HomeMy WebLinkAbout2022 FVTC ARFF Training AgreementPurchase Order # � Fox Valley
TECHNICAL COLLE
awaAgreement #
ke°nw ssrk cE 2022 — 0495
WI Tax Exemption Certificate# FOX VALLEY TECHNICAL COLLEGE This is not a billing document
Training/Technical Assistance Agreement
Organization Name
Oshkosh Fire Department
Address
101 Court Street
City, State, Zip
Oshkosh, WI 54901
Contact Person
Tim Heiman Contact Phone (920) 236-5236
Contact Titk Chief Contact Fax
E-mail Address theimm@ci.oslikosh.wi.us County Winnebago
Service Consultant/Dean John Sorenson
Service Recipient Type
21
Phone (920) 996-2801 Acet manager Johnson/Groell
Department# 50302 Program# 24602
Course Title
CATEGORYt
State Course #
t
Course
Class # Hours
# of
Students
Start Date
End Date
Customized Airport Fire Training
47503429
65678
12
36
04.04.2022
05.31.2022
Location of Service ATW ARFF Training Center
CATEGORY I: Customized Instruction$3,400.00
CATEGORY IT: Technical Assistance
Description of Non -Instructional Service:
or Fiscal r Management Services
Total Staff Hours 12.00
Location of Service ATW ARFF Training Center
Start Date 04,04.2022
End Date 05.31.2022
CATEGORY H: Technical Assistance or Fiscal and Management Services
$3,750.00
Total Estimate for Services: 1$7,150.00
Special Billing instructions:
Fox ValleAgreement#
.,'3. t t t .
TECHNICAL COLLEGES- _ 2022- 0495
Knowledge That Works
Organization Name: Oshkosh Fire Department
STANDARD PROVISIONS
Pursuant to State Statutes, Section 67M, Chapter 20, Section 38.14(3)
Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973
The Family Educational Rights and Privacy Act (FERPA)
It is understood that Fox Valley Technical College retains the proprietary rights to any curriculum materials used or
developed as part of this agreement. Fox Valley Technical College employees performing under this agreement remain
under the exclusive control of the FVTC District.
The Recipient of Services certifies, as party to this agreement, that it does not discriminate against employees, enrollees,
or applicants for employment or enrollment on the basis of age, race, color, national origin, sex, creed, disability,
religion, political persuasion, ancestry, or sexual orientation except where there is a bona fide occupational qualification.
This agreement is subject to retroactive approval by the full Fox Valley Technical College Board of Trustees at its next
meeting. Per the authority delegated by the District Board to designated representatives of the FVTC District, to initiate
agreements, Fox Valley Technical College agrees to provide the services in this agreement.
Both parties to this agreement recognize that the need for changes in this agreement could arise due to unforeseen
circumstances. It is, therefore, agreed that both fiscal and programmatic modifications may be made as mutually agreed
to by the parties involved. All instructional services are documented on the student record.
Notification of Compliance: Fox Valley Technical College does not discriminate on the basis of race, color, national origin,
sex, disability or age in employment, admissions or its programs or activities. The following person has been designated to
oversee Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973 and to handle
inquiries regarding the College's nondiscrimination policies: Rayon Brown, Vice President of Diversity, Equity and Inclusion
Services and Interim Vice President for Student Services, FVTC Appleton Main Campus, Office E120A, 920-735-4820,
brown@fvtc.edu.
The Family Educational Rights and Privacy Act (FERPA) is federal legislation that sets forth requirements and provides
guidelines for post -secondary institutions regarding the privacy of student records for ALL students. FERPA governs the
release of educational records that are maintained by the College, as well as access to these records.
Review, sign r return the FVTC agreement and signature pages.
It is agreed tlmt payment for actual costs will he made payable to Fox Valley Tcclmical College by the
Recipient of services within 30 days of receipt of an invoice. Invoicing will occur upon completion of
the contract unless otherwise specified. Estimates do not include taxes. Total Estimate for Services:
a -
Service Provider - FVTC
Date 1 i — I ���r�— Date 04/05/2022
FVTC Board Approval Date