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HomeMy WebLinkAboutAgreement_General_1/12/2023_Dive Rescue InternationalFirefox HOST AGREEMEM This Is an agreement made on November%2022 between Dive Rescue lntternatlonal and theTequ" Fire Rescue. We agree, and our agencies agree, to be the host for the trair*g course entitled Hood Water Skltts Sessions to be held In Tequesta, FL on Mardi 6, 7 and 4, ZM3. I understand Dive Rescue International will provide the follourins: o Ctualified Instructor or instructors. a Registration of students and collection of tuition. o Instructor fees, travel, and expenses. * Custom tral8ne materlafs and/or textbooks. 4 Specialized trainkW equipment as required for the course. a Customized brochure, marketing material and support. 8 Screening of participants to ersure membership with a public safety agency. o Certificate of Completion awarded to students performing at an acceptable level. a A one-time 20% discount for equipment purchased from Dive Rescue International. TNs purchase must be made wid0r; 90 days of the class and applies to current retail prices. most "nponsgAities: ¢ Complete and return all paperwork. o Act as a contact for Inquiries concerning local Information. a promote and publicize the course to other public safety agencies. + Arrange for all instructional facilities which include classroom, audio/visual equipment, and training sites, as outlined in the Program Information Guide. I understand that the preferred class size for the food Water Skills Session course is 20 participants. The tuition for this course Is $195 (US Funds) per student, per dais. I understand that if I cancel the scheduled courses by February 13, 20Z3 , I will have no financial obligation to Dive Rescue International. However, if cancellation is made after this date, I agree to compensate Dive Rescue International for any non-refundable preparation, shipping or travel expenses. I have carefully read this statement and understand and accept my obligations as the host. Ininine 0c„m�m ['nordinatar fl Ks;rjtnf Dive Rescue International i/3/201,' Nate cy Authorized Rep tathre Print Name unuC 2 Print /Tit] j Date about:blank I of 4 1/3/2023, 4:11 AM 11 w i D1 W RF-B HOST SITE INFORMATION FORM Complete this form and return to Dive Rescue International: Fax: (970) 482-0893 or Email: training@diverescueintl.com. Course title: Flood Water Skills Sessions Date: March 6, 7 and 8, 2023 Please provide all Information as you want it to appear on the Program Flyer. Host Agency Name: EQUes1)<1 V.! Y-E rLE_Sr_�, 1_. Course Location (City/State or Province): ���5 /%? �. T-L Shipping Address: >> 7 TF_QUCS I A Df,-- TE-QU-tS I A FL, 3 ; `16`t Billing Contact Name: 560CS Billing Contact Phone Number: 5(,� Billing Contact E-mail Address: _4ior�+e` ((CSja.D -Billing Address: S1 Te!i.ur_<,kk Te.cbu�s+cam, FL Location of the First Day of Course: Building/Department: (C-Q VE-S I -A CDC- City/State/Zip: � E Q UG S 1 A FL 3-3 `l 6 `1 Contact Person (Please List Two): Street:__ > 7 /E(� L Sj)q- �n Class begins at (time): 8:00 AM Name 1: ,) oi-hJ A K'0s'YX0 —)P— Work Phone: V 1 768 G S 6 � Cell Phone: 5 1 f%L 7 Email Address: e /a�C6 Cf-- X_-, Name 2: (Z`/ I+A)-rZlS Work Phone: 561 1 76 4 G-"5 6 6 Cell Phone: __S 61 AP, O) b .� Email Address: 0 " l2 h_ L S e Lodging Recommendations: 1 Name: La � � �� 1- ✓1 n (� �y1G 110 VkA Hotel Phone: G 1 s 71 7101 Rates good through (date): Address: S � / l-5d GitMt,-I S WAj fliL 1 (- 1 Group Room Rates (if applicable): s"'J 7 Group Rate Listed Under: Airport Destination for Instructor: P V f)�_ Drive time to airport: 30 Other Public Safety Departments (within 100 mile radius) who may be interested in attending: Agency Name: TGU 0'E S TA ;Lc, (,! C.6 Address: A L C-G�D TT / T_-c- 1) Contact Name (if known): Phone/Email: Other Public Safety Departments (within 100 mile radius) who may be Interested in attending: Agency Name: IafL(�UL TA f0PL L lam)0L,-KS Address:_Aurtc-17`� Hu I � 1Z=%� Contact Name (if known): Phone/Email: Other Public Safety Departments (within 100 mile radius) who may be interested in attending: Agency Name: 02(-!`l U Gft I CGLI.v 1 t� jF LT'-L Address: A Lr CA1) � /N 0 T-1�LZ_ Contact Name (if known): Phone/Email: PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, CONTRACTOR must keep and maintain this Agreement and any other records associated therewith and that are associated with the performance of the work described in the Proposal or Bid. Upon request from the Village's custodian of public records, CONTRACTOR must provide the Village with copies of requested records, or allow such records to be inspected or copied, within a reasonable time in accordance with access and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR who fails to provide the public records to the Village, or fails to make them available for inspection or copying, within a reasonable time may be subject to attorney's fees and costs pursuant to Sec. 119.0701, Florida Statutes, and other penalties under Sec. 119.10, Florida Statutes. Further, CONTRACTOR shall ensure that any exempt or confidential records associated with this Agreement or associated with the performance of the work described in the Proposal or Bid are not disclosed except as authorized by law for the duration of the Agreement term, and following completion of the Agreement if the CONTRACTOR does not transfer the records to the Village. Finally, upon completion of the Agreement, CONTRACTOR shall transfer, at no cost to the Village, all public records in possession of the CONTRACTOR, or keep and maintain public records required by the Village. If the CONTRACTOR transfers all public records to the Village upon completion of the Agreement, the CONTRACTOR shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the CONTRACTOR keeps and maintains public records upon completion of the Agreement, the CONTRACTOR shall meet all applicable requirements for retaining public records. Records that are stored electronically must be provided to the VILLAGE, upon request from the Village's custodian of public records, in a format that is compatible with the Village's information technology systems. IF CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT (561) 768-0440, OR AT Imcwilliams@tequesta.org, OR AT 345 TEQUESTA DRIVE, TEQUESTA, FLORIDA 33469. Pursuant to Article XII of the Palm Beach County Charter, the Office of the Inspector General has jurisdiction to investigate municipal matters, review and audit municipal contracts and other transactions, and make reports and recommendations to municipal governing bodies based on such audits, reviews, or investigations. All parties doing business with the Village shall fully cooperate with the inspector general in the exercise of the inspector general's functions, authority, and power. The inspector general has the power to take sworn statements, require the production of records, and to audit, monitor, investigate and inspect the activities of the Village, as well as contractors and lobbyists of the Village in order to detect, deter, prevent, and eradicate fraud, waste, mismanagement, misconduct, and abuses. "The Village of Tequesta strives to be an inclusive environment. As such, it is the Village's policy to comply with the requirements of Title II of the American with Disabilities Act of 1990 ("ADA") by ensuring that the Contractor's [ agreement /bid documents and specifications ] are accessible to individuals with disabilities. To comply with the ADA, the Contractor shall provide a written statement indicating that all [ agreement /bid documents and specifications], from Contractor, including files, images, graphics, text, audio, video, and multimedia, shall be provided in a format that ultimately conforms to the Level AA Success Criteria and Conformance Requirements of the Web Content Accessibility Guidelines 2.0 (Dec. 11, 2008) ("WCAG 2.0 Level AA"), published by the World Wide Web Consortium ("WK"), Web Accessibility Initiative ("WAI"), available at www.w3.org/TR/WCAG/."