Sample Cooperative Agreements

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SAMPLE AFFILIATION AGREEMENT
This agreement, made and entered into by and between THE SCHOOL BOARD OF SUNSHINE COUNTY, FLORIDA, hereinafter referred to as "SCHOOL BOARD," party of the first part, and the AMERICAN SAFETY CROSS, hereinafter referred to as "SAFETY CROSS," party of the second part, this 30th day of January, 1999.
WITNESSETH:
WHEREAS, SCHOOL BOARD, through its Community and Adult Education Program, offers a course of study for Health, Safety, and other related programs; and
WHEREAS, SAFETY CROSS operates the certifying agency in Redbar, Sunshine County, Florida; and,
WHEREAS, it is to the mutual benefit of both parties that SCHOOL BOARD, through its Community and Adult Education Program, utilize instructors, materials, and certification of the SAFETY CROSS for the training of its students and that SAFETY CROSS desires to cooperate with the program in implementing the above objectives:
IT IS, THEREFORE, agreed by and between the parties hereto that:
1. Saturday classes which will meet all day must have a certified, regular teacher taking the responsibility for the facility.
2. Classes with an enrollment of eight to 12 students will have one instructor with a minimum of 10 students to receive full pay or portion thereof. A second instructor will be called in when the 11th student is registered. There will be 13 present before the second instructor gets paid (instructor will leave or stay as a volunteer).
3. All personnel will be paid on the Community and Adult Education salary schedule based on their job title and credentials.
4. All requests for classes must be turned in 10 working days prior to class starting date.
5. All instructors will adhere to all policies and procedures of the SUNSHINE BOARD.
6. Both parties agree that they shall cooperate in planning, implementing, and evaluating this joint educational program.
7. The terms of this Agreement shall be for the period of one (1) year which commences January 1, 1999, and will terminate December 31, 1999. This Agreement shall be automatically renewed each year for an additional one (1) year term, unless either party shall notify the other party in writing at least six (6) months prior to the termination of this Agreement as to the requested changes or termination of this Agreement. This Agreement shall remain in force and effect until terminated by either party in accordance herewith.
8. Each of the parties hereto recognize and understand the legal liability in connection with this Agreement, and in no event shall either party assume or be liable for damages of any kind pursuant to this Agreement or otherwise, except as provided by and in accordance with Florida law.
9. Other items may be added to the Agreement as long as they are agreed to by both parties.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written.
Signed, sealed, and delivered in our presence:
Community and Adult Education Program
School Board of Sunshine County, Florida
_________________________________ By: ________________________________
_________________________________ Attest: _____________________________
As to SCHOOL BOARD
THE SAFETY CROSS
_________________________________ By: ________________________________
_________________________________ Attest: _____________________________
As to SAFETY CROSS
Sample Radiology Technology Clinic Affiliation Agreement
This agreement, made and entered into by and between THE SCHOOL BOARD OF SUNSHINE COUNTY, FLORIDA, hereinafter referred to as "SCHOOL BOARD," party of the first part, and the SUNSHINE COMMUNITY HOSPITAL, hereinafter referred to as "HOSPITAL," party of the second part, this 30th day of January, 1999.
WITNESSETH:
WHEREAS, SCHOOL BOARD, through its Community and Adult Education Program, offers a course of study for Radiologic Technology; and
WHEREAS, HOSPITAL operates a hospital located in Redbar, Sunshine County, Florida, known as SUNSHINE COUNTY HOSPITAL; and,
WHEREAS, it is to the mutual benefit of both parties that SCHOOL BOARD, through its Community and Adult Education Program, utilize certain facilities of HOSPITAL for the training of its students that HOSPITAL desires to cooperate with the program in implementing the above objectives:
IT IS, THEREFORE, agreed by and between the parties hereto that:
1. The faculty and students of the Radiology Program of the SCHOOL BOARD, through its Community and Adult Education Program, may utilize without a facility use charge, the departments of SUNSHINE COUNTY HOSPITAL for Radiologic Technology Clinical Educational Experience, the days and hours to be planned by the faculty of the Community and Adult Education Program in consultation with the Director of Diagnostic and Treatment Services and/or the Manager of Radiology at SUNSHINE COUNTY HOSPITAL.
2. HOSPITAL agrees to provide within its facilities adequate conference space and the use of available instructional materials for faculty-student conferences.
3. HOSPITAL further agrees to provide clinical experience in the Radiology Department and in other selected departments of SUNSHINE COUNTY HOSPITAL, with daily documentation of student attendance.
4. HOSPITAL further agrees to allow students and faculty, at their own expense, to use cafeteria facilities at the HOSPITAL.
5. HOSPITAL and SCHOOL BOARD jointly agree to provide clinical supervision and instruction required in the program to be coordinated by the Clinical Coordinator appointed by the SCHOOL BOARD.
6. SCHOOL BOARD agrees to provide documentation of liability insurance for the students for the entire school period.
7. HOSPITAL agrees to provide treatment by the HOSPITAL's Physicians Referral Center to students injured while performing their duties at the HOSPITAL. Students experiencing percutaneous injury (e. g., needle stick) may be treated by the HOSPITAL's Employee Health Services Coordinator in accordance with the HOSPITAL's Personnel Policy-Employee Health Infection Control Protocol. A medical incident report must also be completed and the HOSPITAL's Student Consent Form to test for antibodies to the Human Immunodeficiency Virus (HIV) will be obtained by the HOSPITAL's Employee Health Coordinator whenever necessary.
8. SCHOOL BOARD agrees to provide for the education of the students including HIV/AIDS training as required by Governmental Agencies for Healthcare Workers.
9. SCHOOL BOARD agrees to provide Worker's Compensation Insurance coverage in the event their employees (e.g., Program Faculty) are injured during the course of their duties at the HOSPITAL.
10. SCHOOL BOARD agrees to comply with all existing policies and procedures of HOSPITAL in the planning and documentation of clinical experiences and further agrees to comply with all existing policies and procedures of HOSPITAL related to the specific areas of medical training in this program. SCHOOL BOARD acknowledges that it is aware of the policies in effect as of the date of this Agreement. If these policies and procedures are changed, HOSPITAL agrees to notify SCHOOL BOARD and specifically the faculty and staff of the Community and Adult Education Program in order to disseminate and make SCHOOL BOARD aware of such changes in order that SCHOOL BOARD shall be able in turn to disseminate the information to its personnel.
11. SCHOOL BOARD, through its Community and Adult Education Program, agrees to provide continuing education in Radiologic Technology that the Radiology staff may participate in.
12. Both parties agree that they shall cooperate in planning, implementing, and evaluating the School of Radiologic Technology at HOSPITAL.
13. The terms of this Agreement shall be for the period of one (1) year which commences January 1, 1999, and will terminate December 31, 1999. This Agreement shall be automatically renewed each year for an additional one (1) year term, unless either party shall notify the other party in writing at least six (6) months prior to the termination of this Agreement as to the requested changes or termination of this Agreement. This Agreement shall remain in force and effect until terminated by either party in accordance herewith.
14. Each of the parties hereto recognize and understand the legal liability in connection with this Agreement, and in no event shall either party assume or be liable for damages of any kind pursuant to this Agreement or otherwise, except as provided by and in accordance with Florida law.
15. Other items may be added to the Agreement as long as they are agreed to by both parties.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written.
Signed, sealed, and delivered
in our presence:
Community and Adult Education Program
School Board of Sunshine County, Florida
_______________________________ By _____________________________
_______________________________ Attest: ________________________
As to SCHOOL BOARD
THE HOSPITAL
_______________________________ By _____________________________
_______________________________ Attest: ________________________
As to HOSPITAL

Sample Agreement 1998-1999 Special Citizens Association/ Sunshine County Community EducationPURPOSE
SCA Sunshine and Sunshine County Community and Adult Education have entered into this agreement to provide educational services at SCA Sunshine.
PROVISIONS
Sunshine County Community Education (SCCE), a department of the Sunshine School Board (SSB), agree to provide:
1. One teaching unit at SCA for a program titled "Special Nursery Operations" beginning July 18, 1998, and ending June 25, 1999, providing 215 student contact days or less.
2. The teacher unit will be provided at no cost to SCA Sunshine.
3. Textbooks and supplies will be provided by SCCE, but limited to the revenue generated of said program not encumbered by cost of said teacher unit and other direct/indirect costs related to cost factors set forth in the current operating budget.
4. Reimbursement for copies provided by SCA Sunshine for this program at the rate of three cents per copy.
5. CONSIDER adding an additional job transition trainer to serve this program and Adult Basic Practical Education, and consider reducing the minimum class membership to 17 FTE'd participants if the State funds the Adult Handicapped Education Act, the Department of Education approves the Sunshine County Adult Education Plan, and the SCSB allocates the unit.
The following provisions are required for performance of said agreement:
1. Placement in said program be determined solely by the screening committee established for Adult Handicapped Education by the SCSB.
2. A minimum class membership of 19 FTE'd participants be maintained.
3. A schedule of no less than five and one-half student contact hours per day be maintained.
4. The program be housed in an appropriately equipped classroom as defined in the current collective bargaining agreement of the SCSB and the classroom be of sufficient size to house at least 19 participants and three staff members.
5. A safety/custodial aide will be provided by SCA Sunshine on all class dates from July 18, 1998, through June 21, 1999.
MUTUAL CONSENT
This agreement will be enforced during said dates above unless otherwise mutually agreed to in writing by both parties.
_____________________________________ ___________________
Signature for SCA Sunshine Date
_____________________________________ ___________________
Signature for SCSB Date

Sample Fire College Agreement
THIS AGREEMENT is made this______day of__________,_____, between the SUNSHINE COUNTY COMMUNITY EDUCATION CENTER, 111 S.W. 3rd St., Redbar, Florida 33555 (hereinafter referred to as "SCCEC"), and the BUREAU OF FIRE STANDARDS AND TRAINING, a Bureau under the Division of State Fire Marshal and the Department of Insurance of the State of Florida, Redbar, Florida, thereinafter referred to as "Fire College").
WHEREAS, under Chapter 633, Florida Statutes, the purposes of the Fire College include developing new methods and practices of fire fighting and fire prevention, disseminating useful information of fire, firefighting, fire prevention and related subjects to interested persons, and performing other needful or useful things necessary to promote public safety in the field of fire hazards and fire prevention work; and
WHEREAS, these purposes have been declared by the Legislature to be legitimate state functions and are designed to promote public safety; and
WHEREAS, the Fire Marshal is empowered to establish courses of study and curriculum of the Fire College; and
WHEREAS, the Fire Marshal is authorized to accept grants of money, materials or property in accordance with the provisions of Section 633.45(2)(h), Florida Statutes.
WHEREAS, SCCEC operates a vocational education facility in Redbar, Florida, primarily serving the residents of Sunshine County, but also enrolling students from other counties in the State of Florida for the purpose of providing minimum standards, smoke divers and basic weekend volunteer fire training under the vocational education system in the State of Florida; and
WHEREAS, in order to present the Minimum Standards, Smoke Divers, and the Basic Weekend Curriculum, certain capital equipment, including audiovisual equipment, simulators, and other similar equipment, the maintenance of such equipment and expendable supplies that are needed for use by the Fire College included, is to be provided by SCCEC under the terms of this agreement.
NOW THEREFORE, in consideration of the mutual covenants and agreements set forth herein, and other good and valuable consideration, the parties hereto agree:
1. Fire College agrees to assign the Bureau Chief of the Fire College located in Redbar, Florida, as the contact or liaison person under this Agreement.
2. SCCEC shall assign the Program Coordinator of the Fire Service Training at Sunshine County Community Education Center as the Contract Administrator under this Agreement.
3. Educational experiences for Fire Service Program students shall include the use of equipment and facilities provided by the Fire College as the state-certified fire training institution in the State of Florida.
4. The Fire College and SCCEC shall work together under state and national certification guidelines and state and local community vocational training policies to insure quality Fire Service Programs consistent with the terms and conditions stipulated in this Agreement.
5. SCCEC shall coordinate student activities and assignments with the Fire College. Students will be subject to the rules and regulations of both the Fire College and SCCEC.
6. Under supervision of the SCCEC Program Coordinator and the Bureau Chief of the Fire College, faculty and staff members shall be responsible for evaluating student performance in accordance with their enrollment.
7. SCCEC and the Fire College shall comply with all federal, state, and local laws prohibiting discrimination to ensure that neither party to this agreement will unfairly discriminate against any employee, employment applicant, or student or the registration of any students in the course of study provided by this agreement because of race, religion, sex, national origin, handicap, marital status, or age.
8. Review of the Fire Service Training Program shall be conducted under the auspices of the appropriate administrative offices of the Fire College and SCCEC. To insure such review, meetings as often as necessary and at least quarterly will be held between the Bureau Chief of the Fire College and the SCCEC Coordinator and such other staff members as may be deemed appropriate. State-level program reviews will be jointly coordinated and follow standard procedure identified by state policy.
9. SCCEC and the Fire College will have supervisory responsibility for students for the purposes of the SCCEC Fire Service Training Program.
10. The Fire College may request SCCEC to withdraw any student from class whose conduct or work with clients or personnel is not satisfactory. SCCEC may at any time withdraw a student whose progress, conduct, or work does not meet the standards of SCCEC for continuation in the Fire Service Training Program according to SCCEC policy and the SCCEC catalog.
11. In the event the Fire College requires physical examination or clinical tests for students and/or faculty participating in the program, SCCEC shall require compliance by the students and/or faculty.
12. The Fire College with respect to the Fire Service Training Program shall:
(a) Offer the Fire Science Program at the Fire College.
(b) Provide all necessary facilities and equipment for the required training including, but not limited to, classroom space, fire trucks, and similar heavy equipment.
(c) Provide required qualified instructional staff insuring that such staff meet the required qualifications and certification standards of the Fire College and SCCEC.
(d) Provide the SCCEC Program Coordinator with course syllabi, student lists, attendance rolls, student on-duty attendance records for audit purposes, and final grades indicating satisfactory or unsatisfactory course completion by students.
(e) Provide SCCEC with assistance in the development of new materials, curriculum revisions and techniques reflecting technological advances.
(f) Be responsible for seeking any necessary emergency treatment for injuries which may occur during the participation in organized instruction provided under this agreement.
(g) Assist SCCEC to ensure compliance with the rules of the Fire College and provide information as to any deficiencies in the Fire Service Training Program or courses and provide recommendations for improvement.
(h) Oversee SCCEC students insofar as their presence affects the operation of the Fire College and its equipment.
13. SCCEC with respect to the Fire Service Training Program shall:
(a) Provide staff, curriculum assistance and supplemental clerical support for the operation of the SCCEC Fire Service Training Program.
(b) Provide typical student support, including counseling services, placement services, and access to SCCEC student services and facilities to participating students.
(c) Provide assistance through the SCCEC Program Coordinator to the Bureau Chief of the Fire College for the development of courses, specialized programs, and course numbering information in the standardization of the Fire Service Training Program curriculum.
(d) Provide schedules, records and other student information as may be appropriate to the Bureau Chief of the Fire College.
14. Based upon the fundable Full-Time Equivalent (FTE), as that term is defined in section 236.013, Florida Statutes, produced by students attending SCCEC Fire Service Training Program courses under this agreement, SCCEC will provide support for the Fire Service Training Program at the rate of eighty percent (80%) per FTE reported for the Fire Service Training Program during the reporting year. The support shall consist of capital equipment, including audiovisual equipment, simulators and other similar equipment, the maintenance of such equipment, and other expendable supplies to be used in the Fire Service Training Program up to the dollar value of FTE Funds generated. The Fire College agrees to use all support received from SCCEC exclusively for the Fire Service Training Program which is the subject matter of this agreement.
(a) All capital expenditures will be handled by SCCEC following state and local purchasing laws and procedures applicable to SCCEC.
(b) Capital equipment purchased with said funds shall remain the property of SCCEC and shall be properly tagged and identified as SCCEC equipment.
(c) SCCEC shall be informed of purchases at least annually and an accounting shall be made by the Fire College with respect to all such capital equipment at least annually .
(d) The Director of SCCEC shall be the only person authorized to make any modifications of expenditures under the provisions of this paragraph 14 which shall be in writing and at the sole discretion of SCCEC.
15. This Agreement shall remain in force and effect from the date hereof to and including June 30, 1989. SCCEC and the Fire College shall have the option to renew this Agreement for two additional one-year terms provided that each party shall notify the other of its intent to renew at least sixty (60) days prior to the termination.
The Fire College shall have the right to terminate this contract without cause upon one hundred eighty (180) days written notice. SCCEC shall have the right to terminate this contract with or without cause upon thirty (30) days written notice. Upon termination, all property and equipment belonging to the SCCEC shall be returned within sixty (60) days.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the_______day of___________, ______.
SUNSHINE COUNTY COMMUNITY EDUCATION CENTER
BY:___________________________
(signature)
______________________________
(name)
______________________________
(title)
Sunshine County School Board
Attested to:
BY:___________________________
(signature)
______________________________
(name)
______________________________
(title)
Community Education
Sunshine County School Board
STATE OF FLORIDA, DEPARTMENT OF INSURANCE, OFFICE OF THE STATE FIRE MARSHAL, BUREAU OF FIRE STANDARDS AND TRAINING
BY:______________________
(signature)
TITLE:___________________
(name)
TITLE:___________________
WITNESS:___________________
(signature)
Sample Agreement Between Department of Education- Division of Blind Services and Grantor of Stand in Other than a Federal BuildingAGREEMENT made this______day of__________,_____between (organization), (address), hereinafter known as the Grantor, and the Division of Blind Services, hereinafter known as the Grantee.
The Grantor hereby leases to the Grantee for the period of one year from the date hereof, space within its premises for the consideration of a rental of One Dollar ($1.00) per annum, and agrees that the right to sell on these premises such articles as ________________________________________________(lists items) to employees and visitors shall belong exclusively to the Grantee.
The Grantor agrees to supply the light, heat, and fuel necessary for the service and operation of this concession.
The Grantor further agrees that the Grantee may appoint an agent to conduct this business, and shall have the privilege of supervising this business, and of replacing the agent at will.
The Grantor further agrees to notify the Grantee immediately as to any misconduct or mismanagement by the agent which may come to his/her attention.
The Grantee agrees to install suitable equipment in the space provided by the Grantor, for the serving of the merchandise agreed upon to the employees and visitors of the building.
The Grantee further agrees to place in the stand a suitable agent in the person of a blind man or woman with such sighted assistants as may be necessary to carry on this business in a satisfactory manner and to meet every requirement for quality merchandise and proper service.
The Grantee will remove immediately any agent or employee of this concession stand who is unsuitable or unsatisfactory to carry on the business.
The Grantee further agrees that none of its agents shall be considered as employees of the Grantor, and the Grantor shall not be liable in any way for any injury sustained to the person of these agents.
The Grantee further agrees that the Grantor shall not be liable for any loss of property of the Grantee or of the agents thereof which might occur.
The Grantee further agrees that prices charged for merchandise shall not exceed regular retail prices.
The Grantor agrees to allow the Grantee to remove on the expiration of this agreement all property, fixtures, and fittings installed and owned by the Grantee for the purpose of conducting the business before described.
THIS AGREEMENT AND ALL ITS TERMS shall continue after the expiration of the above period subject to cancellation upon thirty (30) days' notice by either party, and shall ensure to the benefit of and be binding upon the parties hereto, their successors, and assigns.
IN WITNESS OF THIS AGREEMENT THE PARTIES HERETO have by their proper officers hereunto set their hands and have affixed their corporate seals thereto.
DEPARTMENT OF EDUCATION
on behalf of
DIVISION OF BLIND SERVICES
By
________________________________________
GRANTOR:
By
________________________________________
Witnesses:
________________________________________
________________________________________
________________________________________
Sample After-School Program Agreement
THIS AGREEMENT, dated this______day of_________, ______, by and between THE SCHOOL BOARD OF SUNSHINE COUNTY, FLORIDA, hereinafter "School Board," a body corporate, and the provider hereinafter "_____________________________."
WITNESSETH
WHEREAS, the School Board has established before- and after-school programs at certain elementary schools, is desirous of establishing before and after school programs at other certain elementary schools; and
WHEREAS,____________________________________is desirous of implementing and managing such before- and after-school programs;
NOW, THEREFORE, for and in consideration of these premises, mutual understandings and agreements herein contained and assumed, the School Board and, ________________________________________ covenant and agree as follows:
1. ________________________________________shall:
A. Provide before- and after-school programs for the 19___-19___ school year for students enrolled at the following named school: __________ ____________________________________________________________
B. Fees will be based upon the hourly charge shown on fee schedule:
HOURS WEEKLY DROP-IN
mornings $1.00/hr. $2.25/hr.
afternoons $1.25/hr. $2.25/hr.
(afternoon fee to include snack)
C. Operate each before-school program until the beginning of school and each after-school program from dismissal of school on school days during the school year. For times as determined by individual school needs, specific times will be listed in addenda;
D. Maintain any and all portions of the school grounds and buildings used in these programs in a safe and clean manner, including repair of any damage which may occur by such use; this covenant and condition shall survive termination of this Agreement;
E. Hold harmless, indemnity, and defend the School Board, its agents, servants, employees, in their official individual capacity, from any demand, claim, suit, loss, cost, expense or damage which may be asserted, claimed or recovered against or from the School Board, its agents or employees, in their official or individual capacity; by reason of any damage to property or injury or death of any person which arises out of, is incident to, or in any manner connected with this Agreement; this provision shall survive termination of this Agreement and shall be binding on the parties', successors, representatives and assigns and cannot be waived or varied;
F. Provide a Certificate of Insurance issued by an insurance company doing business in the State of Florida, evidencing Child Care coverage for the proposed used of the premises including general liability and products liability coverages in minimum amounts of $2,000,000.00. Such certificate shall name the School Board as an additional named insured and use of the facilities will not be permitted until such certificate has been filed;
G. Except for children for which Title XX funds are received, pay an administrative fee to the School Board in the amount of $0.25 per day per student registered in the program. Such fee shall be due and payable upon receipt of the School Board's statement;
H. Provide a remote telephone device with a long distance exclusion;
I. Not employ corporal punishment;
J. Be licensed by the Florida Department of Health and Rehabilitative Services to receive Title XX funds.
2. THE SCHOOL BOARD shall:
A. Provide at each school, the cafeteria, restrooms, the outside play area, custodial service, and utilities;
B. Provide a district-level administrator to supervise and evaluate the before- and after-school programs. All programs shall be coordinated through this Administration with the input of the participating school's principal;
C. Coordinate the recruitment of children to participate in the programs.
3. The invitation to submit a Proposal for Operation of a Before- and After-School Child Care Program for the School District of Sunshine County and the proposal submitted in response to said invitation are incorporated herein by reference as if fully set forth.
4. The provisions of this Agreement shall supersede and be controlling over any provisions to the contrary contained in the invitation or the proposal submitted.
5. The Principal of the named school, and district level administrator shall be involved with, and have final approval of all employees that will work with the Extended Day children.
6. All individuals entering the school campus will identify self and state purpose of his/her presence in the Extended Day Program.
7. ________________________________________ is an independent contractor and neither it nor any of the supervisors, employees, aides, or any other persons used by ________________________________________ in this program shall be deemed an employee, servant or agent of the School Board while serving or participating in this program.
8. This Agreement shall begin ____ for the 19____-19____ school year and shall terminate ____,____,____ provided that the School Board may terminate this Agreement without cause upon thirty (30) days prior written notice, and ________________________________________ may terminate this Agreement without cause upon sixty (60) days prior written notice.
9. Any amendment or modification of this Agreement shall not be effective unless in writing and executed by the parties for each subsequent school year.
IN WITNESS WHEREOF,
The School Board and ________________________________________ have executed or caused this Agreement to be executed by their duly authorized representatives on the day and year first above written.
ATTEST: THE SCHOOL BOARD OF SUNSHINE COUNTY, FLORIDA
By:________________________________________
Chairman

By:________________________________________
Provider

By:________________________________________
Superintendent
Sample Rate Agreement for Job Coach Services
Between Florida Division of Vocational Rehabilitation, hereinafter known as the Division, and Sunshine County School Board, hereinafter known as the Provider.
PURPOSE
The purpose of this agreement is to establish a mutually acceptable rate and method of payment for the Job Coach services described below and to establish applicable terms and conditions.
SERVICE
Upon written authorization by the Division's Rehabilitation Counselor, the Provider shall furnish Job Coach services resulting in the client becoming stabilized in competitive employment. In order to be considered stabilized, the client must demonstrate satisfactory job performance, for a period of not less than 60 days, during which time his or her need for job coach (support) services is: 1) within the limits of what can and will continue to be provided after services by the Division cease, and; 2) in no case exceed 20% of the individual's normal work hours.
Additionally, the placement situation must meet or exceed the employment standards cited in the TERMS AND CONDITIONS section of this agreement.
Job coach services may include client assessment, job development and analysis, client-job matching, job placement, and training provided on and off the job site, in work and related skills needed by the client to succeed in the job. Job coach services shall also include client advocacy such as facilitating positive relationships with co-worker(s) and supervisors, assisting with transportation and such other needs as may be requisite to successful employment.
RATE
The Division agrees to purchase Job Coach services at the rate of _______ coaches per service unit. A service unit shall consist of one hour of service, to and for the client, by the Job Coach. The cost of such services may not exceed the amount authorized by the VR Counselor. This rate is deemed adequate to cover all expenses related to the delivery of Job Coach services.
METHOD OF PAYMENT
The Provider shall invoice the Division monthly on Provider letterhead. The invoice shall state the total number of service units provided to each client served, the total billing for all clients served under this agreement, and the dates of the period covered by the billing.
TERMS AND CONDITIONS
1. Nothing in this agreement shall be construed as constituting any guaranteed levels or amount of Job Coach services to be purchased by the Division.
2. Purchase of services shall be authorized, in writing, on an individual client basis. The Division shall not be responsible for services provided in the absence of such authorization(s).
3. The monthly billing shall be accompanied by a brief written project status report on each client served by the Provider.
4. The Provider shall ensure that the client's VR Counselor is involved in decisions affecting changes in the service plan.
5. In addition to any other criteria specified in this agreement, eligibility for project participation shall be limited to applicants who, because of the severity of their handicap(s), appear unlikely to succeed in competitive employment unless individualized placement, on-the-job training, and other support services are provided via Job Coach.
6. Job placements shall be in community-based jobs with private, for-profit employers; with public employers; or with private, not-for-profit employers other than the Provider organization itself.
7. Ideally, project participants shall be placed in jobs providing full-time employment.
8. The provider assures that it will comply with the Civil Rights Act of 1964, as amended, Section 504 of the Rehabilitation Act of 1973, as amended, Title IX of the Education Act of 1972, as amended, The Age Discrimination Act of 1975, as amended and the Omnibus Budget Reconciliation Act of 1981, P.L. 97-35.
9. The provider shall allow public access to all documents, papers, letters or other materials subject to the provisions of Chapter 119 and made or received by the contractor in conjunction with the contract.
10. This agreement shall begin _____,__________,_______ and end on _____,__________,_______.
For the Division:
____________________________ ________________
Signature (Date)
____________________________
Title
For the Division:
____________________________ ________________
Signature (Date)
____________________________
Title
Sample Contract Amendment No. 1
THIS AMENDMENT, entered into between the State of Florida, Department of Labor and Employment Security, Division of Vocational Rehabilitation, hereinafter referred to as the "Division," and _____________________________ hereinafter referred to as the "Provider," amends contract RA010.
1. Section: ________, Paragraph _________ is hereby amended to read:
Upon written authorization by the Division's Rehabilitation Counselor that will by himself/herself furnish Job Coach services (one Job Coach) resulting in a minimum of six clients becoming stabilized in competitive employment, during this contract. In order to be considered stabilized, the client must demonstrate a satisfactory job performance for a period of not less than 60 days, during which time his or her need for Job Coach (support) services is: 1) within the limits of what can and will continue to be provided after services by the Division cease, and; 2) in no case exceed 20% of the individual's normal work hours. (The remainder of this section remains as is in the original contract.)
Section: ________________, Paragraph ________ is hereby amended to read:
The Division agrees to purchase job coach services at the rate of __________ per service unit for no more than ____ units, for the period ____,____,_____ through ____,____,_____ and for the period ____,____,_____ through ____,____,_____ to purchase Job Coach services at a rate not to exceed $_________ per hour, for no more than _____ units of service. This will be a maximum of $___________ for the total contract. A service unit shall consist of one hour of service, to and for the client, by the Job Coach. The cost of such services may not exceed the amount authorized by the VR Counselor. This rate is deemed adequate to cover all expenses related to the delivery of Job Coach services.
Section: ______________________________, is hereby amended to read:
Number _______: Job Placements shall be in community-based jobs with private, for-profit employers; with public employers; or with private, not-for-profit employers.
Number ________: This agreement shall begin on ___________ and end on ____________.
2. This amendment shall begin on __________________, or the date on which the amendment has been signed by both parties, whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract.
IN WITNESS WHEREOF, the parties hereto have caused this _________ page amendment to be executed by their officials thereunto duly authorized.
PROVIDER
SIGNED BY:_____________________________
NAME:_________________________________
TITLE:__________________________________
DATE:__________________________________
FEDERAL ID NUMBER:____________________

DEPT. OF LABOR AND EMPLOYMENT SECURITY
DIVISION OF VOCATIONAL REHABILITATION
SIGNED BY:_____________________________
NAME:_________________________________
TITLE:__________________________________
DATE:__________________________________SAMPLE SUNSHINE COUNTY COMMUNITY EDUCATION SUNSHINE COUNTY SCHOOL BOARD 111 S.W. 3RD STREET Redbar, Florida 33555
AGENCY AGREEMENT
The Sunshine County School Board's Community Education Center intends the following document to show cooperation between agencies in this county.
This Agency/Organization__________________________________________ Name of Agency/Organization do hereby agree to act as a referral service in the following capacity:
______Recommend/provide space for tutoring
______Recommend/provide volunteers for tutoring
______ Refer clients for tutoring
______ Refer clients for vocational assessment
______ Provide materials for tutoring
______ Provide tutors/teachers
______ Provide/recommend additional space and/or off-campus sites
______ Provide/recommend clients for Adult Basic Education (ABE)
______ Provide/recommend clients for General Education Development (GED) Classes
______ Provide/recommend clients for General Education Development (GED) Tests
______ Provide/recommend clients for vocational training
______ Provide/recommend clients for employability skills training
______ Provide/recommend clients for Task Force Meetings
______ Provide/recommend Support Services for Clients
______ Provide/recommend Child Care Services for Clients
______ Provide/recommend Health Care Services for Clients
______ Provide/recommend food/lodging for Clients
______ Provide/recommend a contact person to act as a liaison for linkage between business, industry and education
______ Other (Please specify)_______________________________________________
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Adult Education • Vocational Training • Community Schools Recreation • Veteran's Education

"Equal Opportunity Schools"