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43-2611
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES (¥)
SUBJECT: BOARD APPROVAL
cc: KATHY CYPHERS
REQUEST: To renew Unique Learning System, a one-of-a-kind solution designed specificaily to help
students with special learning needs master their state’s extended standards. From one convenient, cloud-based
platform, educators deliver differentiated, standards-aligned content enhanced by powerful assessments, data tools,
and evidence-based instructional support for 2024-2025 School Year.
VENDOR: n2y, LLC
AMOUNT: $31,467.17 Unique Bundles
FUNDING SOURCE: IDEA Funds
Quote No. Opportunity No. Date
Q-156213 OPP-378028 4/8/2024
Contact Info
n2y, LLC Toni Toothman
PO Box 550 titoothm@k12.w.us
Huron, OH 44839
aval Bilf To Ship To
Marion County Board of Education Marion County Board of Education
1516 Mary Lou Retton Drive 1516 Mary Lou Retton Drive
Fairmont, West Virginia 26554 Fairmont, West Virginia 26554
Date Payment Terms RFP / Contract # Purchase Order
4/8/2024 Net 30
Description Type Sub Start | Sub End
Date Date
ystem€ > | Renewal | 123987 | 10/1/2024 | 9/30/2025 $754.99 $6,794.91
ULS BUN | Unique Learning System® Bundle 123987 9/30/2025 $663.74 $8,628.62
NWS BUN | News2you™ Bundle 423986 | 10/1/2024 | 4/7/2025 $113.80 $1,479.40
SSX BUN | SymboiStix PRIME® / Renewal 123988 10/1/2024 | 9/30/2025 $153.84 $1,999.92
SYMBCOLSTIX® Bundle
L3S BUN | LSkills™ Bundle 2008e8 | to/1/2024 | 9/30/2025 | $148.05 | $1,885.65
as 4/9/2024 | 47/2025 $0.01 $0.13
PDE TS Online Essentials Learning
ONLINE
BUN
PO PL Onsite Profassional Learning
ONSITE
hank you for your business! In need of additional assistance? Please call us at (419) 433-9800 or (800) 697-6575.
Sub-Total: $31,467.17
otal: $31,467.17
Pathway for Total Solution Bundle
PST BUN _ | Pasitivity Bundle 200899 | 10/1/2024 | 9/30/2025 $417.58 $5,428.54
Please Note:
1. This Quote, exclusive of sales tax, is valid for 90 days. Purchase orders or payments via credit card
must be received within 90 days from the date of this Quote to guarantee the listed price.
Multi-year Quotes require full payment of the Quote amount up front.
Prices are subject to change without notice. All orders are subject to our standard terms and
conditions, (Terms of Use & Privacy Policy)
n2y accepts ACH Payments, checks, or credit cards for all orders.
If paying by credit card for a quote without an invoice,
ar wh
Page 1 of 3
43-2611
° Orders greater than $5,000 will include a 4% processing fee
° Credit card payments CANNOT be processed via phone or email. They can only be
processed through our online store via a link,
. Reach out to your Sales Representative to request a link to pay.
6. Your Sales Representative would be happy to address any questions you might have regarding
these policies.
Page 2 of 3
43-2611
Quote No. Opportunity No. Date
Q-156213 OPP-378028 4/8/2024
NOTE: Your order/Quote will not be processed until we receive a copy of your purchase order. Tax exempt
organizations must include a copy of your state tax exempt form with your purchase order. All orders without a
state tax exempt form will be charged sales tax at the applicable state rate.
There are four ways to process this Quote:
1. Preferred: Email your purchase order along with a copy of your Quote to sales@n2y.com or to your
Sales Representative. Email will result in faster processing.
2. Fax your purchase order and a copy of your Quote to (419) 433-9810.
3. Torequest to use a credit card for payment, contact your n2y Sales Representative via the email
address listed below.
4 Mail your purchase order to the address below. Be sure to attach a copy of this Quote or reference
Quote Number Q-156213 on the purchase order.
n2y, LLC
PO Box 550
Huron, OH 44839
n2y Math Manipulatives and Paper Kits are subject to availability.
Cancellation of training day(s) requires a 30 day notification. Failure to cancel within 30 days of initial
training date may result in a cancellation fee of up to 50%.
For additional assistance with your order, please call n2y at (419) 433-9800 or (800) 697-6575.
Sincerely,
Danny Gibson
Account Executive
dgibson@n2y.com
(419) 433-9800 ext. 1209
Page 3 of 3
43-2612
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
e
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES (CH
SUBJECT: BOARD APPROVAL
ce: KATHY CYPHERS
REQUEST: To renew Reflex Math for 2024-2025 School Year
VENDOR: Explorelearning
AMOUNT: $15,925.00 one-year subscription for 455 students (with 2 trainings included)
($ 1,592.50) discount
$14,332.50 total
FUNDING SOURCE: IDEA funds
| 43-2612
ExploreLeaming Quote Number: Q-314936 Proposal
ai t e . .
Explorilearning
ExploreLearning Reflex
For: Marion Co School District
Presented to: Toni Toothman, Elementary Pupil Services Liaison (K-5)
By: Daniel Peterson
Proposal Expires on: September 30, 2024
Quantity
20 Students {Reflex Per Student Biackshere Elementary Schoo!
20 Students [Reflex Per Student
2
25 Students 2
2
2
$700.00
7
N
ho
~
ai
2
So
875.00
Subtotal: $45,925.00
Discount: ($1,592.50)
Total: $14,332.56
Multi-year Discounts Savings of
3 YEARS $38,697.75
$27,291.75 | $1,433.25]
This propesal presented on April 1, 2024 is made on behalf of ExploreLearning, LLC (FEIN 38-3942548).
Prices contained herein do not include applicable state and local sales taxes. Sales tax may be adjusted at the time of invoicing. Pricing
information made herein is strictly confidential and is supplied on the understanding that it will be held confidential and not disclosed to
third parties without the prior written consent of ExploreLearning.
Acceptance
All ExpioreLeaming subscriptions and/or services are offered subject to ExploreLearning's standard license and terms of use and
privacy policy {the “License Terms”), available on the product fog in pages as supplemented by the terms of the applicable proposal -
and ExploreLearning’s K-12 processing (https:/Aveb.explorelearning.com/k1 2processing/). By placing an order, customer confirms its
acceptance of the License Terms, as well as the fees in the proposal, which together with the awarded proposal and/or any other
associated agreement entered into by ExploreLearning and customer regarding the subscriptions, products and services, constitute the
entire agreement between customer and ExploreLearning regarding such subscriptions, products, and services (the “Agreement”) and
Page 1 of 3
43-2612
ExploreLeaming Quote Number: Q-314936 Proposal
provides its authorization to ExploreLearning's K-12 processing as described. Customer and ExploreLearning agree that the terms and
conditions of the Agreement supersede any additional or inconsistent terms or provision in any customer drafted purchase order, or any
communications, whether written or oral, between customer and ExploreLeaming relating to the subject matter hereof, which shall be of
no effect. In the event of any conflict, the terms of the Agreement shall govem.
Next Steps
PLEASE NOTE THE QUOTE NUMBER (#Q-314936) MUST APPEAR ON PURCHASE ORDER(S) IN ORDER TO PROCESS.
if applicable, please include your certificate of tax-exempt status with your purchase order. Purchase Orders may be sent to
ExploreLearming Orders via one of the following methods:
Email to: sales@explorelearning.com, please CC daniel.peterson@explorelearning.com to streamline pracassing
Fax to: 434-220-1484
Mail to: 110 Avon Street, Suite 300, Charlottesville, VA 22902
You may also contact Daniel Peterson at 866-882-4141, ext. 395 or daniel.peterson@exploreleaming.com for more information on any
aspect of this proposal (#Q-314936).
Page 2 of 3
43-2619
ExploreLearning Quote Number: Q-314936 Proposai
il ° -
Explori/earning
To ensure the effective implementation of ExploreLearning products in your school or district, please provide us with the following:
CONTACT
Who is the primary contact to coordinate professional development for your schoo! or district? Please provide the following for that contact:
Name:
Title:
Email:
Phone:
WORKSHOP DETAILS
Provide us some details for your workshop(s):
# of Teachers:
# of Teachers who are
new to the product:
# of Teachers who are
experienced with the
product:
TECHNCLOGY
Please provide a description of the types of technology your teachers and students will be using to implement ExploreLearning products:
Additional Notes
Your implementation manager will be in touch with your PD contact via email to schedule your professional development workshop(s). We look
forward to werking with your teachers!
Professional development workshops are only scheduled for dates after the start of your subscription.
Page 3 of 3
43-2613
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL services (Ct!
SUBJECT: BOARD APPROVAL
ce: KATHY CYPHERS
REQUEST: To Reading Horizons for Online Software includes a comprehensive Administration System,
81 multi-sensory interactive lessons, Vocabulary development system with over 13,000 terms, Reading Library with
280+ passages to build fluency and comprehension and the Pronunciation tool. Also includes the fee for unlimited
site access to the Reading Horizons professional development course for 2024-2025 School Year.
VENDOR: Reading Horizons
AMOUNT: $37,400.00
FUNDING SOURCE: IDEA Funds
43-2613
(86) Reading Horizons
Quote
an nee Wy Purchase includes:
1516 Mary Lou Retton Drive Unlimited 800-tine phone support for the life of the product,
Fairmont, WV 26554 : .
Customer {D: 84383 Quotation prepared by Mike Gardner, 3/28/2024
Account CLS Cc Method Shipping Terms
Quantity Unit Price Total
H238-002 | Reading Horizons Elevate Online Software includes a comprehensive $110.00 | $37,400.00
Administration System, 81 multi-sensory interactive lessons, Vocabulary
developmentsystem with over 13,000 terms, Reading Library with
280+ passages to build fluency and comprehension, and the
Pronunciation tool. Reference Materials: User Manual. Itis necessary to
purchase an entry for each student that will access the program.
Students may be deleted at any time and replaced with new students.
The software is accessible from any computer with an Internet
connection. Students can access the software on their home computers
atno additional charge. {Year 1}
Subtotal | $37,400.00, | $37,400.00 | 400.00
Shipping & Handling
Tax (0%) $0.00
Total | $37,400.00
H238-002 Reading Horizons Elevate Online Software active from 6/1/2024 to 5/31/2025
Sale and use of the Reading Horizons products inthis quote are governad bythe Terms and Conditions found a bites neagingbonzons.cor/ compara benme-ofyee and the privacy polley at
T By accepting this order and purchasing the quoted products, custorner agrees that they have read, accept, and agree tobe bound by wl
such Terms and Conditions, and will use the products and services in accordance with all requirernents. Payment Terms: 1% 10 Net 30
* Indicates Component Product
Reading Horizons * 1194 Flint Meadow Drive * Kaysville, UT 84037 Quotation is valid through 4/28/2024
800.333.0054 * info@readinghorizons.com * www.readinghorizons.com * fax: 801.295.7088 Quote # 106478
43-2614
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES \(' !?
SUBJECT: BOARD APPROVAL
cc: KATHY CYPHERS
REQUEST: Literacy R180 U Stage C Renewal for 2024-2025 School Year
VENDOR: Houghton Mifflin Harcourt
AMOUNT: $10,900.00
FUNDING SOURCE: IDEA Funds
43-2614
Proposai Expiration Date: 5/26/2024
AT®@
Houghton Mifflin Harcourt
Proposal #008997419
Prepared For
Marion Co School District
Attention:
Angela Betonte
abetonte@k12.wv.us
For the Purchase of:
R180 Renewal/Migration to ED - 1 Year
Prepared By
Jim Absten
jim.absten@hmhco.com
Please submit this proposal with your purchase order.
Purchase orders or duly executed service agreements for Professional Services purchased, must be
submitted at least 30 days before the service event date.
For greater detail, the complete Terms of Purchases may be reviewed here:
http://www. hmhco.com/common/terms-conditions
Send Check Payments to:
Attention: Send Orders to:
Houghton Mifflin Harcourt Publishing Company Angela Betonte orders@hmhco.com
14046 Collections Center Drive abetonte@k12.wv.us FAX: 800-269-5232
Chicago, IL 60693
su HMH Confidential and Propristary ve
008997419 Sold:0000292616 Ship:0000292616 Page 1 of 4
Date of Proposal: 4/11/2024 Proposal for Expiration Date: 5/26/2024
Marion Co School District 43 : 9614
Free
. Value of All Materlals
ISBN Title Price Quantity Material Quantity
Stage C
Student Licenses
1866600 9780358937265 Read 180 on Ed Student Digital Subscription 1 Year $109.00 100 $10,900.00
Includes:
Read 180 on Ed Student License 1 Year
Impieamantation Success
Total for Student Licenses $10,900.00
Teacher Licenses
1835546 9780358740643 Read 180 on Ed Teacher Digital Subscription 1 Yaar $299.00 §
Includes:
Read 180 on Ed Teacher License 1 Year
Access to Teacher's Comer
Total for Teacher Licenses $0.00
Total for Stage C $10,900.60
Professional Services - Read 180
Implementation Success Pian
1833602 9780358732082 Goatting Started Introduction to Read 180 on Ed Live Online 2-Hour 1
Grade 3-12
This two-hour Getting Started session introduces teachers to their new program's
structure, essential resources, and implementation recommendations. Teachers will
also explore Ed, HMH's teaching and learning platform, and the professional learning
pathway on Ed.
Getting Started is the initial step toward a successful first 30 days. Ongoing training
and support will be also provided on Ed. There, teachers will access a guided leaming
pathway based on their grade level and implementation timeline, A recommended
sequence of topics, which includes live sessions, videos, interactive media, and
related resources, will help teachers plan, teach, and assess student learning using
their new HMH program. After teachers complete each pathway topic, they receive a
certificate of completion.
Total for Professional Services - Read 180 $ 0.00
Send Check Payments to: Attention: Send Orders to:
Houghton Mifflin Harcourt Publishing Company Angela Betonte orders@hmhco.com
14046 Collections Center Drive abetonte@k12.wv.us FAX: 800-269-5232
Chicago, IL 60693
HMH Confidential and Proprieta
008997419 Sold:0000292616 Ship:0000292616 Page 2 of 4 Please submit this form with your purchase order
Date of Proposal: 4/11/2024 Proposal for Expiration Date: 5/26/2024
Marion Co School District
43-2614
Free
. Value of All Materlals
ISBN Title Price Quantity Material Quantity
Total Savings: $1,495.00
Subtotal Purchase Amount: $10,900.00
Shipping & Handling: $0.00
Sales Tax: $0.00
Total Cost of Proposal (PO Amount): $10,900.00
Send Check Payments to: Attention: Send Orders to:
Houghton Mifflin Harcourt Publishing Company Angela Betonta orders@hmhce.com
14046 Collections Center Drive abetonte@k12.wv.us FAX: 800-269-5232
Chicago, IL 60693
eee CMH Confidential and Proprieta eee ae
008997419 Sold:0000292616 Ship:0000292616 Page 3 of 4 Please submit this form with your purchase order
Date of Proposal: 4/11/2024 Proposal for Expiration Date: 5/26/2024
Marion Co School District 43-2614
Total Cost of Proposal (PO Amount): $10,900.00
Thank you for considering HMH as your partner. We are committed to providing an excellent experience and delivering ongoing, high-
quality service to our customers. To meet these goals, we want to ensure you are aware of the below Terms of Purchase. These terms
help us process your order quickly, efficiently, and accurately, ensuring successful delivery and implementation of our solutions.
Please return this cost proposal with your signed purchase order that matches product, prices and shipping charges.
Provide the exact address for defivery of print materials. The shipping address may be your district warehouse or individual
school sites, but it is essential that this is accurate.
Please supply the name of each important district point of contact for all aspects of the solution including their direct
contact information (email/phone):
o Point of Contact for Print materials
o Point of Contact for Digital materials
o Paint of Contact for Scheduling Professional Development
Please confirm that we have the correct ‘Ship to’ and ‘Sold to’ information on the cost proposal.
Ship to: Sold to:
Marion County Schoo! District Marion County School District
1516 Mary Lou Retton Or 1516 Mary Lou Retton Dr
Fairmont, WV 26554-2204 Fairmont, WV 26554-2204
Please provide funding start and end dates.
Please note that all products and services will be billed upon the processing of your purchase order.
Our payment terms are 30 days from the invoice date.
Print subscription material quantities may be adjusted across grades for like products, to accommodate enrollment
fluctuations, quantities cannot be adjusted between different programs or copyrights.
Our shipping terms are FOB shipping point. The shipping term for your proposal is Shipping Point.
Any proposed shipping or tax amount provided on this proposal, is based on the Ship To account location quoted within.
If the location of your delivery changes, please include the proper sales tax and shipping charges for that focation in the
applicable Purchase Order
Should any of these Terms of Sale conflict with any preprinted terms on your purchase order, the HMH terms of service shall
apply.
Thank you in advance for supplying us with the necessary information at time of purchase.
Our goal is to ensure your success throughout the duration of this agreement, which starts with a highly successful delivery of our
solution.
For greater detail, the complete Terms of Purchase may be reviewed here: hitp://www.hmhco.com/common/terms-conditions
Date of Proposal: 4/11/2024 Proposal Expiration Date: 5/26/2024
AWT®@
Houghton Mifflin Harcourt
Send Check Payments to: Attention: Send Orders to:
Houghton Mifflin Harcourt Publishing Company Angela Betonte orders@hmhco.com
14046 Collections Center Drive abetonte@k12.w.us FAX: 800-269-5232
Chicago, IL 60693
_ HMH Confidential and Proprietary
008997419 Sold:0000292616 Ship.cod0z92616 Page 4 of 4 Please submit this form with your purchase order
43-2615
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES Co
SUBJECT: BOARD APPROVAL
Cc; KATHY CYPHERS
REQUEST: To renew TeachTown, an education software company that provides educators, parents and
clinicians curriculum and education programs that measurably improve the academic, behavioral, and adaptive
functioning of students with moderate to severe disabilities. TeachTown’s solutions utilize evidence-based best
practices derived from Applied Behavior Analysis (ABA), improving student academic outcomes, and providing life
skills that enable children with autism and related development disorders to thrive.
VENDOR: TeachTown
AMOUNT: $28,975.00 enCORE K-12 Student Subscription Package
FUNDING SOURCE: IDEA Funds
a OTEACHTOWN
43~2615
Company Address 2 Constitution Way Created Date 4/5/2024
Woburn, MA 01801
US
Bik To Name Marion County Schools Order Number 00019697
Bill To 1516 Mary Lou Retton Dr
Fairmont, WV 26554-2204
United States
Ship To Name Marion County Schools
Ship To 1516 Mary Lou Retton Dr
Fairmont, WV 26554
USA
Billing Frequency Upfront Contract Start Date 8/1/2024
Net Terms 30 Contract End Date 7/31/2025
Customer PO Term in Months 12
Required
Product
Contract Start Date Contract End Date = Annual Sales Price Quantity Extended Price
USD -8,525.00
USD 375.00
Type
Credit 1.00) USD -8,525.00
enCORE K-12 Student Sub Std Pkg
Software | 8/1/2024 7I31/2025
100.00) USD 37,500.00
Software Subtotal USD 37,500.00
Physical Goods USD 0.00
Subtotal
Services Subtotal USD 0.00
Shipping Total USD 0.00
Grand Tctal USD 28,975.00
Order Notes
100 enCORE Whole Child
For questions on this order, contact:
TeachTown Raquel! Evans
Representative
Prepared By Raquel Evans
Email revans@jigsawlearning.com
Student licenses provide access for a single student to all products within a package.
Unless separate invoice and payment terms are specified, FeachTown will issue an invoice in full for the quoted amount upon execution of a
purchase order. For any physical goods that are backordered, invoices will be issued when physical goods are shipped. All payment terms
are Net 30.
a OTEACHTOWN
43-2615
Professional Services must be utilized within twelve (12) months from date of purchase. If the term is longer than twelve (12) months and
Professional Services are purchased for additional term years, Professional Services must be used within the term defined.
By signing this Order Form you are agreeing to our Terms of Service:
How to place an Order:
Email: orders@teachtown.com
Fax: (877) 295-8238
Mail: TeachTown
2 Constitution Way
Woburn, MA 01801
Authorized to Sign
on Behaif of the Org
Quote Acceptance Information
Signature
Name
Title
Date
MAXIMIZE YOUR IMPACT
with TeachTown's
Whole Child Package Pricing
A) Basics
BP |Social Skills) 1 enC®RE TRANSITION
et
ANGI? standards-based,
adapted core curriculum
BE SAFE
Student License
A La Carte Price
enCORE K-12
Adapted core curriculum appropriate for $309 Jf
K-12 students
TeachTown Basics
Academic intervention appropriate for $279
developmental ages 2 - 10 and
chronological ages 2 - 22
Social Skills re
Appropriate for Pre-K through transition
Health & Wellness
Appropriate for K-12 students
Transition to A h $119
Appropriate for students ages 14+
ABA Pr
Appropriate for education and related $199/per professional
services professionals
Programs Bundle Price
AL AI A] 4
A
Total $964 $375
oP. ms
For $375 per student, your staff and students have access to ALL of the following:
encORE K-12: The ONLY standards-based, adapted core curriculum based on the principles of Applied Behavior
Analysis (ABA) that provides access to the general education curriculum, driving a nearly 70% student growth rate
between pre- and post-test scores.
e enCORE Elementary School is designed to serve students in grades K-5. This comprehensive blended jearning
curriculum includes 36 units of Instruction - 18 units for K-2, and 18 units for 3-5. Students who start enCORE in
kindergarten experience new content each year of the program. Teachers move flexibly between the classroom-
based scripted lesson plans and technology-driven instruction, both of which are structured to flow through the
gradual release of responsibility to guide students from exposure to mastery of new skills,
encORE Middle School is appropriate for students in grades 6-8. Lessons are differentiated to 3 levels of
support, with Level 1 serving students with the most significant support needs and Level 3 meeting the needs of
learners ready for more independence. Teachers utilize the blended learning model of classroom-based lessons
and technology-led lessons to personalize learning pathways based on individual student needs.
enCORE High School serves students in grades 9-12. Just like the lower grade bands, enCORE High School is
aligned to state and national standards, providing students with inclusive access to grade level content. The
expansive adapted reading library includes modern and classic literature titles, such as The Time Machine and
The Odyssey. All enCORE High School students have opportunities to work on transition skills.
TeachTown Basics: This intervention offers a blend of computer-delivered and teacher-led ABA instruction proven
to increase a student's vocabulary, listening skills, social-emotional development, independence, functional
academics, adaptive and cognitive skills.
Appropriate for developmental ages 2 - 10 and chronological ages 2 - 22
Social Skills: Available for your primary and secondary school students, this comprehensive curriculum offers
animated video-modeling episodes, teacher-delivered lesson plans and student activities.
Appropriate for PreK - Transition
Transition to Adulthood: Available for your students ages 14+, this evidence-based curriculum utilizes point-of-
view video modeling, task analyses, computer-based lessons, teacher-delivered lessons and visual supports to help
teach a range of essential, functional skills for students with moderate to severe disabilities.
Appropriate for students ages 14+
Health & Wellness: Designed to teach students with extensive support needs about essential health and safety
skills, including how to minimize the spread of germs.
Appropriate for K-12 students
ABA Pro: A self-guided, technology-delivered professional development library that provides teachers, support staff
and administrators with the necessary knowledge and skills to adequately teach all students in every environment.
Appropriate for education and related services professionals
*Ask us about our Pre-K packages.
. 43-2616
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES (1)
SUBJECT: BOARD APPROVAL
ce: KATHY CYPHERS
REQUEST: To purchase a new software program for Marion County Schools. The SNAP Health Center is
a secure, web-based software suite that simplifies the K-12 school health clinic to improve
student health outcomes, save school nurses time, and reduce district liability. This program
eliminates redundant data entry and improves documentation with a simple, point-and-click
design. It also improves cost savings by maximizing the financial health of your district with
integrated Medicaid billing. It expedites workflow, saves time, and improves operations with
a paperless health clinic. Data security protects student health data and reduces liability with
FERPA/HIPAA compliant software. This program offers immunization communication with
WVEIS,
VENDOR: PSNI
AMOUNT: $28,000.00
FUNDING SOURCE: IDEA Funds
*Only other bid was FrontLine Education at $31,550.00 and did not communicate with state immunization system
and Medicaid export was an additional cost.
Scemiintaie’
Sf! il
PROPOSAL
presented to
Marion County Schools
1516 Mary Lou Retton Drive
Fairmont, WV 26554
made for nurses by nurses
(800) 889-7627 | www.promedsoftware.com | info@promedsoftware.com
43-2616
4 Limbo Lane
Amherst, NH 03031
Voice: (800) 889-7627
Fax: (603) 555-1212
May 7, 2024
Marion County Schools
1516 Mary Lou Retton Drive
Fairmont, WV 26554
Re: SNAP Software Proposal
Mandy
| am pleased to present this proposal for PSNI’s SNAP Health Center that you requested. As you
know, SNAP Health Center is a true electronic health record (EHR) that will provide nurse-specific
functionality that add-on “modules” of other systems can’t.
That ensures that your nursing staff has the right system to manage any health situation — big or
small — for your student population as well as your school staff.
| will schedule a conference call with you to review this proposal, the options that you have
requested, and answer any questions that you or your team may have.
I'll look forward to discussing this proposal with you very soon.
Sincerely,
Mare Patterson
Strategic Account Executive
Software FOR Nurses, BY Nurses
www. promedsoftware.com
43-2616
SNAP Health Center EHR Proposal
PSNI, LLC
4 Limbo Lane
Amherst, NH 03031
Quote Number; 9725
Customer Marion County Schools Preparedby Marc Patterson
Contact Quote Date May 7, 2024
Address 1516 Mary Lou Retton Drive Quote Expires July 31, 2024
Fairmont, WV 26554
Initial Purchase: SNAP Health Center EHR
SNAP Health Center software subscription for Nursing- (per user)
through August 31, 2025
Total Price
init Fr
Mises
Oty
Cloud services for SNAP Health Center Nursing (per user} through $ 232.00 $ 6,032.00
August 31, 2025
Cloud services setup- onetime cost (per user} 2025 | 6 $ 100.00 $ 2,600.00
SNAP Imm Link - subscription (per user) West Virginia PB § 50.00
SNAP Imm Link setup - onetime cost (per district) West Virginia $ 500.00 $500.00
$ 2,000.00 $ 2,000.00
Nursing
Virtual 3-hr workshop (per participant) for - Admin Nursing | $150.00 |
For Future Budgeting Only: Estimated Annual Renewal Fees (2025-26)
Virtual 4-hr private training (1 to 25 participants) for -. Intro to
SNAP Health Center software subscription for Nursing- (per user) as
through August 31, 2025
Cloud services for SNAP Health Center Nursing (per user) through ee eed
August 31, 2025
SNAP Imm Link - subscription (per user} West Virginia pO $50.00 § 1,300.00
= 2 ==]
Purchase orders and payments
Payable to: PSNI, LLC
Faxed to: (603) 672-0033
Emailed to: sales@promedsoftware.com
USPS to: 4 Limbo Lane, Amherst, NH 03031
Payment due: Upon receipt
Terms and Conditions
SOFTWARE LICENSING
Perpetual license
e SNAP Health Center and Add-on software Is licensed per
simultaneous user.
® = The end user may use the software without time limitations.
® Gptional support plan available for purchase after the first
renewal period.
Annual subscription license
« SNAP Health Center software is licensed per simultaneous user.
® The end user has access to software for the duration of the
subscription period.
* Subscription cost includes suppert plan.
* Renew annually by August 31st.
¢ Additional annual user licenses may be added at any time at
current list price.
® Subscription period September 1st through August 31st of the
following year.
Temporary subscription license
® Temporary subscription licenses are only available as an Add-on
to an annual subscription
. Temporary licenses are available In 25-day increments at current
list price.
e = Only one day Is decremented from the account each calendar
day regardless of the number of logins per day. Days do not have
to be consecutive and do not expire {unless annual subscription
expires).
® Should annual subscription expire, remaining temporary
subscription logins will be forfeited.
® Subseription cost includes support plan.
Light subscription jicense
¢ — Alight subscription is licensed per module/per simultaneous
user.
* The end user has access to only the selected module(s) for the
duration of the subscription period.
* Subscription cost includes stipport plan based on selected
module(s).
‘ Renew annually by August 31st.
« Additional annual user licenses may be added at any time at
current list price.
* Subscription period September ist through August 31st of the
following year.
PSNI CLOUD S
e ~~ Asigned Service Level Agreement (SLA) must be returned prior
to using services.
Renewable annually by August 31st.
® Service period is the same as support period.
Services Include
* Demographic data import from client provided file.
Setup of user access to the PSNI cloud server.
Maintenance of the application and database servers.
Redundant backups Including offsite backup storage.
Program updates as released by PSNI.
End User Responsibilities
e Entry of user names and passwords into SNAP Health Center.
@ = State immunization requirements import.
a End of year process (Promote and Transfer).
© Update and customize SNAP Health Center libraries.
Sf
43-2616
SNAP Health Center EHR Proposal
CUSTOM REPORTS
Major revisions may incur update charges.
ENGINEERING SERVICES
Applicable if services are required above and beyond support
plan and cloud services
Minimum of two-hours of service required.
Time is used In one-hour increments.
Service costs are non-transferable and non-refundable.
SUPPORT PLAN
Support period is September 1st through August 31st of the
following year.
Charged per period.
If support plan lapses, a renewal fee, per period, Is required te
abtain support services. Subsequent lapses are subject to the full
cost of each missed year.
Support plan must be up-te-date for the following services: PSNI
Cloud Services and SNAP Health Portal,
Support Plan Services Include
Telephone (toll free in U.S.) and email technical support
avallable Mon through Fri from 7:30 AM - 6:00 PM Eastern Time
excluding federal holidays.
State specific immunization requirements updates.
Current Mosby Drug Reference Library.
Access to the IHP Pavilion (for JHP purchases only).
Access to PSNI's online Member's Area: video trainings &
customer knowledge database
TRAINING
Purchase order must be received 45 days prior te the scheduled
training date.
Purchase orders must be received 45 days prior to the departure
date of the PSNI trainer(s). Any delays that incur increased travel
expenses are the responsibility of the purchaser.
Trainings cancelled less tian 21 days prior to the scheduled
tralning date will incur a 100% cancellation fee.
Onsite trainings are held in the district's computer training lab
which rust have a solid high-speed internet connection. Ifa
reliable Internet connection is not available, the district must
provide a Windows-based computer training lab.
PAYMENT OPTIONS
Accepted farms of payment include: purchase orders and credit
card payments.
Credit cards will incur a 3.84% convince fee.
NOTES.
Quotes are valid for 90 days.
Date of purchase is the date purchase order is processed by
PSNI.
No refunds issued.
Prices are subject to change at any time.
Any applicable taxes or Ca-Op fees incurred by PSNI will be
included in the customer Invoice
EXIT Pi
PSNI will provide a onetime download of PDFs that contain
student health record data on a secure FTP site. There will be a
PDF per student per year. Subfolders for each student include
the following student data: Attachments, Letters, IHPs
As a service, PSNI can provide ‘flattened’ SOL 2017 database
{ane per year) on a secure FTP site, which must be retrieved
within thirty (30) days, after which time they will be
permanently deleted. This service is $.05 per student/per year.
43-2616
FRONTLINE EDUCATION: SCHOOL HEALTH MANAGEMENT 5/10/2024
Preliminary Pricing:
Our pricing is broken up into two pieces: the annual software price & the one-time training and set-up
services price.
3™ Party Medicaid Export: this maps the export file to be able to export to your Medicaid system in
order to claim for ail of your nursing services without having to log the same information into a different
system — this add-on does require EHR be purchased.
e Software Price per year: $3,630
e Implementation 1-time fee: (training, set-up, configurations): $2,000
Advanced reporting: this included the reporting scheduling tools, graphing and charting, and the ability
to set-up complete customized reports.
e Software Price per year: $3,630
e Implementation 1-time fee: (training, set-up, configurations): $4,080
Sandbox / Test Account: this is a version of EHR where you can train, test new reports, see new
templates, evaluate new workflows, etc. Without making the changes live first. Think of this as a full
other account with your real student data where you can try new things before making them available.
**Note: you can also have a training account and test account and live account — the pricing for a
training account is the same OR you can train from your sandbox account**
e Software Price per year: $3,500
¢ Implementation 1-time fee: (training, set-up, configurations): $675
Mental and Behavior Health Portal: this is sort of the twin to the EHR system but with templates,
workflows, and visits for your mental health needs students. This is where your school psychologists,
social workers, counselors, or coaches can document their student meetings and ensure consistent
treatment plans and record keeping for those students.
e Software Price per year: $12,535
e¢ Implementation 1-time fee: (training, set-up, configurations): $9,750
Steve Vyn | Education Solution Executive
Frontline Education
1400 Atwater Drive, Malvern, PA 19355
P: 330-316-9311 | www.frontlineeducation.com
Frontline
education.
43-2617
MEMORANDUM 05/15/24
TO: DR. DONNA HESTON, SUPERINTENDENT
ik
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES (a)
SUBJECT: BOARD APPROVAL
cc: KATHY CYPHERS
REQUEST: Memorandum of Understanding between West Virginia University and its School of
Medicine, Department of Ophthalmology and Visual Sciences and Marion County Schools to
provide vision rehabilitation services to blind and visually impaired school-age students for
the 2024-2025 school year.
VENDOR: West Virginia University
AMOUNT: The Orientation and Mobility Specialist will be comparable to the WVDE Professional Salary
Schedule based on years of experience and education plus $18,600.00
FUNDING SOURCE: Idea Funds
43-2617
RENEWAL OF
MEMORANDUM OF UNDERSTANDING
THIS RENEWAL TO MEMORANDUM OF UNDERSTANDING (“Renewal”), is
made and entered into this lst day of May, 2024 (“Effective Date”), by and between WEST
VIRGINIA UNIVERSITY BOARD OF GOVERNORS on behalf of WEST VIRGINIA
UNIVERSITY and its SCHOOL OF MEDICINE, DEPARTMENT OF
OPHTHALMOLOGY AND VISUAL SCIENCES (“WVU”) and the MARION COUNTY
BOARD OF EDUCATION (“Affiliate”), (collectively the “Parties” and sometimes individually
as a “Party’’).
WITNESSETH:
WHEREAS, WVU and Affiliate entered the Memorandum of Understanding commencing
on June 14, 2023 (“MOU”), and which is set to expire on June 30, 2024.
WHEREAS, the Parties desire to renew the MOU for an additional term.
WHEREAS, the parties desire to place their agreement in writing.
NOW, THEREFORE, WITNESSETH, that for and in consideration of the mutual
promises, covenants and undertakings herein, the parties agree as follows:
l. The MOU shall be and is hereby renewed for an additional one-year term from July
1, 2024 through June 30, 2025.
2. This Renewal may be executed in any number of counterparts, all of which taken
together shall constitute one and the same instrument, and any party hereto may execute this
Renewal and Amendment by signing any such counterpart.
3. Unless expressly amended or modified by written agreement, each and every term
and provision of the MOU shall hereafter remain of full force and effect. The MOU, as amended
1W0132467.1} Page lof2
43-2617
and modified, constitutes the entire understanding of the Parties with respect to the subject matter
hereof.
IN WITNESS WHEREOF, the parties have caused their respective names to be
signed by their duly authorized officers.
WEST VIRGINIA UNIVERSITY BOARD OF GOVERNORS
on behalf of WEST VIRGINIA UNEVERSITY and its SCHOOL OF MEDICINE,
E. Gordon Gee, J.D., Ed.D., President, by
Clay B. Marsh, M.D. - Date
Chancellor and Executive Dean of WVU Health Sciences
MARION COUNTY BOARD OF EDUCATION
Dr. Donna Heston Date
Superintendent
| WOH 32467.1] Page 2 of 2
43-2617
Se ° 1100 Virginia Drive, Suite 250
C Fart Washington, PA 19034-3278
Phone: 1-800-986-4627 Fax: 1-866-321-0905
Website: www.hpso.com
03/08/24
West Virginia University
8707 Health Science Center
Po Box 9225
Morgantown, WV 26506
Dear Sally Weaver:
Enclosed is the replacement certificate of insurance that you requested.
If you have any questions or need assistance, please call us toll free at 1-800-986-4627 Our
Customer Service Representatives are available weekdays from 8:00 a.m. to 6:00 p.m., EST.
Sincerely,
Customer Service
Enclosure
S2DCLT
HEALTHCARE PROVIDERS SERVICE fHPSO
ORGANIZATION PURCHASING GROUP
| CNA Certificate of Insurance 43-2617
OCCURRENCE PROFESSIONAL LIABILITY POLICY FORM
Print Date: 3/08/2024
| The application for the Policy and any and allsupplementary information, materials, and statements submitted therewith shall |
| be maintained on file by us or our Program Administrator and will be deemed attached to and incorporated into the Policy as \
i if physically attached. i
PRODUCER | BRANCH PREFIX | POLICY NUMBER POLICY PERIOD
018098 970 HPG 0127284799 From: 05/14/24 to 05/14/25 at 12:01 AM Standard Time
Named Insured and Address: Program Administered by:
West Virginia University Healthcare Providers Service Organization
8707 Health Science Center 1100 Virginia Drive, Suite 250
Po Box 9225 Fort Washington, PA 19034
Morgantown, WV 26506 1-800-986-4627
www.hpso.com
Medical Specialty: Code: Insurance Provided by: l
School Blanket - Healthcare Provider Students 80998 American Casualty Company of Reading, Pennsylvania
151 N. Franklin Street
Chicago, IL 60606
Professional Liability $ 4.000 000 each claim $ 5 000.000 aggregate :
| Your professional liability limits shown above include the following: i
* Personal Injury Liability
i Coverage Extensions i
Grievance Proceedings $1,000 per proceeding $10,000 aggregate
Defendant Expense Benefit $10,000 aggregate
Deposition Representation $1,000 per deposition $ 5,000 aggregate
Assault $1,000 per incident $25,000 aggregate
Medical Payments $2,000 sper person $100,000 aggregate
First Aid $ 600 per incident $25,000 aggregate
Damage to Property of Others $ 250 per incident $10,000 aggregate
Total$ 2,421.24 Z E —————————
Base Premium §$ 2468.00 Surcharge $ 13.24 Local Tax $0.00
Policy Forms and Endorsements (Please see attached list of policy forms and endorsements)
Wiz 7 3
Chairman of the ‘Board Secretary
Keep this Certificate of Insurance in a safe place. It and proof of payment are your proof of coverage. There is no coverage in
force unless the premium is paid in full. To activate your coverage, please remit premium in full by the effective date of this
i Certificate of Insurance.
Coverage Change Date: Endorsement Date: Master Policy: 188711433
CNA93692 (11-2018)
© Copyright CNA All Rights Reserved.
POLICY FORMS & ENDORSEMENTS él 3 = 2 6 1 @
The following are the policy forms and endorsements that apply to your current professional liability policy.
COMMON POLICY FORMS & ENDORSEMENTS
FORM # FORM NAME
G-144918-A (01-03) = School Blanket Occurrence Form
CNA79561 (09-14) Distribution or Recording of Material or Information in Violation of Law Exclusion Endorsement
G-144931-A47 (01-03) Cancellation & Non-Renewai Endorsement
CNA105782 (04-23) Services to Animals
PLEASE REFER TO YOUR CERTIFICATE OF INSURANCE FOR THE POLICY FORMS & ENDORSEMENTS SPECIFIC
TO YOUR STATE AND YOUR POLICY PERIOD.
For NJ residents: The PLIGA surcharge shown on the Certificate of Insurance is the NJ Property & Liability Insurance
Guaranty Association.
For KY residents: The Surcharge shown on the Certificate of Insurance is the KY Firefighters and Law Enforcement
Foundation Program Fund and the Local Tax is the KY Local Government Premium Tax.
As required by 806 Ky. Admin Regs. 2:100, this Notice is to advise you that a surcharge has been
applied to your insurance premium and is separately itemized on the Declarations page or billing
instrument attached to your policy, as required KRS. §136.392.
For WV residents: The surcharge shown on the Certificate of Insurance is the WV Premium Surcharge.
For FL residents:
Form #:CNA93692 = (11-2018) Named Insured: West Virginia University
Master Policy #: 188711433 Policy #: 0127284799
© Copyright CNA All Rights Reserved.
43-261'
CERTIFICATE OF LIABILITY INSURANCE
Additional Insured: West Virginia University
PO Box 6209
Morgantown, WV 26506-6209
Certificate No: L 0176 - July 1, 1971
This certifies that the Insured named above is an Additional Insured for the Coverage indicated below
under General Liability Policy RMGL 991-17-59 and Automobile Policy RMCA 728-11-88 issued to the
state of West Virginia by NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA.
Coverage Perjod: July,1 2023 to July,1 2024; 12:01 a.m, Eastern Time
Coverages Afforded: Comprehensive General Liability Insurance
Personal Injury Liability Insurance
Professional Liability Insurance
Stop Gap Liability Insurance
Wrongful Act Liability Coverage
Comprehensive Auto Liability Coverage
Auto Physical Damage Insurance
Garagekeepers Insurance
Limit of Liability: $1,000,000 each occurrence*
$1,897,000 Medical Professional Liability Pursuant to WV Code 55-7H-4
* For all coverages combined. The per-occurrence limit is not increased
if a claim is insured under more than one coverage or if claim is made
against more than one insured.
Special Limits: The auto physical damage limit is the actual cash value of each vehicle
subject to a deductible of $ 1,000.
Claim Reporting: Claims should be reported to:
Claim Manager
West Virginia Board of Risk & Insurance Management
1124 Smith Street, Suite 4900
Charleston, WV 25301
304-766-2646
THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS SUBJECT TO ALL OF THE
TERMS, CONDITIONS, EXCLUSIONS AND DEFINITIONS IN THE POLICIES. ITIS A
CONDITION PRECEDENT OF COVERAGE UNDER THE POLICIES THAT THE
ADDITIONAL INSURED DOES NOT WAIVE ANY STATUTORY OR COMMON LAW
IMMUNITY CONFERRED UPON IT.
by: YM Nhe
AUTHORIZED REPRESENTATIVE
Dated: _June 6, 2023_
43-2617
=y ‘a 1100 Virginia Drive, Suite 250
fH Fort Washington, PA 19034-3278
Phone: 1-800-986-4627 Fax.1-866-321-0905
Website: www.hpso.com
03/08/24
West Virginia University
8707 Health Science Center
Po Box 9225
Morgantown, WV 26506
Dear Sally Weaver:
Enclosed is the replacement certificate of insurance that you requested.
If you have any questions or need assistance, please call us toil free at 1-800-986-4627 Our
Customer Service Representatives are available weekdays from 8:00 a.m. to 6:00 p.m., EST.
Sincerely,
Customer Service
Enclosure
S2DCLT
HEALTHCARE PROVIDERS SERVICE
ORGANIZATION PURCHASING GROUP
Certificate of Jnsurance
OCCURRENCE PROFESSIONAL LIABILITY POLICY FORM
CNA
ISHPSO
Print Date: 3/08/2024
The application for the Policy and any and allsupplementary information, materials, and statements submitted therewith shall
be maintained on file by us or our Program Administrator and will be deemed attached to and incorporated into the Policy as
if physically attached.
PRODUCER | BRANCH
018098 970
Named Insured and Address:
West Virginia University
8707 Health Science Center
Po Box 9225
Morgantown, WV 26506
PREFIX
HPG
POLICY NUMBER
0127284799
Medical Specialty: Code:
School Blanket - Healthcare Provider Students 80998
POLICY PERIOD
From: 06/14/24 to 05/14/25 at 12:01 AM Standard Time
Program Administered by:
Healthcare Providers Service Organization
1100 Virginia Drive, Suite 250
Fort Washington, PA 19034
1-800-986-4627
www.hpso.com
Insurance Provided by:
American Casualty Company of Reading, Pennsyivania
151 N. Franklin Street
Chicago, IL 60606
Professional Liability $ 1,000,000 each claim $ 5000000 aggregate
Your professional liability limits shown above Include the following:
* Personal Injury Liability
Coverage Extensions — .
Grievance Proceedings $1,000 per proceeding $10,000 aggregate
Defendant Expense Benefit $ 10,000 aggregate
Deposition Representation $1,000 _—_— per deposition $ 5,000 aggregate
Assault $1,000 per incident $25,000 aggregate
Medical Payments $2,000 sper person $100,000 aggregate
First Aid $ 500 per incident $25,000 aggregate
Damage to Property of Others $ 250 per incident $ 10,000 aggregate
Total$ 2,421.24 ee
Base Premium $ 2408.00 Surcharge $ 13.24 Local Tax $0.00
Policy Forms and Endorsements (Please see attached list of policy forms and endorsements)
Chainnan of the Board
an Se
Secretary
Keep this Certificate of Insurance in a safe place. It and proof of payment are your proof of coverage. There is no coverage in
force unless the premium is paid in full. To activate your coverage, please remit premium in full by the effective date of this
Certificate of Insurance.
Coverage Change Date:
CNA93692 (11-2018)
Endorsement Date:
Master Policy: 188711433
& Copyright CNA All Rights Reserved
43-261
ry
g
43-2617
POLICY FORMS & ENDORSEMENTS
The following are the policy forms and endorsements that apply to your current professional liability policy.
COMMON POLICY FORMS & ENDORSEMENTS
FORM # FORM NAME
G-144918-A (01-03) School Blanket Occurrence Form
CNA79561 (09-14) Distribution or Recording of Material or Information in Violation of Law Exclusion Endorsement
G-144931-A47 (01-03) Cancellation & Non-Renewal Endorsement
CNA105782 (04-23) Services to Animals
PLEASE REFER TO YOUR CERTIFICATE OF INSURANCE FOR THE POLICY FORMS & ENDORSEMENTS SPECIFIC
TO YOUR STATE AND YOUR POLICY PERIOD.
For NJ residents: The PLIGA surcharge shown on the Certificate of Insurance is the NJ Property & Liability Insurance
Guaranty Association.
For KY residents: The Surcharge shown on the Certificate of Insurance is the KY Firefighters and Law Enforcement
Foundation Program Fund and the Local Tax is the KY Local Government Premium Tax.
As required by 806 Ky. Admin Regs. 2:100, this Notice is to advise you that a surcharge has been
applied to your insurance premium and is separately itemized on the Declarations page or billing
instrument attached to your policy, as required KRS. §136.392.
For WV residents: The surcharge shown on the Certificate of Insurance is the WV Premium Surcharge.
For FL residents:
Form #:CNA$3692 (11-2018) Named Insured: West Virginia University
Master Policy #: 188711433 Policy #: 0127284799
© Copyright CNA All Rights Reserved.
Additional Insured:
43-261
CERTIFICATE OF LIABILITY INSURANCE
West Virginia University
PO Box 6209
Morgantown, WV 26506-6209
L 0176 - July 1, 1971
This certifies that the Insured named above is an Additional Insured for the Coverage indicated below
under General Liability Policy RMGL 991-17-59 and Automobile Policy RMCA 728-11-88 issued to the
state of West Virginia by NATIONAL UNION FIRE INSURANCE CO, OF PITTSBURGH, PA.
Coverages Afforded:
Limit of Liability:
Special Limits:
July,1 2023 to July,1 2024; 12:01 a.m. Eastern Time
Comprehensive General Liability Insurance
Personal Injury Liability Insurance
Professional Liability Insurance
Stop Gap Liability Insurance
Wrongful Act Liability Coverage
Comprehensive Auto Liability Coverage
Auto Physical Damage Insurance
Garagekeepers Insurance
$1,000,000 each occurrence*
$1,897,000 Medical Professional Liability Pursuant to WV Code 55-7H-4
* For all coverages combined. The per-occurrence limit is not increased
if a claim is insured under more than one coverage or if claim is made
against more than one insured.
The auto physical damage limit is the actual cash value of each vehicle
subject to a deductible of $ 1,000,
Claims should be reported to:
Claim Manager
West Virginia Board of Risk & Insurance Management
1124 Smith Street, Suite 4300
Charleston, WV 25301
304-766-2646
THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS SUBJECT TO ALL OF THE
TERMS, CONDITIONS, EXCLUSIONS AND DEFINITIONS IN THE POLICIES, ITIS A
CONDITION PRECEDENT OF COVERAGE UNDER THE POLICIES THAT THE
ADDITIONAL INSURED DOES NOT WAIVE ANY STATUTORY OR COMMON LAW
IMMUNITY CONFERRED UPON IT.
Dated: _June 6, 2023
AUTHORIZED REPRESENTATIVE
43-2618
MEMORANDUM 05/10/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL services ()
SUBJECT: BOARD APPROVAL
cc: KATHY CYPHERS
REQUEST: Memorandum of Understanding between West Virginia University and its School of Medicine,
Department of Human Performance and Applied Exercise Science and Marion County Schools to
permit students to participate in the fieldwork of Occupational Therapy and/or Physical Therapy for
the school year of 2024-2025. Please see attached agreement.
43-2618
STUDENT AFFILIATION AGREEMENT
THIS STUDENT AFFILIATION AGREEMENT (“Agreement”), by and between the
WEST VIRGINIA UNIVERSITY BOARD OF GOVERNORS on behalf of WEST
VIRGINIA UNIVERSITY and its SCHOOL OF MEDICINE, DEPARTMENT OF HUMAN
PERFORMANCE AND APPLIED EXERCISE SCIENCE (“WVUSM”), and MARION
COUNTY SCHOOLS (“Affiliate”).
WHEREAS, the West Virginia University Board of Governors governs West Virginia
University and its School of Medicine; and
WHEREAS, WVUSM is currently conducting educational programs in the Divisions of
Exercise Physiology, Occupational Therapy, Physical Therapy, and Respiratory Therapy and
desires to obtain clinical education or fieldwork for the students enrolled in such educational
programs; and
WHEREAS, the object and purposes of this Agreement are in furtherance of WVUSM’s
mission; and
WHEREAS, Affiliate desires to provide clinical education or fieldwork for the students
of WVUSM in order to further educational activities within the service to promote continued
improvement of patient care; and
WHEREAS, the parties share the mutual goal of optimum patient care and allied health
education.
NOW, THEREFORE, in consideration of the premises and the covenants and conditions
herein contained, WVUSM and Affiliate do hereby agree as follows:
Approved by WVU General Counsel Office 6/2023
43-2618
1. RESPONSIBILITIES OF WVUSM.
1.1. Each WVUSM student will be supervised by a licensed or registered clinician or
fieldwork person as follows:
Exercise Physiology Exercise Physiologist with a Master’s or PhD Degree
Occupational Therapy Level I — OT Practitioner or Qualified Personnel
Level IT — Occupational Therapist
Capstone - OT Practitioner or Qualified Personnel
Physical Therapy Physical Therapist
Respiratory Therapy Certified or Registered Respiratory Therapist
Supervision shall be interpreted to mean that a responsible clinician or fieldwork person
is on the premises with the students. The supervision of Occupational Therapy and Physical
Therapy students will be in accordance with the state licensure law in which the student is
completing the fieldwork experience. The supervising clinician or fieldwork person may arrange
for the student to observe or assist another qualified health professional acceptable to WVUSM,
but at no time will the student be allowed patient contact when a supervising clinician or fieldwork
person is not on the premises, nor will the student be used in lieu of professional or non-
professional staff. Students must be appropriately supervised at all times during their clinical
education coursework and experiences. Students must not be used to substitute for clinical,
instructional, or administrative staff. Students must not receive any form of remuneration in
exchange for patient care they provide during programmatic clinical coursework.
1.2. WVUSM agrees to withdraw from Affiliate any student whose performance,
behavior, or health is deemed by Affiliate to be detrimental to patients or staff or when student
fails to abide by the policies and procedures established by Affiliate. Also, WVUSM and Affiliate
agree to enter into early intervention and mediation if the student does not behave in a manner
consistent with the policies, procedures and convention established by the profession, Affiliate,
and WVUSM.
1.3. WVUSM agrees that, on certification of eligibility by the coordinator of clinical
Page 2 of 11
Approved by WVU General Counsel Office 6/2023
43-2615
education or fieldwork of WVUSM, the clinical instructor(s) or fieldwork coordinator(s) of
Affiliate’s Exercise Physiology, Occupational Therapy, Physical Therapy, or Respiratory Therapy
service shall be entitled to use the library facilities of the educational program in Exercise
Physiology, Occupational Therapy, Physical Therapy, or Respiratory Therapy and of the School
of Medicine of the University, and to attend classes in the educational program in Exercise
Physiology, Occupational Therapy, Physical Therapy, or Respiratory Therapy at WVUSM with
permission of the class instructor, and attend continuing education seminars for clinical educators
and fieldwork instructors.
1.4. WVUSM shall advise the student(s) participating in the clinical rotations at
Affiliate that they are responsible for complying with the applicable rules and regulations of
Affiliate and shall provide to each student health, safety, and any other policy information provided
by Affiliate to WVUSM.
1.5. WVUSM shall establish and maintain ongoing communications aboutthe clinical
experience with the program supervisor of Affiliate and other designated Affiliate personnel,
including, but not limited to, a description of the curriculum, policies, faculty, and major changes
to the information provided pursuant to Section 1.4 hereof. On-site visits may be arranged when
feasible.
1.6. In accordance with applicable laws, regulations, and West Virginia University
policy, WVUSM shall immediately notify Affiliate about any physical, mental, or emotional
problem, including chemical dependency, which would serve to impair a student’s performance
and/or represent a threat to the health and safety of patients or Affiliate employees or physicians,
in the event WVUSM becomes aware of such a problem. Also, WVUSM shall immediately notify
Affiliate of any action taken because of substandard academic or clinical performance of any
student when that substandard performance could have an adverse impact on patient care at
Page 3 of 11
Approved by WVU General Counsel Office 6/2023
Affiliate. In the event WVUSM cannot legally share such information, it shall immediately
withdraw its student from Affiliate if such information could impair a student’s performance
and/or represent a threat to the health and safety of patients or Affiliate employees or physicians.
2. RESPONSIBILITIES OF AFFILIATE.
2.1. Affiliate will assign the responsibility for the coordination of clinical education
or fieldwork for the students of WVUSM to a licensed or registered clinical instructor or
fieldworker that meets the criteria for the specific service to be provided (Exercise Physiology,
Occupational Therapy, Physical Therapy, Respiratory Therapy) as outlined in section 1.1. The
license(s) of the clinical instructor or fieldworker should cover all jurisdictions where students will
be supervised. This individual, and any other clinical instructor or fieldworker responsible for the
supervision and final evaluation of the WVUSM student, if acceptable to WVUSM, may be
appointed by WVUSM to its faculty with the title of Clinical Instructor or Field worker of Exercise
Physiology, Occupational Therapy, Physical Therapy, Respiratory Therapy with all rights and
privileges accorded by WVUSM to its other clinical faculty.
2.2. Affiliate will provide clinical education or fieldwork for students enrolled in the
educational program in Exercise Physiology, Occupational Therapy, Physical Therapy, or
Respiratory Therapy of WVUSM. The number and level of students, their program of education
within A ffiliate, and the scheduling of their assignments to Affiliate shall be determined by mutual
agreement between the coordinator of clinical education or fieldwork coordinator for the WVUSM
Division of Exercise Physiology, Occupational Therapy, Physical Therapy, or Respiratory
Therapy and the clinical education coordinator and fieldwork coordinator of Exercise Physiology,
Occupational Therapy, Physical Therapy, or Respiratory Therapy of Affiliate.
2.3. Affiliate will provide the students with the rules, regulations and procedures of
Affiliate and of the Exercise Physiology, Occupational Therapy, Physical Therapy, or Respiratory
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43-2618
Therapy service, patient care and other learning experiences, and access, as available, to parking,
locker, cafeteria, and library facilities. This information will be sent prior to a clinical rotation or
fieldwork placement.
2.4. In the event a student suffers an injury or experiences a health threatening
exposure while on Affiliate’s premises, Affiliate will provide emergency care including the
administering of acute antiviral therapies or referral therefore as recommended by protocols
adopted by the Centers for Disease Control and Prevention. Such care will be at the student’s
expense.
2.5. Affiliate shall notify WVUSM of any reported complaints about mistreatment of
students in writing, upon occurrence. Affiliate shall provide mechanisms for reporting complaints
that ensure that the complaints may be documented and investigated without fear of retaliation. In
addition, Affiliate shall notify WVUSM immediately upon initiation of any investigation of a
complaint related toa WVUSM medical student.
2.6. Affiliate agrees to provide clinical experience which meets the standards of the
Program, the CAPTE, the ACOTE, the CoARC, recognized professional associations, and
governmental or state agencies, as applicable.
2.7. Affiliate shall comply with all applicable laws, regulations, CAPTE
requirements, ACOTE, and CoARC requirements, as applicable, and shall notify WVUSM within
five (5) days of receipt of notice that Affiliate is not in compliance with any such laws, regulations,
or requirements.
3. MUTUAL RESPONSIBILITIES.
3.1. Clinical and fieldwork education will include the supervision and instruction, as
needed, of students in appropriate assessment, program planning, and treatment procedures for
patients with a variety of disabilities, the prevention of disability, and other activities, as available,
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43-2618
such as participation in ward rounds, staff meetings, in-service educational programs, special
lectures, clinics, and similar activities, at the discretion of the primary clinical supervisor. The
WVUSM agrees to inform Affiliate of the preparation that the studentshave received at WVUSM.
Affiliate agrees to evaluate each student's level of performance in Affiliate using criteria and forms
provided by WVUSM.
3.2, The students will be assigned to Affiliate solely for the purpose of obtaining
clinical education or fieldwork in Exercise Physiology, Occupational Therapy, Physical Therapy,
or Respiratory Therapy and will not be employees of Affiliate for purposes of compensation or for
any other purposes or benefits having to do with an employment status. Since the students will not
be employees of Affiliate, Affiliate will not be responsible for providing them with Social Security,
unemployment compensation, or workers’ compensation coverage while they are assigned as
students to Affiliate’s Exercise Physiology, Occupational Therapy, Physical Therapy, or
Respiratory Therapy service.
4. TERM. Unless terminated sooner as hereinafter provided, this Agreement shall be
effective July 1, 2024, through June 30, 2025 [a one (1) year term], and may be renewed upon
mutual written agreement of the parties.
5. TERMINATION.
5.1. Either party may terminate this Agreement for any reason upon ninety (90) days
prior written notice. Any student already at Affiliate at the time of the termination of this
Agreement will be allowed to complete the rotation at Affiliate in accordance with the terms of
this Agreement.
3.2, Any party may terminate this Agreement for just cause. For purposes of this
Agreement, just cause shall mean the failure of any party to comply with the material terms of this
Agreement after notice by certified mail, return receipt requested, and a reasonable opportunity of
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43-2618
not less than sixty (60) days to cure such breach.
6. NO FEDERAL EXCLUSION. Each party represents that to its knowledge neither it,
nor any of its management or any other employees or independent contractors who will have any
involvement in the affiliation under this Agreement, have been excluded from participation in any
government healthcare program, debarred from or under any other federal program (including but
not limited to debarment under the Generic Drug Enforcement Act), or convicted of any offence
defined in 42 U.S.C. Section 1320a-7, and that to its knowledge it, its employees, and independent
contractors are not otherwise ineligible for participation in federal health care programs. Further,
each party represents that it is not aware of any such pending action(s) (including criminal action)
against it or its employees or independent contractors. Each party shall notify the other party
immediately upon becoming aware of any pending or final action in any of these areas.
7. NOTICES. Any written notice required by this Agreement shall be sent by certified
mail, return receipt requested, to the address given below or to such later address as may be
specified in writing. Any prior written notice periods required by this Agreement shall be deemed
to be effective if sent in accordance with this notice provision.
If to WVUSM: Chancellor and Executive Dean of WVU Health Sciences
West Virginia University
Robert C, Byrd Health Sciences Center
P.O. Box 9000
Morgantown, WV 26506-9000
If to Affiliate: Dr. Donna Heston, Superintendent
Maricn County Schools
1516 Mary Lou Retton Drive
Fairmont, WV 26554
8. NON-DISCRIMINATION. Each party hereby warrants that it is, and shall continue
to be, in compliance with the Civil Rights Act of 1964, the Rehabilitation Act of 1973, and the
Americans with Disabilities Act of 1990 as well as the applicable Federal, State, and local statues,
tules and regulations. No person shall, on account of race, color, national origin, ancestry, age,
Page 7 of 11
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43-2615)
physical or mental disability, marital or family status, pregnancy, veteran status, service in the
uniformed services (as defined in state and federal law), religion, creed, sex, sexual orientation,
genetic information, gender identity, or gender expression, be unlawfully excluded from
participation in any programs sponsored by either of the parties to this Agreement.
9. LIABILITY INSURANCE. Professional and general liability coverage provided by
the State of West Virginia will apply to students assigned under this agreement while they are
acting within the scope of their approved assignment. The amount of coverage is One Million
Dollars ($1,000,000.00) per occurrence with no aggregate limit. Also, the students in the Exercise
Physiology, Occupational and Physical Therapy, and Respiratory Therapy programs are covered
under additional liability insurance for malpractice. WVUSM shall provide Affiliate with a copy
of the Certificate of Insurance upon request.
10. LIABILITY. Each party agrees that it shall be responsible for all demands, claims,
damages to persons and/or property, losses or liabilities, including reasonable attorney fees arising
out of or caused by the party’s negligence or intentional misconduct, if assessed by a court of
competent jurisdiction to be the responsibility of that party.
11. SEVERABILITY. Ifany portion of this Agreement shall for any reason be invalid,
illegal, unenforceable, or otherwise inoperative, the valid and enforceable provisions will continue
to be given effect and to bind the parties.
12. APPLICABLE LAW. This Agreement shall be governed by and construed in
accordance with the laws of the State of West Virginia, without regard to its conflicts of law
provisions.
13. USE OF NAME. Neither party shall use the name or logo of the other party or its
trade, assumed, or true names in any advertising, promotional, or other materials in any form of
media without the prior written consent of that party. Requests to use WVUSM’s name or logo
Page 8 of 11
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43-2618
should be sent to the Director of Brand and Trademark Licensing at
trademarklicensing(@mail.wvu.edu.
14, ENTIRE AGREEMENT. This Agreement contains the entire agreement of the
parties as to this subject matter and supersedes any previous oral or written negotiations and/or
agreement.
15. HIPAA. WVUSM states that it has trained or caused to be trained all individuals
provided pursuant to the terms of this Agreement in the regulations pursuant to the Health
Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended by the Health
Information Technology for Economic and Clinical Health Act (“HITECH”) and its implementing
regulations. In the event that Affiliate becomes aware of any breach of privacy by any student
assigned to Affiliate, Affiliate will immediately notify WVUSM of such breach.
16. COUNTERPARTS AND SIGNATURES, This Agreement may be executed in two
(2) or more counterparts, each of which shall be deemed an original but which together shall
constitute one (1) and the same instrument. Facsimile or scanned images of signatures upon this
Agreement shall be binding on the party so signing as if an original signature and shall have the
full force and effect thereof.
17. ASSIGNMENT. This Agreement may not be assigned by either party without the
written consent of the other party hereto; provided, that WVUSM may assign this Agreement toa
successor board, agency or commission of the State of West Virginia by giving written notice to
Affiliate.
18. MODIFICATIONS AND AMENDMENTS. This Agreement may be modified at
any time upon mutual consent in writing of the parties signed by both the parties hereto. Any
change must be made in writing to the other party and must be accepted in writing before it will
be given effect.
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43-2615
19. IMMUNIZATIONS AND TRAININGS. WVUSM will assure and certify to
Affiliate that the student has all necessary inoculations and vaccinations (Polio, Tetanus, MMR,
Varicella, Hep B, PPD, CPR), required to provide direct patient care in the discipline for which
the student is being educated and trained. Also, the students will be trained in OSHA and HIPAA
procedures and regulations, prior to doing any clinical work. No student will be allowed to provide
direct patient care until these requirements are met.
20. BACKGROUND CHECKS. If required by Affiliate, the student will agree to being
fingerprinted and have a background check completed. The procedure and results must be
completed prior to the student starting their clinical rotation. The results will only be released to
Affiliate, with student permission.
21. FERPA. Affiliate acknowledges that many students’ education records are protected by
the Family Educational Rights and Privacy Act (“FERPA” 34 CFR § 99.33(a)(2)) and that, in most
instances, student permission must be obtained before releasing specific student data to anyone other
than WVUSM. To the extent that Affiliate receives from WVUSM personally identifiable
information from educational records as defined in FERPA, A ffiliate agrees to abide by the limitation
on re-disclosure set forth in FERPA, which states that the officers, employees, and agents of a party
that receives education record information from WVUSM may use the information, but only for the
purposes for which the disclosure was made. WVUSM agrees to provide guidance to A ffiliate with
respect to complying with FERPA.
(THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK;
SIGNATURES TO FOLLOW ON NEXT PAGE.)
Page 10 of 11
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43-2618
IN WITNESS WHEREOPF, the authorized parties have hereunto set their hands and seals
on the date first written above.
WEST VIRGINIA UNIVERSITY BOARD OF GOVERNORS
on behalf of WEST VIRGINIA UNIVERSITY,
E. Gordon Gee, J.D., Ed.D., President, by
Clay B. Marsh, M.D. Date
Chancellor and Executive Dean of WVU Health Sciences
MARION COUNTY SCHOOLS
Dr. ‘Donna Heston Date
Superintendent
Page 11 of 11
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43-2618
es MY 1100 Virginia Drive, Suite 250
fSHP Fort Washington, PA 19034-3278
Phone: 1-800-986-4627 Fax: 1-866-321-0905
Website: www.hpso.com
03/08/24
West Virginia University
8707 Health Science Center
Po Box 9225
Morgantown, WV 26506
Dear Sally Weaver:
Enclosed is the replacement certificate of insurance that you requested.
If you have any questions or need assistance, please call us toll free at 1-800-986-4627 Our
Customer Service Representatives are available weekdays from 8:00 a.m. to 6:00 p.m., EST.
Sincerely,
Customer Service
Enclosure
S2DCLT
CNA Certificate of Jusurance 43-2618 |
OCCURRENCE PROFESSIONAL LIABILITY POLICY FORM
Print Date: 3/08/2024
The application for the Policy and any and allsupplementary information, materials, and statements submitted therewith shall |
be maintained on file by us or our Program Administrator and will be deemed attached to and incorporated into the Policy as I
if physically attached. i
PRODUCER | BRANCH PREFIX | POLICY NUMBER POLICY PERIOD
018098 970 HPG 0127284799 From: 05/14/24 to 05/14/25 at 12:01 AM Standard Time
Named Insured and Address: Program Administered by:
West Virginia University Healthcare Providers Service Organization
8707 Health Science Center 1100 Virginia Drive, Suite 250
Po Box 9225 Fort Washington, PA 19034
Morgantown, WV 26506 1-800-986-4627
www.hpso.com
Medical Specialty: Code: Insurance Provided by: ]
School Blanket - Healthcare Provider Students 80998 American Casualty Company of Reading, Pennsylvania
151. Franklin Street
Chicago, IL 60606
Professional Liability $ 1.000.000 eachclaim $ 59006.000 aggregate
Your professional liabllity IImits shown above Include the following:
* Personal Injury Liability
Coverage Extensions ;
Grievance Proceedings $1,000 per proceeding $10,000 aggregate
Defendant Expense Benefit $10,000 aggregate
Deposition Representation $1,000 per deposition 3 5,000 aggregate
Assault $1,000 per incident $25,000 aggregate
Medical Payments $2,000 per person $100,000 aggregate
First Aid $ 500 per incident $25,000 aggregate
Damage to Property of Others $ 250 per incident $10,000 aggregate
Total$ 2.421.24 : F : Ss
Base Premium $ 2408.00 Surcharge $ 13.24 Local Tax $0.00
Policy Forms and Endorsements (Please see attached list of policy forms and endorsements)
a S—
Chairman of the Board Secretary
Keep this Certificate of insurance in a safe place. |t and proof of payment are your proof of coverage. There is no coverage in
force unless the premium is paid in full. To activate your coverage, please remit premium in full by the effective date of this i
Certificate of Insurance. |
Coverage Change Date: Endorsement Date: Master Policy: 188711433
CNA93692 (11-2018)
© Copyright CNA Ali Rights Reserved.
43-2618
The following are the policy forms and endorsements that apply to your current professional liability policy.
COMMON POLICY FORMS & ENDORSEMENTS
POLICY FORMS & ENDORSEMENTS
FORM # FORM NAME
G-144918-A (01-03) School Blanket Occurrence Form
CNA79561 (09-14) Distribution or Recording of Material or Information in Violation of Law Exclusion Endorsement
G-144931-A47 (01-03) Cancellation & Non-Renewal Endorsement
CNA105782 (04-23) Services to Animals
PLEASE REFER TO YOUR CERTIFICATE OF INSURANCE FOR THE POLICY FORMS & ENDORSEMENTS SPECIFIC
TO YOUR STATE AND YOUR POLICY PERIOD.
For NJ residents: The PLIGA surcharge shown on the Certificate of Insurance is the NJ Property & Liability Insurance
Guaranty Association.
For KY residents: The Surcharge shown on the Certificate of Insurance is the KY Firefighters and Law Enforcement
Foundation Program Fund and the Local Tax is the KY Local Government Premium Tax.
As required by 806 Ky. Admin Regs. 2:100, this Notice is to advise you that a surcharge has been
applied to your insurance premium and is separately itemized on the Declarations page or billing
instrument attached to your policy, as required KRS. §136.392.
For WV residents: The surcharge shown on the Certificate of Insurance is the WV Premium Surcharge.
For FL residents:
Form #:CNA93692 (11-2018) Named Insured: West Virginia University
Master Policy #: 188711433 Policy #: 0127284799
© Copyright CNA All Rights Reserved.
Additional I i
43-2615
CERTIFICATE OF LIABILITY INSURANCE
West Virginia University
PO Box 6209
Morgantown, WV 26506-6209
L 0176 -— July 1, 1971
This certifies that the Insured named above is an Additional Insured for the Coverage indicated below
under General Liability Policy RMGL 991-17-59 and Automobile Policy RMCA 728-11-88 issued to the
state of West Virginia by NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA.
July,1 2023 to July,1 2024; 12:01 a.m. Eastern Time
Comprehensive General Liability Insurance
Personal Injury Liability Insurance
Professional Liability Insurance
Stop Gap Liability Insurance
Wrongful Act Liability Coverage
Comprehensive Auto Liability Coverage
Auto Physical Damage Insurance
Garagekeepers Insurance
$1,000,000 each occurrence*
$1,897,000 Medical Professional Liability Pursuant to WV Code 55-7H-4
* For all coverages combined. The per-occurrence limit is not increased
if a claim is insured under more than one coverage or if claim is made
against more than one insured.
The auto physical damage limit is the actual cash value of each vehicle
subject to a deductible of $ 1,000.
Claims should be reported to:
Claim Manager
West Virginia Board of Risk & Insurance Management
1124 Smith Street, Suite 4300
Charleston, WV 25301
304-766-2646
THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS SUBJECT TO ALL OF THE
TERMS, CONDITIONS, EXCLUSIONS AND DEFINITIONS IN THE POLICIES. ITIS A
CONDITION PRECEDENT OF COVERAGE UNDER THE POLICIES THAT THE
ADDITIONAL INSURED DOES NOT WAIVE ANY STATUTORY OR COMMON LAW
- MN Nuke.
IMMUNITY CONFERRED UPON IT.
Dated: _June 6, 2023
AUTHORIZED REPRESENTATIVE
43-2619
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES ¢¥)
SUBJECT: BOARD APPROVAL
cc: KATHY CYPHERS
REQUEST: Sign Language Interpretation for Summer Programs
VENDOR: Best Life Therapy
AMOUNT: $50.00 per hour not to exceed $10,000.00
FUNDING SOURCE: County Funds
PO BON 220
BRIIGIEPO hk?
PRON
BIOS Gye NG Besthibey , Best ifs
$ A Stepping Stones Group Company Stepping Stones Group Company
43-2619
This contract is made and entered into on this 28th day of May, 2024 by and between Marion County
Schools, 1516 Mary Lou Retton Drive, Fairmont WV 26554, and Best Life Therapy, LLC, PO Box
220, Bridgeport, WV 26330.
WHEREAS, the board desires to contract for sign language interpretation/support services, AND WHEREAS,
Best Life Therapy, LLC, desires to provide assistance to the Board:
1. Best Life Therapy will perform sign language interpretation at Marion County Schools for the 2024-
2025 extended school year. Caseload/location to be assigned/determined by the special education
director for the course of this contract.
2. The Board will pay for these services at a rate of fifty dollars ($50.00) per hour. Services will be
paid for from the federal and county funds upon submission of monthly time sheets.
3. The Board shall exercise no control over the performance of the evaluations or treatment except to
assure that the services meet normal competency standards. It is the intent of all parties that this
arrangement is one that is not employer-employee but is instead strictly and independent contract
agreement. Prior to assuming their duties, Best Life Therapy, LLC is to furnish evidence to the
Board of sufficient liability insurance covering any errors or omissions with a minimum of One
Million and 00/100 dollars ($1,000,000.00) per occurrence coverage.
5. Best Life Therapy, LLC, will assume responsibility for requirements from the special education
department including but not limited to: background checks and fingerprinting for Medicaid
requirements.
6. Conversion to Teletherapy or Alternative Therapy Services. If any delay in the performance,
fulfillment or satisfaction of this Agreement, or the provision of therapy services to students,
individuals or children, is caused by acts of God, war, riot, embargoes, acts or omissions of civil or
military authorities, compliance with any law or governmental order, rule, regulation or direction,
fires, floods, accidents, quarantine restrictions, plague, virus, pandemic, outbreaks of infectious
disease, any public health crisis, employee restrictions, strikes, shortage or inability to obtain critical
material or supplies to the extent not subject to the reasonable control of a party hereto, or other
unforeseeable events or circumstances Best Life shall have the right, but not the obligation, to convert
the in-person therapy services set forth in this Agreement to teletherapy services or alternative therapy
services such as home intervention services, such services to be provided through either Best Life or
an affiliated entity, at the same rates and upon the same general terms and conditions set forth in
this Agreement. The parties shall utilize their best efforts to fulfill the provisions set forth above, and
both parties shall participate in the conversion of the services to be provided hereunder. The Board
shall execute and deliver all further documents and instruments, and provide such further assistance,
that may be reasonably necessary or desirable, as requested by Best Life, to carry out the provisions
of this Agreement or to effectuate the purposes or intent of this provision within the Agreement.
7.
10.
43-2619
Interruption to Agreement. The Board expressly acknowledges that it is a fundamental expectation of
Contractor that this Agreement will provide Contractor with a steady supply of therapy services during
the commonly accepted academic school year or the period of this Agreement. Accordingly, the Board
shall endeavor to avoid and minimize any interruptions to this Agreement. The Board shall give notice
to Contractor promptly upon the occurrence of any event which interrupts, or is reasonably likely to
interrupt, this Agreement. As soon as practicable thereafter, the Board shall give a report to Contractor
covering the following matters to the best of Board’s knowledge at the time of giving the report: (i) the
nature of the interruption or threatened interruption; (ii) the circumstances and cause of the same; (iii)
the likely duration of the interruption; and (iv) details of the efforts that have been made and are
planned by the Board to avoid or minimize the interruption and the effects thereof on performance
under this Agreement. Board and Contractor shall collectively work to mitigate interruptions to the
Agreement.
If any delay in the performance or satisfaction of this Agreement is caused by acts of God, war, riot,
embargoes, acts or omissions of civil or military authorities, compliance with any law or
governmental order, rule, regulation or direction, fires, floods, accidents, quarantine restrictions,
plague, virus, pandemic, outbreaks of infectious disease, any public health crisis, employee
restrictions, strikes, shortage or inability to obtain critical material or supplies to the extent not
subject to the reasonable control of a party hereto, or other unforeseeable events or circumstances,
that cannot be cured as set forth in Clause 6 through Teletherapy or Alternative Therapy Services,
this Agreement shall be suspended by the parties, upon the application of Contractor for such a
contractual suspension, for a reasonable period of time so that services can promptly be resumed and
provided to students, individuals or children who were being served prior to, or at the time of, such
delay. During this period, the parties shall utilize their best efforts to determine a timeframe for
resumption of the Agreement, and the new end date for the existing Agreement, as well as the
method of resumption.
Best Life Therapy will communicate directly with the Board’s Special Education Director or
designated therapist. Best Life Therapy, LLC will complete a written log of all services provided to
each child. Best Life Therapy, LLC will obtain appropriate consent, obtain appropriate
documentation from parents and teachers, Medicaid billing, and provide an appropriate diagnostic
report for each child evaluated. In addition, Best Life Therapy, LLC, will complete an appropriate
Eligibility Committee Report and Individualized Education Program for each student they evaluate
that meets WVDE eligibility requirements for an applicable therapy. Medicaid billing forms will
also be completed on a timeline designated by the special education director.
Best Life Therapy, LLC and all affiliates will be responsible for maintaining appropriate
confidentiality of all student information.
Page 2 of 3
43-261:
11. This contract shall become effective for the 2024-2025 school year as agreed upon by both Best Life
Therapy and Marion County Schools. The nature of this contract is to fill a gap in necessary
services and the full extent will be discussed periodically throughout the school year.
Witness signatures, the Marion County Board of Education as signed by the duly authorized officials and
Best Life Therapy, LLC.
5/28/24
Authorized Representative, Marion County Schools Date Rhea Dyer, Owner Best Life Therapy, LLC Date
Page 3 of 3
43-2620
MEMORANDUM 06/17/24
TO: DR. DONNA HESTON, SUPERINTENDENT
FROM: DR. CHRISTINA HARE, SUPERVISOR OF PUPIL SERVICES G;
SUBJECT: BOARD APPROVAL
cc: KATHY CYPHERS
REQUEST: Sign Language Interpretation for 2024-2025 School Year (includes extra-curricular activities)
VENDOR: Best Life Therapy
AMOUNT: $50.00 per hour not to exceed $150,000.00
FUNDING SOURCE: County Funds
PHO} (GIS 21a)
URS ONG by PICU AAS Se
tC 1). 998 3073
PEION TE:
hie y
1A Stepping Stones Group Company Stepping Stones Group Company
43-2620
This contract is made and entered into on this 28th day of May, 2024 by and between Marion County
Schools, 1516 Mary Lou Retton Drive, Fairmont WV 26554, and Best Life Therapy, LLC, PO Box
220, Bridgeport, WV 26330.
WHEREAS, the board desires to contract for sign language interpretation/support services, AND WHEREAS,
Best Life Therapy, LLC, desires to provide assistance to the Board:
1.
Best Life Therapy will perform sign language interpretation at Marion County Schools for the 2024-
2025 school year. Caseload/location to be assigned/determined by the special education director for
the course of this contract.
The Board will pay for these services at a rate of fifty dollars ($50.00) per hour, not to exceed
$100,000.00 in the 2024-2025 school year term. Services will be paid for from the federal and
county funds upon submission of monthly time sheets.
The Board shall exercise no control over the performance of the evaluations or treatment except to
assure that the services meet normal competency standards. It is the intent of all parties that this
arrangement is one that is not employer-employee but is instead strictly and independent contract
agreement. Prior to assuming their duties, Best Life Therapy, LLC is to furnish evidence to the
Board of sufficient liability insurance covering any errors or omissions with a minimum of One
Million and 00/100 dollars ($1,000,000.00) per occurrence coverage.
Best Life Therapy, LLC, will assume responsibility for requirements from the special education
department including but not limited to: background checks and fingerprinting for Medicaid
requirements.
Conversion to Teletherapy or Alternative Therapy Services. If any delay in the performance,
fulfillment or satisfaction of this Agreement, or the provision of therapy services to students,
individuals or children, is caused by acts of God, war, riot, embargoes, acts or omissions of civil or
military authorities, compliance with any law or governmental order, rule, regulation or direction,
fires, floods, accidents, quarantine restrictions, plague, virus, pandemic, outbreaks of infectious
disease, any public health crisis, employee restrictions, strikes, shortage or inability to obtain critical
material or supplies to the extent not subject to the reasonable control of a party hereto, or other
unforeseeable events or circumstances Best Life shall have the right, but not the obligation, to convert
the in-person therapy services set forth in this Agreement to teletherapy services or alternative therapy
services such as home intervention services, such services to be provided through either Best Life or
an affiliated entity, at the same rates and upon the same general terms and conditions set forth in
this Agreement. The parties shall utilize their best efforts to fulfill the provisions set forth above, and
both parties shall participate in the conversion of the services to be provided hereunder. The Board
shall execute and deliver all further documents and instruments, and provide such further assistance,
10.
43-2620
that may be reasonably necessary or desirable, as requested by Best Life, to carry out the provisions
of this Agreement or to effectuate the purposes or intent of this provision within the Agreement.
Interruption to Agreement. The Board expressly acknowledges that it is a fundamental expectation of
Contractor that this Agreement will provide Contractor with a steady supply of therapy services during
the commonly accepted academic school year or the period of this Agreement. Accordingly, the Board
shall endeavor to avoid and minimize any interruptions to this Agreement. The Board shall give notice
to Contractor promptly upon the occurrence of any event which interrupts, or is reasonably likely to
interrupt, this Agreement. As soon as practicable thereafter, the Board shall give a report to Contractor
covering the following matters to the best of Board’s knowledge at the time of giving the report: (i) the
nature of the interruption or threatened interruption; (ii) the circumstances and cause of the same; (iii)
the likely duration of the interruption; and (iv) details of the efforts that have been made and are
planned by the Board to avoid or minimize the interruption and the effects thereof on performance
under this Agreement. Board and Contractor shall collectively work to mitigate interruptions to the
Agreement.
If any delay in the performance or satisfaction of this Agreement is caused by acts of God, war, riot,
embargoes, acts or omissions of civil or military authorities, compliance with any law or
governmental order, rule, regulation or direction, fires, floods, accidents, quarantine restrictions,
plague, virus, pandemic, outbreaks of infectious disease, any public health crisis, employee
restrictions, strikes, shortage or inability to obtain critical material or supplies to the extent not
subject to the reasonable control of a party hereto, or other unforeseeable events or circumstances,
that cannot be cured as set forth in Clause 6 through Teletherapy or Alternative Therapy Services,
this Agreement shall be suspended by the parties, upon the application of Contractor for such a
contractual suspension, for a reasonable period of time so that services can promptly be resumed and
provided to students, individuals or children who were being served prior to, or at the time of, such
delay. During this period, the parties shall utilize their best efforts to determine a timeframe for
resumption of the Agreement, and the new end date for the existing Agreement, as well as the
method of resumption.
Best Life Therapy will communicate directly with the Board’s Special Education Director or
designated therapist. Best Life Therapy, LLC will complete a written log of all services provided to
each child. Best Life Therapy, LLC will obtain appropriate consent, obtain appropriate
documentation from parents and teachers, Medicaid billing, and provide an appropriate diagnostic
report for each child evaluated. In addition, Best Life Therapy, LLC, will complete an appropriate
Eligibility Committee Report and Individualized Education Program for each student they evaluate
that meets WVDE eligibility requirements for an applicable therapy. Medicaid billing forms will
also be completed on a timeline designated by the special education director.
Best Life Therapy, LLC and all affiliates will be responsible for maintaining appropriate
confidentiality of all student information.
Page 2 of 3
43-2620
11. This contract shall become effective for the 2024-2025 school year and shall be binding upon the
heirs, devisees, personal representatives, successors and assigns of Board of Contractor for the
school term 2024-2025.
Witness signatures, the Marion County Board of Education as signed by the duly authorized officials and
Best Life Therapy, LLC.
5/28/24
Authorized Representative, Marion County Schools Date Rhea Dyer, Owner Best Life Therapy, LLC Date
Page 3 of 3
43-2620
Client # 876705
MEMORANDUM OF INSURANCE Date Issued 11/14/2023
Producer is memorandum is issued as a matter of informatio
only and confers no rights upon the holder. This
memorandum does not amend, extend or alter
overages afforded by the Certificate listed below.
ompany Affording Coverage
Liberty Insurance Underwriters Inc.
AMBA
CA Insurance Licanse #0196562
P.O. Box 14554
Des Moines, |A 50306
1-800-375-2764
Best Life Therapy, LLC
141 State Street
Bridgeport, WV 26330
his is to certify that the Certificate listed below has been issued to the insured named above for the policy period indicated, not
ithstanding any requirement, term or condition of any contract or other document with respect to which this memorandum may be
issued or may pertain, the insurance afforded by the Certificate described herein is subject to all the terms, exclusions and conditions of
such Certificate. The limits shown may have been reduced by paid claims.
he Memorandum of Insurance and verification of payment are your evidence of coverage. No coverage is afforded unless the premium
s successfully paid in full
Type of Insurance | Certificate Number | Effective Date | Expiration Date
re cochtange Bn | AHY -509380013 | 11/30/2023 11/30/2024
PROOF OF INSURANCE
Should the above describe Certificate be cancelled
before the expiration date thereof, the issuing compan
ill endeavor to mail 30 days written notice to the
Memorandum Holder named to the left, but failure to
mail such notice shall impose no obligation or liabili
of any kind upon the company, its agents o
representatives.
Authorized Representative
Brad J. Feller
>
PROOF OF COVERAGE ONLY
AMBA In CA dba Assn. Member Benefits & Insuranos Agency. Proliability.com