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Home My WebLink AboutPeaks to Plains 2015-16BONNEVTUE SCHOOT DISTRtCT f93 Contractual A8reement with Brian Olsen, Peaks to Plains Therapy Services THIS AG RE EM ENT entered into on July L,2Ol5, 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 Peaks to Plains Therapy Services, hereby known as the Contractor, is for the school year 2015-16. The following service(s) requested : Occupational Therapy Dates of service: beginning July 1, 2015 through June 30, 2016 Hours of service: at the rate of S 15 per unit (15 minutes) Contracted fee not to exceed S 250,000. 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 special education and/or related services in accordance with the following state and federal laws and reBulations: ldaho Code; ldaho State Board of Education Regulations pertaining to special education; the lndividuals with Disabilities Education AcU Part 34 of the Code of Federal Regulations Sections 300.300-30O.349 and 300.400-30O.56; Section 504 of the Rehabilitation Act; Part 104 of the Code of Federal Regulations; and the Family Educational RiBhts and Privacy Act. These regulations include, but are not limited to, provisions relating to: a. FAPE b. Least Restrictive Environment (LRE) c. Personnel who meet appropriate standards d. lndividualized Education Programs (lEPs) e. Pa rent participation f. Proceduralsafeguards g. Protection in evaluation procedures h. Confidentiality of information i. Nondiscrimination on the basis of handicap 2. The Contractor agrees to provide education and/or related services for ldentified 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: Bonneville Jt. School District - Service Provider Agreement Page 1 a. Services as authorized in the student's IEP/504; b. Other services such as consultations, RTI meetings, injuries, meetings with families and/or teachers and evaluations for students not on lEPs; c. Assurance that all work will be performed in accordance with the highest professional standa rds; 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 means of written documentation for service days, times and results of services provided for each student, as per the lEP. g, Submission of billing to Director of Federal Programs 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 Federal Programs. 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. 4. 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. 5. 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. 6. 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. 7. The District will pay the Contractor based on submission of an invoice with documentation as described in 3.h. 8. The Districtwill provide documentation necessaryforthe Contractor to ca rry 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 Bovernment regulation or the services related to this Agreement are modlfied 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, Bonneville Jt. School District - Service Provider Agreement Page 2 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. Peaks to Plains Therapy Services, agrees that as an independent contractor it is not eligible for district benefits of any kind. Peaks to Plains Therapy Services, also agrees to maintain liability insurance in the minimum amount of S1,000,000.00 and worke/s compensation coverage for its employees. lN 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 thts I o day o1 .' / . 201s. 7- Board of Trustees Bonneville Jr. School District lr93 ンsbル _へ Z/ゝ /2^″′ エムん _八たノリあイ″ Add ress 6pe ri nte n de nt/Desi gnee fi gn at Bonneville Jr. School District f93 04た Contractor Signature Bonneville Jt. School District - Service provider Agreement Page 3 Agency Name Client″705922 MFMORぶ DUM OFINSURANCE Dale 15Sued 07/22ノ 2015 Producer Mercer Consumer, a servtce of Mercer Healrh & Benefi(s Administralion LLC P.O. Box '14576 Des Mornes lA 50306.3576 1-800-503.9230 Fhir uremoran.lum is issued as a maner of informalior firrrli arrd con|e^ no rights upon the holdcr. lhr: l,rr.nr.rr,-,,tdum d(Es no( ameDd. cltcnd r)r alter+ lcoverages afforded by rhe Certiflcate listed below I I [躙 1認 1誦器模lにinsured :;:bS乱鳥:躍規冊辟認mCe Ammon iD 83406 a aUove foi the policy pertod indicafcd' nol withstandi;g any requirelnent. term or condition of any.contract ()r other documenr with resPect to which this n rc rnorur rtltrnr rni"., bc issri.rl 1lr rrrit) pcrtain. thc insurartcc allordcd b-r' the Cenificate rlcscribed herein i5 subjcct to all rhe tcrms, 0xcktsions and conditions of such Ccrtificatc. The limits showtr nlay have been reduced by paid clainrs. Type of Insurance Certificate Number EfFective Date Expiration Date Limis P洲器諦Ыhy Occupa“ooal TheraPist AHY‐659539004 07ノ 07/2015 07/07/2016 Per Incident/ Sccurrence q.nnual AAgregate Sl,000,000 S3,000,000 PR001:OFINSURANCE Meinorandum Holder: PR00F OF COVERAGE ONLY Should the above describe Certificate be cancelled before thc expiratioI dale thcreol: the issuing companr nill endeavor to mail l0 day-r rvritten noticc to thr i\lemorcndurn flolder named ro rhc lcft- but failutc tc mail such notic!'shall inrposc uo obligation or liatrilitt of any kind upon the compan!. ils agcnrs ot repr€sentatlves. Authorlzed Represcntative Mark Brostowiu 01koた