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Home My WebLink AboutAlysha Gravatt School Psychology Contractual AgreementBONNEVILLE SCHOOL DISTRICT #93 Contractual Agreement with Alysha Gravatt THIS AGREEMENT entered into on June 1, 2016 between Bonneville School District #93, hereby known as the District, having a principal place of business at 3497 N. Ammon Road, Idaho Falls, Idaho, and Alysha Gravatt, hereby known as the Contractor, is for the school year 2016 -17. The following service(s) requested: School Psychology Dates of service: beginning July 1, 2016 through June 30, 2017 Hours of service: at the maximum of 15 hours per week at the rate of $ 40.00 per hour Contracted fee not to exceed $ 22,000. 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 school psychology and related services in accordance with the rules and regulations established by the Idaho State Board of Education as provided in Section 33 -3003, Idaho 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 IEPs for each student as determined by the school IEP team; b. Services to the students according to the school district's 2016 -17 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 in 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 standards; 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 Idaho Code 33 -130 and have been determined to not have a criminal history inconsistent with working with children. Bonneville jt. School District — Service Provider AgreementPage 1 f. Daily completion of the District's report as a means of written documentation for service days, times and results of services provided for each student, as per the IEP. 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 Insurance. Proof of Worker's Compensation coverage. 4. If 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. 5. The Contractor and the District agree to comply with all pertinent statues of the State of Idaho 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. 6. The District assures that health - related services or program placement will begin after having conducted an IEP team meeting to develop an IEP. The Contractor, at the District's discretion, may request or attend subsequent IEP team meetings to revise the student's IDP, but a District representative must participate in all such meetings. 7. The District will pay the Contractor based on submission of an invoice with documentation as described in 3.g. 8. The District will provide documentation necessary for the Contractor to carry out the portion of the IEP that falls under Contractor responsibility. 9. The District may terminate this Agreement immediately if the District determines that Contractor has willfully violated any statutory requirement or government regulation 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 party. 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 Agreement. 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. Alysha Gravatt agrees that as an independent contractor it is not eligible for district benefits of any kind. Alysha Gravatt also agrees to maintain liability insurance in the minimum amount of $1,000,000.00 and worker's compensation coverage for its employees. If Alysha does not have worker's compensation, Alysha will pay $ .55 for every $ 100 billed. This will be deducted in the invoice. Bonneville Jt. School District — Service Provider AgreementPage 2 IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed in their.names by their proper officials pursuant to approval of their respective boards on this a day of 2016. .: Sup mtendent /Designee Signatur Bonneville Jr. School District #93 r A` _ Board of Trustees Bonneville Jr. School District #93 (A '�h N(Am Co tractor Si nature A Agency ame r✓ 6 —la M %Z %�r� Ems✓°' >/T !/ C'/ Address Bonneville Jt. School District - Service Provider AgreementPage 3 p.2 Ac40r vV CERTIFICATE OF LIABILITY INSURANCE DATE�01 YYY) /20 07)0 /za 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TH� Plot ICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), A THO ZIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or e end rsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A s, tatemi nt on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Summer Jackman 'eG i Summer Jackman, Agent PHONE 208-23:5-6333 FAX 208. AIC No. EYlj• (AIC,, Na a3-701 9 �>� 1023 Yellowstone Ave Ste IF :�,:%> EMAIL summer summer %ackman.com ADDRESS: Poca`.ello, ID 83201 INSURERS AFFORDING COVERAGE N IC N INSURERA: State Farm Fire and Casualty Company 2,1143 INSURED INSURER B - Alysha Gravatt INSURER C: 3972 Monroe Ave INSURER D. Idaho Falls, ID 83401 INSURER E: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P RIOD INDICATED, NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Vt1TH RESPECT TO; VVHIC1 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE FNSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE R,VMS. EXCLJSIO.NS AND CONDITIONS OF SUCH POLICIE=S. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 'i,SK LTR T•fPEOFINSURANCE ADALSUgR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICYEXP h1M/DB/YYYY LIMITS _. COMMERCIAL GENERALLIADILITY EACH OCCURRENCE $ 1,090,0D0 CLnJMS -MADE OCCUR DAMAGE TO RENTED i PerSOral Liability _occurrenoe $ �PREf�tISES(Ea $ 12- 131-1- 1-720 -9 °_ ~ 02119/2016 MED EXP (Any one person) 10211912017 Business Pursuits PERSONAL &AOV INJURY GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER: POLICY C F-1 LOC $ J JE° PROD'JC78- COMPIDFIAGG $ 07HER: AUTOMOBILE LIABILITY COhit INEO SING E LIMIT Ea acciderl $ ANY AUTO _ BODILY INJURY(Perporsonj $ OWNED SCIIEDULEO BODILY INJURY (Per eccidorn) $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY ALTOS ONLY PROPERTY DAMAGE Poraccldent $ $ I UM9RELLA LIAR OCCUR i EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO RETENTIONS $ 'NO RKERS COMPENSATION O AND EMPLOYERS' LIABILITY YIN STATUTE I EIR E.L. EACH ACCIDENT S ANY PIZOPRIETORiPARTN= RPFXECUTIVE OF= ICERIMEMHER EXCLUDED? L N ! A E.L. DISEASE -EA EM LOYEE S (Mandatory in NH) If yes, doscribo under "' ! I E,L, DISEASE - POLICY LIMN ! S DESCRIPTION OF OPERATIONS below I - DESCRIPTION OFOPERATIONS ( LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schodula, may be attached If more spacers i•equirud) Coverage for Business Pursuits as they pertain to professional educator are extended under Option BU or. homeowners policy up to limit of $1,00(,00o. CERTIFICATE HOLDER "" CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BE FORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVER D IN Idaho School District 93 ACCORDANCE WITH THE POLICY PROVISIONS, i AUTHORl2E RESENTATJVE 4 1988 -2015 ACOR CORP RATION. All rig tS res rood. ACORD 28 (201 OM) The ACORD name and logo are registered marks of ACORD 1C01486 13 B4?.12 0 -16 -2016