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C
o This Acknowledgment of Independent Contractor (the "Agreement") is made and effective this [DATE],
p
y BETWEEN: [COMPANY NAME] (the "Company"), a corporation organized and existing
r under the laws of the [STATE/PROVINCE], with its head office located at:
i
g
h AND: [CONTRACTOR NAME] (the "Contractor"), a corporation organized and existing
t under the laws of the [STATE/PROVINCE], with its head office located at:
E
n NOW, THEREFORE, in consideration of the mutual agreements and covenants herein contained the
Contractor, hereby acknowledges that it has been retained by the Company, for purposes of:
v
i
s [DESCRIBE]
i
o
In consideration of the foregoing, the Company agrees to pay the undersigned payment as follows:
n
2
0 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first above
0 written.
2
COMPANY CONTRACTOR
.
A
l
l Authorized Signature Authorized Signature