SAMPLE CONTRACT 

Bedford-Nelson LLC

Independent Agreement for School Psychology Services

This agreement for School Psychologist Services (“Agreement”) is entered into this ___ day of ____,_____ by and between_________ Special Education Cooperative (“Cooperative” or “District”) and Bedford-Nelson LLC (“Contractor”).

Whereas, the Cooperative/District is in need of a qualified professional to provide School Psychology services;

Whereas, the Contractor has the necessary qualifications, experience, and abilities to provide the needed services,

 In consideration of the foregoing, and of the mutual benefits and obligations set forth in this Agreement, the receipt and sufficiency of which is hereby acknowledge, the parties hereby agree:

1. Services to be Provided.  During the term of this Agreement, the Contractor shall provide the following services to the Cooperative/District:  School Psychologist.  Specific Description of Duties:

 For both Re-evaluations coming due and initial evaluation referrals, evaluation methods will be conducted to assist teams in determining eligibility/continued eligibility for special services as such methods are determined necessary by Contractor on a case-by-case basis:

*  Standardized testing

* Scoring of testing measures

* Informal measurements

*  Observations

*  Gathering of guardian/staff input

*  Compilation of data/report writing

*  Collaboration and formal reporting of evaluation results for determining eligibility and recommendations of supports if services are needed. 

2. Location of services; __________________ Testing and observations of students, as seen necessary by Contractor, will be provided in respective buildings.  All other services can be conducted outside of school locations.  Evaluation meetings may be conducted virtually.  If in-person evaluation meetings are needed, the school team will work with the Contractor to find a mutually agreed upon date/time in attempt to consolidate time/travel requirements. 

3. The Cooperative/District Obligations.  The Cooperative shall provide the names of and access to all students coming due for 3-year re-evaluations to the Contractor for the districts within the Cooperative/District served.   

4. The Cooperative/District shall provide the Contractor access to staff/parental contact data and also records of all children within the served portion of the Cooperative/District both hard copy or digitally, depending how the data is available.  The Cooperative/District shall provide the Contractor access to all educational locations as well as provide a quiet and appropriate space to test children within buildings served.   

5. The Cooperative/District shall provide the Contractor mileage reimbursement at the state mileage rate from the contractor’s current place of residence to buildings served, and back to residence, when transportation is necessary.

6. The Contractor Obligations. 

(a) The Contractor agrees that services will be performed in accordance with applicable federal and state law.  Contractor warrants that she posses the appropriate license issued by the Kansas State Department of Education. 

(b)    The Contractor agrees that she will not disclose, divulge, reveal, report, or use, for any purpose, any confidential information with respect to the business of the Cooperative/District, which the Contractor has obtained, except as may be necessary or desirable to further the business interests of the Cooperative. 

(c)     The Contractor shall have and maintain insurance adequate to cover any injury to individuals served, its employees, and property.  Upon request, the Contractor shall provide to the Cooperative a copy of the declarations page from such insurance policy.  The Contractor shall indemnify, defend, and hold the Cooperative/District, its board members, employees, and volunteers, harmless from any injury to person or property proximately caused by persons or equipment furnished by the Contractor. 

7. Compensation; Reimbursement.

(a)    The Cooperative/District agrees to pay the Contractor a rate of $65/hour for up to _____ hours of work per week, for 36 weeks of the __________ Cooperative’s school calendar year. 

(b)    An invoice for agreed upon number of hours as per caseload served will be provided by the Contractor to the Cooperative/District monthly.  The Contractor will be paid monthly by the Cooperative/District as processed at the time payroll processes all staff payments. The Cooperative/District will issue a Form 1099 to the Contractor as required by law for the payments made under this Agreement.

8.  Relationship of the parties.  The Contractor enters into this Agreement, and will remain throughout the term of this Agreement, as an independent contractor.  The Contractor shall have the right to control the method and manner in which it provides services to the Cooperative/District.  The Contractor is not entitled to the rights or benefits afforded to the Board’s employees, including unemployment insurance, workers’ compensation, medical insurance, sick leave, or any other employment benefit.  Since the Contractor is not a public employee, no contributions will be made to the State Teacher’s Retirement System in connection with the payments made to the Contractor.  The Contractor is responsible for paying, when due, all income taxes incurred as a result of the compensation paid by the Cooperative to Contractor for services under this Agreement.

9. Notice.  Whenever written notice is provided or required to be given under this Agreement, it shall be sent to the parties as follows:

TO: Cooperative/District

TO: Bedford-Nelson LLC

10. Modification.  This Agreement may be modified from time to time by mutual written agreement of the parties.

11.   Authorization.  Each of the individuals signing below covenants that he/she has authority to sign on behalf of his/her respective party and thereby contractually bind the particular party under this Agreement.

_________, Cooperative/District    Bedford-Nelson LLC

BY:                                                                                              BY:

_________, Director of Special Education                         Kelli Nelson, Ed.S., NCSP, Owner

Date:______________________________                        Date:__________________________