No Call May Be

WORK AGREEMENT

Understanding and following these policies are an important part of your success. Therefore, please read the following company policies and procedures very carefully. If you have any questions, please ask your staffing agency representative now. By signing below, you are attesting to your comprehension and agreement with these policies and procedures. I understand that I am never obligated to accept an assignment. I will only accept assignments that I feel certain that I will be able to complete, and will complete any assignment that I accept. I understand that if, for some reason (i.e. an emergency or illness), I am unable to honor my commitment to work an assignment, I must contact the staffing company as soon as possible, regardless of hour, to the after hours number provided so they may notify the client and/or find a replacement. I understand that failure to do so will be considered an indication that I have voluntarily terminated my employment and that a “No Call/No Show” (NCNS) for a scheduled shift is grounds for termination. I understand that good attendance is extremely important and I am expected to make every attempt to arrive every day on time, and dressed appropriately according to the dress code of the assignment. I understand that unexcused, excessive absenteeism or tardiness may result in cancellation of my assignment, up to and including termination of employment. Initials

I understand that when an assignment ends I must report to the staffing company office I am registered with (via phone or in person) no later than the first business day after my assignment has ended and at least once per week thereafter until receiving my next assignment. I realize that my failure to do so, may result in a loss of unemployment benefits. I further understand that after 1 year of inactivity or contact, my employee record will be placed on inactive status, and will require a reapplication to be considered to resume employment with the company and qualify for reassignments. Initials

I understand that I am employed by the staffing company, and not any customer(s) to which I am assigned. Therefore, I am not eligible to receive any compensation or employee benefits from the customer such as medical, pension, profit-sharing or bonus plans. I will contact my staffing company representative, not the client to which I am assigned, with all questions regarding my assignment duties, pay, or eligibility to be hired directly by client. I further understand that as an employee of the staffing company and not the company where I am, have been, or may be assigned, I am not authorized on their premises without prior authorization from my employing staffing agency. Initials

I understand that this staffing company is a drug-free employer and that drug and/or alcohol screening may be required for some assignments. I also understand that a drug and/or alcohol screening will be required in the event of a workplace incident or injury. The results of said screenings or the refusal thereof may affect my eligibility for workers’ compensation benefits, future assignments and/or my employment status. I authorize the release of any screening results to the staffing company, its customers, and its insurance carrier/administrator(s) and/or claims managers/administrators. I waive any claims against said parties due to said release.

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I consent to submit to consumer reports, investigative consumer reports, and/or background checks (“reports”), as further explained in the Disclosure and Background Authorization Form to be evaluated for employments, promotion, reassignment, and/or retention. I voluntarily consent to the company releasing all documentation relating to such Reports, including the results, to its clients and its representatives regarding my employment, including determining my eligibility for assignment. I release and hold harmless the company, its clients, and all parties involved from all liability or damages arising from requesting, procuring, or furnishing the Reports, except as prohibited by law. To determine my eligibility to provide services to the company to which I am assigned to, I consent to submit to background checks and drug screenings by my employer through a third party designated by my employer, my employer’s internal staff, and the local Occupational Clinic, as further explained in the Background and Drug Screening Policies established at my time of hire. I have reviewed and agree to the company’s Background and Drug Screening Policies. I further voluntarily consent to my employer releasing all documentation relating to such background checks and drug screenings

(“Information”), including the results, to the company to which I am or will be assigned to and its representatives. I acknowledge and agree that my consent to disclosure of the Information to the company to which I am or will be assigned is completely voluntary and is not a condition of my continued employment with the company. I understand and acknowledge that I may at any time withdraw my authorization to release Information to the company to which I am or may be assigned and that doing so will not result in any adverse action against me. However, I understand, acknowledge, and agree that any such refusal to release Information to Company will render me ineligible to provide services to said company if it is a necessary condition for the assignment which required the disclosure.

I acknowledge that this Authorization is in addition to and will supplement any authorizations, disclosures, notices, and/or consents provided to me by my employer and/or the assignment company in relation to the background check(s) and/or drug screening(s). I release and hold harmless my employer and all parties involved from any and all liability or damages arising from requesting, procuring, or furnishing the Information, except as prohibited by law. I acknowledge that my signing of this Authorization is a voluntary act on my part and that I have not been coerced into signing this document by anyone.

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I understand and will comply with the company’s safety rules and regulations as explained to me during my interview. I understand that certain assignments may require the use of personal protective equipment (PPE), which may include gloves, ear plugs, safety glasses, steel-toed boots, etc. It is my responsibility to adhere to all safety policies and use all PPE that is issued to me. Failure to comply could result in injury to myself and termination from the staffing company. I understand that it is my responsibility to notify both my direct supervisor and my staffing company representative in the event of any on-the job injury. All injuries requiring medical attention will include a post-injury drug test. I understand that medical treatment administered from an unauthorized provider prior to the company’s authorization (except in extreme emergencies) may not be paid by Worker’s Compensation and that I will be responsible for all bills. It is also my responsibility to notify the company if I am asked to perform duties at a client location that are different from those explained to me when the assignment was offered. When injured on the job or when you have knowledge of a work-related injury or incident, it is mandatory that the injury or incident be reported immediately to a company Representative. The injury or incident should be reported in person, whenever possible. If in- person reporting is not possible, you must report via the designated company contact information. Any employee who fails to report a work-related injury or incident to a company Representative may be subject to disciplinary action, up to and including termination. Additionally, any employee who is a witness to or aware of an injury and/or incident to another employee and does not report it will also be subject to disciplinary action, and or termination. Failure to follow reporting policies may result in criminal or civil penalties to the responsible party. Initials

I understand that the company will not tolerate harassment of any kind. Sexual harassment in the workplace is a form of prohibited sexual discrimination. Prohibited unlawful harassment because of sex, race, ancestry, physical handicap, mental condition, marital status, age, religion, or any other protected basis includes, but not limited to, any hostile or offensive behavior in the workplace. If you believe you have been unlawfully harassed, provide a complaint to your staffing company branch office or onsite personnel as soon as possible after the incident. Your complaint should include details of the incident or incidents, names of the individuals involved and names of any witnesses. Alternatively, you may also direct your complaint to staffing company’s corporate office at. Upon receipt of a complaint, the Company will undertake a thorough, objective and good-faith investigation of the harassment allegations. The company will thoroughly investigate all charges brought forward, all guilty parties will be terminated and may be subject to civil and criminal proceedings. You will not be retaliated against for filing a complaint or investigation process. We will not tolerate or permit retaliation by supervisors or co-workers against any complaint or anyone assisting in a harassment investigation. I understand that I will be required to complete a mandatory one-hour Sexual Harassment training that will be sent to the email provided when I applied before I reach 100-hours. I understand this training is mandatory and must be completed to continue my employment with the company. I understand I will receive one-hour of compensation at the current state or local minimum wage upon completion of the training. I understand that I am not permitted to spend more than one hour completing this training. If I am unable to complete the training in one-hour, it is my responsibility to contact my local branch. Initials

Supplemental Acknowledgments of Receipts and Understanding Onboarding – Handbook – IIPP – Safety Video, Quiz, and Handbook I hereby certify that I have read and fully understand the contents of the Staffing Associate Handbook and Injury Illness Prevention Program (IIPP). Furthermore, I have been given the opportunity to discuss any information contained therein or any concerns that I may have. I certify that my employment and continued employment is based in part upon my willingness to abide by and follow company’s policies, rules, regulations, and procedures. It is my responsibility as an employee to read and comply with the Code of Safe Practices listed in the IIPP. My signature below certifies my knowledge, acceptance and adherence to the company’s policies, rules, regulations and procedures and that the company’s offer of employment was based on my promise to abide by and follow said policies, rules, regulations, and procedures. At any time during my employment with the company I can request a copy of the Employee Handbook and IIPP for my review. I acknowledge that I am required to view the safety video and take the accompanying test. By signing this acknowledgment, I attest that I have watched the required safety video and successfully passed the test prior to being placed on assignment by the company. This video explains employee responsibility for reporting to work and practicing basic safe work habits. This will certify, I have received a copy of the company "Safety Policy/Rules and Guidelines." These have been reviewed with me and I understand and will be guided by them throughout my employment. I understand that violation of these rules could endanger others or me. I also understand that if I do not abide by these rules, I could be dismissed from my job.

I certify that in case I am injured while on assignment I will report the injury to my supervisor at once and will obtain a Medical Treatment Authorization slip or verbal authorization from the company before reporting to the doctor for medical attention. I also agree to obtain first aid for every injury, no matter how slight, to avoid a more serious exacerbated injury. I also understand that it is my responsibility to return the Employee's Claim Form (DWC-1) to my staffing agency branch or onsite office or Risk Management Team Member.

I also understand the use of drugs and/or intoxicating substances or beverages is strictly prohibited. I further understand I may be requested to submit to a drug test in accordance with the Notification and Release Authorization Consent to Drug/Alcohol Testing.

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Employment Acknowledgment

I further certify that my application and subsequent acceptance of employment is true and bona fide, and I am honestly interested in working in the position(s) for which I have been employed. Furthermore, I certify that I have sought and obtained employment for this company solely to provide me with the benefits of a job and for no other purpose. I acknowledge that the company reserves the right to modify or amend its policies at any time, without prior notice. These policies do not create any promises or contractual obligations between this Company and its employees. At this Company, my employment is at will. This mean I am free to terminate my employment at any time, for any reason, with or without cause, and this Company retains the same rights. I further understand and agree that the Owner/President of the Company is the only person who may make an exception to this, including the at-will status of my employment and it must be in writing and duly executed by the Owner/President of this Company. Initials Payroll Check Handling Disclosures and Receipts of Understanding End of Assignment Check Handling

I understand paychecks after an assignment end are treated no differently than any other paycheck. I understand that an end of assignment is not a termination from employment with the company and therefore has no impact on check handling or time processing, as they are not considered final wages. Wages owed for time worked will be processed with the normal weekly payroll schedule. As a continued employee of the staffing company it is my responsibility to communicate with my employer regarding my paycheck and my wages owed. I further understand that only involuntary terminations from employment hold special check handling guidelines, and will be handled in accordance with local, state, and or federal wage laws. Initials

Check Release

I authorize the company to release my paycheck to the person(s) I have listed below. This authorization will remain in effect until I revoke it with a written letter to the company. Authorized Person(s) Name (authorized person must have a driver s license or identification card).

1.

2.

3. Initials

Unclaimed and Mailed Checks

I understand unclaimed checks will be kept at my local branch office for pick up. Collecting my final check is my responsibility. If I wish to have your check mailed, I must provide a written or verbal request to my local branch or onsite personnel. Checks will not automatically be mailed out unless prior written authorization and an updated and verified address are on file. I understand that it is my responsibility to notify the local branch office of any changes to my mailing address. If the paycheck is returned to the office due to an incorrect address, the check will be held until an updated address can be verified. I further understand that any check mailed-out to the address on file, and returned to Adept HR, Inc., and any check left unclaimed after 90-days will be voided, and must be requested for re-issue.

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Release of Liability

I understand that it is my responsibility to maintain an accurate list of authorized individuals for pickup and maintain my mailing address updated with the company. If a check is cashed without my authorization after being lost, or after it is released to an authorized party, the company and any of its agents are free from liability. I am also aware that any claim to recover these wages paid to me must be done with the banking institution used to issue my paycheck. Initials

I have read, fully understand and agree to abide by each of the statements above regarding the company’s policies and procedures. I acknowledge that my employment is “at will” and that I may resign at any time for any reason, with or without cause. I also acknowledge the company may choose to terminate my employment at any time, for any reason, at its discretion. My signature certifies that I have read and understand these disclosures and acknowledgments and agree to abide by them.

Employee Name (Print)

Signature / Date

EMPLOYER HARASSMENT AND DISCRIMINATION PROTECTION PLAN ACKNOWLEDGMENT I acknowledge that I have read and understand the Company’s Employer Harassment and Discrimination Protection Plan (“EHP Plan”). I agree to abide by it and will notify my local company representative if I experience any form of workplace harassment, discrimination, or misconduct so that they can refer my claim to Work Shield. I acknowledge that I may opt to submit my claim directly to Work Shield through the additional options listed on the Company’s EHP Plan so that they may conduct an impartial full-scale investigation.

Reconozco que he leído y comprendo el Plan de protección contra el acoso y la discriminación del empleador ("Plan EHP") de la Compañía. Estoy de acuerdo en cumplirlo y notificaré a mi representante local de la compañía si experimento cualquier forma de acoso, discriminación o mala conducta en el lugar de trabajo para que puedan remitir mi reclamo a Work Shield. Reconozco que puedo optar por enviar mi reclamo directamente a Work Shield a través de las opciones adicionales enumeradas en el Plan EHP de la Compañía para que puedan realizar una investigación imparcial a gran escala. Associate Name Date

Associate Signature

ACUERDO DE TRABAJO ASOCIADO

Comprender y seguir estas políticas es una parte importante de su éxito. Por lo tanto, lea atentamente las siguientes políticas y procedimientos de la empresa. Si tiene alguna pregunta, por favor pregunte a su representante de la agencia de personal ahora. Al firmar a continuación, usted está atestiguando su comprensión y acuerdo con estas políticas y procedimientos. Entiendo que nunca estoy obligado a aceptar una asignación. Solo aceptaré asignaciones que estoy seguro de poder completar y completaré cualquier asignación que acepte. Entiendo que si, por alguna razón (es decir, una emergencia o enfermedad), no puedo honrar mi compromiso de trabajar una tarea, debo comunicarme con la compañía de personal tan pronto como sea posible, independientemente de la hora, para que puedan notificar al cliente y /o encontrar un reemplazo. Entiendo que no hacerlo se considerará una indicación de que he terminado voluntariamente mi empleo y que un "No Call/No Show" (NCNS) para un turno programado es motivo de terminación. ntiendo que una buena asistencia es extremadamente importante y que se espera que haga cada intento de llegar cada día a tiempo. Entiendo que el ausentismo o la tardanza injustificados y excesivos pueden dar lugar a la cancelación de mi asignación y a un posible despido de un mayor empleo. Es mi responsabilidad llegar a trabajar bien arreglado y vestido apropiadamente de acuerdo con el código de vestimenta de la asignación.

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Entiendo que cuando una asignación termina debo reportarme a la oficina de la compañía de personal con la que estoy registrado (por teléfono o en persona) a más tardar el primer día hábil después de que mi asignación haya terminado y al menos una vez por semana a partir de entonces hasta recibir mi próxima asignación. Me doy cuenta de que mi fracaso para hacerlo. puede resultar en una pérdida de beneficios de desempleo. Además, entiendo que después de 1 ano de inactividad o contacto puedo ser colocado en un estado inactivo, y requerirá una nueva solicitud para ser considerado para reanudar el empleo con la empresa y calificar para reasignaciones.

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Entiendo que soy empleado de la empresa y no de cualquier cliente(s) al que estoy asignado. Por lo tanto, no soy elegible para recibir ninguna compensación o beneficios de los empleados del cliente, tales como planes médicos, de pensión, de participación en los beneficios o de bonificación. Me comunicaré con el representante de mi empresa de personal, no con el cliente al que estoy asignado, con todas las preguntas relacionadas con mis deberes de asignación, sueldo o elegibilidad para ser contratado directamente por el cliente. Además, entiendo que como empleado de la empresa de personal y no de la empresa donde estoy, han sido o pueden ser asignados, no estoy autorizado en sus instalaciones sin la autorización previa de mi agencia de empleo.

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Entiendo que esta empresa es un empleador libre de drogas y que la detección de drogas y/o alcohol puede ser necesaria para algunas asignaciones. También entiendo que se requerirá un examen de drogas y/o alcohol en caso de un incidente o lesión en el lugar de trabajo. Los resultados de dichas pruebas de detección o la negativa de las mismas pueden afectar mi elegibilidad para las prestaciones de compensación de los trabajadores, las asignaciones futuras y/o mi estado laboral. Autorizo la publicación de cualquier resultado de la evaluación a la compañía de personal, sus clientes, y su compañía de seguros / administradores y / o administradores de reclamos. Renuncio a cualquier reclamación contra dichas partes debido a dicha liberación.

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Doy mi consentimiento para enviar informes de consumidores, informes de investigación de los consumidores y/o verificaciones de antecedentes ("informes"), como se explica más adelante en el Formulario de Divulgación y Autorización de Antecedentes para ser evaluado para empleo, promoción, reasignación y/o retención. Doy mi consentimiento voluntario para que la empresa libere toda la documentación relacionada con dichos Informes, incluidos los resultados, a sus clientes y sus representantes con respecto a mi empleo, incluyendo la determinación de mi elegibilidad para la asignación. Libero y eximo de responsabilidad a la compañía, a sus clientes y a todas las partes involucradas de toda responsabilidad o daños derivados de solicitar, adquirir o proporcionar los Informes, excepto según lo prohíba la ley. Para determinar mi elegibilidad para proporcionar servicios a la empresa a la que estoy asignado, doy mi consentimiento para someterme a verificaciones de antecedentes y exámenes de drogas por parte de mi empleador a través de un tercero designado por mi empleador, el personal interno de mi empleador y el Clínica Ocupacional, como se explica más detalladamente en las Políticas de Antecedentes y Examen de Drogas establecidas en mi momento de contratación. He revisado y acepto las políticas de antecedentes y detección de drogas de la compañía. Además, doy su consentimiento voluntariamente a que mi empleador publique toda la documentación relacionada con tales verificaciones de antecedentes y pruebas de detección de drogas

("Información"), incluidos los resultados, a la empresa a la que estoy o se me asignará a sus representantes. Reconozco y acepto que mi consentimiento para la divulgación de la Información a la empresa a la que estoy o se me asignará es completamente voluntario y no es una condición de mi empleo continuo con la empresa. Entiendo y reconozco que puedo retirar en cualquier momento mi autorización para divulgar Información a la empresa a la que estoy o puede ser asignada y que hacerlo no resultará en ninguna acción adversa en mi contra. Sin embargo, entiendo, reconozco y acepto que cualquier negativa a divulgar Información a la Empresa me hará inelegible para proporcionar servicios a dicha compañía si es una condición necesaria para la asignación que requirió la divulgación.

Reconozco que esta Autorización es adicional y complementará cualquier autorización, divulgación, aviso y/o consentimiento que me proporcione mi empleador y/o la empresa de asignación en relación con la(s) verificación(es) de antecedentes y/o exámenes de detección de medicamentos.

Libero y eximo a mi empleador y a todas las partes involucradas de cualquier responsabilidad o daño que surja de solicitar, adquirir o proporcionar la Información, excepto según lo prohíba la ley. Reconozco que mi firma de esta Autorización es un acto voluntario de mi parte y que no he sido coaccionado para firmar este documento por nadie.

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Entiendo y cumpliré con las reglas y regulaciones de seguridad de la compañía como me explicaron durante mi entrevista. Entiendo que ciertas tareas pueden requerir el uso de equipos de protección personal (PPE), que pueden incluir guantes, tapones para los oídos, gafas de seguridad, botas de punta de acero, etc. Es mi responsabilidad adherirme a todas las políticas de seguridad y utilizar todos los EPI que se me emiten. El incumplimiento podría resultar en un daño a mí mismo y la terminación de la empresa de personal. Entiendo que es mi responsabilidad notificar tanto a mi supervisor directo como a mi representante de la empresa de personal en caso de cualquier lesión en el trabajo. Todas las lesiones que requieren atención médica incluirán una prueba de drogas después de la lesión. Entiendo que el tratamiento médico administrado por un proveedor no autorizado antes de la autorización de la compañía (excepto en emergencias extremas) no puede ser pagado por Compensación del Trabajador y que seré responsable de todas las facturas. También es mi responsabilidad notificar a la empresa si se me pide que realice tareas en una ubicación de cliente que son diferentes de las que se me explicaron cuando se ofreció la asignación. Cuando se lesiona en el trabajo o cuando usted tiene conocimiento de una lesión o incidente relacionado con el trabajo, es obligatorio que la lesión o incidente sea reportado inmediatamente a un representante de la compañía. La lesión o incidente debe ser reportado en persona, siempre que sea posible. Si no es posible informar en persona, debe informar a través de la información de contacto de la empresa designada. Cualquier empleado que no reporte una lesión o incidente relacionado con el trabajo a un representante de la compañía puede estar sujeto a medidas disciplinarias, hasta e incluyendo la terminación. Además, cualquier empleado que sea testigo o sea consciente de una lesión y/o incidente a otro empleado y no lo denuncie también estará sujeto a medidas disciplinarias y o a la terminación. El incumplimiento de las políticas de presentación de informes puede dar lugar a sanciones penales o civiles a la parte responsable. inicial

Entiendo que la compañía no tolerará el acoso de ningún tipo. El acoso sexual en el lugar de trabajo es una forma de discriminación sexual prohibida. El acoso ilegal prohibido por sexo, raza, ascendencia, discapacidad física, condición mental, estado civil, edad, religión o cualquier otra base protegida incluye, pero no limitado a, cualquier comportamiento hostil u ofensivo en el lugar de trabajo. Si cree que ha sido acosado ilegalmente, proporcione una queja a la sucursal de su empresa de personal o al personal en el lugar tan pronto como sea posible después del incidente. Su queja debe incluir detalles del incidente o incidentes, nombres de las personas involucradas y nombres de cualquier testigo. Alternativamente, también puede dirigir su queja a la oficina corporativa de la compañía de personal. Tras la recepción de una queja, la Compañía llevará a cabo una investigación exhaustiva, objetiva y de buena fe de las denuncias de acoso. La compañía investigará a fondo todos los cargos presentados, todos los culpables serán puestos en su cargo y pueden estar sujetos a procedimientos civiles y penales. No se le tomará represalias por presentar una queja o un proceso de investigación. No toleraremos ni permitiremos represalias por parte de supervisores o compañeros de trabajo contra ninguna queja o cualquier persona que ayude en una investigación de acoso. Entiendo que se me pedirá que complete una capacitación obligatoria sobre acoso sexual de una hora que se enviará al correo electrónico proporcionado cuando solicité antes de que alcance las 100 horas. Entiendo que esta capacitación es obligatoria y debe completarse para continuar mi empleo en la empresa. Entiendo que recibiré una hora de compensación con el salario mínimo estatal o local actual al completar la capacitación. Entiendo que no se me permite pasar más de una hora completando este entrenamiento. Si no puedo completar el entrenamiento en una hora, es mi responsabilidad comunicarme con mi oficina local. inicial

Reconocimientos Suplementarios de Recibos y Entendimiento Incorporación – Manual – IIPP – Video de seguridad, Quiz y Manual Por la presente certifico que he leído y entiendo completamente el contenido del Manual de Asociados de Personal y del Programa de Prevención de Enfermedades por Lesiones (IIPP, por sus siglas en siglas en era). Además, se me ha dado la oportunidad de discutir cualquier información contenida en ella o cualquier inquietud que pueda tener. Certifico que mi empleo y empleo continuo se basa en parte en mi disposición a acatar y seguir las políticas, reglas, regulaciones y procedimientos de la empresa. Es mi responsabilidad como empleado leer y cumplir con el Código de Prácticas Seguras que aparece en el IIPP. Mi firma a continuación certifica mi conocimiento, aceptación y adhesión a las políticas, reglas, regulaciones y procedimientos de la empresa y que la oferta de empleo de la empresa se basó en mi promesa de cumplir y seguir dichas políticas, reglas, regulaciones y Procedimientos.

En cualquier momento durante mi empleo en la empresa puedo solicitar una copia del Manual del Empleado y IIPP para mi revisión. Reconozco que estoy obligado a ver el video de seguridad y tomar la prueba de

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