This sample agreement is provided for illustrative purposes only and should not be construed as an offer of legal advice or counsel. The Contractor agrees to give the Consumer a copy of a "Certificate of Workers' Compensation Insurance" before beginning the contracted work.THIS AGREEMENT, is dated. Representations and Warranties: a. Draft a New York independent contractor agreement so you can establish the expectations for a clientcontractor relationship. Use our Independent Contractor Agreement to create a contract between a company and a contractor (or freelancer). 3. lodging per receipt up to the maximum Federal Government Services. Administration allowable lodging rates for the New York metropolitan and upstate. A New York State Workers Compensation Notice of Compliance (Form C-105, Form U-26.3,. Form SI-12 or Form SI-105.2P). c.