HomeMy WebLinkAboutBruce Blake 2015-16BONNEVILLE SCHOOT DISTRICT #93
Contractual AEreement with Bruce Blake
THIS AGREEMENT entered into on February 24,2015 between Bonneville School District #93, hereby
known as the District, having a principal place of business at 3497 N. Ammon Road, ldaho Falls, ldaho,
and Bruce Blake, hereby known as the Contractor, is for the school year 2015-15.
The following service(s) requested: school Psychologist
Dates of service: beginning February 24,2oL6 through June 30,2015
Hours of service: at the maximum of 30 hours per week at the rate of S 55.00 per hour
Contracted fee not to exceed S 10,000.00
Contractor requirements attached hereto are made a part of this contract.
The parties agree that the Contractor is solely responsible for all costs and expenses incurred in
connection with the performance of those services described in this agreement unless noted above.
1. The Contractor agrees to provide speech/language pathology and related services in accordance
with the rules and regulations established by the ldaho State Board of Education as provided in
Section 33-3003, ldaho Code, as amended for exceptional students livening in this district.
2. The Contractor agrees to provide education and/or related services for identified student(s)
including:
a. The appropriate staff and oversight to implement lEPs for each student as determined
by the school IEP team;
b. Services to the students according to the school district's 2015-16 school calendar
(attached), excluding emergency school closures or when student is absent.
3. The Contractor further agrees to provide the District the following:
a. Services as authorized ln the student's IEP/504;
b. Other services such as consultations and meetings;
c. Assurance that all work will be performed in accordance with the highest professional
sta ndards;
d. A copy of the service provider's Staff Qualifications showing professional credentials for
the district's files;
e. Verification all employees who come into contact with the student have been subject to
a criminal background check as required by ldaho Code 33-130 and have been
determined to not have a criminal history inconsistent with working with children.
f. Daily completion of the District's report as a mea ns of written documentation for
service days, times and results of services provided for each student, as per the lEp.
Bonneville Jt. School District - Service Provider Agreement Page 1
7.
g. submission of billing to Special Services for services provide provided within 30 days
of the date of the service provided. Additional hours will be compensated at the same
rate, provided that the additional hours, over and above those stated, have received
prior written approval of the Director of Special Services. All invoices should be
numbered and dated showing the dates and hours of service provided for each
student.
h. Certificate of Liability lnsurance.
i. Proof of Worker's Compensation coverage.
lf the student is no longer receiving services from the Contractor for any reason, the Contractor
shall inform the District, and the obligation of the District to pay for services will cease as of the
last day of service provided.
The Contractor and the District agree to comply with all pertinent statues of the State of ldaho
and such rules and regulations as the State Board of Education may legally prescribe, which are
by reference incorporated in and made a part of this Contract as though set forth herein.
The District assures that health-related services or program placement will begin after having
conducted an IEP team meeting to develop an lEP. The Contractor, at the District's discretion,
may request or attend subsequent IEP team meetings to revise the student's lDP, but a District
representative must participate in all such meetings.
The District will pay the Contractor based on submission of an invoice with documentation as
described in 3.g.
The Dlstrict will provide documentation necessary for the Contractor to carry out the portion of
the IEP that falls under Contractor responsibility.
The District may terminate this Agreement immediately if the District determines that
Contractor has willfully violated any statutory requirement or government re8ulation or the
services related to this Agreement are modified or terminated for a student. Either party may
terminate this Agreement without cause upon providing 30 days written notice to the other
pa rty.
10. Contractor shall be solely liable for any losses or damages resulting from performance of any of
the services covered by this Agreement. Contractor shall indemnify and hold harmless the
District from any liability, including, but not limited to, cost, expenses, and attorney fees,
resulting from Contractor's performance of the services provided under this ABreement. Proof
of liability insurance with Bonneville School District #93 listed as an "additional insured" shall be
submitted to the District within ten (10) days of the date of this Agreement.
Bruce Blake agrees that as an independent contractor it is not eliBible for district benefits of any kind.
Bruce Blake also agrees to maintain liability insurance in the minimum amount of S1,000,000.00 and
worker's compensation coverage for its employees. lf Bruce Blake does not have worker's
compensation, it will result in a fee of S .55 for every S 100 billed. This will be deducted in the invoice.
IN WITNESS WHEREOF,thepartiesheretohavecausedthisinstrurnenttobei!:::::1:;llilを
2:[::]bytheir proper officials pursuant to approval of their respective boards on this_
20`_
ContractOr Signature
SaL"o"( hrrts.rrl ,.( ,..t,fht,'9 *r,t,cd tcL
Bonnev∥le Jr School Distr ct 193
goard of Trustees
Bonneville Jr. School District #93
Bonneville ft. School District - Service provider Agreement Page 3
Agency Name
Certificate of Insurance (Proof of Coverage) Date Issuedi (3^t21t6)
THIS CERTIFICATEISISSUED AS A MATTER OFINFORMAT10N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND,OR ALTER THE COVERACE AFFORDED BY THE POLICIES
Description/Special Provisions:
BELOW
Insured Name snd Mailing Address*Progrrm Administrator
Name Bruce H Blake
Street 4381 Nathan Dflve
City ldaho Falls
State Idaho
7ip 83404
Admltristered By:
CPH and Associxtes
7ll S. Dearborn, Suite 205
Chicago, lL 60605
P. 312-987-9823 F. 312-981-0902
info@cphins.com
Underwritten By:
Philadelphir lndemDity lnsumnce Comptny
*Addilional insared locolions ote often requesled by individual business owners who have more than one oIrtce.
Your coreroge is porloble, rneqning lhat lou are corercd al any location lor practice undet the occupqtion(s) listed on your policy.
Coverage
Policy#:E230326 IEfFective Date:(3/1/2016)IExpiratlon Date:(3/1/2017)
rHE POLICIES OFINSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED NOTヽ VITHSTANDING ANY REQUIREMENT,TERM OR CONDlTION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TOヽ VHICH THIS CERTIFICATE MAY BE ISSUED ORヽ 4AY PERTAIN,THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUS10NS AND CONDIT10NS OF
SUCH POLICIES ACGREGATE LIMITS SHOヽ VN MAY HAVE BEEN REDUCED BY PAID CLAIMS
Limits of Liability
Coverage Part
Each Occunence
(Per individ ual clairn)
Aggregate
(Totol amount per policy !ea4
Sl,000,00000 S3,000,00000 Prof€ssionrl Liabilitv
N/A N/A Ceneral Liabi∥ty
illcludes:ceDernl Liebilily,Fire&W●ler Legュ l Liab“ity and
PettOnal Liablllty
N/A N′