Common use of Controlling Laws Clause in Contracts

Controlling Laws. This agreement and the provisions contained herein shall be construed, controlled and interpreted according to the laws of the State of Florida. IN WITNESS THEREOF, the parties hereto having been duly authorized and representing that they have the power and authority to execute this Agreement and perform the responsibilities specified herein have made and executed this Agreement. COMPANY: Polk County Workforce Development Board, Inc. dba CAREERSOURCE POLK Signature Signature Xxx X. Xxxxxxx Typed Name Vice President of Operations Typed Title / / / / Date Date 93.558 / 17.258, 17.278 & CARES Federal ID # CFDA # Contact Name Phone number Fax number Email address WORKSITE INFORMATION Identify the worksite name and address where the participant would be located (if multiple locations, please include all. Attach additional sheet if necessary): Company Name: Company Address: What type of equipment, tools and/or machinery, if any, will the participant(s) be using? Do you have sufficient equipment and/or supplies for the participant(s) to perform the assigned duties? Yes No ☐ ☐ Is the proposed worksite location wheelchair accessible? ☐ ☐ Will the participant(s) be involved in outdoor activities? ☐ ☐ If yes, do you have an alternate plan for inclement weather? ☐ ☐ If yes, please describe the plan(s): Will the participant be performing activities around any hazardous materials? ☐ ☐ Will the participant be provided any protective equipment, gloves, facial mask in order to perform the job at optimal capacity? If yes, please explain: ☐ ☐ Will the participant be required to obtain additional screenings prior to the first day of work? If yes, please explain: ☐ ☐ Will your worksite be closed for any holidays? If so, which days: ☐ ☐ Name of Supervisor Title Phone Cell Email Will the Supervisor be on vacation between during the time you are hosting participant(s)? ☐ Yes ☐ No If yes, from: / / to / / Name of alternative staff member(s) responsible for supervising the participant(s). Name / Title Phone # / email address JOB INFORMATION – Complete this form for each position you are requesting. Your Company will be referred adult participants. Placement will be consistent with each participant’s capabilities and interests. Note: All job duties performed by participants must be in accordance with applicable employment laws. We cannot guarantee that the participants will be placed at all worksites that applies for the program. Company Name: Job Title: Number of Job Openings: Job Description: Identify minimum requirements for the position. Please attach job description and wages for the position: Preferred Qualifications and/or Special Requirements: Will the job be considered in any of these related fields : ☐ Sanitation ☐ Humanitarian JOB SKILLS From the list below, select the skills that will be acquired during the Work Experience Program. Check all that apply: Work Maturity Skills: ☐ Initiative to learn new things ☐ Work Independently ☐ Dress Professionally ☐ Other: Personal Skills: ☐ Effective Communication ☐ Teamwork ☐ Time Management ☐ Facilitate / Train ☐ Exercise Leadership ☐ Other: Work-Related Skills: ☐ Use of work-related equipment ☐ Use of computers/ internet ☐ Office Procedures ☐ Customer Service SCHEDULE Participants may work up to 40 hours per week. Indicate below, the time and days you want the participant(s) on the job. Participants are NOT paid for lunch breaks. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start time: End time:

Controlling Laws. This agreement and the provisions contained herein shall be construed, controlled and interpreted according to the laws of the State of Florida. IN WITNESS THEREOF, the parties hereto having been duly authorized and representing that they have the power and authority to execute this Agreement and perform the responsibilities specified herein have made and executed this AgreementAgreement on the respective dates under each signature. COMPANYAGENCY: Polk County Workforce Development Board, Inc. dba CAREERSOURCE POLK Signature Signature Xxx X. Xxxxxxx Xxxxxx Xxxxxx Typed Name Vice President of Operations Typed Title / / / / Date Date 93.558 / 17.258, 17.278 & CARES 17.259 Federal ID # CFDA # Contact Name Phone number Fax number Email address WORKSITE INFORMATION Identify the worksite name and address where the participant would be located (will work, if multiple locations, please locations include all. Attach an additional sheet if necessary): Company Agency Name: Company Agency Address: What type of equipment, tools and/or machinery, if any, will the participant(s) be using? Do you have sufficient equipment and/or supplies for the participant(s) to perform the assigned duties? Yes No ☐ ☐ Is the proposed worksite location wheelchair accessible? ☐ ☐ Will the participant(s) be involved in outdoor activities? ☐ ☐ If yes, do you have an what are the alternate plan for inclement weather: Are the Child Labor Laws posted? ☐ ☐ If yes, please describe the plan(s): Will the participant be performing perform activities around any hazardous materials? ☐ ☐ Will the participant be provided any protective equipment, gloves, facial mask in order to perform the job at optimal capacity? If yes, please explain: ☐ ☐ Will the participant be required to obtain additional screenings prior to the first day of work? If yes, please explain: ☐ ☐ Will your worksite be closed for any holidays? If so, which days: ☐ ☐ Name of Supervisor Title Phone Cell Email Will the Supervisor be on vacation between at any time during the time you are hosting participant(s)Youth Internship Program? ☐ Yes ☐ No If yes, from: / / to / / Name of alternative staff member(s) responsible for supervising the participant(s). Name / Title Phone # / email address JOB INFORMATION – Complete this form for each position you are requesting. Your Company will be referred adult participants. Placement will be consistent with each participant’s capabilities and interestsinterest which align with their career plan. Note: All job duties performed by participants must be in accordance with applicable employment lawsChild Labor Laws. We cannot guarantee that we will be able to fulfill all age specifications. Our goal is to provide a rewarding and meaningful experience for both the participants will be placed at all worksites that applies for the programand agency. Company Agency Name: Job TitleSummer Position: Number of Job OpeningsPositions: Job Description: Identify minimum requirements for at least six tasks the positionparticipant will responsible for: 1. Please attach job description and wages for the position: Preferred Qualifications and/or Special Requirements: Will the job be considered in any of these related fields : ☐ Sanitation ☐ Humanitarian JOB SKILLS From the list below, select the skills that will be acquired during the Work Experience Program2. Check all that apply: Work Maturity Skills: ☐ Initiative to learn new things ☐ Work Independently ☐ Dress Professionally ☐ Other: Personal Skills: ☐ Effective Communication ☐ Teamwork ☐ Time Management ☐ Facilitate / Train ☐ Exercise Leadership ☐ Other: Work-Related Skills: ☐ Use of work-related equipment ☐ Use of computers/ internet ☐ Office Procedures ☐ Customer Service SCHEDULE Participants may work up to 40 hours per week3. Indicate below, the time and days you want the participant(s) on the job. Participants are NOT paid for lunch breaks. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start time: End time:4.

Controlling Laws. This agreement and the provisions contained herein shall be construed, controlled and interpreted according to the laws of the State of Florida. IN WITNESS THEREOF, the parties hereto having been duly authorized and representing that they have the power and authority to execute this Agreement and perform the responsibilities specified herein have made and executed this AgreementAgreement on the respective dates under each signature. COMPANYAGENCY: Polk County Workforce Development Board, Inc. dba CAREERSOURCE POLK Signature Signature Xxx X. Xxxxxxx Xxxxxx Xxxxxx Typed Name Vice President of Operations Typed Title / / / / Date Date 93.558 / 17.258, 17.278 & CARES 17.259 Federal ID # CFDA # Contact Name Phone number Fax number Email address WORKSITE INFORMATION Identify the worksite name and address where the participant would be located (will work, if multiple locations, please locations include all. Attach an additional sheet if necessary): Company Agency Name: Company Agency Address: What type of equipment, tools and/or machinery, if any, will the participant(s) be using? Do you have sufficient equipment and/or supplies for the participant(s) to perform the assigned duties? Yes No ☐ ☐ Is the proposed worksite location wheelchair accessible? ☐ ☐■ ☐ Will the participant(s) be involved in outdoor activities? ☐ ☐ If yes, do you have an what are the alternate plan for inclement weather: Are the Child Labor Laws posted? ☐ ☐ If yes, please describe the plan(s): Will the participant be performing perform activities around any hazardous materials? ☐ ☐ Will the participant be provided any protective equipment, gloves, facial mask in order to perform the job at optimal capacity? If yes, please explain: ☐ ☐ Will the participant be required provided any equipment, uniform or accessories that will need to obtain additional screenings prior to be returned at the first day end of workthe work period? If yes, please explainExplain: ☐ ☐ Will your worksite be closed for any holidays? If so, which days: ☐ ☐ Name of Supervisor Title Phone Cell Email Will the Supervisor be on vacation between at any time during the time you are hosting participant(s)Youth Internship Program? ☐ Yes ☐ No If yes, from: / / to / / Name of alternative staff member(s) responsible for supervising the participant(s). Name / Title Phone # / email address JOB INFORMATION – Complete this form for each position you are requesting. Your Company will be referred adult participants. Placement will be consistent with each participant’s capabilities and interestsinterest which align with their career plan. Note: All job duties performed by participants must be in accordance with applicable employment lawsChild Labor Laws. We cannot guarantee that we will be able to fulfill all age specifications. Our goal is to provide a rewarding and meaningful experience for both the participants will be placed at all worksites that applies for the programand agency. Company Agency Name: Job TitlePosition: Number of Job OpeningsPositions: Job Description: Identify minimum requirements for at least six tasks the positionparticipant will responsible for: 1. Please attach job description and wages for the position: Preferred Qualifications and/or Special Requirements: Will the job be considered in any of these related fields : ☐ Sanitation ☐ Humanitarian JOB SKILLS From the list below, select the skills that will be acquired during the Work Experience Program2. Check all that apply: Work Maturity Skills: ☐ Initiative to learn new things ☐ Work Independently ☐ Dress Professionally ☐ Other: Personal Skills: ☐ Effective Communication ☐ Teamwork ☐ Time Management ☐ Facilitate / Train ☐ Exercise Leadership ☐ Other: Work-Related Skills: ☐ Use of work-related equipment ☐ Use of computers/ internet ☐ Office Procedures ☐ Customer Service SCHEDULE Participants may work up to 40 hours per week3. Indicate below, the time and days you want the participant(s) on the job. Participants are NOT paid for lunch breaks. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start time: End time:4.

Controlling Laws. This agreement and the provisions contained herein shall be construed, controlled and interpreted according to the laws of the State of Florida. IN WITNESS THEREOF, the parties hereto having been duly authorized and representing that they have the power and authority to execute this Agreement and perform the responsibilities specified herein have made and executed this AgreementAgreement on the respective dates under each signature. COMPANYAGENCY: Polk County Workforce Development Board, Inc. dba CAREERSOURCE POLK Signature Signature Xxx X. Xxxxxxx Typed Name Vice President of Operations Typed Title / / / / Date Date 93.558 / 17.258, 17.278 & CARES 17.259 Federal ID # CFDA # Contact Name Phone number Fax number Email address WORKSITE INFORMATION Identify the worksite name and address where the participant would be located (will work, if multiple locations, please locations include all. Attach an additional sheet if necessary): Company Agency Name: Company Agency Address: What type of equipment, tools and/or machinery, if any, will the participant(s) be using? Do you have sufficient equipment and/or supplies for the participant(s) to perform the assigned duties? Yes No ☐ ☐ Is the proposed worksite location wheelchair accessible? ☐ ☐■ ☐ Will the participant(s) be involved in outdoor activities? ☐ ☐ If yes, do you have an what are the alternate plan for inclement weather: Are the Child Labor Laws posted? ☐ ☐ If yes, please describe the plan(s): Will the participant be performing perform activities around any hazardous materials? ☐ ☐ Will the participant be provided any protective equipment, gloves, facial mask in order to perform the job at optimal capacity? If yes, please explain: ☐ ☐ Will the participant be required provided any equipment, uniform or accessories that will need to obtain additional screenings prior to be returned at the first day end of workthe work period? If yes, please explainExplain: ☐ ☐ Will your worksite be closed for any holidays? If so, which days: ☐ ☐ Name of Supervisor Title Phone Cell Email Will the Supervisor be on vacation between at any time during the time you are hosting participant(s)Youth Internship Program? ☐ Yes ☐ No If yes, from: / / to / / Name of alternative staff member(s) responsible for supervising the participant(s). Name / Title Phone # / email address JOB INFORMATION – Complete this form for each position you are requesting. Your Company will be referred adult participants. Placement will be consistent with each participant’s capabilities and interestsinterest which align with their career plan. Note: All job duties performed by participants must be in accordance with applicable employment lawsChild Labor Laws. We cannot guarantee that we will be able to fulfill all age specifications. Our goal is to provide a rewarding and meaningful experience for both the participants will be placed at all worksites that applies for the programand agency. Company Agency Name: Job TitlePosition: Number of Job OpeningsPositions: Job Description: Identify minimum requirements for at least six tasks the positionparticipant will responsible for: 1. Please attach job description and wages for the position: Preferred Qualifications and/or Special Requirements: Will the job be considered in any of these related fields : ☐ Sanitation ☐ Humanitarian JOB SKILLS From the list below, select the skills that will be acquired during the Work Experience Program2. Check all that apply: Work Maturity Skills: ☐ Initiative to learn new things ☐ Work Independently ☐ Dress Professionally ☐ Other: Personal Skills: ☐ Effective Communication ☐ Teamwork ☐ Time Management ☐ Facilitate / Train ☐ Exercise Leadership ☐ Other: Work-Related Skills: ☐ Use of work-related equipment ☐ Use of computers/ internet ☐ Office Procedures ☐ Customer Service SCHEDULE Participants may work up to 40 hours per week3. Indicate below, the time and days you want the participant(s) on the job. Participants are NOT paid for lunch breaks. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start time: End time:4.

Controlling Laws. This agreement and the provisions contained herein shall be construed, controlled and interpreted according to the laws of the State of Florida. IN WITNESS THEREOF, the parties hereto having been duly authorized and representing that they have the power and authority to execute this Agreement and perform the responsibilities specified herein have made and executed this Agreement. COMPANY: Polk County Workforce Development Board, Inc. dba CAREERSOURCE POLK Signature Signature Xxx X. Xxxxxxx Xxxxxx Xxxxxx Typed Name Vice President of Operations Typed Title / / / / Date Date 93.558 / 17.258, 17.278 & CARES Federal ID # CFDA # Contact Name Phone number Fax number Email address WORKSITE INFORMATION Identify the worksite name and address where the participant would be located (if multiple locations, please include all. Attach additional sheet if necessary): Company Name: Company Address: What type of equipment, tools and/or machinery, if any, will the participant(s) be using? Do you have sufficient equipment and/or supplies for the participant(s) to perform the assigned duties? Yes No ☐ ☐ Is the proposed worksite location wheelchair accessible? ☐ ☐ Will the participant(s) be involved in outdoor activities? ☐ ☐ If yes, do you have an alternate plan for inclement weather? ☐ ☐ If yes, please describe the plan(s): Will the participant be performing activities around any hazardous materials? ☐ ☐ Will the participant be provided any protective equipment, gloves, facial mask in order to perform the job at optimal capacity? If yes, please explain: ☐ ☐ Will the participant be required to obtain additional screenings prior to the first day of work? If yes, please explain: ☐ ☐ Will your worksite be closed for any holidays? If so, which days: ☐ ☐ Name of Supervisor Title Phone Cell Email Will the Supervisor be on vacation between during the time you are hosting participant(s)? ☐ Yes ☐ No If yes, from: / / to / / Name of alternative staff member(s) responsible for supervising the participant(s). Name / Title Phone # / email address JOB INFORMATION – Complete this form for each position you are requesting. Your Company will be referred adult participants. Placement will be consistent with each participant’s capabilities and interests. Note: All job duties performed by participants must be in accordance with applicable employment laws. We cannot guarantee that the participants will be placed at all worksites that applies for the program. Company Name: Job Title: Number of Job Openings: Job Description: Identify minimum requirements for the position. Please attach job description and wages for the position: Preferred Qualifications and/or Special Requirements: Will the job be considered in any of these related fields : ☐ Sanitation ☐ Humanitarian JOB SKILLS From the list below, select the skills that will be acquired during the Work Experience Program. Check all that apply: Work Maturity Skills: ☐ Initiative to learn new things ☐ Work Independently ☐ Dress Professionally ☐ Other: Personal Skills: ☐ Effective Communication ☐ Teamwork ☐ Time Management ☐ Facilitate / Train ☐ Exercise Leadership ☐ Other: Work-Related Skills: ☐ Use of work-related equipment ☐ Use of computers/ internet ☐ Office Procedures ☐ Customer Service SCHEDULE Participants may work up to 40 hours per week. Indicate below, the time and days you want the participant(s) on the job. Participants are NOT paid for lunch breaksbreaks or holidays. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start time: End time:

Controlling Laws. This agreement and the provisions contained herein shall be construed, controlled and interpreted according to the laws of the State of Florida. IN WITNESS THEREOF, the parties hereto having been duly authorized and representing that they have the power and authority to execute this Agreement and perform the responsibilities specified herein have made and executed this AgreementAgreement on the respective dates under each signature. COMPANYAGENCY: Polk County Workforce Development Board, Inc. dba CAREERSOURCE POLK Signature Signature Xxx X. Xxxxxxx Xxxxx Xxxxxxxx-Xxxxxxxx Typed Name Vice Name President of Operations & CEO Typed Title / / / / Title Date Date 93.558 / 17.258, 17.278 & CARES 17.259 Federal ID # CFDA # Contact Name Phone number Fax number Email address WORKSITE INFORMATION Identify the worksite name and address where the participant would be located (will work, if multiple locations, please locations include all. Attach an additional sheet if necessary): Company Agency Name: Company Agency Address: What type of equipment, tools and/or machinery, if any, will the participant(s) be using? Do you have sufficient equipment and/or supplies for the participant(s) to perform the assigned duties? Yes No ☐ ☐ Is the proposed worksite location wheelchair accessible? ☐ ☐ Will the participant(s) be involved in outdoor activities? ☐ ☐ If yes, do you have an what are the alternate plan for inclement weather: Are the Child Labor Laws posted? ☐ ☐ If yes, please describe the plan(s): Will the participant be performing perform activities around any hazardous materials? ☐ ☐ Will the participant be provided any protective equipment, gloves, facial mask in order to perform the job at optimal capacity? If yes, please explain: ☐ ☐ Will the participant be required to obtain additional screenings prior to the first day of work? If yes, please explain: ☐ ☐ Will your worksite be closed for any holidays? If so, which days: ☐ ☐ Name of Supervisor Title Phone Cell Email Will the Supervisor be on vacation between at any time during the time you are hosting participant(s)Youth Internship Program? ☐ Yes ☐ No If yes, from: / / to / / Name of alternative staff member(s) responsible for supervising the participant(s). Name / Title Phone # / email address JOB INFORMATION – Complete this form for each position you are requesting. Your Company will be referred adult participants. Placement will be consistent with each participant’s capabilities and interestsinterest which align with their career plan. Note: All job duties performed by participants must be in accordance with applicable employment lawsChild Labor Laws. We cannot guarantee that we will be able to fulfill all age specifications. Our goal is to provide a rewarding and meaningful experience for both the participants will be placed at all worksites that applies for the programand agency. Company Agency Name: Job TitleSummer Position: Number of Job OpeningsPositions: Job Description: Identify minimum requirements for at least six tasks the positionparticipant will responsible for: 1. Please attach job description and wages for the position: Preferred Qualifications and/or Special Requirements: Will the job be considered in any of these related fields : ☐ Sanitation ☐ Humanitarian JOB SKILLS From the list below, select the skills that will be acquired during the Work Experience Program2. Check all that apply: Work Maturity Skills: ☐ Initiative to learn new things ☐ Work Independently ☐ Dress Professionally ☐ Other: Personal Skills: ☐ Effective Communication ☐ Teamwork ☐ Time Management ☐ Facilitate / Train ☐ Exercise Leadership ☐ Other: Work-Related Skills: ☐ Use of work-related equipment ☐ Use of computers/ internet ☐ Office Procedures ☐ Customer Service SCHEDULE Participants may work up to 40 hours per week3. Indicate below, the time and days you want the participant(s) on the job. Participants are NOT paid for lunch breaks. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start time: End time:4.