This Contract for Professional Services is entered into by and between , (hereinafter referred to as the Agency), and , (hereinafter referred to as the Contractor).

The Agency and the Contractor do mutually agree as follows:

1. Term of Agreement. This agreement shall become effective and shall terminate . This contract may be terminated by either party by providing a thirty days written notice to the other party.

2. Payment to Contractor. Agency and Contractor agrees upon these rates as reimbursed fees:

the services will be delivered at the rate of $ per (Indicate type of unit service), not to exceed $ for the term of this contract. The Contractor must submit a monthly request for reimbursement to the Agency documenting the actual time worked.

3. Funding. All terms and conditions of this Contract are dependent upon and subject to the allocation of funds for the purpose set forth in this Contract, and this Contract shall automatically terminate if funds cease to be available. The terms of the contract are limited to the availability of the JCPC funds which have been allocated for that purpose.

4. Taxes. The Contractor shall be considered an independent Contractor and as such shall be responsible of all taxes.

5. DPS JCPC Policy and Procedure. The Contractor shall adhere to all DPS JCPC standards, policies, and procedures related to the provision of the program’s service type.

6. Responsibilities of Contractor. The Contractor hereby agrees to provide the following services in a manner satisfactory to the Agency, within the stated time frames.

A.

B.

C.

Program Administrator or Authorized Agent Name and Title:
(Agency) Mailing Address:
Signature:	Date:
Contractor Name:
(Contractor) Mailing Address:
Signature:	Date:
Contractor Social Security Number:	- -