VALDOSTA STATE UNIVERSITY
SERVICE AGREEMENT
(For any service under $25,000 per year or exempted from State bidding requirements.)
THIS SERVICE AGREEMENT, hereinafter referred to as “Agreement”, is made this NNth
day of MONTH, 20YY, by and between The Board of Regents of the University System of Georgia by
and on behalf of Valdosta State University, located at 1500 North Patterson Street, Valdosta, Georgia
hereinafter referred to as the “VSU” and SUPPLIER'S FULL LEGAL NAME, hereinafter referred to
as “Supplier”. VSU and Supplier shall be jointly hereinafter referred to as “parties”.
WHEREAS, VSU desires to have Supplier to provide certain professional services at the dates
and times set forth below, and in accordance with the terms, conditions and specifications provided or
incorporated herein; and
NOW THEREFORE, in consideration of the mutual agreements and covenants hereinafter set
forth, and for other good and valuable consideration, the receipt, adequacy and sufficiency of which are
hereby acknowledged, the parties do hereby covenant and agree as follows:
I. Scope of Work.
II. Term of Service.
Service Start Date: MM/DD/YYYY
Service End Date: MM/DD/YYYY
III. Fee for Supplier’s Services Rendered.
IV. Payment Terms.
***NOTE: Unless other payment arrangements are made, such as monthly or quarterly payments, the
following payment terms should be used. Delete this note after editing. ***
VSU will remit payment to Supplier within thirty (30) calendar days after (i) VSU’s receipt and
acceptance of an undisputed invoice; or (ii) Supplier's completion of all services under the Scope of
Work and Supplier's Responsibilities sections of this Agreement, whichever is later.
V. Supplier’s Responsibilities.
Supplier will:
***NOTE: List or describe all specific tasks, responsibilities, project benchmarks, and other
obligations the Supplier is required to deliver or perform under this Agreement. Delete this
note after editing. ***
VI. VSU’s Responsibilities.
VSU will:
***NOTE: List or describe VSU's responsibilities under this Agreement. Suggested items are
provided below. Delete this note after editing. ***
1. Pay Supplier the Fee for Supplier's Services Rendered in accordance with the terms,
conditions, and specifications of this Agreement.
2. Provide access to those VSU facilities and/or properties reasonably necessary for Supplier to
carry out Supplier's responsibilities under this Agreement.
VSU SERVICE AGREEMENT FORM
UPDATED 09/01/2015
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VII. Independent Contractor Status.
Supplier shall not be deemed to become an agent, servant, or employee of the State of Georgia, and in
particular VSU. Supplier shall for all purposes be deemed to be an independent contractor, and this
Agreement shall not be construed so as to create a partnership or joint venture between Supplier and
the State of Georgia or any of its agencies. Consequently, Supplier is responsible for all applicable
federal and state regulations relating to income tax, social security, worker’s compensation and
unemployment insurance.
VIII. Terms & Conditions.
This Agreement is governed by and subject to any and all applicable federal and state laws, VSU
policies, and particularly the Valdosta State University Standard Purchase Order Terms and
Conditions, which are incorporated by this reference and may be accessed at the following link:
http://www.valdosta.edu/administration/finance-admin/financial-services/procurement/terms-andconditions.pdf
Signatures on following page.
VSU SERVICE AGREEMENT FORM
UPDATED 09/01/2015
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AGREED and ACCEPTED:
SUPPLIER’S FULL LEGAL NAME
Supplier’s Printed Name
Supplier’s Signature
Date
BUDGET MANAGER'S NAME
Budget Manager’s Printed Name
Budget Manager’s Signature
Date
DEPARTMENT'S NAME
Department Receiving of Services
VSU Account #:
(Acct#-Fund-DeptID-Program-Class-Project)
ADDITIONAL DOCUMENTS AND SUBMISSION INSTRUCTIONS
In order to process and issue a Purchase Order off of a service agreement using this Service Agreement Form, the following
additional documents, if applicable, need to be attached to the Requester’s requisition in ePro along with the complete and signed
Service Agreement document:
1.
VENDOR FORM: Supplier must submit a complete and signed Vendor Form or already have one on file in order to process
payment. The Vendor Form may be accessed at the following link:
http://www.valdosta.edu/administration/finance-admin/financial-services/procurement/forms/new-vendor-.pdf
2.
CONTRACTOR AFFIDAVIT: Supplier must submit a signed and notarized Contractor Affidavit for a Service Agreement that
exceeds $2,499.99 and involves Supplier’s physical performance of services within the State of Georgia. However, if a Supplier has no
employees and no intention to hire employees, Supplier may submit a copy of Supplier’s driver’s license or state issued ID card in lieu of
the Contractor Affidavit. The Contractor Affidavit may be accessed at the following link:
http://www.valdosta.edu/administration/finance-admin/business-services/purchasing/e-verify.php
3.
DETERMINATION OF STATUS FORM: Human Resources (HR) must determine whether an individual Supplier (rather than a
business entity) is eligible for independent contractor status. Therefore, for any service agreement with an individual Supplier, the
requesting Department must complete and submit a Determination of Status Form along with the Service Agreement Form to Ernest
Smith in HR at ernsmith@valdosta.edu prior to signing the Service Agreement or submitting an ePro request. Upon receipt of a
written determination of independent contractor status from HR, the Department may proceed with signatures and submission. The
Determination of Status Form may be accessed at the following link:
http://www.valdosta.edu/administration/finance-admin/human-resources/documents/independent-contractor-questionnaire.pdf
VSU SERVICE AGREEMENT FORM
UPDATED 09/01/2015
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