Independent Contractor Agreement

NON-U.S.A. FREELANCER

Independent Contract Agreement

innoVia Productions, LLC. | 2700 Swiss Ave. Suite 100, Dallas, TX 75204

www.innoviapro.com | 469.291.7379 | info@innoviapro.com
Applications are considered for all independent contractors, and contractors are treated during the agreement, without regard to race, color, religion, sex, national origin, age, disability, or any other prohibited basis of discrimination as provided under applicable state and federal law.
COMPANY INFORMATION
Company Name (as shown on income tax return) *
Today's Date *

Month Day Year
Date
Contact Name *
Nickname (if applicable)
Business Address *
City *
Region/Province *
Postal Code *
Country
Mailing Address (if different from above)
City
Region/Province
Postal Code
Country
Cell Phone *
Office Phone
Fax
E-mail *
Description of Primary Business: *
Products/Services Offered *

Consulting Professional Other
Type of Entity *

Individual Corporation Partnership LLC
Have you ever contracted with innoVia Productions before? *

Yes No
Do you understand that, as an independent contractor, you would not be eligible for unemployment benefits at the end of any contract with innoVia Productions?

Yes No
Do you agree to obtain any and all licenses that may be required to do business as an independent contractor or self-employed person?

Yes No
Do you understand that, as an independent contractor, you would be responsible for payment of any and all city, province, country taxes that are required in your country?

Yes No
TECHNICAL SKILLS
Please check each role that you are fully capable of filling and wish to be considered for: *

Stage Hand General AV Tech Audio Engineer Audio Assist Video Engineer Video Assist Projection Engineer Projection Assist Lighting Designer Lighting Assist Graphic Designer Rigger Project Manager Technical Director ARS Operator Camera Operator Virtual Meetings & Streaming
Creative Skills

Presentation Designer Video Editor Videographer Photographer Graphics Designer Motions Graphics Designer' 3D Designer Web Designer Voice Talent
For Virtual Meetings & Streaming please enter the Software & Platforms you use.
Are you willing to travel? *

Yes No
Hourly Rate *
Day Rate *
Available for half days? *

Yes No
Best Airport for your location
Nearest Large City
Special Terms
PROFESSIONAL REFERENCES
Contact /Company *
Cell Phone
Office Phone *
Fax
E-mail
Contact /Company
Cell Phone
Office Phone
Fax
E-mail
innoVia Productions will not deduct or withhold any taxes, FICA, or other deductions that we are legally required to make from the pay of regular employees.

Invoices must be submitted via email to AP@innoviapro.com within 24 hours of event end. Only 1 event per invoice – if an invoice has more than 1 event it will be rejected and need to be resubmitted. Please put the name of event in the subject line of email.

All Independent Contractor invoices are paid Net 30 unless other terms are negotiated and approved by Simo Sadik
Please initial if you agree to the above terms . *
NDA

During your work with innoVia, you may be in contact with or directly working with proprietary information that is important to our company and its competitive position as well as client confidential and proprietary information. All information must be treated with strict confidence and may not be disclosed or used at any time or in any manner in work you may do with others in or outside our industry.

Non-Solicitation

Consultant agrees that during the Term of this Agreement and for one (1) year thereafter the termination of this Agreement, the Contractor shall not, for its own benefit or the benefit of any third party, directly or indirectly, induce or attempt to influence any current, former or prospective employee, consultant, contractor, customer, independent contractor, vendor or supplier of the Company or any of its affiliates to terminate, diminish, or not establish an employment or other relationship with the Company or any of its affiliates.
Please initial if you agree to the above terms . *
THIS IS NOT AN APPLICATION FOR EMPLOYMENT. I understand and agree that if this application is accepted, my status will be that of an independent contractor and as such, I will be solely responsible for all tax liabilities pertaining to monies received in the course of services I perform. Freelancer Independent Contractor, hereafter shown as Freelancer, is an independent contractor for all purposes, without expressed or implied authority to bind innoVia Productions, LLC by contract or otherwise. Except as otherwise agreed to, Freelancer shall be responsible for all costs and expenses incident to completing each project assigned by innoVia Productions, LLC and shall provide its own supplies and equipment as required. Freelancer acknowledges and agrees that Freelancer is not an agent or employee of innoVia Productions, LLC, and that Freelancer is not entitled to any employee benefits of innoVia Productions, LLC including without limitation, group health insurance, workers compensation insurance, unemployment compensation insurance, disability insurance, liability insurance or any other type of insurance. Freelancer shall endeavor to maintain his own insurances as deemed necessary by Freelancer in accordance with the State and Federal laws, and will provide evidence of insurance if requested by innoVia Productions, LLC. Freelancer shall indemnify, hold harmless against all claims, liabilities, damages, losses and expenses, including attorney fees and cost of suit arising out of or in any way connected with this agreement, including, without limitation, i) Freelancer failing to satisfy the Internal Revenue Service guidelines for an independent contractor, and or State or Federal requirements for same, and ii) any claim based on the negligence, omissions or willful misconduct of Freelancer. Texas, where our corporate office is located, has very strict laws about “right to work”. Therefore, any Freelancer working for innoVia Productions, LLC must submit the same documentation required to prove their eligibility to work in the United States of America. This is the same as the US Department of Homeland Security, US Citizens and Immigration Services, Form I-9, Employment Eligibility Verification requirements (OMB No. 1615-0047). I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for immediate denial of my appointment or removal from consideration or, if I have entered into a contract with this company, for immediate termination of that contract. I authorize innoVia Productions, LLC to make any necessary inquiries and investigations into my education, references, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to innoVia Productions, LLC by any of the schools, services, or employers listed on this application. I also hereby release from liability innoVia Productions, LLC and its representatives for seeking, gathering, and using such information to make decisions concerning my status as an independent contractor for innoVia Productions and all other persons or organizations for providing such information. I represent and warrant that I have read and fully understand the foregoing, and that I seek to become an independent contractor under these conditions. This Agreement is between innoVia Productions, LLC and Freelancer Independent Contractor, and is valid from this day forward.
Signature: *
Date: *

Month Day Year
Date
Please upload Form W-8BEN *

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If you have any issues - contact terri@innoviapro.com and a W-8BEN will be emailed to you.
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