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Iona Stanger 2019-2020
BONNEVIllE SCHOOl DISTRICT #93 Contractual Agreement with lone Stanger THI S AGR EEM ENT en t er ed into on January 6, 2020 b etween Bo nnevill e Sch ool District #93, he reby kno w 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 serv1ce : 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 ract. The parties agree t hat the Con tractor is solely responsible for all cost s and expenses incurred in con nection with the perform ance of t hose serv1ces descr ibed in this agreement unless noted above. 1 . 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. Th e Con tractor agrees to prov1de educat ion and/or related serv1ces for i de ntified student(s) includ ing: a. The appropriate staff and overs ight to impleme nt IEPs for each student as determined by the schoo i iEP team; b. Services to the students according to the school district 's 2019-20 school calendar (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 followmg : a. Se rvices as authorized in the student's IEP/504; b. Other serv ices such as consultations and meetings; c. Assurance that all work w1ll 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 Qualifica t ions showing professio nal credentials for t he district's flies ; e. Verification ali employees who come into contact wit h the student have been subject to a cn m ina l backgroun d check as requi r ed by Id ah o Code 33-130 and have been deter mined t o not have a cnminal his t ory inconsistent with working w ith children. f. Da i ly co mpletion of the District's report as a means of writ ten documentation for service days, t imes and results of services provided for each student, as pe r 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 AgreementPage 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 servtce 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 mcorporated 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 lOP, 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 invotce with documentation as described in 3.g. 8 . Th e District will provid e documen tation necessary for the Contractor t o ca r ry out the portion of the IEP that fall s und er Contractor responsibility. 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 term mated for a student. Ei ther party may ter minate this Agreement w1tnout 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 r formance of any of t he services covered by t his Ag ree ment. Contractor shall indemmfy and hold harmless the District f rom 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 msurance w ith Bonn evi lle School D1stnct 1193 listed as an "addi tional insured" sha ll be submitted to the Di stri ct within ten (10) days of the date of this Ag reement. The contractor agrees that as an Independent contractor 1t is not eligi ble f or district benefits of any k in d . The contrac tor also c:lgrees to ma1nra in liability msura 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 payS .55 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 WH EREOF, the parties he ret o have cau ed this in strument 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 AgreementPa ge 3 I DATE (MM/DD/YYYY) AeRD® CERTIFICATE OF LIABILITY INSURANCE 01/06/2020 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 ORALTER 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 i n lieu of such endorsement(s). CONTACTPRODUCER NAME: Brittany Villalobos Alpine Insurance Agency rlJgNJo Ext\: 2085222253 I FAX(AJC No): 2085242292 1601 Antler Drive E-MAIL ADDRESS: brittany@aclinsure.c om Idaho Falls, ID 83404 INSURER/51 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· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR ED NAMED ABOVE FOR THE PO LICY PERIOD INDICATED . NOTWITHSTANDING ANY REQUIREMENT , TERM OR CONDI TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT AIN , THE IN SURA NCE AFFORDED BY THE POLICIES DESCR IBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCL US IONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUC ED BY PAID CLAIMS . INSR TYPE OF INSURANCE ~ ~~~ci'~~LTR POLICY NUMBER 1 1~~)6~~ ~~~)6%~ LIMITS A _x COMMERCIAL GENERAL LIABILITY BKS60253779 08/28/2019 08/28/2020 EACH OCCURRENCE s 1 000 000 tJ CLAIMS-MAD E [i] OCCUR DA~§.E yo_RENTED s 1 000 000 -PREMISES (Ea occurrence) MED EXP (Any one person) s 15 000- PERSONAL & A DV INJURY s 1 000 000 - r:il'L AGGREGATE LIMIT APPLI ES PER : GEN ER AL AGGR EGATE s 2 000 000 POLICY D ~~& D LOC PRODUCTS -COM P/OP AGG s 2,000 000 OTHER: $ AUTOMOBILE LIABILITY fe~~N~~t~INGLE LIMIT s f- ANY AU TO BODILY INJURY (Per person) s f-OWNED -SCHEDULED AUTOS ONLY AU TOS BODILY INJURY (Per accident) S r-HIRED -NON-OWN EO rp~~~~d~t?A MAGEAUTOS ONLY AUTOS ONLY s f--s UMBRELLA LIAB HOCCUR EACH OCCURR ENCE sr- EXCESS LIAB CLAIMS-MADE AGGR EGATE s OED I I RETENTIONs s WORKERS COMPENSA nON ~ffTuTe I I OTH AND EMPLOYERS' LIABILITY ER Y/N ANY PR OPRIETOR/PARTNER/EXECUTIVE D N/A E.L. EACH ACC IDENT $ OFF IC ER/M EMB ER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE S If yes , describe under DESCRIPTION O F OPERATIONS below I E.L. DISEASE-POLICY LIM IT s I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Add~ional Remarl<s Schedule, may be attached if more space is requ ired) CERTIFICATE HOLDER CANCELLATION FOR INFORMATION PURPOSES ONLY 1601 Antler Drive SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS . Idaho Falls, ID 83404 I AUTHORIZED REPRESENT A nve (BVG) © 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 :51 AM