LETTER TO JOHN W. DEBELIUS FROM UNITED STATES GOVERNMENT RE UNITED STATES GOVERNMENT, AS REPRESNETED BY THE CONTRACTING OFFICER, HEREBY CONTRACTS WITH YOU AS AN INDEPENDENT CONTRACTOR FOR UTILITZATION OF YOUR SERVICES

• Document Type: FOIA
• Keywords: DEBELIUS JR. JOHN WILLIAM
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001471856
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 4
• Document Creation Date: June 22, 2015
• Document Release Date: November 14, 2008
• Case Number: F-2007-01251
• Publication Date: July 26, 1984

APPROVED FOR
RELEASE DATE:
03-Sep-2008
Mr. John W. Debelius
ADMINISTRATIVE \ INTERNAL USE ONLY
The United States Government, as represented by the Contracting officer,
hereby contracts with you as an Independent Contractor for utilization of
your services of a confidential nature under the following terms and condi-
tions:
1. Services. You have agreed under the terms of this contract to
assist this Organization by conducting pre-polygraph interviews with private
contractor employees who will have access to the Headquarters Building to
assess the candidates' prospects for successfully ccmpleting the polygraph
and to make recommendations for or against continued processing for being
granted appropriate security clearances.
2. Fee. In full consideration for your satisfactory performance of
the tasks described above, as determined by a responsible government offi-
cial, you will be paid a fee of $130.00 per day or $65.00 per half day, when
actually utilized, but not to exceed in cumulative payments a total of
$24,900.00 per contract year. Payments will be made as directed by you in
writing in a manner acceptable to the Government. No taxes will be withheld
from this amount, but it will be your responsibility to report such inane
under existing federal, state and self-employment (Social Security) income
tax laws and regulations.
3. Travel. You will be advanced or reimbursed funds for necessary
expenses incurred in connection with such operational travel as may be
directed or authorized by this organization. This may include per diem
in lieu of subsistence in the course of such travel and while on temporary
duty away fran your usual place of residence. Payments and accounting for
such expenses will be in substantial conformance with applicable regulations
of this organization.
4. Repayment. It is recognized that your failure to account for
or refund any monies advanced you hereunder shall entitle the Government
to withhold the total amount of such indebtedness or any portion thereof
fran any monies due you and under the terms of this contract in such manner
as it deems appropriate.
5. Execution of Documents. If, during your utilization hereunder,
you assume the custody of Government funds or take title of record to prop-
erty of any nature whatsoever and wherever situate, which property has in
fact been purchased with monies of the U.S. Government, you hereby recognize
and acknowledge the existence of a trust relationship, either express or
constructive, and you agree to execute whatever documents may be required
by this organization to evidence this relationship.
6. Status. Your legal status under this agreement is that of an
Independent Contractor. Nothing contained herein shall be construed as
implying the creation of an employee-employer relationship.
ADMINISTRATIVE INTERNAL USE ONLY
 ADMINISTRATIVE \ INTERNAL USE ONLY
7. Requirements. Requirements levied u
hereunder are a part of this contract pon You by this Organization
with the terms hereof. provided they are not inconsistent
8. Secrec . This contract specifically incorporates the
of the secrecy agreement signed by you in consideration for your service
with this Organization.
9. Rules of Conduct/Conflict of Interest. As a specific condition
of this contract you agree to observe and be
ad nd all conduct regulations of this Organization. by the Code of Conduct
provide, upon request, a listing of You further agree to
are external to this Organizaton, and uitr isatunderstood and bacyou the which
listing shall be reviewed by appropriate members of this Organization sfor
the purpose of determining whether a real or potential conflict of interest
exists.
10. Unauthorized Commitments. No
s ly s pertaining
to rights, privileges or benefits other than sthoser e ccmmitments
writing in this agreement or any amendment thereto shall Jbebinding aond the
Government.
11. Term.
This contract is effective as of
and shall continue thereafter for a period of one
terminated in any one of the following ways: TI-) year unless sooner
(a) This contract may be terminated by this Organization with ten
(10) days notice in the event that a determination is made by this
Organization that a real or potential conflict of interest exists
with respect to the relationships described in paragraph nine (9)
above.
(b) This contract may be terminated by either party with thirty (30)
days notice for any reason.
(c) This contract may be terminated by the Director of this Organ-
ization (or an official of this organization to wham he has delegated
appropriate authority) whenever, in accordance with the Director's
unreviewable statutory discretion under law, such termination is deemed
necessary or advisable in the interests of the United States.
ADMINISTRATIVE - 1TERNAL USE ONLY
 ADMINISTRATIVE INTERNAL USE ONLY
Subject to the availability of appropriations, this agreement may
be extended upon notice by the Government. Termination or expiration this agreement will not release you from the restrictions sforth in
paragraph eight (8) above or fran the obligations of any security oath you may
.be required to take.
ACCEPTED:
John ' :-De}elius
WITNESS:
ADMINISTRATIVE - XPERML USE ONLY
 ADMINISTRATIVE - XVTERNAL USE ONLY
ACKNOWLEDGEMENT OF INDEPENDENT CONTRACTOR STATUS
I hereby understand and acknowledge that I am an independent contractor
with the United States Government. I further understand and acknowledge
by executing this contract with the U.S. Government that I am not a U.S.
Government employee and that, as a result of this contract, I am not entitled
to any benefits that would accrue to a U.S. Government employee. Specifi-
cally, among other things, I am not entitled to, nor will I be entitled
to, any civil service or other U.S. Government employee pension or retirement
benefits by virtue of this arrangement with the U.S. Government. I recognize
that the contract I have executed is not an appointing document and is a
true indication of my status with the U.S. Government.
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ADMINISTRATIVE - VTERNAL USE ONLY