Bid 24-26 Certificate of Workers’ Compensation Insurance dated 03-05-2025

AID 1867612 · View on Simbli

Agenda Item

i. Bid Renewal ~ Bid 24-26 ~ School Nutrition Small Wares Equipment ~ Sam Tell and Son, Inc., ~ Renewal #1 of 4 (Not to exceed $275,000 for SY 25-26)

Summary: Presented by: Mr. Byron Schueneman, Chief Financial Officer, Division of Finance
Request: It is requested that the DeKalb County Board of Education (“the Board”) approve the bid renewal of the following: Renewal of Bid 24-26 by Sam Tell and Son, Inc., not to exceed $275,000 for SY 25-26. This request renews the bid with Sam Tell and Son, Inc., for the purchase of small wares equipment for School Nutrition Services for an additional one (1) year term effective November 1, 2025, through October 31, 2026.
Why: To ensure DeKalb County School District (DCSD) School Nutrition Services (SNS) has appropriate portion control tools and kitchen cookware to federal nutrition standards. This enables SNS to provide reimbursable meals for DeKalb County students. The vendor provides appropriate SNS portion control tools (spoodles, scoops, spoons, ladles, measuring cups and spoons) to ensure compliance with federal guidelines and industry standards. The vendor provides kitchen cookware that meets the National Sanitation Foundation Standards (NSF). NSF is an independent, non-profit organization that certifies food service equipment and ensures it is designed and constructed to promote food safety.
Details: The renewal of Bid 24-26 to Sam Tell and Son, Inc., will provide School Nutrition Services with small wares equipment.

School Nutrition Services (SNS) requests to renew Bid 24-26 for an additional year with the same terms and conditions as the original bid requirements. The renewal is effect from November 1, 2025, through October 31, 2026.

Bid 24-26 was initially approved by the Board on October 7, 2024. The bid is an initial one (1) year base year with four (4), one (1) year renewal options. This is the first of four (#1 of 4) renewals allowed.
Financial impact: Funds will be paid from GL account 622.3100.561500.00062.8200.9990.8015.040.0000 in the amount not to exceed $275,000 for SY 25-26.
Contact: Mr. Byron Schueneman, Chief Financial Officer, Division of Finance, (678) 676-0270
Dr. Connie R. Walker, Executive Director of School Nutrition Services, (678) 676-1780
Effective: Upon Board Approval
Status: Approved by the Office of Legal Affairs
                                                                                                                  PO Box 66699, Albany, NY 12206
                                                                                                                                     | nysif.com

                                      CERTIFICATE OF WORKERS' COMPENSATION INSURANCE

^ ^ ^ ^ ^ ^ 132526262
          FRIEDLANDER GROUP, INC.
          2500 WESTCHESTER AVE - # 400A
          PURCHASE NY 10577

                                                                                                                            SCAN TO VALIDATE
                                                                                                                             AND SUBSCRIBE



           POLICYHOLDER                                                             CERTIFICATE HOLDER
            SAM TELL AND SON INC                                                     DEKALB COUNTY SCHOOL DISTRICT
            300 SMITH STREET                                                         1701 MOUNTAIN INDUSTRIAL BLVD
            FARMINGDALE NY 11735                                                     STONE MOUNTAIN GA 30083




               POLICY NUMBER                     CERTIFICATE NUMBER                         POLICY PERIOD                           DATE
                 G 1223 947-1                                728430                    04/01/2025 TO 04/01/2026                  03/05/2025

          THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
          FUND UNDER POLICY NO. 1223 947-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS'
          COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE
          STATE OF NEW YORK, EXCEPT AS INDICATED BELOW.

          IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF
          CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/
          CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH
          NOTIFICATIONS.

          THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY
          COMPANY.

          THIS CERTIFICATE DOES NOT APPLY TO THOSE JOB SITES WHICH ARE COVERED BY OTHER INSURANCE AND ARE
          SPECIFICALLY EXCLUDED BY ENDORSEMENT.

          THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT
          OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN
          WORKERS' COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE
          EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN
          CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED.

          THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
          COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
          AFFORDED BY THE POLICY.




                                                                                                   NEW YORK STATE INSURANCE FUND



                                                                                                    DIRECTOR, INSURANCE FUND UNDERWRITING
          VALIDATION NUMBER: 777864448

                                                                              00000000000137915444
           Form WC-CERT-NOPRINT Version 3 (08/29/2019) [WC Policy-12239471]                                                                    U-26.3
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