HomeMy WebLinkAboutContract #: 1056 - From: 02-01-2018 To: 01-31-2021 - North Andover Auto School - North Andover School Department�p
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NORTH ANDOVER SCHOOL DEPARTMENT
CONTRACT
(GOODS / SERVICES)
CONTRACT #�ffijjP
DATE: 0/- a3 - ao e
This Contract is entered into on, or as of, this date by and between the North Andover
School Department (the "School"), and
Contractor: North Andover Auto School
Address: 203 Turnpike Street, #404
North Andover, MA 01845
Telephone Number: 978-688-1600
Fax Number: N/A
Email Address: NorthAndoverAutoSchool@verizon.net
1. This is a Contract for the procurement of the following:
Student Driver Education services for the students of North Andover for the period of
February 1, 2018 through January 31, 2021.
2. The Contract price to be paid to the Contractor by the North Andover School Department
is:
Year 1 February 1,2018 - January 31, 2019 $625.00 per student registration
Year 2 February 1,2019 - January 31, 2020 $650.00 per student registration
Year 3 February 1,2020 - January 31, 2021 $675.00 per student registration
3. Payment will be made as follows:
Upon submission and approval of monthly invoices (net 30)
(Rev 1-2016) Contract by and between North Andover School Department and North Andover Auto School Page 1
appropriation of funds as certified by the Town Accountant. The time limits stated in the
Contract documents are of the essence of the Contract.
6. Subject to Appropriation
Notwithstanding anything in the Contract documents to the contrary, any and all payments
which the School is required to make under this Contract shall be subject to appropriation
or other availability of funds as certified by the Town Accountant. The School may
immediately terminate or suspend this Agreement without liability on the part of the School
for damages, penalties or other charges in the event the appropriation funding this
Agreement is terminated or reduced to an amount which will be insufficient to support
anticipated future obligations under this Agreement.
7. Permits and Approvals
Permits, Licenses, Approvals and all other legal or administrative prerequisites to its
performance of the Contract shall be secured and paid for by the Contractor.
8. Termination and Default
8.1 Without Cause. The School may terminate this Contract at its sole discretion on
seven (7) calendar days' notice when in the best interests of the School by providing
notice to the Contractor, which shall be in writing and shall be deemed delivered and
received when given in person to the Contractor, or when received by fax, express
mail, certified mail return receipt requested, regular mail postage prepaid or delivered
by any other appropriate method evidencing actual receipt by the Contractor. Upon
termination without cause, Contractor will be paid for services rendered to the date of
termination.
8.2 For Cause. If the Contractor is determined by the School to be in default of any term
or condition of this Contract, the School may terminate this Contract on seven (7)
days' notice by providing notice to the Contractor, which shall be in writing and shall
be deemed delivered and received when given in person to the Contractor, or when
received by fax, express mail, certified mail return receipt requested, regular mail
postage prepaid or delivered by any other appropriate method evidencing actual
receipt by the Contractor.
8.3 Default. The following shall constitute events of a default under the Contract:
1) any material misrepresentation made by the Contractor to the School; 2) any
failure to perform any of its obligations under this Contract including, but not
limited to the following: (i) failure to commence performance of this Contract at
the time specified in this Contract due to a reason or circumstance within the
Contractor's reasonable control, (ii) failure to perform this Contract with
sufficient personnel and equipment or with sufficient material to ensure the
(Rev 1-2016) Contract by and between North Andover School Department and North Andover Auto School Page 3
Contract shall be inconsistent with any law or regulation limiting the power or
liability of cities and towns, such law or regulation shall control.
10.3 The Contractor shall give all notices and comply with all laws and regulations
bearing on the performance of the Contract. If the Contractor performs the Contract
in violation of any applicable law or regulation, the Contractor shall bear all costs
arising therefrom.
10.4 The Contractor shall keep itself fully informed of all existing and future State and
Federal Laws and Municipal By-laws and Regulations and of all orders and decrees
of any bodies or tribunals having jurisdiction in any manner affecting those engaged
or employed in the work, of the materials used in the work or in any way affecting
the conduct of the work. If any discrepancy or inconsistency is discovered in the
Drawings, Specifications, Scope of Business or Contract for this work in violation
of any such law, by-law, regulation, order or decree, it shall forthwith report the
same in writing to the School. It shall, at all times, itself observe and comply with
all such existing and future laws, by-laws, regulations, orders and decrees; and shall
protect and indemnify the North Andover School Department, and its duly
appointed agents against any claim or liability arising from or based on any
violation whether by it or its agents, employees or subcontractors of any such law,
by-law, regulation or decree.
11. Conflict of Interest
Both the School and the Contractor acknowledge the provisions of the State Conflict of
Interest Law (General Laws c268A), and this Contract expressly prohibits any activity
which shall constitute a violation of that law. The Contractor shall be deemed to have
investigated the application of M.G.L. c268A to the performance of this Contract; and by
executing the Contract documents the Contractor certifies to the School that neither it nor
its agents, employees, or subcontractors are thereby in violation of General Laws Chapter
268A.
12. Certification of Tax Compliance
This Contract must include a certification of tax compliance by the Contractor, as required
by General Laws c62C, Section 49A (Requirement of Tax Compliance by All Contractors
Providing Goods, Services, or Real Estate Space to the Commonwealth or Subdivision).
13. Affirmative Action; Non -Discrimination
The Contractor will carry out the obligations of this Contract in full compliance with all of
the requirements imposed by or pursuant to General Laws cl51B (Law Against
Discrimination) and any executive orders, rules, regulations, and requirements of the
Commonwealth of Massachusetts as they may from time to time be amended.
(Rev 1-2016) Contract by and between North Andover School Department and North Andover Auto School Page 5
of any act or omission by the Contractor, its employees, agents, subcontractors, material
men, and anyone directly or indirectly employed by any of them or anyone for whose acts
any of them may be liable, regardless of whether or not it is caused in part by any party
indemnified hereunder. The Contractor further agrees to reimburse the School for damage
to its property caused by the Contractor, its employees, agents, subcontractors or material
men, and anyone directly or indirectly employed by any of them or anyone for whose acts
any of them may be liable, including damages caused by his, its' or their use of faulty,
defective, or unsuitable material or equipment, unless the damage is caused by the School's
gross negligence or willful misconduct. The existence of insurance shall in no way limit the
scope of the Contractor's indemnification under this contract.
18. Workers Compensation Insurance
The Contractor shall provide by insurance for the payment of compensation and the
furnishing of other benefits under Chapter 152 of the General Laws of Massachusetts (The
Worker's Compensation Act) to all employees of the Contractor who are subject to the
provisions of Chapter 152 of the General Laws of Massachusetts.
Failure to provide and continue in force such insurance during the period of this Contract
shall be deemed a material breach of this Contract, shall operate as an immediate
termination thereof, and the Contractor shall indemnify the School for all losses, claims,
and actions resulting from the failure to provide the insurance required by this Article.
The Contractor shall furnish to the School evidence of such insurance prior to the execution
of this Contract in a form satisfactory to the School before the same shall be binding on the
parties thereto, except if specifically waived by the School.
18.1 The Contractor further understands and agrees that in rendering services to the
School under this Contract that the Contractor is an independent contractor and not
an employee of the School, that the Contractor is not covered by the Town's
Workers' Compensation, or liability insurance, that the Contractor shall not make
any claim against the School, its officers, agents and employees and that the
Contractor indemnifies, holds harmless, and releases the School from any claims of
the Contractor or of any other party that may arise in whole or in part out of or in
connection with the work being performed by the Contractor.
19. Documents, Materials, Etc.
Any materials, reports, information, data, etc. given to or prepared or assembled by the
Contractor under this Contract are to be kept confidential and shall not be made available to
any individual or organization by the Contractor (except agents, servants, or employees of
the Contractor) without the prior written approval of the School, except as otherwise
required by law. The Contractor shall comply with the provisions of Chapter 66 and
Chapter 66A of the General Laws of Massachusetts as they relates to public documents,
(Rev 1-2016) Contract by and between North Andover School Department and North Andover Auto School Page 7
consistent with and subject to the provisions of this Contract. Subcontracts will not relieve
or discharge the Contractor from any duty, obligation, responsibility or liability arising
under this Contract. The School is entitled to copies of all subcontracts and shall not be
bound by any provisions contained in a subcontract to which it is not a party.
24. Risk of Loss
The Contractor shall bear the risk of loss for any Contractor materials used for this Contract
and for all deliveries, and personal or other data which is in the possession of the
Contractor or used by the Contractor in the performance of this Contract until possession,
ownership and full legal title to the deliverables are transferred to and accepted by the
School.
25. Minimum Wage/Prevailing Wage
The Contractor will carry out the obligations of this Contract in full compliance with all of
the requirements imposed by or pursuant to General Laws c151, §1, et seq. (Minimum
Wage Law) and any executive orders, rules, regulations, and requirements of the
Commonwealth of Massachusetts as they may from time to time be amended. The
Contractor will at all times comply with the wage rates as determined by the Commissioner
of the Department of Labor and Industries, under the provisions of General Laws c149,
§§26 to 27D (Prevailing Wage Law), as shall be in force and as amended. The Contractor
will, in addition to any other submissions required by the Prevailing Wage Law, submit
certified weekly payrolls to the School with the information described in General Laws
c149, §27B.
26. Audit, Inspection and Recordkeeping
At any time during normal business hours, and as often as the School may deem it
reasonably necessary, there shall be available in the office of the Contractor for the purpose
of audit, examination, and/or to make excerpts or transcript all records, contracts, invoices,
materials, payrolls, records of personnel, conditions of employment and other data relating
to all matters covered by this Agreement.
27. Payment
The School agrees to make all reasonable efforts to pay to the Contractor the sum set forth
in the Contractor's bid or proposal within thirty (30) days of receipt of an invoice detailing
the work completed and acceptance from the School of the work completed.
28. Waiver and Amendment
Amendments, or waivers of any additional term, condition, covenant, duty or obligation
contained in this Contract may be made only by written amendment executed by all
signatories to the original Contract, prior to the effective date of the amendment.
(Rev 1-2016) Contract by and between North Andover School Department and North Andover Auto School Page 9
all laws of the Commonwealth relating to contributions and payments in lieu of
contributions.
33.2 By signing this contract, the Contractor certifies under the penalties of perjury that
this contract has been obtained in good faith and without collusion or fraud with
any other person. As such in this certification, the word "person" shall mean any
natural person, business, partnership, corporation, union, committee, client or other
organization, entity or group of individuals.
33.3 Qualifications. The Contractor certifies it is qualified and shall at all times remain
qualified to perform this Contract, that performance shall be timely and meet or
exceed industry standards for the performance required, including obtaining
requisite licenses, registrations, permits, resources for performance, and sufficient
professional, liability, and other appropriate insurance to cover the performance. If
the Contractor is a corporation, the Contractor certifies that it is in good standing
with the office of the Secretary of State. If the Contractor is a foreign business, the
Contractor certifies that it is listed under the Secretary of State's website as licensed
to do business in Massachusetts, as required by law.
33.4 Business Ethics and Fraud, Waste and Abuse Prevention. The Contractor certifies
that performance under this Contract, in addition to meeting the terms of the
Contract, will be made using ethical business standards and good stewardship of
taxpayer and other public funding and resources to prevent fraud, waste and abuse.
33.5 Debarment. The Contractor certifies that neither it nor any of its subcontractors are
currently debarred or suspended by the federal or state government under any law
or regulations including, Executive Order 147, M.G.L. c29, §29F, M.G.L. c30,
§39R, M.G.L. c149, §27C, M.G.L. c149, §44C, M.G.L. c149, §14813 and M.G.L.
c152, §25C.
34. Additional Provisions:
34.1 Applicable to Contracts for the Procurement of Goods
34.1.1 "Goods" shall mean Goods, Supplies, or Materials, as described in the
Contract.
34.1.2 Change Orders:
Change orders for contracts subject to M.G.L. c30B may not increase the total
contract price by more than twenty-five (25.0%) percent and shall be in compliance
with Massachusetts General Laws c30B, § 13.
(Rev 1-2016) Contract by and between North Andover School Department and North Andover Auto School Page 11
Specifications regarding insurance is to specify minimum coverage
and minimum limits of liability acceptable under the Contract.
However, it shall be the Contractor's responsibility to purchase and
maintain insurance of such character and in such amounts as will
adequately protect it and the School from and against all claims,
damages, losses and expenses resulting from exposure to any
casualty liability in the performance of the work.
34.2.4.3 All required insurance shall be certified by a duly authorized
representative of the insurers on the "MIIA" or "ACORD"
Certificate of Insurance form incorporated into and made a part of
this agreement. Properly executed certificates signifying adequate
coverage in effect for the duration of the contract with renewal
certificates issued not less than 30 days prior to expiration of a
policy period, must be submitted to the School prior to
commencement of this Contract.
34.2.4.4 The School shall be named as an additional insured on the above
referenced liability policies, and the Contractor's insurance shall be
the primary coverage. The cost of such insurance, including
required endorsements or amendments, shall be the sole
responsibility of the Contractor.
34.2.4.5 Contractual liability must recognize the indemnities contained in
this Agreement.
34.2.4.6 Coverages are to be maintained for a period of two (2) years after
final payment.
34.2.4.7 The Contractor shall maintain all required insurance in full force
and effect as required by this Contract or the Contractor shall be in
material breach hereof.
(Rev 1-2016) Contract by and between North Andover School Department and North Andover Auto School Page 13
CERTIFICATIONS
CERTIFICATE OF NON -COLLUSION
The undersigned certifies under penalties of perjury that this bid or proposal has been made and
submitted in good faith and without collusion or fraud with any other person. As used in this
certification, the word "person" shall mean natural person, business, partnership, corporation,
committee, union, club or other organization, entity, or group of individuals.
Signature
_�"�v
LL I la a c ,, utt , co n e r -
Print Name & Title
Date �d � 7
A) JY t% do V e -Y S(_' 4 0 I
Company Name
CERTIFICATE OF TAX COMPLIANCE
Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (b), I /
M. c. l 0 r J-, Lt.- - Cc � , authorized signatory for A) � ' r / ro Sr /LZ0
Name of individual Name of contractor
do hereby certify under the pains and penalties of perjury that said contractor has complied with
all laws of the Commonwealth of Massachusetts, and the Town of North Andover, relating to
taxes, permit or other fees, reporting of employees and contractors, and withholding and
remitting child support.
C
Si6alure Date
Town of North Andover School Department IFB Page 23 of 24
Student Driver Education Services
ACORO® CERTIFICATE OF LIABILITY INSURANCE
(MM
DATE o1/161s//2018o1a
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT Cindy Traverso
NAME:
MTM Insurance Associates
AICNNo Ext): (978)681-5700 IX No : (978)681-5777
1320 Osgood Street
E-MAIL certificates@mtminsure.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
North Andover MA 01845
INSURER A: Commerce Insurance
INSURED
INSURER B : Commerce 34754
INSURER C:
North Andover Auto School LLC, North Andover Auto School LLC, DBA:
INSURER D:
203 Turnpike St Ste 404
INSURER E :
INSURER F :
North Andover MA 01845
COVERAGES CERTIFICATE NUMBER: 17-18 Master REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
AUDL
INSD
bUBIR
WVD
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MM/DD/YYYY
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000'000
CLAIMS -MADE � OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence $ 100,000
MED EXP (Any one person) $ 5,000
PERSONAL B ADV INJURY $
A
Y
BDCQJD
02/06/2017
02/06/2018
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 2,000,000
X POLICY 0 JPEC F—]LOCPRODUCTS
- COMP/OP AGG $
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
BODILY INJURY (Per person) $
ANY AUTO
B
OWNED�/ SCHEDULED
AUTOS ONLY /� AUTOS
Y
BGDJTR
02/06/2017
02/06/2018
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident
X HIRED �/ NON -OWNED
AUTOS ONLY /� AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY Y / N
STATUTE ER
E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE❑
OFFICERIMEMBER EXCLUDED?
NIA
E.L. DISEASE - EA EMPLOYEE $
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
North Andover Public Schools and The Town of North Andover are additional insureds as required by written contract.
This certificate of insurance represents coverage currently in effect and may or may not be in compliance with any written contract.
CERTIFICATE HOLDER CANCELLATION
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
North Andover Public Schools
ACCORDANCE WITH THE POLICY PROVISIONS.
566 Main Street
AUTHORIZED
North Andover MA 01845
/REPRESENTATIVE
JA,�i(
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
®
ACORV CERTIFICATE OF LIABILITY INSURANCE
�..
DATE (MMIDDIYYYY)
01/22/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
MTM INSURANCE ASSOCIATES LLC
1320 OSGOOD ST
NORTH ANDOVER MA 01845
CONTACT
NAME: Charles Kurkjian
PHONN F,,,: (978) 681-5700 FAX No:
ADDRESS: charliek@mtminsure.com
INSURERS AFFORDING COVERAGE NAIC #
INSURERA: ACADIA INS CO 31325
INSURED
NORTH ANDOVER AUTO SCHOOL LLC
203 TURNPIKE ST SUITE 404
NORTH ANDOVER MA 01845
INSURER 8:
INSURER C:
INSURER D:
INSURER E:
INSURER F
__\ A^MG PCOTICIPATC k111MBER• 949008 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
North Andover MA 01845
Daniel M. Cr o r ey, CPCU, Vice President — Residual Market — WCRIBMA
EACH OCCURRENCE $
G—PWGCLAIMS-MADE
PREM SES Ea occurrrence $
F1 OCCUR
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
N/A
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
POLICY ❑ JEPRCT O ❑ LOC
OTHER:
AUTOMOBILE LIABILITY
Ea accidentSINGLE LIMIT $
BODILY INJURY (Per person) $
ANY AUTO
BODILY INJURY (Per accident) $
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS IAUTOS
N/A
PROPERTY DAMAGE $
Per accident
$
UMBRELLALIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAR
HCLAIMS-MADE
N/A
DED RETENTION $
WORKERS COMPENSATION
PER$
X1 STATUTE I ERH
E.L. EACH ACCIDENT Is 100,000
A
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OF ED? NIA
(Mandatory In NH)
NIA
NIA
MAARP301913
07/18/2017
07/18/2018
E.L. DISEASE - EA EMPLOYEE $ 100,01)0
E.L. DISEASE - POLICY LIMIT Is 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Workers' Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay
claims for benefits to employees in states other than Massachusetts if the insured hires, or has hired those employees outside of Massachusetts.
This certificate of insurance shows the policy in force on the date that this certificate was issued (unless the expiration date on the above policy precedes the
issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage - Coverage Verification
Search tool at www.mass.gov/lwd/workers-compensation/investigations/.
CERTIFICATE HOLDER CANCELLATION
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
North Andover Public Schools
ACCORDANCE WITH THE POLICY PROVISIONS.
566 Main Street
AUTHORIZnED REPRESENTATIVE
��'Lo
North Andover MA 01845
Daniel M. Cr o r ey, CPCU, Vice President — Residual Market — WCRIBMA
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
APPENDIX A - PRICE PROPOSAL
The Contract will be awarded to the responsible, responsive bidder offering the lowest
registration price for the first year of the proposed contract. All prices are to remain firm for the
duration of the Contract.
Year 1- February 1, 2018 through January 31, 2019
Registration fee per student $- L als-_
Year 2 - February 1, 2019 through January 31, 2020
Registration fee per student $ 5-0
Year 3 - February 1. 2020 through January 31, 2021
Registration fee per student $ (p
Addenda )L-- Ff (, 7 are acknowledged: 7"0 "hlle-(
AA 11 Sign' (e,Business Name �0►' A-,Ldc-tkr ./fes- o S &ja t
Business Address J,03 ML r -,1A l ke S � # O V X11 % r f n
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Business Phone � 7 & _. �M - I L' c 0 Fax
Email Address N�� F"-t�1e-I A�c+.`� y�c4o, —4cy I Zr- -,t, m e-
)� i'JvL 17, La (-
Name of Person Authorized to sign
L'WLe
Proposal
0W )I -E r
Title of Person Authoriz,eId to sign Price Proposal
�-� . . %1 % Y
of Above Person
Town of North Andover School Department IFB Page 8 of 24
Student Driver Education Services