From: Kevin Harrell, director, student intervention services, ext Shelia Smith, assistant director, special education, ext.
|
|
- Lawrence Hutchinson
- 8 years ago
- Views:
Transcription
1 To: Board of Education From: Kevin Harrell, director, student intervention services, ext Shelia Smith, assistant director, special education, ext Re: Agreement for School Psychology Services Date: September 10, 2015 Background: School psychologists are necessary to meet IDEA requirements for students with disabilities as documented in a student s Individual Education Plan (IEP) as well as for students being considered for special education. The district was unable to fill one school psychologist vacancy for the school year, and in order to meet IDEA requirements, it is necessary to enter into a contract with (PKS) to provide these services. Recommendation: Staff recommends board approval of a contract with PKS for the provision of school psychology services at a cost of $350 per day, not to exceed a cost of $30,000, for the school year. Motion: I move the Board of Education enter into a contract with to provide school psychology services for Lawrence Public Schools, not to exceed a cost of $30,000, for the school year.
2 AGREEMENT FOR SCHOOL PSYCHOLOGIST SERVICES THIS AGREEMENT, hereinafter referred to as the "Agreement," is entered into between Douglas County, Kansas ("District") and PKS Behavioral Solutions, LLC ("PKS"). WHEREAS, PKS represents that it is a qualified provider of school psychologist services to be provided hereunder; and WHEREAS, the District authorizes, from time to time, services to be provided by independent contractors; and WHEREAS, the District desires to engage the services of PKS to provide school psychologist services; and WHEREAS, the parties desire to put in place a set of general terms and conditions which shall apply to all services provided by PKS to District; NOW, THEREFORE, for full and fair consideration, the parties hereby agree as follows: 1. DISTRICT REQUEST FOR SERVICES: The District requests, and PKS agrees to provide during the term of this Agreement, school psychologist services. 2. SERVICES TO BE PROVIDED: PKS agrees to provide the following to District: A. School psychologist services, such as assessment, problem-solving, consultation, training and report writing; B. Consultation and training to staff on relevant topics such, but not limited to interventions and procedural safeguards; C. Attendance at meetings, such as Evaluation/Reevaluations, IEPs, and building team meetings; D. Leadership to the special education staff in providing quality services to students, in compliance with state and district expectations, to include leading the evaluation/reevaluation process for students in the referral process, in compliance with state regulations and district expectations including eligibility decisions; E. Consultation, using data-based decision making for students who exhibit learning challenges, which may or may not lead to identification for special education; and, F. Monthly invoices not later than the 5 th school day following the end of the preceding month in which services are delivered. 3. RATE FOR SERVICES: As compensation for services provided by PKS, the District shall pay PKS the sum of Three Hundred Thirty Dollars ($350.00) per day. 4. EXPENSES: PKS shall be responsible for all expenses necessary to perform the agreed upon services. 5. TERM OF AGREEMENT: This Agreement shall commence on August 24, 2015 and end on June 30, 2016 unless otherwise terminated earlier as provided in Section 6.
3 6. TERMINATION OF AGREEMENT: This Agreement may be terminated by either party with or without cause upon thirty (30) days written notice. If either party to this Agreement is in default or breach, upon written notice of the default or breach by the party not in default or breach, the party in default or breach shall have ten (10) days to correct such default or breach or the Agreement will be terminated on the earlier of the end of the ten (10) day period to cure or the thirty day period for termination. 7. NOTICE TO PARTIES: Written notice to either party shall be provided as follows: A. If to District: Kevin Harrell Lawrence Public Schools 110 McDonald Dr. Lawrence, KS B. If to PKS: Kevin Hays 134 Chapel Dr. Andover, KS INSURANCE: PKS shall, at its sole expense, obtain and maintain during the term of this Agreement the following insurance policies, endorsed to name the District as an additional insured: A. Commercial general liability insurance, written on an occurrence basis, which shall insure against all claims, loss, cost, damage, expense, or liability resulting from loss of life or damage or injury to a person or property arising out of PKS s performance under this Agreement. The minimum limits of liability for this coverage shall be $1,000,000 combined single limit for any one (I) occurrence. B. Automobile liability insurance with at least $1,000,000 coverage for combined single limit applicable to owned, non-owned, or hired vehicles used in the performance of any Work under this Agreement. C. Professional liability insurance with a minimum limit of liability for coverage of $1,000,000 per occurrence. 9. OTHER AGREEMENTS: No other understandings, oral or written, are deemed to exist or to bind any of the parties hereto. Any alterations, variations, modifications or waivers of provisions of this Agreement shall only be valid when they have been reduced to writing, duly signed by an authorized representative of the District and an authorized representative of PKS. 10. INDEPENDENT CONTRACTOR STATUS: It is understood and agreed by 2
4 the parties that PKS is an independent contractor with respect to District, and employees of PKS are not employees of District. No party shall hold itself out as the partner or agent of the other party or make representations or warranties on behalf of the other party, except as otherwise expressly agreed. District will not provide PKS s employees worker s compensation insurance, fringe benefits, including health insurance benefits, paid vacation, paid sick leave or any other employee benefit provided to District employees. 11. INDEMNIFICATION: PKS shall indemnify and hold harmless District and its directors, officers, employees, and agents from and against any and all liability, loss, damages, claims, costs, and expenses, including attorney fees, that may arise out of and/or be incurred in connection with any act or omission caused by PKS, or any employee or agent of PKS, in the performance of a duty or duties assumed or deemed to be assumed by PKS or a PKS employee, or the omission of an act or responsibility assumed or deemed to be assumed by PKS or PKS employee pursuant to this Agreement. 12. GOVERNING LAW: This Agreement is subject to provisions of the Code of Federal Regulations, amendments thereto, and relevant state and local laws, ordinances and regulations. The Agreement shall be governed in all respects by the laws of the State of Kansas. PKS represents and warrants that it holds all necessary licenses required by local, state and federal laws and regulations to provide school psychologist services and that it will furnish satisfactory proof of such licensure to the District upon the District's request. PKS covenants that it will maintain its required licensed status with the appropriate governmental authorities and will immediately notify District in the event such licensing is suspended, conditioned, withdrawn, or revoked. PKS agrees that such suspension, conditioned, revocation or withdrawal shall constitute grounds for the immediate termination of this Agreement by the District. 13. CONFIDENTIALITY: Any information obtained by PKS concerning District students pursuant to this Agreement shall be treated as confidential. Use and/or disclosure of such information by PKS shall be limited to the purposes directly connected with P K S 's responsibility for services under this Agreement. Both parties agree that this information shall be safeguarded in accordance with the provisions of Kansas and federal law and PKS agrees to fully comply with the Healthcare Insurance Portability and Accountability Act (HIPAA) and the Family Education Rights and Privacy Act (FERPA). PKS agrees to indemnify, defend, and hold the District harmless from and against any and all claims, expenses, and liabilities arising from or related to PKS s non-compliance with HIPAA, FERPA or any breach of confidentiality. 14. RECORDS MAINTENANCE: PKS shall maintain an accounting system and supporting records adequate to assure that claims for funds are in accordance with applicable state and federal requirements. Supporting records shall reflect all direct and indirect costs of any nature expended in the performance of this Agreement and all income from any source. 3
5 IN WITNESS THEREOF, the parties have caused this Agreement to be executed by duly authorized officials. UNIFIED SCHOOL DISTRICT NO. 497 DOUGLAS COUNTY, STATE OF KANSAS Name: Vanessa Sanburn Title: President, Lawrence Public Schools Board of Education Name: Rick Doll Title: Superintendent of Schools Name: Kevin Harrell Title: Director of Student Intervention Services PKS BEHAVIORAL SOLUTIONS, LLC By: Name: Kevin Hays Title: Principal 4
AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES
AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES THIS AGREEMENT is made as of December 1, 2003, by and between the San Francisquito Creek Joint Powers Authority, a body corporate and politic
More informationPALOMAR COMMUNITY COLLEGE DISTRICT AGREEMENT WITH INDEPENDENT CONTRACTOR
PALOMAR COMMUNITY COLLEGE DISTRICT AGREEMENT WITH INDEPENDENT CONTRACTOR THIS AGREEMENT is made and entered into this day of by and between the Palomar Community College District, hereinafter called "District",
More informationINDEPENDENT CONTRACTOR SERVICES AGREEMENT
INDEPENDENT CONTRACTOR SERVICES AGREEMENT THIS AGREEMENT is entered into as of this day of, 2010, by and between the CITY OF MONTROSE, State of Colorado, a Colorado home rule municipal corporation, whose
More informationAGREEMENT BETWEEN COUNTY AND CONTRACTOR FOR GOODS AND SERVICES. THIS AGREEMENT, effective this 20th day of April in the year, 2015, between:
AGREEMENT BETWEEN COUNTY AND CONTRACTOR FOR GOODS AND SERVICES THIS AGREEMENT, effective this 20th day of April in the year, 2015, between: MARTIN COUNTY BOARD OF COUNTY COMMISSIONERS, a political subdivision
More informationCeres Unified School District INDEPENDENT CONTRACTOR AGREEMENT 2013-2014
Ceres Unified School District INDEPENDENT CONTRACTOR AGREEMENT 2013-2014 THIS CONTRACT is hereby entered into by the Ceres Unified School District, hereinafter referred to as DISTRICT, and CONTRACTOR MAILING
More informationBUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement ( BA Agreement ) amends, supplements, and is made a part of the Agreement ( Agreement ) entered with Client ( CLIENT ) and International
More informationPROFESSIONAL ELECTRICAL ENGINEERING SERVICES CONSULTING AGREEMENT
PROFESSIONAL ELECTRICAL ENGINEERING SERVICES CONSULTING AGREEMENT This agreement is executed on, 20 by and between Paradise Recreation and Park District, a California recreation and park district (the
More informationASSOCIATION OF AMHERST STUDENTS (AAS) Office of the Treasurer and Budgetary Committee
ASSOCIATION OF AMHERST STUDENTS (AAS) Office of the Treasurer and Budgetary Committee AGREEMENT FOR CONSULTING SERVICES This Agreement is made between the Association of Amherst Students (Association)
More informationELECTRONIC INDEPENDENT CONTRACTOR AGREEMENT INTRODUCTION
INTRODUCTION This is an AGREEMENT between you and Field Solutions, LLC ( Field Solutions ) that defines the terms and conditions for Field Solutions to engage you to provide services to our customers as
More informationINDEPENDENT CONTRACTOR AGREEMENT
INDEPENDENT CONTRACTOR AGREEMENT This Agreement is hereby entered into between the ESCONDIDO UNION HIGH SCHOOL DISTRICT, hereinafter referred to as District, and hereinafter referred to as Contractor.
More informationCONSULTANT AGREEMENT
Douglas County School District Re.1 Castle Rock, Colorado CONSULTANT AGREEMENT This agreement, dated effective as of is made and entered into by and between the Douglas County School District Re.1, Douglas
More informationINDEPENDENT CONTRACTORS AGREEMENT
INDEPENDENT CONTRACTORS AGREEMENT THIS AGREEMENT entered into by and between (hereafter the Contractor ) and the Park District of Highland Park (hereafter Park District ). WHEREAS, Contractor will be performing
More informationCity of Piedmont COUNCIL AGENDA REPORT
City of Piedmont COUNCIL AGENDA REPORT DATE: September 6, 2011 FROM: Edward W. Tubbs, Fire Chief SUBJECT: Emergency Medical Services Billing Contract RECOMMENDATION Authorize the Fire Chief to enter into
More informationARCHITECTURAL SERVICES CONTRACT. THIS CONTRACT FOR ARCHITECTURAL SERVICES is made by and between the County of Nueces, hereinafter called County and
ARCHITECTURAL SERVICES CONTRACT STATE OF TEXAS COUNTY OF NUECES THIS CONTRACT FOR ARCHITECTURAL SERVICES is made by and between the County of Nueces, hereinafter called County and hereinafter called Architect
More informationHow To Write A Contract Between College And Independent Contractor
Independent Contractor Agreement (Long Form) This Agreement is made between Babson College ("College"), a Massachusetts non-profit corporation with a principal place of business at 231 Forest Street, Babson
More informationBRITISH SOCCER CAMP A G R E E M E N T
THE STATE OF TEXAS * COUNTY OF CORYELL * KNOW ALL MEN BY THESE PRESENTS: BRITISH SOCCER CAMP A G R E E M E N T This agreement is made and entered into this the 20th day of January, 2015 by and between
More informationNPSA GENERAL PROVISIONS
NPSA GENERAL PROVISIONS 1. Independent Contractor. A. It is understood and agreed that CONTRACTOR (including CONTRACTOR s employees) is an independent contractor and that no relationship of employer-employee
More informationHow To Work With The City Of Riverhead
MEMORANDUM OF UNDERSTANDING BETWEEN RIVERSIDE COMMUNITY COLLEGE DISTRICT and CITY OF RIVERSIDE THIS MEMORANDUM OF UNDERSTANDING ( MOU ) is made and entered into this day of, 2012 ( Effective Date ), by
More informationFREELANCE PHOTOGRAPHY AGREEMENT
FREELANCE PHOTOGRAPHY AGREEMENT This Freelance Photography Agreement ( Agreement ) is made and entered into this day of, 201 ( Effective Date ) by and between Xavier University ( University ), an Ohio
More informationCARVER COUNTY INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICE AGREEMENT
CARVER COUNTY INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICE AGREEMENT This Agreement is entered into by and between the County of Carver, 600 East 4 th Street, Chaska, Minnesota 55318, through (Division),
More informationBENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT
BENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT This BUSINESS ASSOCIATE AGREEMENT ( Agreement ) dated as of the signature below, (the Effective Date ), is entered into by and between the signing organization
More informationTHE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS
THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS Contracting for Independent Contractor services with the University of Utah may require completion of the following: Employee/Independent
More informationCONSULTANT AGREEMENT
CONSULTANT AGREEMENT AGREEMENT made this day of, 20, by and between PACE UNIVERSITY, One Pace Plaza, New York, New York 10038 (hereinafter referred to as Pace ), and [FULL LEGAL NAME OF CONSULTANT], with
More informationINDEPENDENT CONTRACTOR AGREEMENT FOR SPECIAL SERVICES
INDEPENDENT CONTRACTOR AGREEMENT FOR SPECIAL SERVICES This Independent Contractor Agreement for Services ( Agreement ) is made as of, 2012, between the Culver City Unified School District ("District")
More informationEXHIBIT A (of Request for Proposal)
EXHIBIT A (of Request for Proposal) INDEPENDENT CONTRACTOR AGREEMENT FOR SPECIAL SERVICES This Independent Contractor Agreement for Services ( Agreement ) is made as of, 2016 between the Dublin Unified
More informationSAMPLE SERVICES CONTRACT
SAMPLE SERVICES CONTRACT The parties to this contract are the SAN DIEGO COUNTY WATER AUTHORITY, a county water authority, (the Water Authority) and, [a / an], having its principal place of business at
More informationEXHIBIT B-1 INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $30,000
INSURANCE REQUIREMENTS F CONSTRUCTION CONTRACTS ABOVE $30,000 Indemnity To the fullest extent allowed by law, the Contractor shall indemnify, defend, and hold harmless the County of Santa Clara (hereinafter
More informationBENTON COUNTY PERSONAL SERVICES CONTRACT
BENTON COUNTY PERSONAL SERVICES CONTRACT This is an agreement by and between BENTON COUNTY, OREGON, a political subdivision of the State of Oregon, hereinafter called COUNTY, and, hereinafter called CONTRACTOR.
More informationAGREEMENT FOR ACCESS TO PROTECTED HEALTH INFORMATION BETWEEN WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND
AGREEMENT FOR ACCESS TO PROTECTED HEALTH INFORMATION BETWEEN WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND THIS AGREEMENT for Access to Protected Health Information ( PHI ) ( Agreement ) is entered
More informationRecitals. NOW, THEREFORE, the parties hereto agree as follows: Agreement
THIS INDEPENDENT CONTRACTOR SERVICES AGREEMENT (this Agreement ) is made this day of, 20 (the Effective Date ), regardless of the date of execution, by and between Sierra Field Services, Inc., a Nevada
More informationADDENDUM NO. 1 TO RFP 9600-61: Locum Tenens Referrals
ADDENDUM NO. 1 TO RFP 9600-61: Locum Tenens Referrals Date: March 18, 2015 To: All Vendors Interested in RFP # 9600-61 From: Kristen Aldrich, Deputy Purchasing Agent, NMC Contracts Division Subject: Addendum
More informationWellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other).
WellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other). RE: HIPAA Business Associate Agreement Effective 4/14/04 Business Associate: WellDyneRxWEST, Inc., a Colorado Corporation
More informationAGREEMENT WITH FOR PROFESSIONAL CONSULTANT SERVICES FOR
AGREEMENT WITH FOR PROFESSIONAL CONSULTANT SERVICES FOR This Agreement, made and entered into this day of,, by and between the CITY OF SAN MATEO, a municipal corporation existing under the laws of the
More informationAGREEMENT BETWEEN THE CITY OF CRESTWOOD, MO AND BIEG PLUMBING COMPANY FOR ON-CALL PLUMBING SERVICE FOR THE PERIOD
AGREEMENT BETWEEN THE CITY OF CRESTWOOD, MO AND BIEG PLUMBING COMPANY FOR ON-CALL PLUMBING SERVICE FOR THE PERIOD JANUARY 1, 2014 TO DECEMBER 31, 2015 AGREEMENT THIS AGREEMENT, is made and entered into
More informationSAMPLE VENDOR AGREEMENT VENDOR # 00000. Sample Vendor, Vendor Title Sample Vendor Company. Evelyn V. Martinez, Executive Director
VENDOR AGREEMENT VENDOR # 00000 TO: FROM: Sample Vendor, Vendor Title Sample Vendor Company Evelyn V. Martinez, Executive Director DATE: SUBJECT: Sample Vendor Project This Agreement, by and between the
More informationFUNDING AGREEMENT BETWEEN THE SOUTH BAY CITIES COUNCIL OF GOVERNMENTS AND THE LOS ANGELES COUNTY METROPOLITAN TRANSPORTATION AUTHORITY
FUNDING AGREEMENT BETWEEN THE SOUTH BAY CITIES COUNCIL OF GOVERNMENTS AND THE LOS ANGELES COUNTY METROPOLITAN TRANSPORTATION AUTHORITY This Funding Agreement (the Agreement ) is entered into with an effective
More informationAGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND VENDOR TBD FOR PURCHASE AND INSTALLATION OF AUTOMATED LICENSE PLATE RECOGNITION SYSTEMS
AGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND VENDOR TBD FOR PURCHASE AND INSTALLATION OF AUTOMATED LICENSE PLATE RECOGNITION SYSTEMS NAME OF CONTRACTOR: RESPONSIBLE PRINCIPAL OF CONTRACTOR:, Vendor
More informationGRANTS PASS SCHOOL DISTRICT INDEPENDENT CONTRACTOR AGREEMENT DATE: 9 /8 /2015
GRANTS PASS SCHOOL DISTRICT INDEPENDENT CONTRACTOR AGREEMENT DATE: 9 /8 /2015 SECTION 1. IDENTITY OF INDEPENDENT CONTRACTOR This Agreement is between Grants Pass School District Number 7 (hereinafter District
More informationLTC ELITE, LLC MEMBERSHIP AGREEMENT
LTC ELITE, LLC MEMBERSHIP AGREEMENT This Membership Agreement (this Agreement ) is made and entered into effective, (the Effective Date ), by and between LTC Elite, LLC, a Texas limited liability company
More informationCONSULTING AGREEMENT between THE BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA BY AND ON BEHALF OF THE UNIVERSITY OF GEORGIA and
Re: Check Request No. CONSULTING AGREEMENT between THE BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA BY AND ON BEHALF OF THE UNIVERSITY OF GEORGIA and THIS AGREEMENT made this day of 20, by and
More informationInsurance Producer Agreement
Insurance Producer Agreement THIS AGREEMENT ( Agreement ) is made and entered into on this day of. (the Effective Date ), by and between KPS Health Plans (hereinafter referred to as KPS ), a duly licensed
More informationINDEPENDENT CONTRACTOR AGREEMENT
INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor Agreement (this Agreement ) is made and entered into as of, 20, by and between [INSERT NAME OF CONTRACTING PARTY] (the Contracting Party ),
More informationCITY OF SHERWOOD Independent Contractor Agreement (for Personal Services or for Public Works under $25,000)
CITY OF SHERWOOD Independent Contractor Agreement (for Personal Services or for Public Works under $25,000) Dated: Parties: City of Sherwood ( CITY ) 20 NW Washington Street Sherwood, Oregon 97140 And
More informationAnesthesia Providers, Inc. CRNA GENERAL INFORMATION FORM. Name First Name M.I. Last Name. Address Street Address Apt. # City State Zip Code
Anesthesia Providers, Inc. CRNA GENERAL INFORMATION FORM *Please Print Name First Name M.I. Last Name Address Street Address Apt. # City State Zip Code Date of Birth / / Mo. Date Year Home Telephone -
More informationHow To Work For A City Of Germany Project
CONSULTING SERVICES AGREEMENT This Consulting Services Agreement ( Agreement ) is made and entered into this day of, 2013, by and between the City of Clovis, a Municipal Corporation, hereinafter called
More informationAGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND FOR. Attention:
AGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND FOR NAME OF CONSULTANT: RESPONSIBLE PRINCIPAL OF CONSULTANT: CONSULTANT'S ADDRESS: Attention: CITY'S ADDRESS: City of Beverly Hills 455 N. Rexford Drive
More informationHealth Plan Select, Inc. Business Associate Privacy Addendum To The Service Agreement
This (hereinafter referred to as Addendum ) by and between Athens Area Health Plan Select, Inc. (hereinafter referred to as HPS ) a Covered Entity under HIPAA, and INSERT ORG NAME (hereinafter referred
More information#5 Independent Contractor Form - With Insurance With Bonds
#5 Independent Contractor Form - With Insurance With Bonds Proposed use: Contracts for smaller projects not involving street construction but important enough to require performance and require an avenue
More informationGROUP HEALTH INCORPORATED SELLING AGENT AGREEMENT
GROUP HEALTH INCORPORATED SELLING AGENT AGREEMENT This Agreement, made between Group Health Inc., having its principal office at 441 Ninth Avenue, New York, NY 10001 ("GHI"), and, having its principal
More informationAFLAC LEVEL 2 DENTAL INSURANCE POLICY NETWORK PARTICIPATION AGREEMENT
1. PURPOSE This agreement is between Health Care Networks of America, LLC ( HNA ), a Nevada corporation and the Dentist, Professional Corporation, or Group Practice ( Provider ). Provider agrees to participate
More informationSERVICES AGREEMENT BETWEEN INDEPENDENT CONTRACTOR AND DELTA-T
SERVICES AGREEMENT BETWEEN INDEPENDENT CONTRACTOR AND DELTA-T THIS AGREEMENT is entered into between DELTA-T GROUP MARYLAND, INC. (hereinafter referred to as "DELTA-T") and, a self-employed professional
More informationPayroll Services Agreement
Payroll Services Agreement THIS PAYROLL SERVICES AGREEMENT (the Agreement ) is made and entered into this day of, 20, by and between Susan Arnoldussen, of Accounting Unlimited, LLC (the Payroll Service
More informationPAYROLL SERVICE AGREEMENT. On this day of, 2016, this PAYROLL SERVICE AGREEMENT. ( Agreement ) is entered into by and between ("EMPLOYER")
PAYROLL SERVICE AGREEMENT On this day of, 2016, this PAYROLL SERVICE AGREEMENT ( Agreement ) is entered into by and between ("EMPLOYER") and WE PAY Payroll Processing Company, 3 W. Olive Street, Suite
More informationNORTH BEACH WATER DISTRICT PACIFIC COUNTY, WASHINGTON
NORTH BEACH WATER DISTRICT PACIFIC COUNTY, WASHINGTON RESOLUTION 20-2014 A RESOLUTION OF THE NORTH BEACH WATER DISTRICT OF PACIFIC COUNTY, WASHINGTON, APPROVING A CONTRACT FOR ARCHITECTURAL SERVICES WITH
More informationCITY OF LEAWOOD. Independent Contractor Agreement
#3 Small Indep Contractor Agreement with Ins Optional, for use with small agreements less than $15k [e.g., entertainment, 4 th of July projects, sports] CITY OF LEAWOOD Independent Contractor Agreement
More informationTEXAS FAIR PLAN PRODUCER REQUIREMENTS AND PERFORMANCE STANDARDS
Producer Requirements Page 1 TEXAS FAIR PLAN PRODUCER REQUIREMENTS AND PERFORMANCE STANDARDS The following Texas FAIR Plan Association ( Association ) requirements and producer performance standards (
More informationBUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT THIS BUSINESS ASSOCIATE AGREEMENT (this Agreement ) is made effective as of the day of 2014 (the Effective Date ), by and between Sarasota County Public Hospital District,
More informationINSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $25,000
Page 1 of 9 DOCUMENT 00850 INDEMNIFICATION AND INSURANCE REQUIREMENTS EXHIBIT B-1 INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $25,000 Indemnity The Contractor shall indemnify, defend, and hold
More informationBUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT Please complete the following and return signed via Fax: 919-785-1205 via Mail: Aesthetic & Reconstructive Plastic Surgery, PLLC 2304 Wesvill Court Suite 360 Raleigh, NC 27607
More informationADVERTISEMENT FOR BIDS
Bismarck Public Schools Physical Therapy Services Contract Bismarck, North Dakota ADVERTISEMENT FOR BIDS Notice is hereby given that sealed proposals for Physical Therapy Services Contract for Bismarck
More informationINDEPENDENT BROKER AGREEMENT October 1, 2011 edition
INDEPENDENT BROKER AGREEMENT October 1, 2011 edition This INDEPENDENT BROKER AGREEMENT made this day of 20 by and between Morstan General Agency of New Jersey, Inc. its affiliates and/or subsidiaries,
More informationLEASE AGREEMENT INSURANCE AND INDEMNIFICATION LANGUAGE
LEASE AGREEMENT INSURANCE AND INDEMNIFICATION LANGUAGE Tenant assumes the liability for damage to its improvements, fixtures, partitions, equipment and personal property therein, and all appurtenances
More informationCULVER CITY UNIFIED SCHOOL DISTRICT INDEPENDENT CONTRACTOR AGREEMENT FOR PROFESSIONAL SERVICES (SPECIAL SERVICES) CONSULTING SERVICES
CULVER CITY UNIFIED SCHOOL DISTRICT INDEPENDENT CONTRACTOR AGREEMENT FOR PROFESSIONAL SERVICES (SPECIAL SERVICES) CONSULTING SERVICES This Independent Contractor Agreement for Special Services ( Agreement
More informationINDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS
INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS This Independent Contractor Agreement ( Agreement ) is made this day of, 20, between Purdue University, its employees, officers, trustees, affiliates,
More informationPIPELINE AND UTILLITY PERMIT APPLICATION PACKET
Orange County Drainage District 8081 Old Hwy 90 Orange, Texas 77630 Main Office (409) 745-3225 Fax (409) 745-3004 PIPELINE AND UTILLITY PERMIT APPLICATION PACKET Contact the Orange County Drainage District
More informationCity of Scotts Valley INTEROFFICE MEMORANDUM
DATE: January 15, 2014 City of Scotts Valley INTEROFFICE MEMORANDUM Agenda Item Date: 1-15-2014 TO: FROM: SUBJECT: Honorable Mayor and City Council Corrie Kates, Community Development Director/Deputy City
More informationNOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, the Parties hereby agree as follows:
Tulane Template PSA and Medical Director (for TUMG physicians providing services to physician group/community practice) PROFESSIONAL AND MEDICAL DIRECTOR SERVICES AGREEMENT For the services of [insert
More informationServices Agreement Instruction Sheet
Delta-T Group POB 884 Bryn Mawr, PA 19010 Phone: 800-251-8501 FAX: 610-527-9547 www.delta-tgroup.com Services Agreement Instruction Sheet We thank you for your interest in Delta-T Group. Below please find
More informationNON EXCLUSIVE BROKER REFERRAL AGREEMENT
NON EXCLUSIVE BROKER REFERRAL AGREEMENT THIS NON-EXCLUSIVE BROKER REFERRAL AGREEMENT (this Broker Contract ) is made this day of, 2013 by and between [NAME] (herein after called the "IFPG FRANCHISE CONSULTANT/BROKER
More informationTHE STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF FORT BEND FULL RELEASE, INDEMNIFICATION, AND REQUIREMENT FOR LIABILITY INSURANCE
THE STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF FORT BEND FULL RELEASE, INDEMNIFICATION, AND REQUIREMENT FOR LIABILITY INSURANCE This Full Release, Indemnification, and Requirement for Liability
More informationb. Deliverables Prepare and deliver draft report ( copies); Prepare and deliver final report (
City of Lincoln, Nebraska CONTRACT FOR ENGINEERING SERVICES THIS CONTRACT, executed in triplicate, is between the City of Lincoln, Nebraska (City) and (Engineer), a corporation of the state of, with a
More informationADDENDUM TO AGREEMENT BETWEEN CHIROPRACTIC CARE OF MINNESOTA, INC. AND PROVIDER
ADDENDUM TO AGREEMENT BETWEEN CHIROPRACTIC CARE OF MINNESOTA, INC. AND PROVIDER This HealthPartners Workers Compensation Addendum (the Addendum ), dated as of the date set forth on the signature page (the
More informationHIPAA BUSINESS ASSOCIATE AGREEMENT
HIPAA BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement and is made between BEST Life and Health Insurance Company ( BEST Life ) and ( Business Associate ). RECITALS WHEREAS, the U.S.
More informationASBESTOS/LEAD SURVEY AND CONSULTING AGREEMENT BY AND BETWEEN NEW YORK UNIVERSITY / NYU HOSPITALS CENTER - OWNER - AND - CONSULTANT - --------- PROJECT
APPENDIX A ASBESTOS/LEAD SURVEY AND CONSULTING AGREEMENT BY AND BETWEEN NEW YORK UNIVERSITY / NYU HOSPITALS CENTER - OWNER - AND - CONSULTANT - --------- PROJECT DATED AS OF ASBESTOS/LEAD SURVEY AND CONSULTING
More informationAFFILIATE AGREEMENT. 1.2 Territory. Affiliate shall represent Association in the following geographic area: 60 mile
AFFILIATE AGREEMENT This Affiliate Agreement, effective the day of, 2002 is made between the Case Management Society of America, a District of Columbia non-profit corporation, with offices at 8201 Cantrell
More informationVA Authorized Agent Agreement
VA Authorized Agent Agreement This VA Authorized Agent Agreement (the Agreement ), entered into this day of, 20 (the Effective Date ) by and between Data Mortgage Inc., d/b/a Essex Mortgage ( Lender )
More informationK YROUS R EALTY G ROUP, I NC.
K YROUS R EALTY G ROUP, I NC. 263 West 38 th Street Suite 15E New York, NY 10018 Phone: 212.302.1500 Fax: 212.302.3855 500 Greenwich Street Condominium-Alteration Policy The following documents must be
More informationSERVICE PROVIDER AGREEMENT WITNESSETH. WHEREAS, the COUNTY desires to obtain the services of said PROVIDER as further described herein referred to as
SERVICE PROVIDER AGREEMENT This SERVICE PROVIDER AGREEMENT is made and entered into this day of, 20, between the Board of County Commissioners of LEE COUNTY, a political subdivision of the STATE OF FLORIDA
More informationSAMPLE. 3401 CSM Drive, San Mateo, California 94402 PROFESSIONAL SERVICES AGREEMENT [INTENDED FOR NON-DESIGN RELATED PROFESSIONAL SERVICES]
1. IDENTIFICATION OF CONSULTANT: 3401 CSM Drive, San Mateo, California 94402 PROFESSIONAL SERVICES AGREEMENT [INTENDED FOR NON-DESIGN RELATED PROFESSIONAL SERVICES] PSA No. [INSERT VENDOR NAME.NUMBER,
More informationPROFESSIONAL/CONSULTING SERVICES AGREEMENT
This SERVICES AGREEMENT ( Agreement ) is entered into by and between the undersigned, ( Contractor ), (Social Security Number or Federal I.D. No.), located at and Texas Southern University ( TSU ), an
More informationAGREEMENT. Solicitor Without Per Diem Compensation
Solicitor Without Per Diem Compensation AGREEMENT Products underwritten by: American General Life Insurance Company Houston, Texas The United States Life Insurance Company in the City of New York New York,
More informationBelow is an overview of the Molex lease process as it applies to Molex Application Tooling equipment.
Dear Valued Customer, Below is an overview of the Molex lease process as it applies to Molex Application Tooling equipment. Lease process: Molex does not offer leases for all of the equipment that we promote.
More informationINDEPENDENT CONTRACTOR AGREEMENT (On Call Real Estate Broker Services)
INDEPENDENT CONTRACTOR AGREEMENT (On Call Real Estate Broker Services) THIS AGREEMENT (Contract") is made this 14th day of December, 2010, between the Board of County Commissioners of Sumter County, Florida
More informationFILM ACCESS LICENSE AGREEMENT
FILM ACCESS LICENSE AGREEMENT THIS FILM ACCESS LICENSE AGREEMENT ( Agreement ) is made as of day of, between MB Real Estate Services, INC as Property Manager and agent of Maggie Daley Park on behalf of
More information-1- -2- -3- -4- -5- INSURANCE REQUIREMENTS FOR DEVELOPER EXTENSION AGREEMENTS 1.1 The developer shall obtain and keep in force during the term of the contract, Commercial General Liability insurance policies
More informationSMARSH WEBSITE & HOSTING REPRESENTATIVE TERMS & CONDITIONS
SMARSH WEBSITE & HOSTING REPRESENTATIVE TERMS & CONDITIONS This Webhosting & Services Terms and Conditions ( Terms ) are effective as of the date of execution of the Order Form, as defined in Section 1,
More informationBUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the Agreement ), is made effective as of the sign up date on the login information page of the CarePICS.com website, by and between CarePICS,
More informationNORTH CAROLINA STATE UNIVERSITY MASSAGE THERAPIST AGREEMENT
STATE OF NORTH CAROLINA WAKE COUNTY Rev. 3/14 NORTH CAROLINA STATE UNIVERSITY MASSAGE THERAPIST AGREEMENT THIS AGREEMENT ( Agreement ) is made by and between ( Contractor ), and North Carolina State University,
More informationCONSULTING SERVICES AGREEMENT
CONSULTING SERVICES AGREEMENT THIS AGREEMENT ("Agreement") is entered into on / /, between SCWOA ("Consultant"), a CA corporation with its principal place of business located at PO Box 1195, Pacifica,
More informationRECITALS. WHEREAS, VENDOR is a company and a provider of technology services for business, government and education;
ATTACHMENT 9 AGREEMENT FOR CONSULTING SERVICES BETWEEN AND THE CLEVELAND PUBLIC LIBRARY This Agreement is made and entered by and between with a principal place of business at and the BOARD OF TRUSTEES
More informationConsulting Master Services Agreement
Consulting Master Services Agreement THIS CONSULTING AGREEMENT (this Agreement ), made and entered into this 21st day of June, 2002, by and between PrimeContractor, a StateName EntityType, its successors
More informationTUSCOLA COMMUNITY BUILDING LEASE
DATE OF EVENT: TUSCOLA COMMUNITY BUILDING LEASE (Form B: Alcoholic Liquor Permitted) THIS AGREEMENT, made this day of, by and between the City of Tuscola, Douglas County, Illinois, hereinafter referred
More informationINDEPENDENT CONTRACTOR AGREEMENT. Currituck (hereinafter County ) and, RECITALS
INDEPENDENT CONTRACTOR AGREEMENT THIS AGREEMENT is made the day December, 2015, between the County of Currituck (hereinafter County ) and, (hereinafter Contractor ). RECITALS County is a body corporate
More informationSTATE OF GEORGIA DEPARTMENT OF TRANSPORTATION OPEN AGENCY SERVICE CONTRACT
STATE OF GEORGIA DEPARTMENT OF TRANSPORTATION OPEN AGENCY SERVICE CONTRACT Contract #: Total Obligation: AGREEMENT BETWEEN: The Georgia Department of Transportation s location identified in Paragraph 101A
More informationNORTH CAROLINA STATE UNIVERSITY AGREEMENT
STATE OF NORTH CAROLINA Rev. 11/12 WAKE COUNTY NORTH CAROLINA STATE UNIVERSITY AGREEMENT THIS AGREEMENT ( Agreement ) made and entered into this day of 20, by and between ( Contractor ), and North Carolina
More informationHow To Use The Automatic Clearing House System (Ach) Electronically
PAYROLL SERVICE AGREEMENT THIS PAYROLL SERVICE AGREEMENT (the Agreement ) is entered into by and between, (the "Employer") and PayUSA, Inc., ("PayUSA"). WITNESSETH: WHEREAS, the Employer desires to utilize
More information708.1.2f - INDEPENDENT CONTRACTOR SERVICES AGREEMENT The University Of North Carolina at Chapel Hill WITNESSETH
708.1.2f - INDEPENDENT CONTRACTOR SERVICES AGREEMENT The University Of North Carolina at Chapel Hill This Independent Contractor Services Agreement (this Agreement ), made and entered into effective as
More informationSTANDARD AGREEMENT FOR CONSULTANT SERVICES. THIS AGREEMENT, made and entered into in the City of Modesto, State of
STANDARD AGREEMENT FOR CONSULTANT SERVICES THIS AGREEMENT, made and entered into in the City of Modesto, State of California, this day of, 20, ( Effective Date ) by and between the CITY OF MODESTO, a municipal
More information3. DUTIES: The following duties shall be required of Agent: No minimum production level set
Business Finance Agent Agreement This Agreement is between The Business Finance Store ("Company") a division of FinanceMark Inc. a Nevada Corporation and you, referred to as Agent from this point forth.
More informationAGREEMENT FOR SERVICES BETWEEN THE CITY OF YREKA AND [CONTRACTOR] WHEREAS, Contractor has the necessary experience in providing the services; and
AGREEMENT FOR SERVICES BETWEEN THE CITY OF YREKA AND [CONTRACTOR] THIS AGREEMENT is made and entered into this day of, 2014, by and between the City of Yreka, a municipal corporation, hereinafter referred
More information