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1. Describe the work to be done by the
contractor.
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2.
Does the contractor receive any training from the department/agency?
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YES
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NO
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If yes, what kind of training.
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3. Who determines the methods by which
assignments are performed?
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4. Describe the contractors’ daily
routine. (e.g., schedule, hours, etc.)
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5.
What types of reports are required from the contractor? (e.g., progress/status reports, time
sheets, etc.)
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6.
How often does the contractor report to the State Agency?
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7.
Will the contractor perform the service personally?
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YES
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NO
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8.
List the supplies, equipment, materials, and property provided by each
party:
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a. The State Department/Agency?
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b. The Contractor?
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9.
What expenses are incurred by the contractor in the performance of
service for the State Department/Agency?
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a. Is the contractor reimbursed for any
of these expenses?
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Yes
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No
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10. Type of Pay the contractor
receives:
Salary Commission Hourly Wage
Piece Work Lump Sum Other (specify)
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11. Can the contractor incur a loss
in the performance of the service for the State Department/Agency?
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Yes
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No
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12. Does the contractor have a
financial investment in a business related to the service performed?
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Yes
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No
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13.
Can the relationship be terminated by either party without incurring
liability or penalty?
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Yes
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No
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If "No", please explain
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14.
Does the contractor perform similar service for others?
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