HomeMy WebLinkAboutBullock Speech and Language Services Inc. 2015-16BONNEVILTE SCHOOT DISTRICT f!'3
Contractual Agreement with Kristan Bullock - Bullock Speech and Languate Services lnc,
THIS AGREEMENT entered into on January 4,2015 between Bonneville School District f93, hereby
known as the District, having a principal place of business at 3497 N. Ammon Road, ldaho Falls, ldaho,
and Kristan Bullock, hereby known as the Contractor, is for the school year 2015-16.
The following service(s) requested: Speech and Languate
Dates of service: beginning January 4, 2015 throuth June 30, 2015
Hours of service: at the maximum of 10 houls per week at the rate of $ 55 per hour
contracted fee not to exceed S 10,0q).
contractor requirements attached hereto are made a part of this contract.
The partles a8ree 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 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 provide/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. Dairy compretion of the District's report as a means of written documentation for
service days, times and resurts of services provided for each student, as per the rEp.
Bonneville Jt School District―Ser、4ce Provider Agreement Page 1
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 ofthe 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 Liabillty lnsurance.
i. Proof of Worke/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 Oistrict 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.
5. 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 meetin8s 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.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 Bovernment regulation or the
services related to this ABreement 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 Contracto/s performance of the services provided under this Agreement. Proof
of liability insurance with Bonneville School District fi93 listed as an "additional insured" shall be
submitted to the District within ten (10) days of the date of this Agreement.
Kristan Bullock agrees that as an independent contractor it is not eligible for district benefits of any
kind. Kristan Bullock also agrees to maintain liability insurance in the minimum amount of
S1,00o,000.00 and worke/s compensation coveraBe for its employees. lf Kristan does not have worke/s
compensation, Kristan will pay S .55 for every S 100 billed. This will be deducted in the invoice.
Bonneville Jt. School District - Service provider Agreement Page 2
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 this / AaV ot 71sn' Zi4
2015.
Board of Trustees
Bonneville lr. School District ll93
■ノι′■0 物 ′、
Clicnt#322514
■EMCDRANDIIM OF INSURANCE Date Issued
Aueust 10.2015
Prod0cer
Mcrccf Consumcr, r scrvicc of
M€rccr Hcalth & Bcocrits Afuiinisration LLC
P.O. Box 14576
Dcs MoirEs, LA 503063576
www.prolirbility.com
This memorandum is issued as a matt€r of
information only and confcrs no rights upon thc
holder. This memorurdum does not amend,
extend or a.lter the cover8ges afforded by tha
C€ft ifi cate listcd below.
Company Alfording Coverage
Lib€rty Insuratrce Undenyritsrs, Inc.Insured
鯨stan M Bull●ck
2094 Aun■■n Lne
ldaho Falis,D83404
Ilis is to c€rtiry thrt ttle C€fiificate listed below has beeu issued to the tau€d named sbove for the policy Friod indicatc4 trot
witlEtsnding any rc{uiremetrt, term or condition of any conEact or othcr document with r€spect m which this mcmorandum may be
issucd or nay pcnain, thc insurance afrorded by th€ CGrtificdc dessibed herein is subject to all thc tcrms, exclusions ind conditions of
such C€rtificale. Thc limi6 sbown msy hsyc bocn rcduccd by paid claims.
Typc oflnsurance Certificate Number Erective Date Erpiration Date Ц mitg
Pmfe$ioml Lirbility
Specch Language Pathologis
ndIY‐714847003 03/12,0:5 08112016 Per Oc―ence
Agngate
Sl,000,000
S3.000,000
Cener」Liabilty Per Occrrrence
Aggr€gate ''.
EYidonce of lnsurance
Krisatr M Buuock
2094 Auftunn lrne
Idaho Falh ID EX04
Should the above described Certificate be concelled
before the expiration date thereof, the issuing
company will endeavor ro meil 30 days witten
noticc to the Memorandum Holder named to the
left, but failure to mail such notice shall impose no
obligation or liability ofany kind upon the
company, is agents or representatives.
AuthoHzed Representat市
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