Loading...
HomeMy WebLinkAboutbocc.con.330.2013G �TKIN ��� S�VC� � CouNT� • �,�� CLERK& RECORDER LEITER OF EN6AGEMENT 530 E Main Stree�, Suite 101 Aspen, Colorado 8 1 61 1-1 948 � Dat2: phone�970�920 5180 1ll'f970�429-2700 Pitkin County Election Judge: fax�970� 920-5 96 The purpose of this letter is to summarize the pertinent terms of the 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 the Pitkin County Clerk and Recorder,the Cierk 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 fast Monday in May of the next even-numbered year, or unYil 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 elecYion 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 ballot judges work periodically beginning one to two weeks before Election Day,Pitkin County does not employ electionjudges 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, Earty 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 sociai 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 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; dJ 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 mutuaf(y 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, d Janic .Vo Caudill Pit in Co ty Clerk& Recorder ATE OF COLORADO ) ) ss. County of Pitkin ) The forgoiog was acknowledged before me this ZS day of Sep�i°✓v� 6e i' 2p1�, i by�ot7Gt��` L ���� (County representative). Witness my hand and official,��a�,,,. �i7.� � /v'�^" .,,... • ,�'' p L ��''• Nota Public / [SEAL) :���� , ��O' Myc mmissionexpires: 6�/r! C U/6 :�.��,o�aar ¢ . : U' '40��C e ; `,. �,; '°!l61-�+ .��,,; ; 2 � , �TF O F C��'�,'� � ACCEPTE AND AGREED: � PrintEledionludgeName: VU\Q\�SSG�� STATE OF COLORADO ) )ss. County of Pitkin ) The forgoing was acknowledged before me this�?day of S2p�e�u De r , 207�, � by �—y<t7�t<� � lC.�'J (Electionludge). Witness my hand and official seal. (�,�./G. � �� Notary ublic // • [SEAL] Mycommissionexpires: O� US( Zdfj ,b r:'`GY N T,y � nf i r Y � v :5'.. f�1 : Z7 � m,r: G �y r' ; o{ . 9 s� � >,'�E. �� '< � i �'p''.. C ^ : !p���,...-'00 ' a' :-�i:.�� �.. Note: Income earned is subject to federal income tax. Wages of an election judge are not subject to federal income tax withhotding. 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 � Tax Stotement, and not Form 1099-MISC Miscellaneous Income. 3 . __.. �p r�/�f2� 5 t m rr�.o n�s i J 12 . �iTxiN COUNT� � ��� CLERK& RECORDER LETTER OF ENGAGEMENT 530 E Moin Slreet, Suite 101 Aspen, Colorado 8161 1-1948 • Dat2: phone�970�920-51 SO � � � TTY�970�429-27p0 Pitkin County Election Judge: fax(9701 920-5 1 96 The purpose of tfiis letter is to summarize the pertinent terms of the arrangement between you and Pitkin County (the "County") to provide the specified services enumerated in the foilowing paregraph. 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 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 supply judge shall be reimbursed no less than five do�lars 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 Eiection Day only, and early voting and mail bal(ot judges work periodically beginning one to two weeks before Election Day, Pitkin County does not employ election judges as temporery 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 rete 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 eleciion judge shall not be considered empioyment 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 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 Ietter 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, t� .'� 1 j�/ �c`'��-' ��n ��� . , lanice`K.Vos Caudill . . /`Pi in County Clerk & Recorder STATE OFCOLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this�day of ���� , 2013, b��� [� .UDS�}U(J�I.(�(County representative). i.. Witness my hand a � . Q,�'.•,••.•.•.�SOD Notary ublic � [SEAL] ~:� NCiTqRY '�< My commission expires: — —/ �--aa �.,,f'UBLIC �� Z „��F CQ1,��P .� '�.,:, i • I ACCEPTED AND AGREED: i i �� \ I J - ',``%J� Print Election Judge Name:�� /s/, �j`Ylrf�dh/S. '��� STATEOFCOLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this�day of �c�((1� 2013, �' by L � M . 5 ��nrv�o,�s �'� (Election Judge). Witness my hand and official seal. �-C1l Notary ublic [SEAL] My commission expires: 7��—�y � �M1E.O,p�s ,�P:'' • O n:,,rqp� '•.o -<-o-a., N�:, ' vnL�C ' 9��F COI��� �"�. . �� 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$600 or more paid to you are reported on Form W-2 Wage and TaxStotement, and not Form 1099-MISC, Miscellaneous Income. G:elec[ions/judges/2raining/letter of engagement 10-11 � 3 . /1�/�L(�or3-2� Sr�nmoNS ��TKIN COUNT� �- ��� CLERK& RECORDER LEiTER OF ENGAGEMENT 530 E Main Slreet, Sui�e 101 Aspen, Colorado 8161 1-1948 Det2: phone�970) 920-5180 � � - TTY�970�429-2700 Pitkin County Election Judge: fax 19701 920-5 1 96 The purpose of this letter is to summarize the pertinent terms of the arrangement between you and Pitkin County(the"Count�/')to provide the specified services enumerated in the following paragraph. The County's obligation under the workers' compensation statute requires Pitkin County and you to formalize the terms of this engagement in a notarized writing. For each election coordinated by the Pitkin County Clerk and Recorder, the Clerk and Recorder shall appoint election judges from each precinct in the County. An election judge for each precinct shall serve for a two-year period beginning on the last Tuesday of May in even-numbered years and ending on the last Monday in May of tfie next even-numbered year, or until the designated election o�cial appoints another person to replace that election judge for that precinct. For partisan elections,the Clerk and Recorder shall appoint at least three election judges to serve as a • polling place judges for each precinct to perform the designated functions, one of whom may be a student election judge. In all elections, each election judge serving in the precinct polling places on Election Day shall��ceive not less than S50 as compensation for services provided as judge at any election (C.R.S. § 1$-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 Eiection 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 rete 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 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. • ludges 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 • retum a copy to us for our files. We appreciate the opportunity of working with you:�. � Sincerely, � ' .F ;`�"� ;' /`, � � � ��/ l l%F'GU�;'�`�L/ � ��`.�_� - Janice'K. Vos Caudill /`Pi i`n County Clerk& Recorder � STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this �/ day of Q�ip� , 2013, by�la'�� . UQSI.V-F1.LplLt___ (County representative). � Witness my hand a j���g Qa'�:.1 �':�� Notary P lic • ,.: �;.: �Y _ 7-�'7-� � [SEAL] o-.o..a My commission expires: ' p�,IC � �j.•., '00 9�OFCCI��,c` 2 �'n � , ' ' ' i • i ACCEPTED AND AGREED: � � 7 � l�� ��, / I v / /��if l,'.(iLZI-!/ ✓S ., c-�— / Print Election Judge Name: ��� 6�'t'r L • 5/�/���J� STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this��ay of ���C� , 2013, by /�'1A-��f�C-F- i L. �iVVI)'�')���___(Election Judge). Witness my hand and official seal. Notary Pu ' �7 [SEAL] pR�sC, My commission expires: �'�/"�y � ���,,....., p� e'�,.•'�QSARY h� �. �'•. P116��G �$ `9rqTE Of G�"���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 �012 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-Z Wage ond TaxStatement, and not Form 1099-MISC, Miscellaneous Income. G:elections/judges/training/letter of engagement 10-11 • 3 �i1'KIN � S`(�pN .. � CoU1vT� • �j.�� LETTER OF ENGAGEMENT CLERK & RECORDER 530 E Main Siree�, Suite 101 Date: Aspen, Colorodo 8 1 61 1-1 948 phone(970�920-51 SO Pitkin County Election Judge: TTY 1970�429-2700 fox�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 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 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 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 baliotjudges 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. §i-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 ciass 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 tfiat 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 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 re(ated to this engagement. Tfiis 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 tor 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 wiYh you. • Sincerely, ' � � Janice .�Vo/Ceudill Pitki County Clerk& Recorder ���E D12/S+`,O! �Q: NO'fARY . ATE OF COLORADO ) � -a-'�"-0" ) ss. s PU81,IC 'c� County of Pitkin ) 9�''^• '�pQ� �p OF C� ����9 �y�- �"� The forgoing was acknowledged before me thi day of ���� 2013, b���}'ll%�C�= G\•�DS�UD!LL-(County repres ive�. Witness my hand and official seal. X���� Notary Public [SEALJ My commission expires: `l —� • z � ACCEPTED AND AGREED: J ��%�� Pri�ction ludge Name: ��C� ��-C��h 5 � STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this day of �`�/2`"�/�3 , 2013, by��`��,�7�F-7C��/�.� (ElectionJudge). r Witness my hand and official seal. \�pRISC� Not Public �y [SEALj eT• �PRy '•� y commission expires: �� (—�� � �'��°'°"� `S �• � :� , sl•......•� o A�OF���,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 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 ond Tax Stotement, and not Form 1099-MISC Miscelloneous Income. • G:elecfions/judges/t2ining/letterofengagemen[1P11 3 � - ► s �n�� a�- w c-�� �iTKIN COUNT� • ��C� CLERK 8 RECORDER LETTER OF ENGAGEMENT 530 E Moin Streel, Suite 101 Aspen, Colorado 81611-1948 - Date: pho�e �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 arrengement 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 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 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 • pofling p(ace 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 specia� 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 mai(ballot judges work periodically beginning one to two weeks before Election Day, Pitkin County does not employ ele[tionjudges 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 rete 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 mentally able to perform and complete assigned tasks; c) attend a class of instruction concerning the tasks to be 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 tederal 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_ ,�� � ;; ��l �c�t. / ,,' //��%u-aC.lt,.-�// � r. .-. `�'..+�: /✓ r y/� V" . , Janice'K. Vos Caudill %Pi�in County Clerk & Recorder (%/ STATE OFCOLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this�� �-�day of ���� 2013, by v���V�S�-Ii'udl L(___ (County representative�. Witness my hand and official seal. �\�.pR/s Nota ublic • [SEAL C My commission expires: —� � ��NOTARy��°�< -e-�e-f J,�, PUBLIC ' 2 1�OF�p�.�GP � ���R' � •i ACCEPTED AND AGREED: j � I PriM ElectionJudge Name: I�VK���( �c�T�iU.U. �/�8i( STATE OF COLORADO ) ) ss. County of Pitkin ) The forgoing was acknowledged before me this�aay of �E�L��Y1B� , 2013, by I�J' YY1�-�y�A- �l� Cli ��ctionJudge). r • Witness my hand and official seal. Notary P blic [SEAL] ��rc�R/S�, My commission expires: ��7/ y � a�:.•.TARY�'�! �.�'r10 -o-� ��, .pUg�,1� :$ q�OF C����� 1 �:.��'`�o � 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 TaxStatement and not Form 1099-MISC, Miscelloneous Income. G:elections/judges/training/letter of engagement 10-11 • 3