HomeMy WebLinkAbout2012-566 - IGA - Health - High Desert ESD GrantDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of October 31, 2012
DATE: October 17, 2012
FROM: Nancy Mooney, Contract Specialist, Deschutes County Health Services, 322-7516
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2012-566, Intergovernmental Agreement between the
High Desert Education Service District and Deschutes County Health Services, Public Health
Department.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
The High Desert Education Service District (District) is a regional support system that links school
districts in Central Oregon to state and national education resources. The District is a publicly
funded agency that partners with local school districts to provide high quality, cost-effective and
locally responsive educational services at a regional level. These services range from business,
legal and administrative support to school improvement efforts and special education programs.
The purpose of this IGA is to coordinate District's efforts with County staff and community
members involved in a new grant, "Linking Actions for Unmet Needs in Children's Health"
(LAUNCH). District shall hire, train and supervise three individuals to work as Family advocates
through District's Family Access Network (FAN) program. A Family Advocate is a service broker
who links children and their families to critical social supports with the goal of keeping children in
school. The Family Advocates shall provide services at County's School Based Health Centers
(SBHC).
County will provide $164,738 for personnel costs and administrative supplies for the duration of
the Agreement.
FISCAL IMPLICATIONS:
Maximum funding is $164,738.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of Document #2012-566, Intergovernmental Agreement between the High
Desert Education Service District and Deschutes County Health Services, Public Health Department is
requested.
ATTENDANCE: Kate Moore, Program Manager or Maggi Machala, Clinical Program Supervisor
DISTRIBUTION OF DOCUMENTS:
Executed documents to Nancy Mooney, Contract Specialist
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This fonn is required to be submitted with ALL contracts and other agreements. regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda. the Agenda Request Fonn is also required. If this fonn is not included with the document, the document will be returned to
the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this fonn with your documents. please submit this fonn
electronically to the Board Secretary.)
Please complete all sections above the Official Review line.
Date: 1 September 25,2012 1
Department: 1 Health Services, Health Department .1
Contractor/Supplier/Consultant Name: 1 High Desert Education Services District
Contractor Contact: Dennis Dempsey, Superintendent 1 1
Type of Document: Intergovernmental Agreement
Goods and/or Services: The High Desert Education Service District (HDESD) is a
regional support system that links school districts in Central Oregon to state and
national education resources.
Background & History: The High Desert Education Service District is a publicly
funded agency that partners with local school districts to provide high quality, cost
effective and locally responsive educational services at a regional level. These services
range from business, legal and administrative support, school improvement efforts and
special education programs.
The purpose of this IGA is to coordinate District's efforts with County staff and
community members involved in a new grant, "Linking Actions for Unmet Needs in
Children's Health" (LAUNCH). District shall hire, train and supervise three individuals to
work as Family advocates through District's Family Access Network (FAN) program. A
Family Advocate is a service broker who links children and their families to critical
social supports with the goal of keeping children in school. The Family Advocates shall
provide services at County's School Based Health Centers (SBHC).
County will provide $164,738 for personnel costs and administrative supplies for the
duration of the Agreement.
Agreement Starting Date: 1 October 1, 20121 Ending Date: 1 September 30, 20131
Annual Value or Total Payment: I Maximum Compensation is $164,738 I
Insurance Expiration Date: '----"---'------'
Check all that apply:
D RFP, Solicitation or Bid Process
D Informal quotes «$150K)
k8J Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37)
9/25/2012
I
Funding Source: (Included in current budget? ~ Yes 0
If No, has budget amendment been submitted? 0 Yes
Is this a Grant Agreement providing revenue to the County?
No
0
~
No
Yes 0 No
Special conditions attached to this grant:
Deadlines for reporting to the grantor: IL-_--'
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that
it is a grant-funded position so that this will be noted in the offer letter: 0 Yes 0 No
Contact information for the person responsible for grant compliance: I Kate Moore
Phone #: I 541-322-7422 I
Department Director Approval: __--:-....................~_----
Date
Departmental Contact and Title: I Nancy Mooney, Contract Specialist
Phone #: I 541-322-7516 I
Distribution of Document: Nancy Mooney, fax (541) 322-7565, Include complete
information if document is to be mailed.
Official Review:
County Signature Required (check one): ~ SOCC 0 Department Director (if <$25K)
o Administrator (if >$25K but < 150K' if >$150K, SOCC Order No. ____-i)
DateLegal Review ,t
Document Number =20:...1=-=1c...;-5=6:..:6~______
9/25/2012
-;cRE;r~
~ALCOUNSEL
For Recording Stamp Only
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON
A Resolution Appointing a Financial Assistance •
Administrator for Deschutes County Health •
Services and Authorizing the County • RESOLUTION NO. 2011-021
Administrator to Approve Related Contracts.
WHEREAS, Deschutes County, acting through the Health Services Department will enter into
contracts for the provision of health services and the performance of physical health, behavioral health,
developmental disability and addiction services and environmental health services and the agreement
between the State ofOregon and Deschutes County requires that the County appoint a Financial
Assistance Administrator; and
WHEREAS, the Financial Assistance Administrator should be a person knowledgeable about the
available public health, environmental health and behavioral health services and capable of dealing with
a large volume oftransactions in a timely manner; now therefore:
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUfES
COUNTY, OREGON, as follows:
Sectioo 1. Scott JOMson, the Director of the Deschutes County Health Services Department, is duly
appointed as the Deschutes County Financial Assistance Administrator with respect to
contracts pertaining to the Health Services Department Such appointment shall continue in
effect ~long as Scott Johnson is an employee of the Deschutes County Health Services
Department and until a successor is appointed.
Section 2. By Board policy, the Financial Assistance Administrator is authorized to perfonn the
functions of such appointment and is charged with authorizing contracts as set forth in the
Health Services Department Financial Assistance Contract, Biennial Plan and Strategic Plan,
as adopted by the Board. The Health Services Department includes the Behavioral Health,
and Public Health divisions. The Financial Assistance Administrator may sign on behalf of
the Health Services Department contracts, subcontracts with third party service providers,
contract amendments, grants, and intergovernmental agreements, which do not exceed a
dollar amount of $SO,OOO~ and documents with no fiscal implications.
Section 3. The County Administrator may sign all contracts. subcontracts with third party service
providers, contract amendments, grants and intergovernmental agreements, in excess of
$SO,OOO but not to exceed $IS0,000.
PAGE 1 OF ~-RESOLUTION NO. 2011-021
DATED this ;;IS day of ~,2011.
BOARD OF COUNTY COMMISSIONERS
OF DBSCHUTES COUNlY. OREGON
-~-
TAMMY BANEY, Chair
ANTHONY DEBONB, Vice Chair
ATIEST:
~~
Recording Secretary ALAN UNGER, Commissioner
PAGE 2 OF 2-RESOLUTION NO. 2011-021
For Recording Stamp Only
INTERGOVERNMENTAL AGREEMENT
This Agreement, is made and entered into by and between Deschutes County, a political
subdivision of the State of Oregon, acting by and through the Deschutes County Health
Services Department, hereinafter referred to as "County," and High Desert Education
Services District, an Education Service District created pursuant to ORS 334.010, hereinafter
referred to as "District."
WHEREAS, County and District are authorized pursuant to ORS 190.003 through 190.110 to
enter into an intergovernmental agreement for the performance of any or all functions which
a party to the Agreement has the authority to perform; and
WHEREAS, both County and District find it beneficial to enter into this Agreement in order for
County to provide behavioral and public health services to children ages 0-8 in the District;
NOW, THEREFORE,
IT is HEREBY AGREED by and between the parties for and in consideration of the mutual
promises and covenants contained herein, as follows:
1. Effective Date. This Agreement is effective October 1, 2012.
2. Duration. This Agreement terminates at 11 :59 p.m. on September 30, 2013, unless
sooner terminated in accordance with Paragraph 5 of this Agreement.
3. Services. District shall hire, train and supervise three (3) individuals to work as Family
Advocates through District's Family Access Network (FAN) program. A Family Advocate is a
service broker who will link children and their families to critical social supports with the goal
of keeping children in school. The Family Advocates shall provide services at County's
School Based Health Centers (SBHC) located at Ensworth Elementary School, La Pine
Elementary School and M.A. Lynch Elementary School. Family Advocates will work with
children in the target age range of zero (0) to eight (8) years of age, connecting children and
their families to the services they need. Family Advocates will coordinate their efforts with
County staff and community members involved with the Linking Actions for Unmet Needs in
Children's Health (LAUNCH) Grant. The LAUNCH Grant is a cooperative agreement funded
by the Substance Abuse and Mental health Services Administration (SAMSHA) and
implemented by The Oregon Health Authority (OHA) and Deschutes County Health Services.
4. Consideration. County will provide not more than $164,738 for personnel costs and the
cost of administrative supplies for the duration of the Agreement. County shall pay on a
quarterly basis in four (4) equal payments of $41,184.50. Said consideration is the complete
compensation to District for services performed. This Agreement between the County and
1 of 4 -iNTERGOVERNMENTAL AGREEMENT-PUBLIC HEALTH DIVISION -Doc# 2012-566
DC -2012-566
the District is subject to the appropriation, continuation and sufficiency of local, state and
federal funds.
5. Tennination. This Agreement may be terminated by either party upon thirty (30) days
written notice to the other party. Termination of this Agreement shall not affect any
obligations or liabilities accrued prior to such termination.
6. Delegation and Reports. District shall not delegate the responsibility for providing
services hereunder to any other individual or agency and shall provide County with periodic
reports at the frequency and with the information prescribed to be reported by County.
Personally identifiable health information about clients and Medicaid recipients will be subject
to the transaction, security and privacy provisions of the Health Insurance Portability and
Accountability Act ("HIPAA") and the federal Family Educational Rights and Privacy Act
("FERPA"). District shall cooperate with County in the adoption of policies and procedures
for maintaining the privacy and security of records and for conducting transactions pursuant
to HIPAA requirements. District shall cooperate with County in protecting the privacy of
clients' "education records" as outlined by FERPA. "Education records" subject to FERPA
are records that are directly related to a student, immunization and other health records
maintained by a school district or individual school, including a school-operated health clinic.
The Agreement may be amended in writing in the future to incorporate additional
requirements related to compliance with HIPAA and/or FERPA.
7. Limitation. This Agreement is expressly subject to the provisions and requirements of
ORS ORS 2798.220 to 2798.230 and to the debt limitation of Oregon counties as set forth in
Article XI, Section 10, of the Oregon Constitution, and is contingent upon funds being
appropriated therefore. In the event sufficient funds are not appropriated for the payment of
consideration required to be paid under this Agreement, and if District or County has no
funds legally available from other sources, then either party may terminate this Agreement in
accordance with Paragraph 5 of this Agreement. Any provisions herein, which would conflict
with law, are deemed inoperative to that extent.
8. Non-Discrimination. Each party agrees that no person shall, on the grounds of race,
color, creed, national origin, sex, marital status, or age, suffer discrimination in the
performance of this agreement when employed by either party. Each party agrees to comply
with Title VI of the Civil Rights Act of 1964, with Section V of the Rehabilitation Act of 1973,
and with all applicable requirements of federal and state civil rights and rehabilitation
statutes, rules and regulations. Additionally, each party shall comply with the Americans with
Disabilities Act of 1990 (Pub. l. No. 101-336), "ADA", ORS 659.425, and all regulations and
administrative rules established pursuant to those laws. Space provided by District for
services to be provided by County under this Agreement shall comply with the ADA.
9. District An Agent of County. It is agreed by and between the parties that District is
carrying out a function on behalf of County, and County has discretion in which location
District delivers services under this Agreement.
1O.lndemnity and Hold Hannless.
a. To the fullest extent authorized by law District shall defend, save, hold harmless
and indemnify the County and its officers, employees and agents from and against
2 of 4 -INTERGOVERNMENTAL AGREEMENT -PUBLIC HEALTH DIVISION -Doc# 2012-566
all claims, suits, actions, losses, damages, liabilities costs and expenses of any
nature resulting from or arising out of, or relating to the activities of District or its
officers, employees, contractors, or agents under this Contract, including without
limitation any claims that the work, the work product or any other tangible or
intangible items delivered to County by District that may be the subject of
protection under any state or federal intellectual property law or doctrine, or the
County's use thereof, infringes any patent, copyright, trade secret, trademark,
trade dress, mask work utility design or other proprietary right of any third party.
b. District shall have control of the defense and settlement of any claim that is subject
to section 10.a; however neither District nor any attorney engaged by District shall
defend the claim in the name of Deschutes County or any department or agency
thereof, nor purport to act as legal representative of the County or any of its
departments or agencies without first receiving from the County's legal counsel, in
a form and manner determined appropriate by the County's legal counsel, authority
to act as legal counsel for the County, nor shall District settle any claim on behalf
of the County without the approval of the County's legal counsel.
c. To the extent permitted by Article XI, Section 10, of the Oregon Constitution and
the Oregon Tort Claims Act, ORS 30.260 through 30.300, County shall defend,
save, hold harmless and indemnify District and its officers, employees and agents
from and against all claims, suits, actions, losses, damages, liabilities costs and
expenses of any nature resulting from or arising out of, or relating to the activities
of County or its officers, employees, contractors, or agents under this Contract.
11. Partnership. Neither party is, by virtue of this Agreement, a partner or joint venturer in
connection with activities carried out under this Agreement, and shall have no obligation
with respect to the other party's debts or any other liability or obligation of the other party
of whatever kind or nature except as set forth in Paragraph 11 of this Agreement.
12. Attomey Fees. In the event an action, lawsuit or proceeding, including appeal therefrom,
is brought for failure to fulfill or comply with any of the terms of this Agreement, each party
shall be responsible for their own attorney fees, expenses, costs and disbursements for
said action, lawsuit, proceeding or appeal.
13. No Waiver of Claims. The failure by either party to enforce any provision of this
Agreement shall not constitute a waiver by that party of that provision or of any other
provision or provisions of this Agreement.
14. No Third Party Beneficiaries. Only those parties speCifically named in this Agreement are
entitled to enforce its provisions. Persons not so named, but who may nonetheless
receive services pursuant to this Agreement shall not be entitled to enforce the terms
hereof.
3 of 4 -INTERGOVERNMENTAL AGREEMENT -PUBLIC HEALTH DIVISION -Doc# 2012-566
15. Entire Agreement. This Agreement constitutes the entire Agreement between the parties
concerning the subject matter of this Agreement and supersedes any and all prior or
contemporaneous negotiations or agreements among the parties, if any, whether written
or oral, concerning the subject matter of this Agreement which is not fully expressed
herein. This Agreement may not be modified or amended except by writing signed by all
parties to this Agreement.
Dated this __of _____, 2012
DESCHUTES COUNTY BOARD OF
COUNTY COMMISSIONERS
ANTHONY DeBONE , Chair , County Commissioner
ALAN UNGER, Vice Chair, County Commissioner
TAMMY BANEY, County Commissioner
DATED this __day of _________, 2012.
HIGH DESERT ATION SERVICE DISTRICT
1::Iet'ft5-bt1e>PRelBe'O', Superintendent, JOJV\ ~~b
ducation Service District
4 of 4 -INTERGOVERNMENTAL AGREEMENT -PUBLIC HEALTH DIVISION -Doc# 2012-566
--------.........----..........,A.~J Page lot '1
GENERAL UABIUTY and AUTO UABIUTY ADDITIONAL PARTICIPANT CERTIFICATE
AGENCY/AGENT ISSUING CERTIFICATE Date: 6/28/2012 Print IS
THIS CERTIFICATE IS ISSUED AS A MATTER Of INfORMATION
ONLY AND CONfERS NO RIGHTS UPON THE CERTIFICATE HOLDER
Westem States Insurance-Madras OTHER THAN THOSE PROVIDED IN THE COVERAGE DOCUMENlS.
P.O. Box 680 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Madras, OR 97741 COVERAGE AffORDED BY THE COVERAGE DOCUMENlS USTED
Stacey Anderson HEREIN. THIS CERTIFICATE DOES NOT CONSTITUE A CONTRACT
(541) 475-2249 BETWEEN ANY Of THE fOLLOWING PARTIES: THE AGENCY, NAMED
PARTICIPANT, CERTIfiCATE HOLDER AND/OR COMPANIES
AffORDING COVERAGE.
NAMED PARTICIPANT/MEMBER REQUESTING CERTIFICATE ORGANIZATIONS AFfORDING COVERAGE
High Desert E.S.D. Company A -Property casualty Coverage for Education (PACE)
145 S.E. Salmon Avuenue, Suite a
Redmond, OR 97756-8427 Company B -GenesiS Insurance Company
Greg Munn
(541) 693-5616
COVERAGES
This is to certify that Coverage Documents listed herein have been Issued to the Named Participant herein for the Coverage Period Indicated. Notwithstanding any
requirement, term or condition of any contract or other document with respect to which the certificate may be Issued Or may pertain, the coverage afforded by the
Coverage Documents listed herein Is subject to all the terms, condltlons and exdusions of such Coverage Documents. Aggregate Umlts which are shown may have
been reduced by paid Claims, Suits or Actions. The titles referenced under Type of Coverage are inserted solely for convenience of reference and shall not be deemed In
any way to limit or affect the provisions to which they relate.
OR/CO
Type of Coverage
Coverage
Effective Date
Expiration
limits
LTR Document Date
General Uabllity General Aggregate $20,000,000
X Commercial General liability
X Public OffIcIals liability 271'60191'1008 7/1/2012
A X Employment PracticeS liability
B 7/1/2013
X OIX:1Irence Form Each OIX:1Irrence $10,000,000
Employment Practices Deductible/SIR: $1,000
Wrongful Acts Deductlble/SIR: $1,000
General Uability Deductible/SIR: $1,000
*$5,000 Minimum deductlble for terminations if PACE or approved legal counsel is not consulted
prior to an employment termination.
Automobile LIability General Aggregate $20,000,000
X Scheduled l\utos
A X Hired Autos &. Non-<>Wned Autos 271'60191-1008 7/112012 7/1/2013B Each Oc:currence $10,000,000
X OIX:1Im!nCI! Form
X Deductible/SIR: $1,000
Remarks: When requIred by an Insured Contract a!rtIflcate holder Is an additional partldpant In respects to Healthy Families of the High Desert Services, but only
with respects to negligence claims fof' Bodily Injury, Property Damage or Personal Injury where the Named Partldpant Is deemed to have liability. In no event shan
coverage extend to any party fof' any Dalm, Suit or Actlon, however or whenever asserted, arising out of the certificate holder's sole negligence or for any Dalm, Suit
or ActIon which occurs prior to the execution of the contract or agreement.
*Informatlon Is provided as of the date this certificate was generated and issued and Is subject: to change.
certlfk:ate Holder Requesting Certificate CANCELLATION: Should any of the Coverage Documents herein be cancelled before the
Deschutes County Health Service expiration date thereof, PACE will endeavor to provide notice in accordance with the PACE
2577 NE Courtney Dr General liability Coverage Document provisions. failure to mail such notice shall impose
Bend, OR 97701 no obligation or liability of any kind upon PACE, its agents or representatives, or the issuer
of this certificate.
:~::~r~l;;)~;tiv~~ait, ~
()
https:/Imbr.sdao.com/certs/cert2.asp?Policy=27P60191-1 008&PGM=PACE& Year=renew... 6128/2012
UL-ftL \..,CfUllCare I)ummary cettmcate Page 2of2
Applicable Coverage Document Definitions:
The following definitions are provided solely for convenience of reference and shall not be deemed in any way to limit or affect the provisions to which
they relate, for complete details on the terms, conditions and exclUSions of applicable Coverage Documents please refer to the PACE Liability Coverage
Document.
Participant means:
1. The Named Participant and each of the following while acting within the course and scope of their duties as such;
a. Members of the Board;
b. Executive Officers;
c. Employees;
d. Volunteers and Agents;
e. Registered Students whose course study includes on-the-job training, but only while acting under directions and within the scope of their
activities performed while in training;
f. Student Organizations, Parent Teacher Organizations, Booster Clubs and Foundations under the jurisdiction and supervision of the governing
board; and
g. Any person, entity or any organization" the Named Participant is required by an Insured Contract to include as a Participant. This coverage will be
limited to the extent of coverage and Limits of Uabllity required by the Insured Contract and will not increase the limits stated in SECTION V. -
UMITS OF UABIUlY or alter any of the terms of coverage stated in this Coverage Document. The Insured Contract must be effective and
executed prior to a covered Occurrence or Wrongful Act. In no event shall coverage under this Coverage Document extend to any party for any
Claim however or whenever asserted, arising out of such party's sole negligence. (1) The term "Additional Insured" if used In an Insured Contract
shall be understood to mean the same as Additional Participant.
2. With respect to:
Mobile Equipment or any Auto, any person is a Participant while driving such Auto or Mobile Equipment with a Named Participant's permission. Any
person, entity, or organization responsible for the conduct of such person is also a PartiCipant, but only with respect to Bodily Injury or Property Damage
ariSing out of the operation of the Auto or Mobile Equipment. However, the owner or anyone else from whom a Named PartiCipant hires or borrows an
Auto Is a Participant only if that Auto is a trailer connected to an Auto a Named Participant owns. However, no person, entity, or organization is a
Participant under this paragraph 2. with respect to:
a. Property Damage to property owned by a Named Participant or the employer of any person who Is a Participant under this provision;
b. Any Auto a Named Participant hires or borrows from one of a Named Participant's Employees, volunteers or members of their households, If they
are the owner of such Auto, unless acting within the scope of their dutieS on a Named Participant's behalf; .
c. Any Auto being used by a person employed in the business of selling, serviCing, repairing, or parking Autos unless they are a Named Participant's
Employees; or
d. The movement of property to or from an Auto except a Named Participant, a Named Participant's Employees, lessees or borrowers of such Auto,
and any employee of the lessees or borrowers.
Insured Contract means:
1. A legally enforceable contract that Includes one or all of the following:
a. A lease of premises as it relates to tort liabilities assumed by the Named Participant arising out of the lease, such assumption occurring in writing
prior to the date of Occurrence;
b. A Sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a Public Body;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to the Named Participant's operations (Including an indemnification of a PubliC Body in
connection with work performed by or for a Public Body) under which the Named Participant assume the tort liability of another person or entity
to pay for Bodily Injury, Property Damage or Personal Injury to a third person or organization, provided the Bodily Injury, Property Damage or
Personal Injury occurs subsequent to the execution of the contract or agreement; and
g. Contracts for services with Public Bodies.
2. An Insured Contract does not include that part of any contract or agreement:
a. That indemnifies an architect, engineer or surveyor acting as an Independent contractor for Injury or Damages ariSing out of professional errors
or omissions;
b. That Indemnifies any person or organization for Damages by fire to premises rented or loaned to the Participant; and
c. That involve the purchase or sale of real property or personal property.
https:llmbr.sdao.com/certs/cert2.asp?Policy=27P60l91-1008&PGM=PACE& Year=renew ... 612812012
www.saif.com
OREGON WORKERS COMPENSATION
CERTIFICATE OF INSURANCE
CERTIFICATE HOLDER:
DESCHUTES COUNTY HEALTH SERVICES
2577 NE COURTNEY DRIVE
BEND, OR 97701
The policy of insurance listed below has been issued to the insured named below for the
policy period indicated. The insurance afforded by the policy described herein is subject to
all the terms, exclusions and conditions of such policy.
POLICY NO. POLICY PERIOD ISSUE DATE
246652 07/01/2012 to 07/01/2013 06/06/2012
--------~--------------------~------~---------------------~-INSURED: BROKER OF RECORD:
HIGH DESERT EDUCATION SERVICE DISTRICT
145 SE SALMON SUITE A
REDMOND, OR 97756-8427
LIMITS OF LIABILITY:
Bodily Injury by Accident $500,000 each accident
Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS:
IMPORTANT:
The coverage described above is in effect as of the issue date of this certificate. It is subject to change
at any time in the future. .
This certificate is issued as a matter of information only and confers no rights to the certificate holder.
This certificate does not amend, extend or alter the coverage afforded by the poliCies above. This
certificate does not constitute a contract between the issuing insurer, authorized representative or
producer and the certincate holder.
AUTHORIZED REPRESENTATIVE
P1re;J}>-Jr R.qd.iJ-----
President and CEO
400 High Street SE
Salem. OR 97312
P: 800.285.8525
F: 503.373.8020