What does the Independent Contractor Agreement cover?

It sets out the contractor’s duties, compensation, term, insurance requirements, and other conditions for work under a county service area contract.

Who completes this agreement?

The contractor and Santa Cruz County complete and sign the agreement. The contractor also provides business, license, contact, and tax identification details.

Do I need a notary for the Independent Contractor Agreement?

No. The agreement calls for the parties’ signatures, not notarization. It lists insurance certificates as an attachment but does not say they must be notarized or sworn.

How do I submit the Independent Contractor Agreement?

The document directs contractors to deliver or send insurance certificates to Public Works Department, 701 Ocean Street, Room 410, Santa Cruz, CA 95060, Attn: Susann Rogberg.

Santa Cruz County, CA · Santa Cruz County

No notary required

County Service Area Independent Contractor Agreement

This agreement sets the terms for work performed by an independent contractor for Santa Cruz County and is completed by the county and contractor.

At a glance

Issued by: City of Santa Cruz County · Santa Cruz County, Santa Cruz County, California
Notarization: Not required: file this form without a notary.
Official source: cdi.santacruzcountyca.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The agreement records the contractor’s work, compensation, term, insurance obligations, and other contract conditions. It is for county service area work, with the specific duties described in Attachment E; the document also lists insurance certificates as an attachment. The contractor and county complete and sign the agreement, and the contractor supplies business, license, contact, and tax identification details.

Who needs it

A contractor entering this agreement with Santa Cruz County and the county representatives completing it need to fill in and sign the agreement.

How to submit it

The document says insurance certificates must be delivered or sent to Public Works Department, 701 Ocean Street, Room 410, Santa Cruz, CA 95060, Attn: Susann Rogberg.

About notarization

This agreement is signed without a notary; the document requires the parties’ signatures and insurance certificates, but does not say those attachments must be notarized or sworn.

How to submit this form

1
Download the Agreement
Download the County Service Area Independent Contractor Agreement PDF.
2
Complete the Agreement
Fill in the contract details, contractor information, and work description in Attachment E.
3
Gather Insurance Certificates
Provide certificates for the insurance coverage required by the agreement.
4
Send the Insurance Certificates
Deliver or send certificates to Public Works Department, 701 Ocean Street, Room 410, Santa Cruz, CA 95060, Attn: Susann Rogberg.

Frequently asked questions

What does the Independent Contractor Agreement cover?: It sets out the contractor’s duties, compensation, term, insurance requirements, and other conditions for work under a county service area contract.
Who completes this agreement?: The contractor and Santa Cruz County complete and sign the agreement. The contractor also provides business, license, contact, and tax identification details.
Do I need a notary for the Independent Contractor Agreement?: No. The agreement calls for the parties’ signatures, not notarization. It lists insurance certificates as an attachment but does not say they must be notarized or sworn.
How do I submit the Independent Contractor Agreement?: The document directs contractors to deliver or send insurance certificates to Public Works Department, 701 Ocean Street, Room 410, Santa Cruz, CA 95060, Attn: Susann Rogberg.

Need something notarized?

This County Service Area Independent Contractor Agreement doesn’t need a notary, but if you have another Santa Cruz County form that does, a commissioned online notary can help.