIME OF SPEAKER’S ARRIVAL:
7.
TIME OF SET-UP:
8.
APPROXIMATE LENGTH OF LECTURE:
Page 2
Does this include questions and answers from audience?
9.
10.
OTHER ACTIVITIES TO BE PERFORMED BY SPEAKER
TRANSPORTATION ARRANGEMENTS AGREED TO:
11. HOTEL ACCOMMODATIONS:
12. AUDIO/VISUAL EQUIPMENT NEEDED:
Equipment to be provided by:
13. PROMOTIONAL MATERIAL TO BE SENT TO PURCHASER:
To be sent by (date):
14. CORRESPONDENT(S) FOR PURCHASER:
Name:
Title:
Phone:
UA Contact Name
UA Contact Title
Name:
Title:
Phone:
2nd UA Contact Name
15. OTHER ARRANGEMENTS AGREED TO:
Cancellation
Either party may cancel this Agreement as follows:
1. If either party gives the other (number of days)
prior written notice (Notice); or
2. If either party is unable to fulfill the terms of this Agreement due to an Act of God or any other
legitimate conditions beyond the control of the parties.
Failure to Give Notice
If the Speaker fails to give Notice, the Speaker will reimburse the Purchaser for all bona fide out-ofpocket expenses incurred in the promotion and/or implementation of the Engagement upon Speaker’s
receipt of a certified statement of such expenses.
Department of Purchasing
Akron, OH 44325-9001
(330) 972-7340 Office
(330) 972-5564 Fax
Page 3
If the Purchaser fails to give Notice, the Purchaser may not seek reimbursement for all bona fide outof-pocket expenses incurred in the promotion and/or implementation of the Engagement.
Disclaimers
The Purchaser will not be liable for the following expenses and costs, it being agreed that Speaker
shall pay for all those listed below:
1.
2.
3.
4.
5.
6.
7.
Union dues or other Expenses;
Federal, State, or Local Taxes;
Agent commission or other expenses or obligations;
Damage to Speaker’s equipment or materials;
Compensation for lost or stolen equipment or materials;
Worker’s Compensation or other insurance; and
Travel expenses (including but not limited to gas, mileage, food, or hotel accommodations).
The Speaker agrees to indemnify and hold Purchaser harmless from all such costs and liabilities.
Modification
Either party may modify this Agreement only with the prior written consent of the parties.
Cooperation/Coordination
Speaker agrees to cooperate with Purchaser in the coordination and performance of the
Engagement.
Choice of Law
This Agreement shall be governed by the laws of the State of Ohio. Chapter 2743 of the Ohio
Revised Code shall govern determination of Purchaser’s liabilities.
Termination
This Agreement terminates if the Speaker dies or the University stops operating.
Integration
This document, Lecture Agreement, represents the entire Agreement between the Speaker and the
Purchaser.
Department of Purchasing
Akron, OH 44325-9001
(330) 972-7340 Office
(330) 972-5564 Fax
Page 4
Signature (sign below)
Speaker must sign and return this Agreement by:
.
Payment is conditioned on such signature and return of the Agreement.
The person signing this Agreement on behalf of the Speaker represents that all personnel used by
the Speaker are bound to the obligations and conditions of this Agreement.
PURCHASER
The University of Akron
Signature:
Name: Andrew Roth, Director
Purchasing Department
The University of Akron
Akron, Ohio 44325-9001
Phone: (330) 972-7340
SPEAKER NAME/AGENCY
Agency/Company Name
Signature:
Printed Name:
Title:
Address:
Address2:
City/State/Zip:
Phone:
Date:
Date:
Please email or send via U.S. Mail one (1) copy of the signed contract to (hiring department
information):
Email
Or
@uakron.edu
@zips@uakron.edu
The University of Akron
c/o UA Contact Name
Dept Name UA Dept Name
302 Buchtel Common
Akron, OH 44325-UA Dept Zip +4
This form, The University of Akron Lecture Agreement, has been reviewed and approved for legal
form and sufficiency by the Office of General Counsel on May 15, 2014.
Department of Purchasing
Akron, OH 44325-9001
(330) 972-7340 Office
(330) 972-5564 Fax
Page 5
EXHIBIT B
VENDOR DISCLOSURE
I, authorized person for Contractor Name, do hereby state and affirm that neither I nor any agents
of the above-named company not any other party acting on company’s behalf have paid or agreed
to pay directly or indirectly any person, firm, or corporations any money or valuable consideration
for assistance in securing this agreement for the following: Service Provided. I further agree that
no such money or reward will be hereafter paid.
Do any University of Akron employees, or their family members, have a financial interest in the
organization submitting the agreement?
Yes
No
If so, please attach a statement giving details.
Are you currently or have you been an employee of The University of Akron?
Yes
No
If so, please attach a statement giving details.
Does the affiant have any relative/family members employed by The University of Akron?
Yes
No
If so, please identify the employee and relationship.
Employee Name
Relationship
__________________________________________________________
Speaker’s Signature
Date
Department of Purchasing
Akron, OH 44325-9001
(330) 972-7340 Office
(330) 972-5564 Fax
Page 6
THE UNIVERSITY OF AKRON
INDEPENDENT CONTRACTOR CHECKLIST
Name of proposed independent contractor:
Contractor Name
Departmental Requisition Number:
1. Items to be completed by the Independent Contractor:
a.
I provide similar services to other clients and/or businesses.
YES
NO
b.
I engage in entrepreneurial activities in an established trade, occupation or business and am at
risk for profit or loss.
I am a current or past employee of The University of Akron. (If you answer YES, please list
dates of employment from:_______________ to:______________ the name of the
Department and job duties.)
YES
NO
YES
NO
I will maintain worker's compensation coverage or will present proof of exemption as a sole
proprietor.
YES
NO
e. I agree that The University of Akron will withhold no taxes from the payments made to me and I
will be solely responsible for payment of local, state, and federal taxes.
YES
NO
f.
YES
NO
c.
d.
I agree that I will be paid by the job, will furnish all tolls and materials needed to do the
contemplated work, and will pay for all of my own business expenses.
Items to be completed by the University Department wishing to use the services of this Independent Contractor:
2.
The individual to perform the services:
a.
Will receive little or no training, supervision, or instruction from University personnel, other than
conveying the scope of service desired.
YES
NO
b.
Will be responsible for determining the means and methods to use to perform the requested
services.
YES
NO
c.
Will provide his/her own supplies, equipment, forms, etc., necessary to perform services, and
the cost of these is included in rate or total fee.
YES
NO
d.
Will set his/her own priorities on time, amount of effort, and hours of work, to accomplish
services within stated time frame.
YES
NO
e.
Is not providing services similar to those currently being provided by any University
employee(s).
YES
NO
f.
Will be paid on the basis of a completed project, progress payments or in a manner consistent
with others in the same trade, occupation, profession or business.
YES
NO
Either party must provide a detailed explanation of any questions that were answered "No", with the exception of 1. c.
I certify that to the best of my knowledge the above is correct.
Independent Contractor’s Signature
Date
Authorized University Departmental Supervisor’s Signature
Date
Note: This form must be signed by the department chair or his/her designee. Please return to the Department of Purchasing, Zip +
9001 with the completed Professional Services Agreement.