GSURF Certificate of Insurance (Info purposes only) 2-1-23

AID 1624792 · View on Simbli

Agenda Item

a. Georgia State University Technical Services Agreement (Not to exceed $352,808)

Summary: Presented by: Dr. Norman C. Sauce, III, Chief of Student Services, Division of Student Services
Request: It is requested that the Board of Education approves for Georgia State University (GSU) to receive $352,808 to support the recruitment, training, tuition, student health insurance, graduate research assistantships, professional association memberships, conference fees, and other school-related costs for newly incoming school psychology graduate students (5), practicum students (4), and interns (2) who will become school psychologists upon graduation and will work in DeKalb County School District. This cost represents year 2 of the 5-year School-Based Mental Health Services Grant that DeKalb County School District was awarded by the United States Department of Education, in conjunction with Georgia State University- to alleviate the financial burden of graduate school for school psychology students from underrepresented groups and/or living in communities served by our school district.
Why: DCSD applied for the School-Based Mental Health Services grant with GSU. This is the second year of implementation of the DCSD-RTR grant project. DCSD is the fiscal agent of the grant and is requesting to provide GSU with funds to implement the following technical services as outlined in the grant proposal: Course development to prepare practitioners to work in high-needs districts specifically DCSD; targeted professional development for DCSD school psychologists and/or mental health personnel; enhanced recruitment activities; supplies; conference travel; the support of a graduate research assistant; co-direct support of all project activities including gathering and analyzing annual outcome data to write the annual report for US DOE; coordinate efforts to engage in equity audits in schools and analyze data; and attend all grant and Advisory Board meetings.
Details: The DeKalb County School District (DCSD) partnered with Georgia State University (GSU) and was awarded the United States Department of Education’s School-Based Mental Health Services grant. The grant is designed to diversify the field of school-based mental health personnel. The DeKalb County School District - Recruit, Train, and Retain (DCSD-RTR) project will specifically focus increasing the diversity of future school psychologists to mitigate the environmental, social, and financial barriers that make it difficult for diverse students to enter graduate school and complete their training.

The Technical Services Agreement includes a total of $1,594,516 over 5 years for implementing the grant as follows: Year 1 - $220,088; Year 2 - $352,808; Year 3 - 358,978; Year 4 - $362,017; and Year 5 - $300,625.

DeKalb County School District (DCSD) was awarded the U.S. Department of Education’s (USDOE) School-Based Mental Health Services grant. The DeKalb County School District - Recruit-Train-Retain (DCSD-RTR) project has the primary goal of addressing mental health services for PreK - 12th grade students by increasing the overall number of school psychologists from diverse backgrounds. The proposal was written in collaboration with Dr. Tamika La Salle, Associate Professor of School Psychology and Director of the Center for Research on School Safety, School Climate & Classroom Management at Georgia State University and Dr. Catherine Perkins, Coordinator of the Educational Specialist Program in School Psychology and School Psychology Internship Program at Georgia State University.

The primary objectives supporting the goal of this grant include (1) recruiting school psychologists from diverse backgrounds or those who live within the communities served by DCSD; (2) preparing school psychologists to provide mental-health services to a diverse student population within regions across the school district; and (3) retaining school psychologists in DCSD and reducing the ratio of school psychologists to students, particularly those from diverse backgrounds or living in communities served by DCSD.
Financial impact: There is no cost to the district to implement the DCSD-RTR grant project. The grant is fully funded by the United States Department of Education’s School-Based Mental Health Services grant. The GSU budget of $352,808 listed in the Technical Services Agreement is based upon year 2 for calendar year 2024 to support the implementation of the grant. GSU requested to include the year 2 budget amount in the Technical Services Agreement.
Contact: Dr. Norman C. Sauce, III, Chief of Student Services, Division of Student Services, 678.676.1079
Mrs. Kimberly Franklin, Coordinator-III Psychological Services, Division of Student Services, 678.676.2222
Effective: Upon Board Approval
Status: Approved by General Counsel
                                                                                                                                                                            DATE (MM/DD/YYYY)
                                               CERTIFICATE OF LIABILITY INSURANCE                                                                                              01/26/2022
  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       Sarah Catherine Ezelle
                                                                                              NAME:
Sterling Seacrest Pritchard                                                                   PHONE           (912) 544-1900                               FAX             (912) 544-1901
                                                                                              (A/C, No, Ext):                                              (A/C, No):
P O Box 8004                                                                                  E-MAIL        scezelle@sspins.com
                                                                                              ADDRESS:
                                                                                                                   INSURER(S) AFFORDING COVERAGE                                       NAIC #
Savannah                                                                GA 31402-8004         INSURER A :   Philadelphia Indemnity Insurance Company                                   18058
INSURED                                                                                       INSURER B :   Federal Insurance Co                                                       20281
                 GSU-Research Foundation, Inc.                                                INSURER C :   BCS Insurance Company                                                      38245
                 58 Edgewood Ave. 3rd Floor                                                   INSURER D :   The Cincinnati Insurance Company                                           10677
                                                                                              INSURER E :
                 Atlanta                                                GA 30303              INSURER F :
COVERAGES                                    CERTIFICATE NUMBER:              2022-2023                                                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                                                ADDL SUBR                                          POLICY EFF      POLICY EXP
 LTR                TYPE OF INSURANCE               INSD WVD              POLICY NUMBER               (MM/DD/YYYY)    (MM/DD/YYYY)                                LIMITS
           COMMERCIAL GENERAL LIABILITY                                                                                                EACH OCCURRENCE                  $    1,000,000
                                                                                                                                       DAMAGE TO RENTED                      100,000
                CLAIMS-MADE         OCCUR                                                                                              PREMISES (Ea occurrence)         $

                                                                                                                                       MED EXP (Any one person)         $    5,000
 A                                                              PHPK2373865                            01/31/2022      01/31/2023      PERSONAL & ADV INJURY            $    1,000,000

       GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                              GENERAL AGGREGATE                $    2,000,000
                        PRO-                                                                                                                                                 2,000,000
           POLICY       JECT          LOC                                                                                              PRODUCTS - COMP/OP AGG           $

           OTHER:                                                                                                                                                       $

       AUTOMOBILE LIABILITY                                                                                                            COMBINED SINGLE LIMIT            $
                                                                                                                                       (Ea accident)
           ANY AUTO                                                                                                                    BODILY INJURY (Per person)       $
           OWNED                 SCHEDULED                                                                                             BODILY INJURY (Per accident)     $
           AUTOS ONLY            AUTOS
           HIRED                 NON-OWNED                                                                                             PROPERTY DAMAGE                  $
           AUTOS ONLY            AUTOS ONLY                                                                                            (Per accident)
                                                                                                                                                                        $

           UMBRELLA LIAB            OCCUR                                                                                              EACH OCCURRENCE                  $    10,000,000
 B         EXCESS LIAB              CLAIMS-MADE                 78188615                               01/31/2022      01/31/2023      AGGREGATE                        $    10,000,000

               DED          RETENTION $                                                                                                                                 $
       WORKERS COMPENSATION                                                                                                                 PER              OTH-
       AND EMPLOYERS' LIABILITY                                                                                                             STATUTE          ER
                                              Y/N
       ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                                E.L. EACH ACCIDENT               $
       OFFICER/MEMBER EXCLUDED?                     N/A
       (Mandatory in NH)                                                                                                               E.L. DISEASE - EA EMPLOYEE       $
       If yes, describe under
       DESCRIPTION OF OPERATIONS below                                                                                                 E.L. DISEASE - POLICY LIMIT      $
                                                                                                                                       Aggregate                             2,000,000
       Cyber Liability
 C                                                              RPS-P-1014241M                         01/31/2022      01/31/2023      Limit Per Claim                       2,000,000


DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Insurer D - DIRECTORS & OFFICERS LIABILITY and EMPLOYMENT PRACTICES LIABILITY, Policy No.
EMN 060 21 65, Policy Term 01-31-2021 to 01-31-2024
D&O Limit of Insurance $5,000,000
EPL Limit of Insurance $5,000,000




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                                                                                                 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
                                                                                                 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
                 As Information Only                                                             ACCORDANCE WITH THE POLICY PROVISIONS.


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