SCHOOL BOARD OF BREVARD COUNTY, FLORIDA BOARD AGENDA ITEM November 21, 2017

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1 SCHOOL BOARD OF BREVARD COUNTY, FLORIDA BOARD AGENDA ITEM November 21, 2017 DEPARTMENT/SCHOOL INITIATED AGREEMENT CA # SH Dr. Janet Strum (BW) Bids Waived (CA) Consultant Agreement (SSA) Sales and Services Agreement REQUESTOR: Project ACCESS Legal Review: Yes No VENDOR NAME AMOUNT AWARDED REQUIRED PRODUCTS/SERVICES Dr. Janet Strum $ 27, Face to face trainings for expressive writing Total $ 27, Contract Renewal Recurring Contract New Contract New Contract Amount $ 27, Previous Contract Amount N/A Variance N/A PRICE INCREASE / DECREASE EXPLANATION: N/A DISCUSSION: Provide nine (9) full days of face to face training on strategies for expressive writing for teachers, administrators and support staff who use access points to deliver instruction. CONTRACT TERM: The initial contract term shall commence November 27, 2017 and continue until September 30, RECOMMENDATION: It is the recommendation of Stephanie Archer, Assistant Superintendent of Equity Innovation and Choice and Randy LaRusso, Director of Project ACCESS, to approve the attached agreement with Dr. Janet Strum in the amount of $ 27, AUTHORITY FOR ACTION: Florida Administrative Code 6A (11) (a) OFFICE OF PURCHASING SERVICES 2700 JUDGE FRAN JAMIESON WAY VIERA, FL

2 SCHOOL BOARD OF BREVARD COUNTY, FLORIDA CONSUL TANT AGREEMENT (Training and Advisory Services Less than $25,000.00) CA# SH Approved Dr. Janet Sturm Name of Person Rendering Services N/A Name of Company 6498 Social Security or EIN Number Check here if W-9 Form has been provided (Required) D Check here if Vita has been provided (Required) D Check here if services are to be provided by a Corp. Mailing Address: 1519 Briarwood Drive Mt. Pleasant, Ml This is a contract between the School Board of Brevard County and Dr. Janet Sturm for the following consultant services in accordance with Board Policy 6540 (Invoice for services is required for payment): Provide four (9) full day, face to face trainings on strategies for expressive writing for teachers, administrators and support staff who use access points to deliver instruction. (s) services are to be provided and charges: (s): 11/27/17-09/30/18 Total No. Hrs. 72 Hourly Rate $ Total Cost $18, Estimated Reimbursable Expenses: Estimated Total Cost for Professional Services: $9,000 $27, List expenses, if any, that are to be reimbursed: (Note: Reimbursement for travel, per diem and/or meals, and mileage are to be paid based on Board rules using Board forms and shall not exceed Board adopted rates.) This agreement may be cancelled by either party, upon written notice of not less than ten (10) days prior to the date the service is to commence. Said notice shall be by certified mail and the date of posting shall constitute date of receipt. Consultant is not authorized to provide any services herein without an approved purchase order from the Board. Access Project PLEASE SIGN IN BLUE INK lc>-(j'- (0 -( t-(7 Account Number: Purchase Order No.: ' Signature of SuperintendenUDesignee Misty Belford, Board Chairperson Revised Page 1 of 1

3 Brevar Public Schools THE FUTURE OF FLORIDA'S SPACE COAST - VENDOR CONFLICT OF INTEREST DISCLOSURE DISCLOSURE REQUIREMENT: All businesses ("VENDORS" or "VENDOR" of "VENDOR'S") that wish to conduct business with Brevard Public Schools ("BPS") must complete and return this form. Please note that all VENDORS are subject to the BPS Code of Ethics, which prohibits BPS employees, BPS consultants, and School Board members from having certain personal, business, or family relationships with persons or entities conducting (or proposing to conduct) business with BPS and which additionally prohibits the acceptance of gifts from VENDORS. The entire Code of Ethics may be viewed at The Code and its definitions are incorporated by reference into this Disclosure Form. If a VENDOR has a disclosable relationship, the VENDOR should assume that the relationship may pose a conflict of interest until notified to the contrary in writing by a BPS staff member authorized to confirm that a determination has been made that a conflict does not exist. A principle of the Code of Ethics is to ensure that relationships do not influence any official decision or judgment of BPS employees, BPS consultants or School Board members. Accordingly, disclosure also should be made for any such person connected with Vendor (e.g., officer, director, partner, shareholder, employee, sub-contractor, consultant, agent) that is likely to: (i) materially contribute to VENDOR'S preparation, drafting, or presentation of a proposal or bid for services, (ii) materially contribute to VENDOR'S negotiation of a contract with BPS, or (iii) perform material services under a contract with BPS. Below, these persons are referred to as "Disclosable Persons." CERTIFICATION: I hereby certify that, except as disclosed below, to VENDOR'S knowledge, there is no conflict of interest involving the VENDOR named below that would violate the BPS Code of Ethics, including that: (a) after inquiry, neither VENDOR nor any Disclosable Person is involved or engaged in any private business venture or enterprise, directly or indirectly, with any BPS employee, consultant, or Board member; (b) no BPS employee, consultant, or Board member or his or her family member owns or has a material personal financial interest (directly or indirectly) in VENDOR. I further certify that, during any period prohibited by an applicable solicitation, neither the VENDOR nor anyone acting on its behalf has requested that any employee, consultant, or Board member of BPS exert any influence to secure the appointment of VENDOR under a contract or proposed contract. VENDOR INFORMATION: Name: Dr. Janet M. Sturm Phone Number: Address: 1519 Briarwood Drive, Mt. Pleasant, Ml Federal Identification Number/ Social Security Number State of Incorporation or Domicile: Michigan 6498 Continued... Revised B Page 1 of 3

4 DISCLOSURE STATEMENT: I BELIEVE THAT THE VENDOR REFERENCED ON PAGE 1 DOES have a potential conflict (or conflicts) of interest with a current or potential BPS employee(s), BPS consultant(s), or BPS School Board Member(s). D Yes, the above statement is true. X No, the above statement is not true. If you checked "YES" above, please provide the following information: LIST the name(s) of BPS employee(s), BPS School Board member(s), BPS consultant(s), or BPS employees', BPS School Board members', or BPS consultants' family member(s) with whom there may be a conflict of interest: 1. PROVIDE A BRIEF DESCRIPTION of the nature of the potential conflict(s) of interest: SIGNATURE: By my signature below, I certify that I am the Authorized Representative of the VENDOR named herein, and that all of the information I am providing is true and complete and to the best of my knowledge: Janet M. Sturm Print the name of the VENDOR'S Authorized Representative Consultant Print the Position/Title of the VENDOR'S Authorized Representative OR'S Authorized Representative's Signature Io/ I 3 / l 7 Revised Page 2 of 3

5 SCHOOL BOARD OF BREVARD COUNTY OFFICE OF PURCHASING SERVICES 2700 JUDGE FRAN JAMIESON WAY VIERA, FL RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT HOLD HARMLESS AGREEMENT The Vendor agrees, by accepting award of this bid, contract, project, service and/or maintenance agreement to the following "Release, Indemnification and Hold Harmless Agreement": The Vendor shall indemnify and hold harmless the School Board of Brevard County, its elected officials and appointed officials, employees, and agents from any and all claims, suits, actions, damages, liability, and expenses (including attorney fees) in connection with loss of life, bodily or personal injury, or property damage including loss of use thereof, directly or indirectly caused by, resulting from, arising out of or occurring in connection with the operations of the Vendor or its officers, employees, agents, or independent contractors, excepting only such loss of life, bodily or personal injury, or property damage is solely attributable to the gross negligence or willful misconduct of School Board of Brevard County or its elected or appointed officials and employees. The above provisions shall survive the termination of this Agreement and shall pertain to any occurrence during the term of this Agreement, even though the claim may be made after the termination hereof. Nothing contained herein is intended nor shall be construed to waive School Board of Brevard County's rights and immunities under the common law or Florida Statutes including, but not limited to, Florida Statutes , as amended from time to time. The Vendor certifies they will comply with the requirements of the Jessica Lunsford Act (Section , Florida Statutes) in regards to fingerprinting and level 2 background screenings of all employees and any subcontractors employees who will have access to any District school or property when students may be present, or will have direct contact with any student; or have access to or control of school funds. Vendor's failure to comply with this requirement will constitute a material breach of contract. Any questions as to the intent or meaning of any part of the above-required coverage should be brought to the Director of Risk Management of the School Board of Brevard County, Florida. I certify that I am an Authorized Representative of the Vendor and have the authority to bind my company to this agreement: Janet M. Sturm Vendor/Company Name - Print Janet M. Sturm Authorized Representative's Name - Print -, Revised Page 3 of 3

6 Summary Statement for "Writing Strategies for Students with Significant Cognitive Disabilities" Access is contracting with a consultant to provide a statewide training to be held in Orlando. Dr. Janet Sturm is the only researcher who has completed longitudinal studies on writing for this population through a National Institutes of Health (NIH) research and development grant. Dr. Sturm has been published extensively in peer reviewed journals and teaches at the university. The training will focus on students with: Writing challenges who are planning to take the alternate assessment Mild, moderate, and severe developmental disabilities-including autism Physical disabilities that make writing difficult Teachers will learn to help students self-select curriculum-tiad topics and use a three-step writing process: choosing a topic, selecting a picture prompt, and writing with the support of accommodations. Teachers will also learn the process of assessing student writings and tracking progress over time.