1099 Contractor Onboarding

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PERSONAL INFORMATION
Applicant Name*
First Last
Other Names / Alias*
Applicant Email*
Applicant Phone*
Applicant Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Social Security Number*
Date of Birth*
MM slash DD slash YYYY
Place of Birth*
City State / Province / Region Country
Driver's License Number*
Driver's License State*
State / Province / Region
Emergency Contact Phone*
Emergency Contact Name/ Relationship*

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CONSENT FOR DRUG AND/OR ALCOHOL TESTING
I hereby agree, upon a request made under the drug/alcohol testing policy of The POM Group (the Company), to submit to a drug or alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis. I understand and agree that if I at any time refuse to submit to a drug or alcohol test under company policy, or if I otherwise fail to cooperate with the testing procedures, I will be subject to immediate employment/ contract termination. I further authorize and give full permission to have the Company and/or its company physician send the specimen or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to the Company and/or to any governmental entity involved in a legal proceeding or investigation connected with the test. Finally, I authorize the Company to disclose any documentation relating to such test to any governmental entity involved in a legal proceeding or investigation connected with the test.

I understand that only duly-authorized Company officers, employees, and agents will have access to information furnished or obtained in connection with the test; that they will maintain and protect the confidentiality of such information to the greatest extent possible; and that they will share such information only to the extent necessary to make employment/ contracting decisions and to respond to inquiries or notices from government entities.

I will hold harmless the Company, its company physician, and any testing laboratory the Company might use, meaning that I will not sue or hold responsible such parties for any alleged harm to me that might result from such testing, including loss of employment/ contract or any other kind of adverse job action that might arise as a result of the drug or alcohol test, even if a Company or laboratory representative makes an error in the administration or analysis of the test or the reporting of the results. I will further hold harmless the Company, its company physician, and any testing laboratory the Company might use for any alleged harm to me that might result from the release or use of information of documentation relating to the drug or alcohol test, as long as the release or use of the information is within the scope of this policy and the procedures as explained in the paragraph above.

This policy and authorization have been explained to me in a language I understand, and I have been told that if I have any questions about the test or policy , they will be answered.

I UNDERSTAND THAT THE COMPANY WILL REQUIRE A DRUG SCREEN AND/OR ALCOHOL TEST UNDER THIS POLICY WHENEVER I AM INVOLVED IN AN ON-THE-JOB ACCIDENT OR INJURY UNDER CIRCUMSTANCES THAT SUGGEST POSSILBE INVOLVEMENT OR INFLUENCE OF DRUGS OR ALCOHOL IN THE ACCIDENT OR INJURY EVENT, AND I AGREE TO SUBMIT TO ANY SUCH TEST.
Sign below*
Today's Date*
MM slash DD slash YYYY

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INDEPENDENT CONTRACTOR AGREEMENT
This Agreement is made between THE POM GROUP, LLC ("COMPANY") and
("CONTRACTOR").*
Collectively called parties.

1. SERVICES TO BE PERFORMED: CONTRACTOR agrees to perform the following services on behalf of the COMPANY: Security Guarding

2. PAYMENT: In consideration for the servces to be performed by CONTRACTOR, COMPANY agrees to pay CONTRACTOR at the rate(s) established on the signed Schedule & Pay Rate Form.

3. EXPENSES: Contractor shall be responsible for all expenses incurred while performing services under this Agreement.

4. VEHICLES, EQUIPMENT, TOOLS, and MATERIALS: CONTRACTOR will furnish all vehicles, equipment, tools, and materials used to provide the services required by this Agreement.

5. INDEPENDENT CONTRACTOR STATUS: CONTRACTOR is an independent contractor, and neither CONTRACTOR nor CONTRACTOR'S employees or contract personnel are, or shall be deemed, COMPANY's employees.

6. BUSINESS LICENSES AND CERTIFICATES: CONTRACTOR represents and warrants that CONTRACTOR has, and will maintain, all licenses and certificates required to carry out the services to be performed under this Agreement.

7. FEDERAL TAXES: COMPANY will not withhold any Federal Income Taxes of FICA(Social Security and Medicare Taxes) from CONTRACTOR's payments.

8. INDEMNIFICATION: CONTRACTOR shall indemnify and hold COMPANY harmless from any loss or liability arising from performing any/all services under this Agreement.

9. TERM OF AGREEMENT: This Agreement will become effective when signed by both parties and will terminate on the earlier of: a) the date CONTRACTOR completes the services required by this Agreement; or b) the date either party terminates the Agreement as provided below.

10. TERMINATING THE AGREEMENT: Either party, COMPANY or CONTRACTOR, may immediately terminate this Agreement, by giving written notice.

11. EXCLUSIVE AGREEMENT: This is the entire Agreement between the CONTRACTOR and the COMPANY.

12. MODIFYING THE AGREEMENT: This Agreement may be modified only by written document, signed by both parties.

13. NO PARTNERSHIP: This Agreement does not create a partnership relationship. CONTRACTOR does not have the authority to enter into contracts on COMPANY'S behalf.

14. APPLICABLE LAW: This Agreement shall be governed by the laws of the State of Texas.
Authorized Company Representative*
Company Representative Signature*
Independent Contractor*
Contractor Signature*
Today's Date*
MM slash DD slash YYYY

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POLICIES
The following are some fundamental policies that must be adhered to at all times while on duty for The POM Group. Failure to adhere to any of these policies may be considered cause for the termination of your contractor agreement; however, in the scope of being an exemplary security professional - EXCELLENCE WILL BE TOLERATED!
Please initial each policy:
PUNCTUALITY - Must arrive prior to the beginning of the designated shift, allowing 10-15 minutes lead-time is preferable, and be on point and ready to work when the shift begins. Not being on post when the shift begins can be cause for contract termination.*
ATTENDANCE – Never leaving a post unattended is critical to the company's success, the client's success, and your success. If you will be absent from the scheduled shift, you MUST notify the site supervisor or the Operations Director, BY PHONE CALL, at least 48 hours prior to the beginning of that shift. Any abandonment of post without notification will be considered notice to terminate your contract.*
NO SLEEPING – No sleeping, or even the appearance of sleeping, is allowed at any time on any post. This is a zero tolerance policy.*
NO TOBACCO - No tobacco products of any kind may be used while on duty.*
NO EXTENSIVE CELL PHONE USE – Cell phone use SHALL be kept to a minimum. This means company business and emergencies only*
IPODS, HEADPHONES & OTHER PERSONAL EQUIPMENT – The use of personal entertainment devices, such as iPods, MP3 players, headphones, portable TVs, etc. is prohibited while on duty.*
NO HIDING IN YOUR PERSONAL VEHICLE – Officers must be at attention and at their posts during the entire shift, with the exception of approved breaks. Hiding or otherwise neglecting the post will be considered post abandonment and notice for contract termination.*
DO NOT LEAVE A POST UNMANNED – Officers must remain on the post until the relieving officer arrives. Leaving a post unmanned is prohibited, and will be considered post abandonment and notice for contract termination.*
NO HARSH OR FOUL LANGUAGE – Harsh or foul language must be avoided at all times while on a post. Do not let a client, a supervisor, a fellow employee, or any other person hear you use abusive language.*
APPROVED UNIFORM ONLY – Only approved POM Group uniforms may be worn while on duty. POM GROUP Administration must approve any additional garments before they may be worn on site.*
PROPER HYGIENE AND GROOMING – On duty officers must be clean, well groomed, and wearing clean and wrinkle free uniforms. If officers have facial hair, it must be well trimmed and short. Unusually long facial hair is not allowed.*
PATCHES, BADGES, AND OPTIONAL COLLAR PINS – All patches, badges and optional collar pins must be worn at all times and kept in good condition. A uniform is not considered compliant if it is missing any of these items. Report damaged or missing patches, badges or optional collar pins to the site supervisor or Operations Director. All patches and badges must be returned to The POM Group upon termination of contract.*
COMPANY NAME BADGE - Must be worn at all times and in proper location.*
COMMUNICATION WITH FELLOW OFFICERS, COMPANY REPRESENTATIVES AND CLIENTS – Argumentative or otherwise disrespectful language towards fellow officers, supervisors or clients will NOT be tolerated. Officers must be respectful at all times. ** This includes fraternization. There will be NO TOLERANCE for fraternizing with fellow officers, clients, or any client constituents.*
PROPER AND HONEST REPORTING OF TIMESHEETS, ETC. – Dishonest reporting is considered falsifying company documents, and could be considered theft in certain situations. Timesheets and other company documents must be accurate and honest.*
DAMAGE TO COMPANY OR CLIENT PROPERTY – Any damage to, or loss of company or client property must be immediately reported to a supervisor. Failing to report will result in contract termination. By signing below, I understand that the replacement cost for the damaged or missing items may be deducted from my pay.*
ROUTINE AND RANDOM DRUG TESTING – The POM Group reserves the right to require routine and/or random drug testing for any officer. Testing positive for any illegal substance is grounds for contract termination.*
LICENSURE – I understand that due to TDPS-PSB policies, my security officer license is not exclusive to the POM Group, and that I may work for/ contract to other security companies while under contract with POM Group, and that from time to time, the POM Group may renegotiate the schedule and/ or work sites related to my contract, which does NOT constitute contract termination.*
I have read, understand and agree to the policies set forth in this document. I further understand that these policies may be updated from time to time, and that it is my sole responsibility to stay updated on all company policies and procedures.
Sign below*
Today's Date*
MM slash DD slash YYYY
Comments
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POM Group Security

Step 1 of 7

PERSONAL INFORMATION

UPLOAD FILES

ACKNOWLEDGEMENT & AUTHORIZATION FOR BACKGROUND CHECK

CONSENT FOR DRUG AND/OR ALCOHOL TESTING

DIRECT DEPOSIT AUTHORIZATION

INDEPENDENT CONTRACTOR AGREEMENT

POLICIES