Common use of Debarment Certification Clause in Contracts

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 and terminates at 5:00 P.M. on June 30, 2015, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (CONTRACT YEAR)

Appears in 2 contracts

Sources: Master Contract for Nonpublic, Nonsectarian Agency Services, Master Contract for Nonpublic Agency Services

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2024 and terminates at 5:00 P.M. on June 30, 20152025, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency CONTRACTOR, LEA, Portview Preparatory, Inc By: By: Signature Date ▇▇Signature Date Name and Title of Authorized Representative ▇▇▇▇ ▇▇▇▇▇, CEO Signature Date Assistant Superintendent Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email CONTRACTOR Portview Preparatory, Inc. CONTRACTOR NUMBER 2024-2025 (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2017 and terminates at 5:00 P.M. on June 30, 20152018, unless sooner terminated as provide herein. CONTRACTOR CARE Nonpublic School/Agency Name of District or Local Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Contracting Officer’s Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Superintendent’s Signature Date Name and Title of (type) Date Signature Date (Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic AgencyRepresentative/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School Contracts Supervisor) Tax I.D. # Notices to LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (shall be addressed to: APPROVED AS TO FORM: Legal Advisor LEA Legal Advisor Signature Date Additional notices to LEA shall be addressed to: Notices to CONTRACTOR shall be addressed to: 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2021 and terminates at 5:00 P.M. on June 30, 20152022, unless sooner terminated as provide herein. CONTRACTOR CARE herein Nonpublic School / Agency Name of District or Local Educational Services Agency Contracting Officer’s Signature Date Superintendent’s Signature Name and Title (type) Date Tax I.D. # Signature (Authorized Representative / Contracts Supervisor) Notices to LEA shall be addressed to: ▇▇▇▇ ▇▇▇▇▇▇▇Charter Schools Nonpublic Agency ByCity State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Notice to CONTRACTOR shall be addressed to: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Controller Address Turlock CA 95382 City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools CONTRACTOR, LEA, Capistrano Unified School District Nonpublic School/Agency By: By: Signature Date ▇▇Signature Board Approval Date ▇▇▇▇ ▇. ▇▇▇▇▇▇ Executive Director, CEO Signature Date Contracts & Purchasing Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract Agreement

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools CONTRACTOR, LEA, Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School/Agency Services

Debarment Certification. By signing this agreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 July, 2022 and terminates at 5:00 P.M. on June 30, 20152023, unless sooner terminated as provide provided herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter _Ed Sped Solution, Inc. Amethod Public Schools Nonpublic Agency By: 05/17/2022 By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇/ Service Coordinator , ▇▇▇▇▇ ▇▇▇▇▇/Interim CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services and Title ▇▇▇▇▇▇▇ ▇▇▇▇▇/ Service Coordinator Name and Title ▇▇▇▇▇▇ ▇▇▇▇▇/Interim CEO Nonpublic School/Agency/Related Service Provider Ed Sped Solution, Inc. LEA Amethod Public Schools Address ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇ Address ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇. City Fremont. State CA Zip 94538 City Oakland State CA Zip 94606 Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Phone (▇▇▇) ▇▇▇-▇▇▇▇ Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Email 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School/Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2021 and terminates at 5:00 P.M. on June 30, 20152022, unless sooner terminated as provide herein. CONTRACTOR CARE herein Nonpublic School / Agency Name of District or Local Educational Services Agency Contracting Officer’s Signature Date Superintendent’s Signature Name and Title (type) Date Tax I.D. # Signature (Authorized Representative / Contracts Supervisor) Notices to LEA shall be addressed to: ▇▇▇▇ ▇▇▇▇▇▇▇Charter Schools Nonpublic Agency ByCity State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Notice to CONTRACTOR shall be addressed to: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic AgencyPrincipal/Related Service Provider Executive Director ▇▇▇ ▇. ▇▇▇ ▇▇▇. Address Oakdale CA 95361 City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services CONTRACTOR, Speech and Language Development Center LEA, Santa ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Unified School District Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, CEO Signature Date Director of Purchasing Name and Title of Authorized Representative Name Notices to LEA shall be addressed to the designees as set forth on Exhibit C CONTRACTOR Speech and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email Language Dev. Center CONTRACTOR NUMBER 2019-2020 (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT C ONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 and terminates at 5:00 P.M. on June 30, 2015, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services K12 Health ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2021 and terminates at 5:00 P.M. on June 30, 20152022, unless sooner terminated as provide herein. CONTRACTOR CARE herein Nonpublic School / Agency Name of District or Local Educational Services Agency Contracting Officer’s Signature Date Superintendent’s Signature ▇▇▇▇ ▇▇▇▇▇▇ Coordinator/CEO Name and Title (type) Date Signature (Authorized Representative / Contracts Supervisor) Tax I.D. # Notices to LEA shall be addressed to: ▇▇▇▇ ▇▇▇▇▇▇▇Charter Schools Nonpublic Agency ByCity State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Notice to CONTRACTOR shall be addressed to: By▇▇▇▇ ▇▇▇▇▇▇ Coordinator/CEO Address Fresno CA 93705 Additional notices to LEA shall be addressed to: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. 1. Is the proposed CONTRACTOR/CONSULTANT an employee of the SJCOE? 2. Have you or any of your employees previously been employed by SJCOE? 3. Are you or any of your employees a California Public Employees Retirement System (CalPERS) or a California State Teachers Retirement System (CalSTRS) member? ☐Yes ☐No If yes, which system? ☐CalPERS ☐CalSTRS 4. Are you, any of your employees or sub-contractors a California Public Employees Retirement System (CalPERS) or a California State Teachers Retirement System (CalSTRS) retiree? ☐Yes ☐No If yes, which system? ☐CalPERS ☐CalSTRS ☐Yes ☐No The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2024 and terminates at 5:00 P.M. on June 30, 20152025, unless sooner terminated as provide herein. CONTRACTOR CARE Nonpublic School / Agency Name of District or Local Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Contracting Officer’s Signature Date ▇▇Administrative Director’s Signature Student Services/SELPA Name and Title (type) Date Executive Director of Fiscal Services’ Signature Tax I.D. # Notices to LEA shall be addressed to: APPROVED AS TO FORM: Legal Advisor ▇▇▇▇ ▇▇▇▇▇▇, CEO ▇ 5/30/2024 Legal Advisor Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Additional notices to LEA shall be addressed to: Notice to CONTRACTOR shall be addressed to: 4.1 RATE SCHEDULE FOR CONTRACT YEAR 1) Daily Basic Education Program RATE PERIOD 2) Residential Treatment Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY545) (CONTRACT YEARNon-medical room and board) 1. Intensive Individual Services (340) 3. Adapted Physical Education (425) 4. Health and Nursing: Specialized Physical Health Care (435) 5. Health and Nursing: Other Services (436) 6. Assistive Technology Services (445) 7. Occupational Therapy (450) 8. Physical Therapy (460) 9. Individual Counseling (510) 10. Counseling and Guidance (515) 12. Social Work Services (525) 13. Psychological Services (530) 14. Behavior Intervention Services (535)

Appears in 1 contract

Sources: Master Contract for Nonpublic, Nonsectarian School/Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 October 4, 2016 and terminates at 5:00 P.M. on June 30, 2015, 2017 unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services By: By: Signature Date LEA Signature Date Name and Title of Authorized Representative Co- CEO Name and Title of Authorized Representative Name PresenceLearning, Inc. Nonpublic Agency/Related Service Provider ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date ▇▇▇ ▇▇, Suite 2000 Address San Francisco CA 94104 City State Zip code ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇, CEO Signature Date -▇▇▇▇ Phone Fax ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Email Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip code Phone Fax Email Name and Title Westlake Charter School LEA Nonpublic Agency/Related Service Provider Address City State Zip code Phone Fax Email Name and Title Address City State Zip Phone Fax Email Hourly Fee $80.00 $2,433.60 Per Student Per School Year $80.00 SLP/OT Assessments $375.00 Bilingual SLP/OT Assessments $500.00 Behavioral Assessments $500.00 Screenings $50 Smart Start 0 $5,000.00 Annual Equipment Credit per Contracted Student $8.00 13 (NONPUBLIC AGENCY$104.00) Equipment Prices (CONTRACT YEAR)for orders in excess of credit) Headphones $16.00 Splitter $3.00 Standard webcam $22.00 Wide angle webcam $51.00 Soundcard adapter $16.00 Occupational Therapy Kit $35.00 Laptop Computer $500.00 Chromebook $225.00 Mobile WiFi Hotspot $550.00 Shipping (per shipment) TBD Sales tax on equipment orders TBD

Appears in 1 contract

Sources: Master Contract for Nonpublic, Nonsectarian Agency Services

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services CONTRACTOR, Mardan School LEA, Santa ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Unified School District Nonpublic School/Agency By: 9/10/19 By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇-▇▇▇▇▇, CEO Director of Finance & HR Signature Date ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Director of Purchasing Name and Title of Authorized Representative Name and Title of Authorized Representative Notices to CONTRACTOR shall be addressed to: For matters of contracts, finance, insurance, attendance: ▇▇▇▇▇▇ ▇▇▇▇-▇▇▇▇▇, Director of Finance & HR Name CARE Educational Services Mardan School Nonpublic School/Agency/Related Service Provider ▇ ▇▇▇▇▇▇ ▇▇. Address Irvine CA 92604 City State Zip ▇▇▇-▇▇▇-▇▇▇▇ Phone Fax ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Email Name For matters of IEPs, discipline, student data and Title Westlake Charter incident reporting, student enrollment and withdrawal: ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ Supervisor of Educational Services Mardan School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email ▇ ▇▇▇▇▇▇ ▇▇. Irvine CA 92604 (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 July, 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide provided herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools LEA Nonpublic School/Agency LEA Name By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Notices to CONTRACTOR shall be addressed to: Notices to LEA shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇ Name CARE Educational Services and Title Name and Title Director of Special Education Nonpublic School/Agency/Related Service Provider LEA Making Waves Academy Address Address ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇. City State Zip City Richmond State CA Zip 94806 Phone Fax Phone ▇▇▇-▇▇▇-▇▇▇▇ Fax Email Email ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ Additional LEA Notification (Required if completed) ▇▇▇▇ ▇▇▇ Name and Title Westlake Charter School LEA Director of Finance Address ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇. City State Zip Richmond CA 94806 Phone Fax ▇▇▇-▇▇▇-▇▇▇▇ Fax # ▇▇▇-▇▇▇-▇▇▇▇ Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 July, 2022 and terminates at 5:00 P.M. on June 30, 20152023, unless sooner terminated as provide provided herein. CONTRACTOR CARE Educational Services _Ed Sped Solution, Inc. Amethod Public Schools 06/01/23 ▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇/ Service Coordinator , CEO Signature Date ▇▇▇▇▇ ▇▇▇▇▇/CEO Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services and Title ▇▇▇▇▇▇▇ ▇▇▇▇▇/ Service Coordinator Name and Title ▇▇▇▇▇▇ ▇▇▇▇▇/ CEO Nonpublic School/Agency/Related Service Provider Ed Sped Solution, Inc. LEA Amethod Public Schools Address ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇ Address ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇. City Fremont. State CA Zip 94538 City Oakland State CA Zip 94606 Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Phone (▇▇▇) ▇▇▇-▇▇▇▇ Fax Email Name and Title Address City State Zip Phone Fax ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Email (NONPUBLIC AGENCY) (Ed Sped Solutions _ The CONTRACTOR: The CONTRACTOR CDS NUMBER: 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic, Nonsectarian School/Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st 20th day of July 2014 March, 2024 and terminates at 5:00 P.M. on June 30, 20152024, unless sooner terminated as provide herein. CONTRACTOR CARE Nonpublic School / Agency Name of District or Local Educational Services Agency Contracting Officer’s Signature Date Superintendent’s Signature ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date ▇, Senior Vice President, Operations 3/27/2024 ▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Associate Superintendent Name and Title of (type) Date Signature (Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address / Contracts Supervisor) ▇▇-▇▇▇▇▇▇▇ Tax I.D. # Notices to LEA shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇▇ City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Legal Advisor Legal Advisor Signature Date City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2020 and terminates at 5:00 P.M. on June 30, 20152021, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools CONTRACTOR, LEA, Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Board Approval Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2023 and terminates at 5:00 P.M. on June 30, 20152024, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools CONTRACTOR, LEA, Capistrano Unified School District Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Board Approval Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT CONTR ACT YEAR)

Appears in 1 contract

Sources: Master Contract Agreement

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 July, 2012 and terminates at 5:00 P.M. on June 30, 20152013, unless sooner terminated as provide provided herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools LEA Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email CONTRACTOR CONTRACTOR NUMBER 2012-2013 (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2022 and terminates at 5:00 P.M. on June 30, 20152023, unless sooner terminated as provide herein. CONTRACTOR CARE herein Nonpublic School / Agency Name of District or Local Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Contracting Officer’s Signature Date Superintendent’s Signature ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Director of Education Name and Title (type) Date Signature (Authorized Representative / Contracts Supervisor) Tax I.D. # Notices to LEA shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Name ▇▇▇▇▇ Unified School District Address Tracy CA 95376 City State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Legal Advisor Legal Advisor Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address ▇▇▇▇▇ Unified School District ▇▇▇▇ ▇. ▇▇▇▇▇▇ Avenue City State Zip ▇▇▇-▇▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Phone Fax Email Name ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇ All financial payments should be sent to: Solstice RTC P.O. Box 160623 Clearfield, UT 84016 however this is dependent on Solstice’s ability to provide scholarships. For many families receiving a scholarship, tuition will be due in advance (enrollment fee, deposit, and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name current month’s tuition), as outlined in the financial policy. Education: Room & Board: $377.76 per day ($137,882.40 for 365 days). This includes but is not limited to all clinical assessments and Title Address City State Zip Phone Fax Email testing by Solstice staff, group therapy, individual therapy, family therapy, psychiatric appointments, treatment team, admission and discharge procedures, family weekends, Solstice transitions programming, nursing care, residential staff, specialists, recreation program, and all office support. $224.16 per school day (NONPUBLIC AGENCY$42,814.56 for 191 school days). This includes everything relating to the scholastic program. $104.60 per day ($38,179.00 for 365 days). This includes lodging, meals, basic hygiene and daily living costs. Any medical costs (physicals, dental, vision, ER), required psychological testing by outside professionals, or additional academic provisions (outside tutors) are not covered in the above rates. Solstice generally requires recent (CONTRACT YEAR)within 1 year) psychological testing; families can choose to have that done before their daughter enters Solstice, or arrangements can be made upon admission. Clothing, gifts, off-site medical or dental care and travel are examples of other costs that are not included in the daily rate. Additional support services needed for a student, such as speech and language pathology are not included in the above rates. Should the student require these services, please inform us of the hours needed per week, and we will provide you with additional cost information.

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 July, 2022 and terminates at 5:00 P.M. on June 30, 20152023, unless sooner terminated as provide provided herein. Cinnamon Hills Youth Crisis Center Newark Unified School District Nonpublic School/Agency LEA Name By: By: Notices to CONTRACTOR CARE Educational Services shall be addressed to: ▇▇▇▇ ▇▇▇▇▇, Business Manager Notices to LEA shall be addressed to: Name and Title Cinnamon Hills Youth Crisis Center Name and Title Nonpublic School/Agency/Related Service Provider ▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date ▇ ▇▇. ▇▇▇▇▇▇ ▇▇▇▇. ▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider ▇ Address St. ▇▇▇▇▇▇ UT 84770 Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address (▇▇▇) ▇▇▇-▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ City State Zip Phone ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (Fax 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 and terminates at 5:00 P.M. on June 30, 2015, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2021 and terminates at 5:00 P.M. on June 30, 20152022, unless sooner terminated as provide herein. CONTRACTOR CARE herein Nonpublic School / Agency Name of District or Local Educational Services Agency Contracting Officer’s Signature Date Superintendent’s Signature ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ (Director) Name and Title (type) Date Signature (Authorized Representative / Contracts Supervisor) Tax I.D. # Notices to LEA shall be addressed to: ▇▇▇▇ ▇▇▇▇▇▇▇Charter Schools Nonpublic Agency ByCity State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Notice to CONTRACTOR shall be addressed to: By▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ (Director) Address Livermore CA 94551 Additional notices to LEA shall be addressed to: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services CONTRACTOR, SENECA Family of Agencies LEA, Santa ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Unified School District Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date ▇▇ Director of Purchasing Name and Title of Authorized Representative Notices to CONTRACTOR shall be addressed to: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Contract Analyst Name and Title SENECA Family of Authorized Representative Name CARE Educational Services Agencies Nonpublic School/Agency/Related Service Provider ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇. Address San Leandro CA 94578 City State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Phone Fax ▇▇▇▇▇▇▇_▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email CONTRACTOR SENECA Family of Agencies CONTRACTOR NUMBER 2019-2020 (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services CONTRACTOR, Lakemary Center, Inc. LEA, Santa ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Unified School District Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date ▇▇ Director of Purchasing Name and Title of Authorized Representative Notices to CONTRACTOR shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇ Name and Title of Authorized Representative Name CARE Educational Services Lakemary Center, Inc. Nonpublic School/Agency/Related Service Provider ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇. Address City State Zip Paola KS 66071 Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ Email (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2021 and terminates at 5:00 P.M. on June 30, 20152022, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools CONTRACTOR, LEA, Capistrano Unified School District Nonpublic School/Agency By: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Board Approval Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2021 and terminates at 5:00 P.M. on June 30, 20152022, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services herein Contractor ▇▇▇ ▇▇▇▇▇▇▇Charter Schools Unified School District Nonpublic School / Agency By: By: Name of District or Local Educational Agency Contracting Officer’s Signature Date Superintendent’s Signature Name and Title (type) Date Signature(Authorized Representative / Contracts Supervisor) Tax I.D. # Notices to LEA shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2022 and terminates at 5:00 P.M. on June 30, 20152023, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools CONTRACTOR, LEA, Capistrano Unified School District Nonpublic School/Agency By: By: Signature Date ▇▇Signature Board Approval Date ▇▇▇▇ ▇. ▇▇▇▇▇▇ Executive Director, CEO Signature Date Contracts & Purchasing Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract Agreement

Debarment Certification. By signing this agreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 November, 2023 and terminates at 5:00 P.M. on June 30, 2015, 2024 unless sooner terminated as provide provided herein. CONTRACTOR CARE Educational Services Developmental Learning Solutions Newark Unified School District Nonpublic School/Agency LEA Name Name and Title ▇▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency By: By: Signature Date , Chief Executive Officer Name and Title ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title Director of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Special Education Developmental Learning for Solutions Newark Unified School District Address ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇. #▇▇▇ Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address San Jose CA 95117 City State Zip Newark CA 94560 Phone Fax (▇▇▇) ▇▇▇-▇▇▇▇ Phone Fax (▇▇▇) ▇▇▇-▇▇▇▇ Email ▇▇▇▇▇@▇▇▇-▇▇▇▇▇▇▇▇.▇▇▇ Email ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Additional LEA Notification (Required if completed) Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (Email 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School/Agency Services

Debarment Certification. By signing this agreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 July, 2019 and terminates at 5:00 P.M. on June 30, 20152020, unless sooner terminated as provide provided herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇Charter Sped Solutions, Inc, Amethod Public Schools Nonpublic School/Agency By: LEA Name Signature 09/27/2019 Date By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇/ Service Coordinator , CEO Signature Date ▇▇▇▇ ▇▇▇▇▇▇▇ / Chief of Staff Name and Title of Authorized Representative Name and Title of Authorized Representative Notices to CONTRACTOR shall be addressed to: ▇▇▇▇▇▇▇ ▇▇▇▇▇/ Service Coordinator Notices to LEA shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇▇ / Chief of Staff Name CARE Educational Services and Title Ed Sped Solutions, Inc. Name and Title Amethod Public Schools Nonpublic School/Agency/Related Service Provider ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇ LEA ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇. Address Fremont CA 94538 Address Oakland CA 94606 City State Zip City State Zip ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ Phone Fax ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Phone Fax l ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Email Email Additional LEA Notification (Required if completed) Name and Title City State Zip Phone Fax Email Name and Title Westlake Charter School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (Fax 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreementAgreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have Has/have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Master Contract by and through their duly authorized agents or representatives. This contract Master Contract is effective on the 1st day of July 2014 2024 and terminates at 5:00 P.M. on June 30, 20152025, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency CONTRACTOR, LEA, Spectrum Center- Rossier Park High Schoo By: l By: Signature Date ▇▇Signature Date Name and Title of Authorized Representative ▇▇▇▇ ▇▇▇▇▇, CEO Signature Date Assistant Superintendent Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic School/Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter CONTRACTOR Spectrum Center - Rossier Park High School LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email CONTRACTOR NUMBER 2024-2025 (NONPUBLIC SCHOOL OR AGENCY) (CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract

Debarment Certification. By signing this agreement, the Contractor CONTRACTOR certifies that: (a) The Contractor CONTRACTOR and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 July, 2023 and terminates at 5:00 P.M. on June 30, 20152024, unless sooner terminated as provide provided herein. CONTRACTOR CARE Educational Services ▇▇▇ ▇▇▇▇▇▇▇▇ Charter Schools Nonpublic Agency Behavioral Intervention Specialists of LA, LL Greenfield Union School District By: By: Signature Date ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Director of Special Education Name and Title of Authorized Representative ▇▇. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Account Director Name and Title ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, Director of Authorized Representative Name CARE Educational Services SPED Nonpublic School/Agency/Related Service Provider Behavioral Intervention Specialists of LA, LLC ▇▇▇ ▇▇▇▇▇▇▇▇▇▇ Union School District Address ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, #120 Address 493 El Camino Real City Los Angeles State CA Zip 90025 City Greenfield State CA Zip 93927 Phone (▇▇▇) ▇▇▇ ▇▇▇▇ Fax (▇▇▇) ▇▇▇-▇▇▇▇ Phone (▇▇▇) ▇▇▇-▇▇▇▇ Fax Email Name and Title Westlake Charter School ▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ Email ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇.▇▇ Additional LEA Address City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email Notification (NONPUBLIC AGENCY) (Required if completed) 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School/Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2022 and terminates at 5:00 P.M. on June 30, 20152023, unless sooner terminated as provide herein. CONTRACTOR CARE Educational Services herein ContractorSandy Pines – River Bend School ▇▇▇ ▇▇▇▇▇▇▇Charter Schools Unified School District Nonpublic School / Agency By: By: Name of District or Local Educational Agency Contracting Officer’s Signature Date Superintendent’s Signature Name and Title (type) Date Signature(Authorized Representative / Contracts Supervisor) Tax I.D. # Notices to LEA shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Legal Advisor Legal Advisor Signature Date Additional notices to LEA Address shall be addressed to: ▇▇▇▇▇ ▇▇▇▇▇▇▇ City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY) (▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)YEAR – See Attached

Appears in 1 contract

Sources: Master Contract for Nonpublic, Nonsectarian School/Agency Services

Debarment Certification. By signing this agreement, the Contractor certifies that: (a) The Contractor and any of its shareholders, partners, or executive officers are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency, and (b) Have not, within a three-year period preceding this contract, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses. The parties hereto have executed this Contract by and through their duly authorized agents or representatives. This contract is effective on the 1st day of July 2014 2021 and terminates at 5:00 P.M. on June 30, 20152022, unless sooner terminated as provide herein. CONTRACTOR CARE herein Nonpublic School / Agency Name of District or Local Educational Services Agency Contracting Officer’s Signature Date Superintendent’s Signature ▇▇▇▇ ▇▇▇▇▇▇▇Charter Schools Nonpublic Agency ByName and Title (type) Date Signature (Authorized Representative / Contracts Supervisor) Tax I.D. # Notices to LEA shall be addressed to: By: Signature Date ▇▇▇▇▇▇ ▇▇▇▇▇▇, CEO Signature Date Name and Title of Authorized Representative Name and Title of Authorized Representative Name CARE Educational Services Nonpublic Agency/Related Service Provider Address City State Zip Phone Fax Email Name and Title Westlake Charter School LEA (▇▇▇) ▇▇▇-▇▇▇▇ Notice to CONTRACTOR shall be addressed to: ▇▇▇▇ ▇▇▇▇▇ Address Walnut Creek CA 94958 City State Zip Phone Fax Email Name and Title Address City State Zip Phone Fax Email (NONPUBLIC AGENCY▇▇▇) (▇▇▇-▇▇▇▇ 4.1 RATE SCHEDULE FOR CONTRACT YEAR)

Appears in 1 contract

Sources: Master Contract for Nonpublic School and Agency Services