Agreement made this ______________ day of _________________________, 2000, by and

between ________________________________________________________  an OHIO Corporation, hereinafter

referred to as the COMPANY and _______________________________________________________________

now residing at ______________________________________________________________________________

hereinafter referred to as ADJUSTER, Witnesseth:

    1. In consideration of the mutual promises and agreements herein contained, the COMPANY agrees to provide for adjustment, insurance looses and claims and the ADJUSTER agrees to inspect, investigate, establish the loss and damage and amount due, if any, under the insurance policy involved, and to adjust and to conclude these losses in a manner acceptable to the involved insurance company, under the following terms hereby agreed on by the parties hereto.

    2. The place where such services are to be performed is in the area of ________________________________________.
 

    3. Solely as an independent contractor and the ADJUSTER shall commence work hereunder on the __________

day of _________________.  Work shall continue until termination of this agreement by either party.

    4. The COMPANY agrees to pay the ADJUSTER a fee for his professional  services equal

to ____________% (________ Percent) of the service fee charged on the file plus expenses incurred by the ADJUSTER.

The COMPANY shall not deduct Federal Withholding Tax or tax for Social Security, City or State Tax ofg Tax for Unemployment Insurance or tax for any other State or Federal Agency and shall not be liable for either United States or State taxes upon the fees earned:  payment of any and all taxes being the express liability and responsibility of the ADJUSTER.

    5. It is agreed that all assignments, open files and closed files are the property of the COMPANY.   This includes all forms and COMPANY procedure manuals supplied to the ADJUSTER by the COMPANY.

Nothing in this Agreement shall be construed to create the relationship of employer and employee between the parties hereto.  House of work, choice of mode, means, method and route of transportation; the means and method of investigation and adjustments are all exclusively within the judgment of the ADJUSTER and not subject to the direction or control of the COMPANY which is engaging the ADJUSTER to produce a work result.  This agreement shall be interpreted and enforced in accordance with the laws of the STATE OF OHIO.

This Agreement contains all of the terms and conditions agreed on by the parties hereto and no other Agreements, oral or otherwise, regarding the subject matter of this agreement, shall be deemed to exist or bind either of the parties hereto.
 

Signed this  _____________ day  _________________________________, 2000.

_________________________________   ______________________________
  WITNESS                                                                   ADJUSTER

_________________________________   ________________________________
  WITNESS