If the store manager has approved you for temp driving, please click on the Next button to continue.

If you have not been approved for temp driving spot, please do not continue, as filling out these forms will not get you a spot on our approved temp driver list.

Oberer’s Flowers offers a “pay per package” delivery agreement with temporary drivers. Pay per delivery is determined by our routing software and follows the following breakdown:

Unsuccessful delivery is defined as any item that is not delivered and needs to be brought back to the store. For any customers that are not home items can be left with a neighbor with an Oberer’s delivery tag left at their door letting them know where it can be picked up.

A breakdown can be printed at the end of the day listing each item and the total of what you will be paid for the day. Any questions or disputes must be discussed prior to the end of the week. Checks will be available one week following your last day of employment and you will receive a phone call when it is ready to be picked up or mailed.

This Contract made and entered into by and between Oberer’s Flowers, Inc. 1448 Troy St Dayton, OH 45404 (“COMPANY”), and Independent Contractor as defined below upon execuon (“Contractor").

1. Contractor will perform the requested services as may be designated from time to time by COMPANY pursuant to this Contract. Contractor shall act, at all times, as an independent contractor.

2. COMPANY will pay Contractor $5 per successful delivery under 5 miles from pickup location, $8 per successful delivery between 5-10 miles from pickup location, $10 per successful delivery over 10 miles, and $3 per unsuccessful delivery, for the services performed by Contractor pursuant to this Contract. Payment will be made on Wednesday for the previous week’s deliveries.

3. This Contract shall become effective upon signing by all parties and shall continue in force indefinitely unless terminated by either party as herein provided.

4. Both COMPANY and Contractor agree that the relationship created by this Contract is that of independent contractor and not that of employer and employee. Contractor is solely responsible for the means of performance of the services being provided hereunder but is accountable to COMPANY for the satisfactory completion of each service. Contractor may select its own route and order of delivery. Contractor is responsible to provide its own motor vehicle and ensure proper functioning of same. Contractor is not covered under COMPANY’s workers’ compensation insurance. Contractor is responsible for the payment of any taxes, including without limitation, all Federal, State and local personal and business income taxes, sales and use taxes, other business taxes and license fees arising out of his activities.

5. Contractor shall carry motor vehicle liability insurance with limits as required by state law. Contractor shall ensure its insurance policy provides liability coverage when Contractor is delivering goods for hire. Other than claims for payments due, Contractor hereby agrees to release, discharge, waive all claims against, and defend and indemnify COMPANY, its directors, officers and employees, from and against any and all claims, costs, demands, expenses, liabilities, damages and attorneys’ fees, including but not limited to claims of bodily injury (including death), arising out of the services provided by Contractor under this Agreement or Contractor’s presence at COMPANY facilies. This release is further intended to cover all derivative claims which arise or may arise out of any events, losses or claims which may arise hereunder.

6. Either party may terminate this Contract by giving the other party written notice at least 5 days before the effective date of termination.

7. If this Contract is terminated prior to completion of the term specified in this Contract, Contractor will be entled to compensation earned prior to the date of termination as provided for in this Contract. Contractor shall be entled to no further compensation as of the effective date of termination.

8. Neither party hereto can delegate or assign any of its rights or dues hereunder to anyone else without the express written consent of the other party.

9. This Contract supersedes all prior contracts and understandings between the parties and may not be modified, changed or altered except by a writing signed by both parties.

10. This Contract is governed by the law of the State of Ohio.

IN WITNESS WHEREOF, COMPANY and Contractor have executed this Contract the day and year above mentioned.

Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service

Go to www.irs.gov/FormW9 for instructions and the latest information

Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

4 - Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

(Applies to accounts maintained outside the U.S

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number SSN However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number EIN If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social Security Number - 

You will need to select each box to enter each number.

Employer Identification Number

Enter your EIN if you have one

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Please verify all information on the prior pages for accuracy.  Once submitted, it may not be edited.