Instructional Service Agreement Byram Hills CSD.pdf (981 KB)
agreement
12 pages
Scanned/OCR — text may contain errors
From the meeting:
Board of Education — 2026-08-06
· our coverage →
Agenda item: Special Education Agreement for Services
Agreement / contract, 12 pages. Attached to agenda item: “Special Education Agreement for Services” (Text recovered by OCR — may contain errors.)
Retrieved 2026-09-08 from the village's meeting portal.
View the original PDF ↗
Also attached to this agenda item:
Educational Services Agreement Mt. Pleasant Cottage...
Special Education Agreement for Services
Extracted text
AGREEMENT made by and between the Board of Croton-Harmon Union Free School District,
having its principal office at 10 Gerstein Street, Croton-on-Hudson, New York 10520 (hereinafter
the “Receiving School District”) and the Byram Hills Central School District, having its principal
office at 10 Tripp Lane, Armonk, New York, 10504 (hereinafter the “Sending School District’).
WITNESSETH:
WHEREAS, pursuant to Education Law § 4402(2)(b)(2), the SENDING SCHOOL DISTRICT
is authorized by law to contract for special education programs and services for students resident
in its own district and in need of such services with other public school districts, boards of
cooperative educational services (“BOCES”), private schools approved by the Commissioner of
Education and special act school districts; and
WHEREAS, the SENDING SCHOOL DISTRICT desires that RECEIVING SCHOOL
DISTRICT provide instruction to a student to be enrolled through this Agreement in the program
operated by RECEIVING SCHOOL DISTRICT; and
WHEREAS, RECEIVING SCHOOL DISTRICT warrants that it has reviewed the
individualized education program (“IEP”) of each student to be enrolled in its program and
represents that it will provide the level of services identified in the IEP to meet the needs of such
student(s); and
WHEREAS, the RECEIVING SCHOOL DISTRICT is capable of and willing to provide
instruction to such student(s) the SENDING SCHOOL DISTRICT is enrolling through this
Agreement in the program(s) operated by RECEIVING SCHOOL DISTRICT;
NOW THEREFORE, in consideration of the mutual promises and covenants contained in this
Agreement, the parties hereto mutually agree as follows:
1. TERM OF AGREEMENT: This Agreement shall be in effect for the period of July 1,
2026 through June 30, 2027, regardless of when executed and unless terminated earlier, as set forth
herein.
2. SCOPE OF SERVICES: During the term of this Agreement, the RECEIVING SCHOOL
DISTRICT shall provide a special education program and/or services listed in Appendix A of
this Agreement.
RECEIVING SCHOOL DISTRICT shall provide adequate instruction, related services and/or a
facility to such student(s) during the school year. The education provided by RECEIVING
SCHOOL DISTRICT shall be appropriate to the mental ability and physical condition of such
student(s), and in accordance with Commissioner's Regulations, all applicable Federal, Stace and
local statutes, rules and ordinances. The RECEIVING SCHOOL DISTRICT agrees to provide
services in accordance with the regulations of the New York Commissioner of Education and of
the Board of Regents, using only professionals certified by the New York State Education
2910/001/4881-0654-3744v1 8/14/24
-1-
Department. The RECEIVING SCHOOL DISTRICT agrees to provide such student(s) who is
the subject of this Agreement with the special education program and/or related services in
accordance with each student’s IEP.
In the event that the SENDING SCHOOL DISTRICT, upon the recommendation of its CSE,
wishes to modify the instructional program and/or related services (i.c. type, frequency and/or
location) provided to such student(s) during the term of the Agreement, the SENDING
SCHOOL DISTRICT shall present its request for such modification(s) to the RECEIVING
SCHOOL DISTRICT. The RECEIVING SCHOOL DISTRICT shall review such request and
shall determine whether it is able to meet such request, The RECEIVING SCHOOL DISTRICT
shall notify the SENDING SCHOOL DISTRICT of its determination within ten (10) business
days and shall advise same of any changes in cost associated with any modification(s) made to the
program and/or services. Any agreement with respect to an increase or decrease in related
services or change of program shall be in writing and shall be made an addendum to this
Agreement.
3. PAYMENT SCHEDULE: In full consideration for the educational services to be
rendered by the RECEIVING SCHOOL DISTRICT to the SENDING SCHOOL DISTRICT
for the period of this Agreement, upon presentment of an invoice by the RECEIVING
SCHOOL DISTRICT, the SENDING SCHOOL DISTRICT will pay to the RECEIVING
SCHOOL DISTRICT the tuition rate set by the New York State Education Department. If the
tuition rates for this school year are not available at the beginning of the school year, the
SENDING SCHOOL DISTRICT shall pay the rates applicable to the previous school year until
new rates are set, at which time the parties shall adjust future tuition payments so that the
RECEIVING SCHOOL DISTRICT will be paid in accordance with the rates applicable to the
current school year.
4. INVOICE DUE ON MONTHLY BASIS: RECEIVING SCHOOL DISTRICT will
submit an invoice for services rendered on a monthly basis, and payment to RECEIVING
SCHOOL DISTRICT shall be made within thirty (30) days from receipt of invoice from
RECEIVING SCHOOL DISTRICT. SENDING SCHOOL DISTRICT shall give RECEIVING
SCHOOL DISTRICT notice of any invoice dispute within twenty (20) days of its receipt and
reserves the right to withhold payment pending the resolution of this dispute. Failure to dispute
any invoice shall not be deemed as an acceptance and does not act as a waiver of SENDING
SCHOOL DISTRICT'’s rights or prevent SENDING SCHOOL DISTRICT from availing itself
of any remedy or course of action it has at law or in equity at a later date.
5. INDEPENDENT _ CONTRACTOR: All employees of RECEIVING SCHOOL
DISTRICT shall be deemed employees of RECEIVING SCHOOL DISTRICT for all purposes
and RECEIVING SCHOOL DISTRICT alone shall be responsible for their work, personal
conduct, direction, and compensation. RECEIVING SCHOOL DISTRICT acknowledges that it
will not hold itself, its officers, employces and/or agents out as employees of SENDING
SCHOOL DISTRICT. RECEIVING SCHOOL DISTRICT is tetained by SENDING
SCHOOL DISTRICT only for the purposes and to the extent set forth in this Agreement, and its
relationship to SENDING SCHOOL DISTRICT shall, during the periods of its services
hereunder, be that of an independent contractor. RECEIVING SCHOOL DISTRICT shall not
be considered as having employee status and shall not be entitled to participate in any of
SENDING SCHOOL DISTRICT’s workers’ compensation, retirement, fringe benefits,
2910/001/4881-0654-3744v1 8/14/24
-2-
unemployment insurance, liability insurance, disability insurance, or other similar employee benefit
programs. Similarly, RECEIVING SCHOOL DISTRICT, its officers, its employees and/or agents
shall not be considered as having employce status for the purposes of any other rights, privileges
or benefits derived from employment by SENDING SCHOOL DISTRICT. RECEIVING
SCHOOL DISTRICT agrees that this Agrecment docs not confer benefits of any nature
whatsoever upon it other than payment for services provided herein. RECEIVING SCHOOL
DISTRICT shall not assert any claim for additional benefits of any nature, including, but not
limited to, unemployment compensation benefits, by reason of the services to be performed
pursuant to this Agreement. RECEIVING SCHOOL DISTRICT shall not be entitled to assert
any claim to entitlements pursuant to any collective bargaining agreement now or hereafter in
effect between SENDING SCHOOL DISTRICT and its employees.
6. RESPONSIBILITY FOR PAYMENT OF SERVICES: No parent or guardian or any
other person shall be required to make any payment for services on behalf of such student(s)
covered by this Agreement. RECEIVING SCHOOL DISTRICT and its employees shall not
share or accept any fee or gratuity from such student(s) or student(s)’s family for service provided
pursuant to this Agreement.
7. SCHOOL DISTRICT’S RIGHT TQ EXAMINE ACCOUNTING RECORDS:
SENDING SCHOOL DISTRICT shall have the right to examine any and all accounting records
as they pertain to tuition and related service costs. For purposes of this Agreement, the definition
and calculation of enrollment and attendance shall be determined by SENDING SCHOOL
DISTRICT, in accordance with section 175.6 of the Regulations of the Commissioner of
Education.
8. SAVE. LEGISLATION: RECEIVING SCHOOL DISTRICT understands and agrees
that it is responsible for complying with all applicable Federal, State, local statutes, rules, and
ordinances including the New York State Safe Schools Against Violence in Education (SAVE)
legislation, RECEIVING SCHOOL DISTRICT shall adhere to all requirements and protocols as
established by SENDING SCHOOL DISTRICT and the New York State Education
Department: to wit, but not limited to, fingerprinting, RECEIVING SCHOOL DISTRICT
further agrees and understands that all individuals providing services under this Agreement must
be cleared by the New York State Education Department in accordance with the provisions
contained in the SAVE Legislation prior to providing services to SENDING SCHOOL
DISTRICT. In the event that RECEIVING SCHOOL DISTRICT utilizes a provider who has
not obtained fingerprinting clearance with the New York State Education Department,
SENDING SCHOOL DISTRICT shall have the right to immediately terminate this Agreement.
9. ATTENDANCE RECORDS: RECEIVING SCHOOL DISTRICT shall maintain daily
attendance records which shall be submitted to SENDING SCHOOL DISTRICT at the end of
each month. If such student(s) has/have been absent for a period of five (5) or more consecutive
days, the attendance record shall indicate the reason for that absence. ;
10. REPORTS OF STUDENTS: SENDING SCHOOL DISTRICT shall obtain from such
student(s)’s parent(s) whatever releases or other legal documents that are necessary in order that
RECEIVING SCHOOL DISTRICT may render full and complete reports concerning the
education and progress of such student(s) covered by the terms of this Agreement. The full
responsibility for obtaining such releases or other legal documents rests on SENDING SCHOOL
2910/001/4881-0654-3744v1 8/14/24
-3-
DISTRICT.
11. REPORTS TO STATE: RECEIVING SCHOOL DISTRICT hereby agrees to furnish
to the State all reports, audits, etc. required to make determinations as to eligibility under the
provisions of the Regulations of the Commissioner of Education. Such materials shall be
furnished at such times as are required by the State. Failure to submit required materials within ten
(10) days of demand or as required by regulations shall constitute grounds for the SENDING
SCHOOL DISTRICT to terminate this Agreement. RECEIVING SCHOOL DISTRICT agrees
to provide the State access to all relevant records which the State requires to determine either
RECEIVING SCHOOL DISTRICT’s or SENDING SCHOOL DISTRICT’s compliance with
applicable Federal or State statutes or regulations with the effect of law, which regulate either the
execution of the Agreement or the performance of obligations under the Agreement.
RECEIVING SCHOOL DISTRICT agrees to retain all materials and records relevant to the
execution or performance of the Agreement in accordance with the provision of section 74.21 of
volume 34 of the Code of Federal Regulations, but in no event less than six (6) years from the date
- of this Agreement.
12, REPORTS TO SCHOOL DISTRICT: RECEIVING SCHOOL DISTRICT hereby
agrees to furnish written reports of such student(s)’s educational progress to SENDING
SCHOOL DISTRICT. RECEIVING SCHOOL DISTRICT will render such reports to
SENDING SCHOOL DISTRICT at any time that such reports are made to the parents of such
student(s) covered by the terms of this Agreement, and will render such additional reports as may
be required by the SENDING SCHOOL DISTRICT. At a minimum, all reports shall be
furnished at the end of each semester, i.e., January 31st and June 30th. Any and all reports shall be
furnished upon termination of the Agreement. RECEIVING SCHOOL DISTRICT shall provide
such additional information concerning such student(s)’s progress as may be required by
SENDING SCHOOL DISTRICT.
13. COMMISSIONER VISITS: RECEIVING SCHOOL DISTRICT shall be subject to
the visitation of the Commissioner of Education or his/her designated representative(s).
14. VISITS BY SENDING SCHOOL _ DISTRICT: The RECEIVING SCHOOL
DISTRICT agrees to permit a representative or representatives of the Committee on Special
Education of the SENDING SCHOOL DISTRICT to visit RECEIVING SCHOOL DISTRICT
and observe SENDING SCHOOL DISTRICT’s student(s) in the program in which such
student(s) is/are enrolled at RECEIVING SCHOOL DISTRICT if tcasonable prior notice of the
visit is provided to RECEIVING SCHOOL DISTRICT.
15. CSE MEETINGS: The RECEIVING SCHOOL DISTRICT agtees to make relevant
personnel available to participate in person or by telephone in meetings of the SENDING
SCHOOL DISTRICT’s Committee on Special Education for such student(s) enrolled in
RECEIVING SCHOOL DISTRICT by SENDING SCHOOL DISTRICT if reasonable prior
notice of such meetings is provided to the RECEIVING SCHOOL DISTRICT.
16. AUTHORIZATION OF SCHOOL DISTRICT: RECEIVING SCHOOL
DISTRICT shall coordinate all instruction of SENDING SCHOOL DISTRICT’s student(s)
through the Office of Educational Services of SENDING SCHOOL DISTRICT.
2910/001/4381-0654-3744v1 8/14/24
-4-
17. STUDENT_ DISCIPLINE: RECEIVING SCHOOL DISTRICT agrees that all
disciplinary measures for disabled students will be conducted in accordance with applicable
Federal, State and local laws, rules and regulations.
18. STUDENT TRANSPORTATION: The SENDING SCHOOL DISTRICT shall be
responsible for providing such student(s) with transportation to and from school.
19. STUDENT PRESCRIPTIONS: Where applicable, SENDING SCHOOL DISTRICT
shall obtain all medical prescriptions from the parent/guardian of such student(s) referred to
RECEIVING SCHOOL DISTRICT. SENDING SCHOOL DISTRICT shall forward copies of
these prescriptions to RECEIVING SCHOOL DISTRICT upon its written request.
20. TERMINATION FOR CAUSE: This Agreement may be terminated for cause by
either party upon thirty (30) days written notice to the other party. In the event of such
termination, the parties will adjust the accounts due and payable to RECEIVING SCHOOL
DISTRICT for services rendered. RECEIVING SCHOOL DISTRICT will not incur any
additional expenses upon receipt of SENDING SCHOOL DISTRICT’s notification that
RECEIVING SCHOOL DISTRICT’s services have been terminated. Upon any such
termination, the parties shall endeavor in an orderly manner to wind down activites hereunder. In
the event of termination, all reports and services due to SENDING SCHOOL DISTRICT must
be completed by RECEIVING SCHOOL DISTRICT within thirty (30) days of the termination
date. Following the expiration or termination of this Agreement, RECEIVING SCHOOL
DISTRICT shall have no further obligation to provide a placement, a program or any services to
the SENDING SCHOOL DISTRICT’s student(s) enrolled through this Agreement except as
required by State and Federal laws and regulations when the parent or guardian of such student(s)
invoke(s) pendency as part of an Impartial Hearing.
21. TERMINATION FOR CONVENIENCE: This Agreement may be terminated for
convenience by either party upon sixty (60) days written notice to the other party. In the event of
such termination, the parties will adjust the accounts due and payable to RECEIVING SCHOOL
DISTRICT for services rendered. RECEIVING SCHOOL DISTRICT will not incur any
additional expenses upon receipt of SENDING SCHOOL DISTRICT’s notification that
RECEIVING SCHOOL DISTRICT’s services have been terminated. Upon any such
termination, the parties shall endeavor in an orderly manner to wind down activities hereunder. In
the event of termination, all reports and services due to SENDING SCHOOL DISTRICT must
be completed by RECEIVING SCHOOL DISTRICT within thirty G0) days of the termination
date. Following the expiration or termination of this Agreement, RECEIVING SCHOOL
DISTRICT shall have no further obligation to provide a placement, a program or any services to
the SENDING SCHOOL DISTRICT’s student enrolled through this Agreement except aS
required by State and Federal laws and regulations when the parent or guardian of such student(s)
invoke(s) pendency as part of an Impartial Hearing.
92. CONFIDENTIALITY: RECEIVING SCHOOL DISTRICT, its employees, and/or
agents agree that all information obtained in connection with the services provided for in this
Agreement is deemed confidential information. RECEIVING SCHOOL DISTRICT, its
employces, and/or agents shall not usc, publish, discuss, disclose or communicate the contents of
such information, directly or indirectly with third parties, except as provided for in this
Agreement. RECEIVING SCHOOL DISTRICT further agrees that any information received by
2910/001/4881-0654-3744v1 8/14/24
5-
RECEIVING SCHOOL DISTRICT, its employees, and/or agents during the course of the
services provided pursuant to this Agreement which concerns the personal, financial, or other
affairs of SENDING SCHOOL DISTRICT, its employees, agents, clients, and/or students will be
treated by RECEIVING SCHOOL DISTRICT, its employees, and/or agents in full confidence
and will not be revealed to any other persons, firms, or organizations. The parties further agree
that the terms and conditions set forth in this Paragraph shall survive the expiration and/or
termination of this Agreement.
23. HIPAA: Both parties to this Agreement understand that they may receive and/or come
into contact with protected health information as defined by the Health Insurance Portability and
Accountability Act of 1996 (HIPAA). The Parties hereby acknowledge their respective
responsibilities to protect the confidentiality of such information.
24, INDEMNIFICATION and HOLD HARMLESS PROVISION: Both parties further
agree that they shall defend, indemnify and hold harmless the other party to the Agrcement
including its Board of Education, officers, directors, agents and employees for all loss, costs,
damages and expenses, including attorneys’ fees, judgments, fines and amounts paid in settlement
in connection with a terminated, pending or completed action, suit or proceeding arising from any
act, error or omission, misstatement, misleading statement, neglect or breach of duties by the
other party to this Agreement or any of its Board of Education members, its officers, directors,
agents or employees taken or made with respect to this Agreement.
25. | INSURANCE PROVISION: RECEIVING SCHOOL DISTRICT shall purchase from
and maintain in a company or companies lawfully licensed to do business in the State of New
York such insurance as will protect RECEIVING SCHOOL DISTRICT and SENDING
SCHOOL DISTRICT from claims for which RECEIVING SCHOOL DISTRICT may be legally
liable, whether such operations be by RECEIVING SCHOOL DISTRICT or by anyone directly
or indirectly employed by it, or by anyone for whose acts it may be liable. Notwithstanding any
terms, conditions or provisions in any other writing between the partics, RECEIVING SCHOOL
DISTRICT hereby agrees to effectuate the naming of SENDING SCHOOL DISTRICT as an
unrestricted additional insured on RECEIVING SCHOOL DISTRICT’s insurance policies, with
the exception of workers’ compensation and professional liability. If the policy is written on a
claims-made basis, the retroactive date must precede the date of this Agreement. The policy
naming SENDING SCHOOL DISTRICT as an additional insured shall:
a. Be purchased from an A.M. Best A- rated insurer, authorized to conduct business
in New York State and licensed and admitted to issue insurance in New York
State.
b. Contain a provision that provides SENDING SCHOOL DISTRICT with 30-days
prior written notice of cancellation of any of RECEIVING SCHOOL
DISTRICT’S insurance policies.
¢. State that RECEIVING SCHOOL DISTRICT's coverage shall be primary and
non-contributory coverage for SENDING SCHOOL DISTRICT, its Board of
Education, officers, employees and volunteers.
d. SENDING SCHOOL DISTRICT shall be listed as an additional insured by using
endorsement CG 20 26 or equivalent. The certificate must state what
endorsement is being used. If another endorsement is used, a copy shall be
2910/001/4881-0654-3744v1 8/14/24
-6-
included with the certificate of insurance. The decision to accept another
endorsement rests solely with SENDING SCHOOL DISTRICT.
c. The certificate of insurance must describe the services provided by RECEIVING
SCHOOL DISTRICT that are covered by the liability policies.
f. Required Insurance:
i. Commercial General Liability Insurance: $1,000,000 per occurrence/
$2,000,000 aggregate with no exclusions for athletic participants and with
proof of coverage for sexual misconduct no less than $1,000,000.
ii, Automobile Liability: $1,000,000 combined single limit for owned, hired,
borrowed and non-owned motor vehicles.
iii. Workers' Compensation and N.YS. Disability: Statutory Workers’
Compensation (C105.2 or U-26.3), Employers' Liability and N.Y.
Disability Benefits Insurance (DB-120.1) for all employees. Proof of
coverage must be on the approved specific form, as required by the New
York State Workers’ Compensation Board. ACORD certificates are not
acceptable proof of Workers’ Compensation Insurance of Disability
Benefits Insurance.
iv. Professional Errors and Omissions Insurance: $2,000,000 per occurrence/
$2,000,000 aggregate for the professional acts of RECEIVING SCHOOL
DISTRICT performed under this Agreement for SENDING SCHOOL
DISTRICT. If written on a “claims-made” basis, the retroactive date must
pre-date the inception of this Agreement. Coverage shall remain in effect
for two (2) years following the completion of the professional acts of
RECEIVING SCHOOL DISTRICT performed under the Agreement.
v. Umbrella/Excess Insurance: $3,000,000 each occurrence and aggregate.
Umbrella/Excess coverage shall be on a follow-form basis over the
required Commercial General Liability and Professional Liability coverage.
g. In the event that any of the insurance coverage to be provided by RECEIVING
. SCHOOL DISTRICT contains a deductible, RECEIVING SCHOOL. DISTRICT
shall indemnify and hold SENDING SCHOOL DISTRICT harmless from the
payment of such deductible, which deductible shall in all circumstances remain the
sole obligation and expense of RECEIVING SCHOOL DISTRICT.
h. RECEIVING SCHOOL DISTRICT shall provide the SENDING SCHOOL
DISTRICT with evidence of the above insurance requirements upon execution of
the within Agreement. RECEIVING SCHOOL DISTRICT further acknowledges
that its failure to obtain or keep current the insurance coverage required by this
Agreement shall constitute a material breach of this Agreement and subjects
RECEIVING SCHOOL DISTRICT to liability for damages including, but not
limited to, direct, indirect, consequential, special and any other damages
SENDING SCHOOL DISTRICT sustains as a result of this breach. In addition,
RECEIVING SCHOOL DISTRICT shall be responsible for the indemnification
to SCHOOL DISTRICT of any and all costs associated with such lapse in
coverage including, but not limited to, reasonable attorneys’ fees. At the
SENDING SCHOOL DISTRICT's request, the RECEIVING SCHOOL
DISTRICT shall provide a copy of the declaration page of the liability and
umbrella policies with a list of endorsements and forms. At the SENDING
2910/001/4881-0654-3744v1 8/14/24
-7-
SCHOOL DISTRICT's request, the RECEIVING SCHOOL DISTRICT also will
provide a copy of the policy endorsements and forms.
26. NOTICES: Any notices to be given under this Agreement by either party to the other
may be effected by personal delivery in writing or by mail, registered or certified, postage prepaid
with return receipt requested. Each party may change the address by written notice in accordance
with this paragraph. Notices delivered personally will be deemed communicated as of actual
receipt; mailed notices will be deemed communicated as of three (3) days after mailing. Notice
shall be delivered or mailed to:
Croton-Harmon Union Free School District
10 Gerstein Street
Croton-on-Hudson, New York 10520
Attention: Superintendent of Schools
Byram Hills Central School District
10 Tripp Lane
Armonk, New York 10504
Attn: Superintendent of Schools
27. ASSIGNMENT OF CONTRACT: RECEIVING SCHOOL DISTRICT shall not
assign, transfer or convey any of its respective rights or obligations under this Agreement without
the prior written consent of SENDING SCHOOL DISTRICT.
28. DISCRIMINATION: Services provided pursuant to this Agreement shall be provided
without regard to a student's actual or perceived race, creed, color, weight, gender, sex, sexual
orientation, sexual identity, gender identity, national origin, ethnic group, religious practice,
religion, age or disability.
29. GOVERNING LAW: This Agreement shall be governed by the laws of the State of New
York. Any litigation between the parties shall be venued in a court of competent jurisdiction in the
County of Westchester in the State of New York.
30. SEVERABILITY: If any term, provision, covenant or condition of this Agreement, or
the application thereof to any person, place or circumstance, shall be held by a court of competent
‘jurisdiction to be invalid, unenforceable or void, the remainder of this Agreement and such term,
Provision, covenant or condition as applied to other persons, places and circumstances shall
remain in full force and effect.
31. NO PRIOR AGREEMENTS: This Agreement constitutes the full and complete
agreement between SENDING SCHOOL DISTRICT and RECEIVING SCHOOL DISTRICT,
and supersedes all prior written and oral agreements, commitments or understandings with
respect thereto. This Agreement may not be altered, changed, added to, deleted from or modified
except through the mutual written consent of the parties.
32, GREEMENT RUCTION: This Agreement has been arrived at mutually and
is not to be construed against any party hereto as being the drafter hereof or causing the same to
2910/001/4881-0654-3744v1 8/14/24
-8-
be drafted.
33, REPRESENTATIONS AND WARRANTIES: RECEIVING SCHOOL DISTRICT
represents and warrants: 1) that RECEIVING SCHOOL DISTRICT has no obligations, legal or
otherwise, inconsistent with the terms of this Agreement; 2) that the performance of the services
to be provided in this Agreement docs not and will not violate any applicable law, rule or
regulation or any proprietary or other right of any third party; and 3) that RECEIVING
SCHOOL DISTRICT has not entered into or will not enter into any agreement (whether oral or
written) in conflict with this Agreement.
34, . AMENDMENT: This Agreement may be amended only in a writing that is signed by
both parties.
35. NONWAIVER: No action or failure to act by RECEIVING SCHOOL DISTRICT or
SENDING SCHOOL DISTRICT shall constitute a waiver of a right or duty afforded them
under the Agreement, nor shall such action or failure to act constitute approval of or acquiescence
in a breach thereunder, except as may be specifically agreed in writing.
36. COUNTERPARTS: This Agreement may be executed in counterparts, cach of which
shall be deemed an original and all of which taken together shall constitute one and the same
agreement. An executed counterpart transmitted by facsimile or scanned and transmitted by email
or other digital means, when so delivered, shall be deemed an original.
37. AUTHORITY TO ENTER AGREEMENT: The undersigned representative of
RECEIVING SCHOOL DISTRICT hereby represents and warrants that the undersigned is an
official, officer, director, or agent of RECEIVING SCHOOL DISTRICT with full legal rights,
power and authority to enter into this Agreement on behalf of RECEIVING SCHOOL
DISTRICT and bind RECEIVING SCHOOL DISTRICT with respect to the obligations
enforceable against RECEIVING SCHOOL DISTRICT in accordance with its terms. The
undersigned representative of SENDING SCHOOL DISTRICT hereby represents and warrants
that the undersigned is an official, officer, director, or agent of SENDING SCHOOL DISTRICT
with full legal rights, power and authority to enter into this Agreement on behalf of SENDING
SCHOOL DISTRICT and bind SENDING SCHOOL DISTRICT with respect to the
obligations enforceable against SENDING SCHOOL DISTRICT in accordance with its terms.
2910/001/4881-0654-3744v1 8/14/24
-9-
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year
first above written.
Byram Hills Central School District
Date: (\ Al By: Cre
Print Name: ;
en LAMIO
Title: Superintendent
Tax Identification #: |3-(p:900F152 Pes
CROTON-HARMON UNION FREE SCHOOL
DISTRICT
Date: By:
Ana Teague
President of the Board of Education
2910/001/4881-0654-3744v1 8/14/24
-10-
ADDENDUM TO ADDRESS
FEDERAL GOVERNMENT’S SAM’S EXCLUSION LIST
TO BE COMPLETED BY RECEIVING SCHOOL DISTRICT
I, {Insert Name of Signer], being duly sworn,
deposes and says that I am the [Insert Title/ Position of the Signer]
of the RECEIVING SCHOOL DISTRICT and by this statement, I certify that RECEIVING
SCHOOL DISTRICT is not on the Exclusion List maintained by the U.S. Government's System for
Award Management (SAM).
JO3HASOMAY AIHIMY. .
ST WT TO 5 i ;
Signature TOY WOM To siste oildud yistolA
avrBVFaAvrd .ov
yenuod vetasriotzeW ni baitil6uC
Sworn to before me this 2208 01 redmsvol esuax 13!
day of , 2019
—————————————
Notary Public
naa ayes
TO BE COMPLETED BY SENDING SCHOOL DISTRICT (“SENDING SD”).
Print SENDING SD Employee Name and Title:
Date SENDING SD reviewed U.S. Government's SAM’s Exclusion List: +21] Lo
RECEIVING SCHOOL DISTRICT Name:
Check the one that applies:
__ Yf ~~ RECEIVING SCHOOL DISTRICT was NOT included on the
U.S. Government’s SAM’s Exclusion List
____ Ss RECEIVING SCHOOL DISTRICT was included on the U.S. Government's
SAM’s Exclusion List
SENDING } Nldvee Signature:
Souk (\_f ()
ly —
2910/001/4881-0654-3744v] 8/14/24
2445
TO BE COMPLETED BY SENDING SCHOOL DISTRICT:
I,_ Jen Lamia [Insert Name of Signer], being duly sworn,
deposes and says that I am the Superinendtat [Insert Title/Position of the Signer]
of the SENDING SCHOOL DISTRICT and by this statement, I certify that SENDING SCHOOL
DISTRICT is not on the Exclusion List maintained by the U.S. Government’s System for Award
Management (SAM).
af | | |
Sworn to before me this
Sass of Tuy , 2026
~ CYNTHIA VANDERHEOF
Notary Public, State of New York
Nol\ry Public uae
Term Expires November 19, 2027
TO BE COMPLETED BY RECEIVING SCHOOL DISTRICT (“RECEIVING SD”).
Print RECEIVING SD Employee Name and Title:
Date RECEIVING SD reviewed U.S. Government’s SAM’s Exclusion List:
SENDING SCHOOL DISTRICT Name:
a ee
Check the one that applies:
SENDING SCHOOL DISTRICT was NOT included on the US,
Government's SAM’s Exclusion List
SENDING SCHOOL DISTRICT was included on the U.S. Government's
SAM?’s Exclusion List
RECEIVING SD Employee Signature:
2910/001/4881-0654-3744v] 8/14/24
2490
Machine-extracted for search and reference — the original PDF is the authoritative version.