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HomeMy WebLinkAboutIone Stanger 2019-2020BONNEVILLE SCHOOL DISTRICT #93 Contractual Agreement with lone Stanger TH IS AGR EEM ENT en t er ed into on January 6, 2020 b etween Bo nnevill e Sch ool District #93, he reby know n as the District, having a principal place of business at 3497 N. Ammon Road, Idaho Falls, Id aho, and lone Stanger, hereby known as the Contractor. is for the school year 2019-20. The follow ing service(s) requested : Adapt ive Art Instruction Dat es of service : begi nning January 6, 2020 through June 31, 2020 Hours of service : at a maximum of 15 hours per month at the rate of 35 .00$ per hour. Cont rac tor requirements attached he ret o ar e made a part of this cont rac t. The parties agree t hat the Con tractor is solely responsible for all cost s and expenses incurred i n con nection with the perform ance of t hos e services descr ibed in this agreement unless noted above. l. The Contractor agrees to provide rel ated services in accordance with the ru les and reg ula t ions es t ab lished by th e Idaho St ate Board of Education as provided In Section 33-3003, Ida ho Co de, as amende d for exceptional stu dents living n this dis t rict. 2. The Con tractor agrees to provide educat ion and/or related services for i de ntified student(s) includ ing: a. The appropriate staff and overs ight to impleme nt IEPs for eac h student as determined by the schoo l IEP team; b. Services to the students acc ording to the school district 's 2019-20 school cale nda r (attached), excludi ng emergency school closures or when a st udent is absent . 3. The Co ntractor f urther agrees t o provide the Dist ri ct tne following : a. Se rvices as authorized in the student's l EP/504; b. Other serv ices such as consultations and meetings; c. Assurance that all work will be pe rfor med in accordance with the high es t prof essi onal st andards; d. A copy of the service provider's Staff Quali fica t ions showing professio n al credentials for t he district's files; e. Verification all employees who come into contact wit h the st udent have b een subject to a cri m ina l backgroun d check as requi r ed by Id ah o Code 33-130 and have been determined to not have a crimina l his t ory inconsistent with working w ith children. f. Da i ly co mpletion o f the District's report as a means of writ ten documentation for service days, t imes and re su lts of services provided for each student , as per the IEP . g. Submission of billing to Special Services for services provide provided w ithin 30 days of the date of the service provided. Additional hours will be compen sated 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 i nvoices should be Bonneville Jt. Sch ool D istrict-Servi ce Provider AgreementPa ge 1 numbered and dated showi ng the dates and hours of service provided for each student. h. Certificate of Liability Insurance. 1. Proof of Worker's Compensation cove rage . 4. If the studen t is no l onge r receivi ng services from the Contra ctor for any reason. the Con tractor shall inform the Distr ict, and the obligation of the District to pay for services w ill ceas e as of the last day of service provided . 5 . The Co ntra ctor and the District agree to comply with all per tinent statues of t he State of Idaho and such ru les and regu lations as t he State Board of Education may l egally prescribe, which ar e by reference incorporated in and made a part of this Contract as though set forth here in. 6. The District assures t hat health-related services or program placement w ill begin after having conducted an IEP team meeting to de velop an IEP. The Contractor, at the District's disc retion, may r equest or attend su bsequent IEP team mee tings to revise the student's IOP, bu t a Di strict rep resentative must pa rticipate 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 . Th e District will provid e documen tation necessary for the Contractor to ca r ry out the portion of the IEP that fall s und er Contractor res ponsibility. 9 . The District may terminate this Agreement immediately i f the District determ ines t hat Cont ractor has willfully violated any st atutory r equirement or government regulation or the services re lated to this Agreement are modi fi ed or terminated for a student. Ei ther party may ter minate this Agreement w1tnou t cause upon providing 30 days written notice to the other party. 10. Contractor shall be solely liable fo r any loss es o r damages resulting from pe rform ance of any of t he services covered by t his Ag ree ment. Contractor shall indemnify and hold harmless the District from any liability, including, but not limited to, cost, expenses, and attorney f ees. resu lting from Contractor's performance of t he services provided under t his Agreemen t . Proof of liability insurance w ith Bonn eville School District 1193 listed as an "addi tional insured" sha ll be submitted to the Di strict within ten (10) days of the date of this Ag reement. The contractor agrees that as an Independent contractor 1t is no t eligi ble for district benefits of any k in d . The contrac tor also c:lgrees to ma1nca in llabihty insura nce in the minimum amount of $1,000,000.00 and worker's compensation coverage for its employees. If the contractor does not have worker's co mpensation, the contractor w ill pay S .SS for every S 100 billed . Th is w ill be deducted in the invoi ce. Bonneville Jt. School District-Service Provider AgreementPage 2 IN W IT NESS WHER EOF, the parties he ret o have cau ed this i nstrument t o be executed i n thei r names by their p rope r officials pursua nt to approval of their respective boards o n this 6 day of :?AU. 2020. Agency Name Bonneville Jt. School District -Servi ce Pr ovider AgreementPage 3 DA TE (MM/DD/YYYY) AeRo® CERTIFICATE OF LIABILITY INSURANCE 01/06/2020I 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 THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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 be endorsed . If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS IS TO CERTIFY THAT THE POLICIES OF INSURANC E LIST ED BELOW HAVE BEEN ISSUED TO THE INSURED NAM ED ABOVE FOR THE PO LICY PERIOD INDICATED . NOTWITHSTANDIN G ANY REQUIREMENT , TERM OR CON DITION OF ANY CONTRACT OR OTH ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU ED OR MAY PERTA IN , THE INSURANCE AF FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH PO LICI ES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . INSR ADDL SUBR LTR TYPE OF INSURANCE l 11.1C'n lAfttn POLICY EFF POLICY EXP POLICY NUMBER IMM/DD/YYYY\ IMM/DDlYYYvl LIMITS A _x COMMERCIAL GENERAL LIABILITY BKS60253779 08/28/2019 08/28/2020 EACH OCCURRENCE s 1 000 000 D CLAIMS-MADE [i] OCCUR DAMAGE TO RENTED s 1 000 000 PREMISES (Ea occurrence! MED EXP (Any one person) s 15 000- PERSONAL & ADV INJURY s 1 000 000 - G EN 'L AGGREGATE LIMIT APPLIES PER : GENERALAGGREGATE s 2 000 000 fiPoucy D ~m D Loc PRODUCTS -COMP/OP AGG s 2,000 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT sIEa accident! ~ ANY AUTO BODILY INJURY (Per person) s ~ OWNED -SCHEDULED AUTOS ON LY AUTOS BODILY INJURY (Per accident) S >---­HIRED -NON·OWNEO PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident! s >---­-s UMBRELLA LIAB HOCCUR EACH OCCURRENCE s >---­ EXCESS LIAB CLAIMS-MADE AGGR EGATE s OED I I RETENTION s s WORKERS COMPENSATION ~ffTuTE I I OTH­ AND EMPLOYERS' LIABILITY ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXC LUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE S If yes , describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE -POLICY LI MIT s I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Add~iona l Remarl<s Schedule, may be attached if more space is requ ired) CERTIFICATE HOLDER CANCELLATION CONTACTPRODUCER NAME: Brittany Villalobos PHONEAlpine Insurance Agency 1111r Nn c ...\. 2085222253 I i~~ Nol: 2085242292 E-MAIL1601 Antler Drive ADDRESS: brittany@aclinsure.com Idaho Falls, ID 83404 INSURER/SI AFFORDING COVERAGE NAIC# INSURER A : Libertv Mutual Insurance 24082 INSURED INSURER B : lone Stanger INSURERC : 2588 E 105 N INSURER D : Idaho Falls, ID 83401 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 00009296-0 REVISION NUMBER: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN FOR INFORMATION PURPOSES ONLY ACCORDANCE WITH TH E POLICY PROVIS IONS . 1601 Antler Drive Idaho Falls, ID 83404 AUTHORIZED REPRESENTATIVE CBVGlI © 1988-2015 ACORD CORPORATION. All nghts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by BVG on January 06, 2020 at 11 :51AM