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HomeMy WebLinkAboutbocc.con.330.2013F r• , �TKIN ���`� pV��rNDc-� � COUNT� � ��� CiERK& RECORDER LETTER OF ENGAGEMENT 530 E. Moin Street, Suite 101 Aspen, Cobrodo 8 1 61 1-1 948 Date: phone 1970� 920 5180 TiY(970�429-2700 Pitkin County Election Judge: fax �970� 920-5196 The purpose of this letter is to summarize the pertinent terms of tfie arrengement between you and Pitkin County(the"Count�/')to provide the specified services enumereted in the following paragraph. The County's obligation under the workers' compensation statute requires Pitkin County and you to formalize the terms of this engagement in a notarized writing. For each election coordinated by the Pitkin County Clerk and Recorder, the Clerk and Recorder shall appoint election judges from each precinct in the County. An election judge for each precinct shall serve for a two-year period beginning on the last Tuesday of May in even-numbered years and ending on the IasYMonday in May of the next even-numbered year,or until the designated election official appoints another person to replace that eledion judge for that precinct. For partisan elections,the Clerk and Recorder shall appoint at least three election judges to serve as a • poiling place judges for each precinct to perform the designated functions,one of whom may be a student election judge. In all elections, each election judge serving in the precinct polling places on Election Day shall receive not less than $50 as compensation for services provided as judge at any election (C.R.S.§ 1-6-115). In addition to the compensation provided, each election judge may be paid expenses and reasonable compensation for attending election judges'training. Each supply judge shall be reimbursed no less than five dollars for attending a special school of instruction. Compensation for early voting, polling place and mail ballot election judges shall be determined and paid by the governing body calling the election. Since polling place judges only work on Election Day only,and early voting and mail ballot judges work periodically beginning one to two weeks before Election Day, Pitkin County does not employ election judges as temporary workers, but as independent contractors. Each polling place judge is compensated at the rate of$180 per day on Election Day, plus additional stipends for supply judges and returnjudges, and lunch per diem and mileage if applicable. Early voting and maii ballot judges are compensated at the rate of$13 per hour. Judges receive a check processed tfirough the Pitkin County Finance Department and not the Payroll Department, Election judges must give the designated election official their social security numbers in order to receive compensation; however, service as an election judge shaN not be considered employment pursuant to arti�les 70 to 82 of title 8 of the Colorado Revised Statutes(C.R.S. §1-6-115(4)). Please complete and return the attached Form W-9 for this purpose. • Judges are required to aj be registered electors who reside in the County; b) be physicaffy and mentally able to perform and complete assigned tasks; c)attend a class of instruction concerning the tasks to be 1 i . • performed prior to each election; d) have never been convicted of election fraud or other election offense or fraud; and e) is not a candidate or a member of the immediate family of a candidate whose name appears on the ballot in the precinct they are appointed to serve (CRS 1-6-101). It is mutually agreed that the County does not have an exclusive right to your services and it is contemplated that you may provide similar work to other businesses, governments and non-profit organizations. You acknowledge that the work performed for the County will be that of an independent contractor and that no employee-employer relationship is created. You have full control over how the services are performed and it is expected that work will be conducted in accordance with industry standards by applying professional judgment. The County will provide, if necessary, documents and information to complete the work described in the preceding paragraphs. The County representative signing this letter is available to you to discuss any details related to this engagement. This letter of engagement will terminate on December 31, 2013 and will require a new document in succeeding years to be effective. You acknowledge and agree that you shall not be entitled to workers' compensation benefits in connection with this project and that you shall be responsible for the payment of all state and federal income taxes. If you are in agreement with the terms of this letter, please sign below in the presence of a notary and . return a copy to us for our files. We appreciate the opportunity of working with you. Sincerely, � ' �J :� ( :� , //t ;� � �Gclic,t. L/� L�t,�v L J:ani�'K. Vos Caudill Pi m County Clerk& Recorder � STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me thi��/day of c�j�iyj� , 2013, � � ) n�" by ��'{- )I �.✓D5(�-t(,lbil/ (County representative). \ � I . Witness my hand and o�cial seal. 1E D Notary blic �M ....:?,s ���—�y £lill O My commission expires: � �� NO?Aqy�;� -o-¢o- �+�;:, �'UBLIC ;0 2 "k�9 p OFCOL�(�' �� �E�c,,' r , . .. � � ACCEPTED AND AGREED: � t'�� (� � , �� P , � � 4,, ,, ' J 1J�2_Jl.)E��-'" — V��-'"�nb°,`�" Print Election ludge Name: �Z� � �J � � . � V�-r�' y���QT STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me thi��day of c��Y/�/n,(�L�� . 2013, by D�J�'l{�E3-l�" Y� ����1�1,v(�J�(-Election Judge). Witness my hand and official seal. _��/.---��`�'!�"f��./� Notary Publ c SEAL] My commission ex ires: ���-a • � a,�E�R/SCO . P � ���NOTARY��'.! �� �q.,PUB�.1G.�,� 0.�OFCO�� �' "�ror�6T���'1 Note: Income earned is subject to federal income tax. Wages of an election judge are not subject to federal income tax withholding. However, if you earn $1,500 or more for the 2012 calendar year, you are subject to FICA tax going back to the first dollar of earnings. Annual earnings of less than $1,500 are not subject to FICA tax. Payments of$600 or more paid to you are reported on Form W-2 Woge and ToxStatement, and not Form 1099-MISC, Miscellaneous Income. G:elections/judges/training/letter of engagement 1411 • 3 ,�T K I N ��-� P�kC-�. � CoUNT� � ��� CLERK& RECORDER LETTER OF ENGAGEMENT 530 E. Moin Street, Suite 101 Aspen, Cobrado 81611-1948 Date: phone 19701 920-5 1 80 � � � TTY�970�429-2700 Pitkin County Election Judge: fax�970�920-5196 The purpose of this letter is to summarize the pertinent terms of tfie arrangement between you and Pitkin County(the "County")to provide the specified services enumerated in the following paragraph. The County's obligation under the workers'compensation statute requires Pitkin County and you to formalize the terms of this engagement in a notarized writing. For each election coordinated by Yhe Pitkin County Clerk and Recorder, the Clerk and Recorder shall appoint election judges from each precinct in the County. An election judge for each precinct shall serve for a two-year period beginning on the last Tuesday of May in even-numbered years and ending on the Iast Monday in May of the next even-numbered year, or until the designated election official appoints another person to replace that election judge for that precinct. For partisan elections,the Clerk and Recorder shall appoint at least three election judges to serve as a • polling place judges for each precinct to perform the designated functions, one of whom may be a student election judge. In al!elections, each election judge serving in the precinct polling places on Election Day shall receive not less than $50 as compensation for services provided as judge at any election (C.R.S. § 1-6-115). In addition to the compensation provided, each election judge may be paid expenses and reasonable compensation for attending election judges'training. Each supply judge shall be reimbursed no less than five dollars for attending a special school of instruction. Compensation for early voting, polling place and mail ballot election judges shall be determined and paid by the governing body caliing the election. Since polling place judges only work on Election Day only, and early voting and mail ballot judges work periodically beginning one to two weeks before Efection Day, Pitkin County does not employ election judges as temporary workers, but as independent contractors. Each polling place judge is compensated at the rate of$180 per day on Election Day, plus additional stipends for supply , judges and return judges,and lunch per diem and mileage if applicable. Early voting and mail ballot judges are compensated at the rate of$13 per hour. Judges receive a check processed througfi the Pitkin County Finance Department and not the Payroll Department, Election judges must give the designated election official their social security numbers in order to receive compensation; however, service as an election judge shall not be considered employment pursuant to articles 70 to 82 ot title 8 of the Colorado Revised Statutes(C.R.S. §1-6-115(4)). Please complete and return the attached Form W-9 for this purpose. • Judges are required to a) be registered electors who reside in the County; b) be physically and mentally able to perform and complete assigned tasks;c)attend a class of instruction concerning the tasks to be 1 • performed prior to each election; d) have never been convicted of election fraud or other election offense or fraud; and e) is not a candidate or a member of the immediate family of a candidate whose name appears on the ballot in the precinct they are appointed to serve (CRS 1-6-101). It is mutually agreed that the County does not have an exclusive right to your services and it is contemplated that you may provide similar work to other businesses,governments and non-profit organizations. You acknowledge that the work performed for the County will be that of an independent contractor and that no employee-employer relationship is created. You have full control over how the services are performed and it is expected that work will be conducted in accordance with industry standards by applying professional judgment. The County will provide, if necessary, documents and information to complete the work described in the preceding paragraphs. The County representative signing this letter is available to you to discuss any details related to this engagement. This letter of engagement will terminate on December 31, 2013 and will require a new document in succeeding years to be effective. You acknowledge and agree that you shall not be entitled to workers' compensation benefits in connection with this project and that you shall be responsible for the payment of all state and federal income taxes. If you are in agreement with the terms of this letter, please sign below in the presence of a notary and • return a copy to us for our files. We appreciate the opportunity of working with you. Sincerely, r � , �'� �'� . / ; � ���C�� ����� Janice�K.Vos Caudill %Pi�kin County Clerk & Recorder � STATE OF COLORADO ) J ss. County of Pitkin ) The forgoing was acknowledged before me thi��ay of ��(,[��1� . , 2013, by � � I(� �. VD��4-UD/L� r_�ountyrepresentative). � Witness my hand and official seal. pR� Notary ublic . .1��\�(S£Aa.`FC My commission expires: � �� �.-�NOTARY '�� -o-o-a J,�,. PUBI.IC :� 2 9��F CO���,�.� ,,���r��° .� . .. � ACCEPTED AND AGREED: � .�'l.��,�r��� �c�� Print Election Judge Name: WI Q i�, @,C:2- � � �CP�Y��f STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me t���ay of ��(� , 2013, by I�J�L-L���"YI • T��IG'(7�—(€lection Jud Witness my hand and official seal. / �ORISC�� Not Public [5 • My commission expires: '� �� � Q•���PaY .�o �Y��,G • � . �v" OQ- F..' STq1E OF�'��r car�a�` Note: Income earned is subject to federal income tax. Wages of an election judge are not subject to federal income tax withholding. However, if you earn$1,500 or more for the 2012 calendar year, you are subject to FICA tax going back to the first dollar of earnings. Annual earnings of less than $1,500 are not subject to FICA tax. Payments of$600 or more paid to you are reported on Form W-2 Wage ond TaxStotemeni, and not Form 1099-MISC Miscellaneous Income. G:elections/judges/training/letterof engagement 10.11 � • 3 � � �2�.n- P��T�N� ��1'KIN COUNT� � ��� CLERK& RECORDER LETTER OF ENGAGEMENT 530 E. Main Stree�, Sui�e 101 Aspen, Cobrado 8 1 61 1-1 948 Date: phone�970�920-5180 TTY�970�429-2700 Pitkin County Election Judge: fax�970�920-5196 The purpose of this letter is to summarize the pertinent terms of the arrangement between you and Pitkin County(the "Count�/')to provide the specified services enumereted in the following paragraph. The County's obligation under the workers' compensation statute requires Pitkin County and you to formalize the terms of this engagement in a notarized writing. For each election coordinated by the Pitkin County Clerk and Recorder,the Clerk and Recorder shall appoint election judges from each precinct in the County. An election judge for each precind shall serve for a two-year period beginning on the last Tuesday of May in even-numbered years and ending on the Iast Monday in May of the next even-numbered year,or until the designated election official appoints another person to replace that election judge for that precinct. For partisan elections,the Clerk and Recorder shall appoint at least three election judges to serve as a • polling place judges for each precinct to perform the designated functions,one of whom may be a student election judge. In all elections, each election judge serving in the precinct polling places on Election Day shall receive not less than$50 as compensation for services provided as judge at any election (C.R.S. § 1-6-115). In addition to the compensation provided, each election judge may be paid expenses and reasonable compensation for attending election judges'training. Each supplyjudge shall be reimbursed no less than five doliars for attending a special school of instruction. Compensation for early voting, polling place and mail ballot election judges shall be determined and paid by the governing , body calling the election. Since polling place judges only work on Election Day only, and early voting and mail ballot judges work periodically beginning one to two weeks before Election Day, Pitkin County does not employ election judges as temporary workers, but as independent contractors. Each polling place judge is compensated at the rate of$180 per day on Election Day, plus additional stipends for supply judges and return judges,and lunch per diem and mileage if applicable. Early voting and mail ballot judges are compensated at the rate of$13 per hour. Judges receive a check processed through the Pitkin County Finance Department and not the Payroll Department. Election judges must give the designated election official their social security numbers in order to receive compensation; however, service as an election judge shall not be considered employment pursuant to articles 70 to 82 of title 8 of the Colorado Revised Statutes (C.R.S. §1-6-115(4�). Please complete and return the attached Form W-9 for this purpose. • Judges are required to a) be registered electors who reside in the County; b) be physically and mentaliy able to perform and complete assigned tasks; c) attend a class of instruction concerning the tasks to be 1 • performed prior to each election; d) have never been convicted of election fraud or other election offense or fraud; and e) is not a candidate or a member of the immediate family of a candidate whose name appears on the ballot in the precinct they are appointed to serve (CRS 1-6-101). It is mutually agreed that the County does not have an exclusive right to your services and it is contemplated that you may provide similar work to other businesses, governments and non-profit organizations. You acknowledge that the work performed for the County will be that of an independent contractor and that no employee-employer relationship is created. You have full control over how the services are performed and it is expected that work will be conducted in accordance with industry standards by applyi�g professional judgment. The County will provide, if necessary, documents and information to complete the work described in the preceding paragraphs. The County representative signing this letter is available to you to discuss any details related to this engagement. This letter of engagement will terminate on December 31, 2013 and will require a new document in succeeding years to be effective. You acknowledge and agree that you shall not be entitled to workers'compensation benefits in connection with this project and that you shall be responsible for the payment of all state and federal income taxes. If you are in agreement with the terms of this letter, please sign below in the presence of a notary and • return a copy to us for our files. We appreciate the opportunity of working with you. Sincerely, �� i �' ,.'7 ��� : r�� ���c�L�� ����v " . , J.anice'K. Vos Caudill i Pi;kin County Clerk & Recorder STATE OF COLORADO ) ) 55. County of Pitkin ) The forgoing was acknowledged before me thiof��day of ��'�15'� , 2013, by���A,�l� tC � �(F��DILC-(Countyrepresentative). . Witness my hand a '��� NOTAR�`�,� Nota Public • [SEAL] �,,,aa My commission expires:� —� �,�., F'UBLIC ' q�F C0�.0�� 2 '"°e...y,c�,,..,�-��'4': . . . . ! � i ACCEPTED AND AGREED: i ii � ���� �. ��� ! Print Election Judge Name: � �r� � / � �� �—1 O N�� STATEOFCOLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this��y of J�(� 2013, by � �- .�T�J,�CI� (ElectionJudge). Witness my hand and official seal. �,tF(��t�� Notary Public �} �7 [SEAL] My commission expires: L `'� /�J • �a�,�E �Risco �:'NOTARY ':< �a �,�, PUBLIC 'C� 9�OF CO��`��t` T.t Eev�" Note: Income earned is subject to federal income tax. Wages of an election judge are not subject to federal income tax withholding. However, if you earn $1,500 or more for the 2012 calendar year, you are subject to FICA tax going back to the first dollar of earnings. Annual earnings of less than$1,500 are not subject to FICA tax. Payments of$600 or more paid to you are reported on Form W-2 Woge ond ToxStatement, and not Form 1099-MISC, Miscellaneous Income. G:eleccions/judges/training/letter of engagement 10.11 • 3 iTxiN �FI��� . � COUNT� • ��.�� LETTER OF ENGAGEMENT CLERK& RECORDER 530 E Main Sireet, Suite 101 Date: Aspen, Colorado 8161 1-1948 phone�9701 920-5 1 80 TiY�970�429-2700 Pitkin County Election Judge: fax�9701 920-5 1 96 The purpose of this letter is to summarize the pertinent terms of the arrangement between you and Pitkin County(the "Count�/')to provide the specified services enumerated in the following paragreph.- The County's obligation under the workers' compensation statute requires Pitkin County and you to . formalize the terms of this engagement in a notarized writing. For each election coordinated by the Pitkin County Clerk and Recorder,the Clerk and Recorder shall appoint election judges from each precinct in the County. An election judge for each precinct shall serve for a two-year period beginning on the last Tuesday of May in even-numbered years and ending on the last Monday in May of the next even-numbered year,or until the designated election o�cial appoints another person to replace that election judge for that precinct. For partisan elections,the Clerk and Recorder shall appoint at least three election judges to serve as a • polling place judges for each precinct to perform the designated functions, one of whom may be a student election judge. In all elections, each election judge serving in the precinct polling places on Election Day shall receive not less than$50 as compensation for services provided as judge at any election (C.R.S. § 1-6-115). In addition to the compensation provided, each election judge may be paid expenses and reasonable compensation for attending election judges'training. Each supply judge shall be reimbursed no less than five dollars for attending a special school of instruction. Compensation for early voting, polling place and mail ballot election judges shall be determined and paid by the governing body calling the election. Since polling place judges only work on Election Day only, and early voting and mail ballot judges work periodically beginning one to two weeks before Election Day, Pitkin County does not employ election judges as temporary workers, but as independent contractors. Each polling place � judge is compensated at the rate of$180 per day on Election Day, plus additional stipends for supply judges and return judges, and lunch per diem and mileage if applicable. Early voting and mail ballot judges are compensated at the rate of$13 per hour. ludges receive a check processed through the Pitkin County Finance Department and not the Payroll Department. Election judges must give the designated election official their social security numbers in order to receive compensation; however, service as an election judge shali not be considered employment pursuant to articles 70 to 82 of title 8 of the Colorado Revised Statutes (C.R.S. §1-6-115�4)). Please complete and return the attached Form W-9 for this purpose. � Judges are required to a) be registered electors who reside in the County; b) be physically and mentally able to perform and complete assigned tasks;c)attend a class of instruction concerning the tasks to be 1 performed prior to each election; d) have never been convicted of election fraud or other election • offense or fraud;and e) is not a candidate or a member of the immediate family of a candidate whose name appears on the ballot in the precinct they are appointed to serve (CRS 1-6-101). It is mutually agreed that the County does not have an exclusive right to your services and it is contemplated that you may provide similar work to other businesses,governments and non-profit organizations. You acknowledge that the work perFormed for the County will be that of an independent contrador and that no employee-employer relationship is created. You have full controi o'ver how the services are performed and it is expected that work will be conducted in accordance with industry standards by applying professional judgment. The County will provide, if necessary,documents-and---- information to complete the work described in the preceding paragraphs. The County representative signing this letter is available to you to discuss any detaiis related to this engagement. This letter of engagement will terminate on December 31, 2013 and will require a new document in succeeding years to be effective. You acknowledge and agree that you shall not be entitled to workers'compensation benefits in connection with this project and that you shall be responsible for the payment of all state and federal income taxes. If you are in agreement with the terms of this letter, please sign below in the presence of a notary and return a copy to us for our files. We appreciate the opportunity of working with you. • Sincerely / /�� , , Ja� ce K.Vos�Caudill Pitkin County Clerk& Recorder / STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this-��day of /V Q���� , 2013, by���(���. ✓�SI.d�J�L1,CJ/(.�(Eount esen tive). Witness my hand and offici flR/S ` h��''��"''••�'Q Not� Public p10TARY :� � � [SEAL] My commission expires: -�7 � ��> �,�.,.1'UBLIC ;oo 9�OF C0�-���g�° 2 ����� � ACCEPTED AND AGREED: � / ������� Print Election Judge Name: �o a�.rr�LY /f �Gc¢��eu � STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this day of �V���� , 2013, by ��,L�( �1 ��q�1�'�,� (Election Jud e). . Witness my hand and o�cial seal. No ary Public �� � [SEAL] M�E DRO My commission expires: — ��l.,......,, SC � e NorqRy'•.� '�-�-o- v" �LIC ' •�••, 9�°FCOt�°°a�: '�,,._ . . �PMM'�O� .. . • N�Tq,�� /n y:� �� �O � �C ��ic�'•......••��• �aow•oo e�^�^mnrRM� Note: Income earned is subject to federal income tax. Wages of an election judge are not subject to federal income tax withholding. However, if you earn$1,500 or more for the 2013 calendar year, you are subject to FICA tax going back to the first dollar of earnings. Annual earnings of less than $1,500 are not subject to FICA tax. Payments of$600 or more paid to you are reported on Form W-2 Woge and ToxStotement and not Form 1099-MISC, Miscellaneous Income. � G:elections/judges/training/letter of engagement 10-11 3 . � QFrut� (��ct-� ��TKIN COUNT� � ��� CLERK& RECORDER LEITER OF ENGAGEMENT 530 E. Moin Sireet, Suite 101 Aspen, Colorado 81611-1948 . Date: phone�970� 920-5180 � TIY f 970�4294700 Pitkin County Election ludge: fax�970� 920-5196 The purpose of this letter is to summarize the pertinent terms of the arrengement between you and Pitkin County(the"Count�')to provide the specified services enumereted in the following paragraph. The County's obligation under the workers'compensation statute requires Pitkin Cbunty and you to formalize the terms of this engagement in a notarized writing. For each election coordinated by the Pitkin County Clerk and Recorder,the Clerk and Recorder shall appoint election judges from each precinct in the County, An election judge for each precinct shall serve for a two-year period beginning on the last Tuesday of May in even-numbered years and ending on the Iast Monday in May of the next even-numbered year,or until the designated election o�cial appoints another person to replace that eledion judge for that precinct. For partisan elections,the Clerk and Recorder shall appoint at least three election judges to serve as a • polling place judges for each precinct to perform the designated functions,one of whom may be a student election judge. In all elections,each election judge serving in the precinct polling places on Election Day shall receive not less than$50 as compensation for services provided as judge at any election (C.R.S.§ 1-6-115). In addition to the compensation provided, each election judge may be paid expenses and reasonable compensation for attending election judges'training. Each supplyjudge shall be reimbursed no less than five dollars for attending a special school of instruction. Compensation for early voting, polling place and mail ballot election judges shall be determined and paid by the governing body calling the etection. Since polling place judges only work on Election Day only, and early voting and mail ballotjudges work periodically beginning one to two weeks before Election Day, Pitkin County does not employ election judges as temporary workers, but as independent contractors. Each polling place judge is compensated at the rate of$180 per day on Election Day, plus additional stipends for supply judges and return judges, and lunch per diem and mileage if applicable. Early voting and mail ballot judges are compensated at the rate of$13 per hour. Judges receive a check processed through the Pitkin County Finance Department and not the Payroll Department. Election judges must give the designated election official their social security numbers in order to receive compensation; however,service as an election judge shall not be considered employment pursuant to articles 70 to 82 of title 8 of the Colorado Revised Statutes(C.R.S. §1-6-115(4�). Please complete and return the attached Form W-9 for this purpose. • Judges are required to a) be reg+stered electors who reside in the County; b) be physically and mentally able to perform and complete assigned tasks;c) attend a ciass of instruction concerning the tasks to be 1 • performed prior to each election; d) have never been convicted of election fraud or other e(ection offense or fraud; and e) is not a candidate or a member of the immediate family of a candidate whose name appears on the ballot in the precinct they are appointed to serve (CRS 1-6-101). It is mutually agreed that the County does not have an exctusive right to your services and it is contemplated that you may provide similar work to other businesses,governments and non-profit organizations. You acknowledge that the work performed for the County will be that of an independent contractor and that no employee-employer relationship is created. You have full control over how the services are performed and it is expected that work wifl be conducted in accordance with industry standards by applying professional judgment. The County will provide, if necessary, documents and information to complete the work described in the preceding paragraphs. The County representative signing this letter is available to you to discuss any details related to this engagement. This letter of engagement will terminate on December 31. 2013 and will require a new document in succeeding years to be effective. You acknowledge and agree that you shall not be entitled to workers'compensation benefits in connection with this project and that you shafl be responsible for the payment of all state and federel income taxes. If you are in agreement with the terms of this letter, please sign below in the presence of a notary and • return a copy to us for our files. We appreciate the opportunity of working with you. Sincerely, Jani K. osCaudill Pi in ounty Clerk& Recorder STATE OF COLORADO ) )ss. County of Pitkin � f,. The forgoing was acknowledged before me this ��y of SP�2/Y�b.QA' �'3 — �. by�d >G`!� 4 /�- � � (County representative). Witness my hand and official seal. �,,� '� /��'4/G— ;A"' Nota Public � • [SEAL] �:'`'�� ���• Mycommissionexpires: �l/ "S Zd/� , �1 �•.'.." .r .�. •.'`�c�`i'z :,NoTqRt o � °'� A��O` � 2 �y� UBLIC o . ; ��� �.,.� 0"�'�,,�: . . , L � ACCEPTED AND AGREED: � �� � �� � PrintElectionludgeName: i �L� Iv �lC1�{C�1 STATE OF COLORADO ) ) ss. County of Pitkin ] 2�13�The forgoing was acknowledged before me this��"day of .5��'1�'��2 Zg}�, �.. by � c�0 (Electionludge). �y�+��i�� � ,L/aG '� �/�/ Witness my hand and official seal. _ �j,,. � ��b'�' Notary Public � (SEALJ My commission expires: �//S c�v�� ' GYN / �r �' A i�y;�;,,=' i �.Y'h�r yo V o a � � : f .���m��� --�t `' ,: �O��''>::� C n ; '6 oR�t"4.0�,� � ,,.�.-;. r ��r�. Note: Income earned is subject to federal income tax.Wages of an election judge are not subject to federal income tax withholding. However, if you earn$1,500 or more for the 2012 cafendar year,you are subject to FICA tax going back to the first dollar of earnings. Annua!earnings of less than$1,500 are not subject to FICA tax. Payments of$600 or more paid to you are reported on Form W-2. Wage and Tax Statement, and not Form 1099-MISC Miscelloneous Income. � 3 .. � �TKIN ��}� L�f311U�`�✓ � � COUNT� �j.�� LETTER OF ENGAGEMENT CLERK& RECORDER 530 E. Main Street, Suite 101 Date: Aspen, Colorodo 8161 1-1948 phone 19701 920-51 SO TTY�970�429-2700 Pitkin County Election Judge: fax�970� 920-5196 The purpose of this letter is to summarize the pertinent terms of the arrangement between you and Pitkin County(the"Count�') to provide the specified services enumerated in the following paregreph, The Count�s obligation under the workers' compensation statute requires Pitkin County and you to . formalize the terms of this engagement in a notarized writing. For each election coordinated by the Pitkin County Clerk and Recorder, the Clerk and Recorder shall appoint election judges from each precinct in the County. An election judge for each precinct shall serve for a two-year period beginning on the last Tuesday of May in even-numbered years and ending on the last Monday in May of the next even-numbered year,or until the designated election official appoints another person to replace that election judge for that precinct. For partisan elections,the Clerk and Recorder shall appoint at least three election judges to serve as a • polling place judges for each precinct to perform the designated functions, one of whom may be a student election judge. In all elections, each election judge serving in the precinct polling places on Election Day shall receive not less than$50 as compensation for services provided as judge at any election (C.R.S. § 1-6-115). In addition to the compensation provided, each election judge may be paid expenses and reasonable compensation for attending election judges'training. Each supplyjudge shall be reimbursed no less than five dollars for attending a special school of instruction. Compensation for early voting, polling place and mail ballot election judges shall be determined and paid by the governing body calling the election. Since polling place judges only work on Election Day only, and early voting and mail ballotjudges work periodically beginning one to two weeks before Election Day, Pitkin County does not employ election judges as temporary workers, but as independent contractors. Each polling place judge is compensated at the rate of$180 per day on Election Day, plus additional stipends for supply judges and return judges, and lunch per diem and mileage if applicable. Early voting and mail ballot judges are compensated at the rate of$13 per hour. Judges receive a check processed through the Pitkin County Finance Department and not the Payroll Department. Election judges must give the designated election official their social security numbers in order to receive compensation; however, service as an election judge shall not be considered employment pursuant to articles 70 to 82 of title 8 of tfie Colorado Revised Statutes (C.R.S. §1-6-115(4)�. Please complete and return the attached Form W-9 for this purpose. . Judges are required to a) be registered electors who reside in the County; b) be physically and mentally able to perform and complete assigned tasks; c)attend a class of instruction concerning the tasks to be 1 �. . performed prior to each election; d) have never been convicted of election fraud or other election • offense or fraud; and e) is not a candidate or a member of the immediate family of a candidate whose name appears on the ballot in the precin�t they are appointed to serve (CRS 1-6-101). It is mutually agreed that the County does not have an exclusive right to your services and it is contemplated that you may provide similar work to other businesses,governments and non-profit organizations. You acknowledge that the work performed for the County wili be that of an independent contractor and that no employee-employer relationship is created. You have full control o'ver how the services are performed and it is expected that work will be conducted in accordance with industry standards by applying professionaljudgment. The County will provide, if necessary,documents and---- information to complete the work described in the preceding paragraphs. The County representative signing this letter is available to you to discuss any details related to this engagement. This letter of engagement will terminate on December 31. 2013 and will require a new document in succeeding years to be effective. You acknowledge and agree that you shall not be entitled to workers'compensation benefits in connection with this project and that you shall be responsible for the payment of all state and federal income taxes. If you are in agreement with the terms of this letter, please sign below in the presence of a notary and return a copy to us for our files. We appreciate the opportunity of working with you. • Sincerely, � . ' p�;,.....,Op '� - —.>.-�-5 -�c�t� yc,:� ••.bdo @ Janice os�audill o, a ¢ `-� ':� � Pitki ounry Clerk& Recorder • '— ¢ � ��b�,¢, :S;�P� S ATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me thi���of ���/�� , 2013, bi�����C� ' U� CIM-���LL (Countyrepre a e). Witness my hand and o�cial seal. � Notary P blic �r7 (/ [SEAL] Mycommissionexpires: l��7�� T � 2 � � ACCEPTED AND AGREED: y2��„ ,^�', �:I�VF�L�%1'1� � � �-! �c2y L tZ� �C, � ��rs o i.l" ,,,. (%,�, Print Election Judge Name: �, la �'12.�� l. R.c� � ���!�N STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this .��✓ day of E4�if' O 6 E�2. , 2013, by� 7Gt���,g.✓y�J (ElectionJudge). r Witness my hand and o�cial seal. Notary ublic '/ —1 • [SEAL] M1E,D/��5, My commission expires: '��NOTARY �C.�< �-o-.a ;r�. r'f/6LIC ' T19��r Cp\.0�� y,�� ��t� Note: Income earned is subject to federal income tax.Wages of an election judge are not subject to federal income tax withholding. However, if you earn $1,500 or more for the 2013 calendar year, you are subject to FICA tax going back to the first dollar of earnings. Annual earnings of less than$1,500 are not subject to FICA tax. Payments of$600 or more paid to you are reported on Form W-2, Wage and Tox Stotement, and not Form 1099-MISC,Miscelloneous Income. • G:eleRions/judges/[aining/letterofengagement10.11 3