NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: __22-16____
====================================================================
SUBJECT: New Board Policy
MONTH/YEAR PRESENTED TO BOARD: April 2016
INITIATED BY: Dr. Diane Holben
COMMITTEE: Education/Community/Policy Committee
RECOMMENDATION: Recommend approval of new Board Policy #3730: Workers’
Compensation Policy
====================================================================
BACKGROUND:
A new policy is being presented for the Board’s review and approval process. That policy is as
follows:

Board Policy #3730: Workers’ Compensation Policy
The policy has been reviewed by the NPSD Solicitor.
Date Prepared: 4/6/2016
NORTH PENN SCHOOL DISTRICT
School Board Policy
3730
BUSINESS
Workers’ Compensation
Authority
Workers’ Compensation is mandated by law and all employees are covered while in the course
and scope of their employment.
Purpose
Working safely is a basic responsibility of all employees. The District shall strive to maintain safe
working conditions and use necessary resources to accomplish this endeavor. Employees are
expected to obey safety and health policies, procedures, and rules, as defined in Policy 3720 and
Regulation 3720. These may be found on the intranet, Employee Tools, Policies & Regulations,
Series 3000, 3720.
Guidelines
A claim for workers’ compensation must be submitted in accordance with this policy and
approved by the District’s workers’ compensation carrier in accordance with law. It is the
employee’s duty to notify his/her supervisor immediately, consistent with the law so that
proper action may be taken by the District. The employee shall cooperate with the District in
completion of any reports. If necessary, the employee shall visit a physician on North Penn
School District’s approved panel of physicians’ listing. There is no cost to any employee for an
approved workers’ compensation claim related bill. Employees do not contribute payments
towards the Districts’ Workers’ Compensation insurance program.
Current law states seven (7) calendar days, which is a maximum of five (5) work days, must
elapse before workers’ compensation begins paying the employee indemnity payments.
However, if the employee is off work more than thirteen (13) calendar days, which is a
maximum of ten (10) work days, workers’ compensation pays indemnity retroactive to the first
day.
To the extent Family Medical Leave (FMLA) is applicable, the initial twelve (12) weeks of
workers’ compensation leave shall run concurrent with the FMLA entitlement. The District has
the right to designate the leave as FMLA. FMLA is a Federal law giving employees 12 weeks of
job protected leave. It is not the intent that an employee’s position will be held open
indefinitely.
Aside from any applicable restrictions set forth by statute or through the negotiated terms of a
Collective Bargaining Agreement, the District will only maintain job availability for an absent
employee for two (2) years after the onset of the absence. If said employee has health benefits
through the District, said benefits will remain intact for a period not to exceed two (2) years,
provided the District receives the employee’s premium portion in a timely fashion. Otherwise,
benefits will be terminated and COBRA will be offered. If the employee remains out of work
longer than two (2) years, COBRA will be offered at the end of the two (2) years.
Policy:
Adopted:
May 19, 2016
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: 45-16_______
=============================================================================
SUBJECT: Security Upgrades at North Penn High School and the Educational Services Center Project
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY:
Thomas Schneider
COMMITTEE:
Support Services
RECOMMENDATION:
Recommend award of the electrical construction low bidder’s contract for the Security Upgrades at
North Penn High School and the Educational Services Center Project.
=============================================================================
BACKGROUND:
Bids were opened on May 10, 2016 for the rebid of the electrical construction work for the Security Upgrades
at North Penn High School and the Educational Services Center Project. The low bidder for the project is:
Walter Brucker & Co., Inc.
$205,300.00
The Administration recommends award of the general construction work to Walter Brucker & Co., Inc.
The bids received for the project include:
Bidder
Walter Brucker
ETI
SJ Thomas
Bid Amount
$
$
$
196,500.00
218,000.00
287,700.00
Alt EC-1 Stair
Cameras
$
$
$
8,800.00
9,600.00
27,900.00
Total Bid All
Alts
$
$
$
205,300.00
227,600.00
315,600.00
G:\Shared Folder\Board Meeting Documents\2016 Agendas\May 19, 2016 - Action\Informational
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45-16.docx
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: 46-16_______
=============================================================================
SUBJECT: Appoint Steve Skrocki as the PEMA/FEMA Designated Agent
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY:
Thomas Schneider
COMMITTEE:
Support Services
RECOMMENDATION:
Recommend the appointment of Steve Skrocki as the District’s agent to execute all required forms and
documents for the purpose of obtaining financial assistance under the Robert T. Stafford Disaster Relief and
Emergency Assistance Act.
=============================================================================
BACKGROUND:
In the past few months the Pennsylvania Emergency Management Agency (PEMA) requested North Penn
School District to participate in the submission of costs for the snow removal during winter storm Jona on
January 23 – 25. These costs along with numerous other entities were submitted to the Federal Emergency
Management Agency (FEMA) and in April President Obama approved the submission by PEMA.
Part of the process to receive reimbursement from FEMA and PEMA is to designate an agent for the District
authorizing them to execute all required forms and documents for the purpose of obtaining financial assistance
under the Robert T. Stafford Disaster Relief and Emergency Assistance Act.
G:\Shared Folder\Board Meeting Documents\2016 Agendas\May 19, 2016 - Action\Informational
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46-16.docx
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: 47-16_______
=============================================================================
SUBJECT: 2016 – 2017 Repair Contracts
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY:
Thomas Schneider
COMMITTEE:
Support Services
RECOMMENDATION:
Recommend award for the 2016 - 2017 repair contracts to the low bidder.
=============================================================================
BACKGROUND:
Bids were opened on May 9, 2016 for the 2016 - 2017 Asphalt Paving, New and Replacement Concrete, and
Carpet and Tile Replacement contracts.
The low bidder for the Asphalt Paving contract is: David DiPalantino Contracting
The Administration recommends award of the 2016 - 2017 Asphalt Paving contract to David DiPalantino
Contracting.
The bids received for the project include:
Bidder
Parking
Lot/Roadway
A-1
Bid Price per Square Yard
Parking
Parking
Parking
Lot/Roadway Lot/Roadway Lot/Road
A-2
A-3
way A-4
David
DiPalantino
Contracting
$12.40
$24.80
Asphalt
Walkway/Pla
ying Areas B2
$29.60
Bid Price per Square Yard
Asphalt
Asphalt
Walkway/Pla Walkway/Pla
ying Areas B- ying Areas B3
4
$54.00
$56.00
Bidder
David
DiPalantino
Contracting
$54.00
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$52.00
Pothole
Repairs
$72.00
Asphalt
Walkway/Pla
ying Areas B1
$12.90
Linear Foot
Asphalt
Asphalt
Sealing/<1"
Sealing/>
per LF
1" per
LF
$0.90
$1.90
The low bidder for the 2016 – 2017 New and Replacement Concrete contract is: Jay Hoffman & Sons
The Administration recommends award of the 2016 - 2017 New and Replacement Concrete contract to Jay
Hoffman & Sons.
The bids received for the project include:
Curb Ramp
Over
Excavation
per cubic
yard
$12.00
Bidder
Hoffman & Sons
Replacement
Sidewalk
per square
foot
$10.50
New
Sidewalk
per square
foot
$7.75
Bidder
Hoffman & Sons
Detectable
Warning
Surface
$10.50
Replacement
Curbing per Replacement
lineal foot
Stairs each
$7.75
$2,900.00
Curb Ramp
2A Modified
per ton
$16.50
The low bidder for the 2016 – 2017 Carpet and Tile Installations contract is: Wright Flooring, Inc.
The Administration recommends award of the 2016 – 2017 Carpet and Tile Installations contract to Wright
Flooring, Inc..
The bids received for the project include:
Bidder
Wright Flooring Co.
Inc.
Bidder
Wright Flooring Co.
Inc.
Bridle
Path
Carpet
Gywn-Nor
Carpet
Knapp
Carpet
Oak Park
Tile
Oak Park
Carpet
Penndale
Tile
$5,580.00
$1,575.00
$4,506.00
$5,760.00
$3,600.00
$19,960.00
High
School
Carpet
Carpet
Install
w/removal
sqft
Tile Install
Tile Install w/no
Minor
w/removal removal
Floor
sqft
sqft
Patch sqft
Complete
Skim
Floor
Patch sqft
$14,125.00
$3.85
$3.00
$0.70
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$2.65
$0.60
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: _48-16______
=============================================================================
SUBJECT: 2016 – 2019 Maintenance Service Contracts
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY:
Thomas Schneider
COMMITTEE:
Support Services
RECOMMENDATION:
Recommend award of the 2016 – 2019 Maintenance Service contracts to the low bidder.
=============================================================================
BACKGROUND:
Bids were opened on May 9, 2016 for the 2016 – 2019 Fire Alarm, Integrated Pest Management, Sprinkler
and Water Testing and Treatment Maintenance Service contracts.
The low bidder for the 2016 – 2019 Fire Alarm Maintenance Service contract is: Fire and Security
Technologies, Inc.
The Administration recommends award of the 2016 - 2019 Fire Alarm Maintenance Service contract to Fire
and Security Technologies, Inc.
The bids received for the project include:
Bidder
Fire and Security
Technologies
Kistler O'Brien
Life Safety Security
Simplex Grinnell
Total Fire Safety
Bid Amount
2016-2017
2017-2018
2018-2019
$13,250.00
$14,250.00
$15,250.00
$24,422.00
$14,352.00
$17,929.00
$17,750.00
$20,900.00
$14,352.00
$18,008.00
$16,600.00
$20,900.00
$14,352.00
$18,008.00
$16,600.00
The low bidder for the 2016 – 2019 Integrated Pest Management Service contract is: Orkin LLC
The Administration recommends award of the 2016 – 2019 Integrated Pest Management Service contract to
Orkin LLC.
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The bids received for the project include:
Bidder
Orkin, LLC
Bid Amount
2016-2017
$9,450.00
2017-2018
$9,450.00
2018-2019
$9,450.00
The low bidder for the 2016 – 2019 Sprinkler Maintenance contract is: Life Safety Engineered Systems
The Administration recommends award of the 2016 – 2019 Sprinkler Maintenance contract to Life Safety
Engineered Systems.
The bids received for the project include:
Bid Amount
Bidder
2016-2017
Bershire Systems Group, Inc. $34,589.00
Kistler O'Brien
$25,960.00
Life Safety Engineered
$16,320.00
Systems
Simplex Grinnell
$24,109.00
Total Fire Safety
$24,990.00
2017-2018
$31,416.00
$18,040.00
2018-2019
$34,196.00
$20,770.00
$12,000.00
$14,940.00
$16,172.00
$24,990.00
$17,897.00
$26,656.00
The low bidder for the 2016 – 2019 Water Testing and Treatment contract is: Scientific Boiler Water
Condition Co.
The Administration recommends award of the 2016 – 2019 Water Testing and Treatment contract to Scientific
Boiler Water Condition Co.
The bids received for the project include:
Bidder
Barclay Water Management
Scientific Boiler Water
Cond. Co.
Bid Amount
2016-2017
$18,000.00
2017-2018
$18,000.00
2018-2019
$18,000.00
$10,200.00
$10,800.00
$10,800.00
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NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: _49-16__
=============================================================================
SUBJECT: Keystone Stars Grant 2016
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY: Dr. Diane Holben
COMMITTEE:
Education/Community/Policy
RECOMMENDATION: Recommend approval to apply for merit grant funding from the Pennsylvania
Department of Human Services’ Keystone Stars Program in the amount of $4725.00.
=============================================================================
BACKGROUND:
Merit grants are currently available from the Department of Human Services to assist child care centers who
participate in the Keystone Stars Program, Pennsylvania’s program to improve the quality of child care. This
voluntary program recognizes regulated child care providers who exceed state health and safety standards.
The funding will be used to purchase supplies and materials and to replace consumable and worn equipment.
The district is eligible to apply for and receive $4725.00 for the program at Oak Park Elementary.
DATE PREPARED: 5/4/16
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: __50-16___
=============================================================================
SUBJECT: Textbook Adoption 2016
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY: Dr. Diane Holben
COMMITTEE:
Education/Community/Policy
RECOMMENDATION: Recommend approval for adoption of textbooks as listed.
=============================================================================
BACKGROUND:
The textbooks listed below have been identified through our curriculum review process. These texts will be available
for review prior to adoption which is scheduled for May 19, 2016.
SOCIAL STUDIES
1. America’s History – 8th Edition – Bedford St. Martins © 2014
Student text for 10th grade AP United States History (level AP). The estimated price of the text & supplemental
resources is $150.24. Approximately 150 text books are needed for a total approximate cost of $22,536.
2. The Choices Program – Current Issues Series – Brown University © 2010
Curriculum program for new 12th grade Contemporary Global Issues course that includes texts& technologybased resources. The estimated cost of the program is $21,996.60 for four (4) class sets.
3. World History & Geography – McGraw Hill Education © 2014
Student text for 11th grade World History course. The estimated price of the text & supplemental resources is
$105.24. Approximately 1200 text books are needed for a total approximate cost of $126,282.37
WORLD LANGUAGE
1. Discovering French Today! – Houghton Mifflin Harcourt Publshing © 2013
Student text for grades 10 & 11 French 3H & French 4H classes. The estimated price of the text &
supplemental resources is $119.63. Approximately 200 text books are needed for a total approximate cost of
$23,925.46
2. Adventures in Japanese 3- 4th Edition - Cheng & Tsui © 2016
Student text for 12th grade Japanese 3 classes. The estimated price of the text & supplemental resources is
$166.38. Approximately 40 texts are needed for a total approximate cost of $6,655.00
SECONDARY ENGLISH
1. My Perspectives – Pearson © 2016
Student text for 7th – 9th grade English courses. The estimated price of the text is $128.70. Approximately 3,280 texts
are needed for a total approximate cost of $360,171.89.
SECONDARY READING
1. Language Live! – Voyager Sopris © 2015
Student text for 8th & 9th grade Reading Support courses. The estimated price of the text & supplemental
resources is $188.10. Approximately 100 texts are needed for a total approximate cost of $18,810.
2. Collections Close Reader & Performance Assessment - Houghton Mifflin Harcourt Publshing © 2017
Student text for 10th – 12th grade Literature Explorations courses. The estimated price of the text &
supplemental resources is $42.78. Approximately 215 texts are needed for a total approximate cost of
$9,197.96.
DATE PREPARED: 4/6/16
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: __51-16
=============================================================================
SUBJECT: 2015-16 ASSIGNMENTS - EXTRA DUTY
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY: Dr. Diane Holben
COMMITTEE:
Board Leadership
RECOMMENDATION: Recommend approval of additions and changes to extra duty assignments for
the 2015-16 school year.
=============================================================================
BACKGROUND:
GROUP
EXPERIENCE
SALARY
Chris Barr, Assistant Coach – Girls Lacrosse
Nicole Yetter, Dept. Chair – Guidance
3
-
A
0
$ 3, 024.00
$ 474.80
FROM: Fran Herschmann, Dept. Chair – Special Ed.
TO: Dana Boccella, Dept. Chair – Special Ed.
-
0
$
FROM: Robert Hoffman, Drama – Stage
TO: Debra Buckner, Drama – Stage
1
G
$ 2, 316.00
RECOMMENDATIONS
NPHS
CHANGES
PD
PF
Date Prepared: May 11,
2016
824.70
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: 52-16____
====================================================================
SUBJECT: New & Amended Board Policies
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY: Dr. Diane Holben
COMMITTEE: Education/Community/Policy Committee
RECOMMENDATION: Recommend approval of new Board Policy #3650: Federal Fiscal
Compliance Policy and amended Board Policy #5127: Graduation.
====================================================================
BACKGROUND:
Two policies are being presented for the Board’s review and approval process. Those policies are
follows:

New Board Policy #3650: Federal Fiscal Compliance Policy

Amended Board Policy #5127: Graduation
The policy has been reviewed by the NPSD Solicitor.
Date Prepared: 5/10/2016
NORTH PENN SCHOOL DISTRICT
School Board Policy
3650
Reference: Administrative Regulation 3650, 3651, 3652,
3653, 3654
BUSINESS
Federal Fiscal Compliance
The Board of School Directors shall ensure federal funds received by the district are
administered in accordance with federal requirements, including but not limited to the federal
Uniform Grant Guidance.
The Superintendent or designee shall establish and maintain sound financial administrative
regulations covering the use of federal funds in the following areas:

Procurement

Conflict of Interest

Cash Management

Travel Reimbursement

Allowability of Costs
A financial management system shall be maintained with strong internal controls, a high level of
transparency and accountability, and documented procedures to ensure that all financial
management system requirements are met. This system shall assure that federal funds are
identified properly, that financial reporting and record keeping is accurate, internal and budget
controls are maintained, and that the allowability of costs are accurately determined.
Policy:
Adopted: June 16, 2016
NORTH PENN SCHOOL DISTRICT
School Board Policy
5127(a)
STUDENTS
Progress
Graduation
The school board will acknowledge each student’s successful completion of the instructional
program appropriate to the student’s interests and needs by awarding a diploma at the
graduation ceremonies.
The school board will additionally acknowledge each special education student who is eligible
under district policy to participate in the graduation ceremony but will continue to receive
services from the district and who elects to participate in the graduation ceremonies of his or her
high school graduating class by awarding a certificate of attendance at the graduation
ceremonies.
Any student with a disability whose individualized education program, as established pursuant
to 22 PA Code §14.131 (relating to IEP), prescribes continued special education programs
beyond the fourth year of high school, shall be permitted to participate in the commencement
ceremonies with the student’s graduating class and receive a certificate of attendance, provided
that the student has attended four (4) years of high school regardless of whether the student
has completed the individualized education program. Nothing in this policy shall be construed
to preclude a student with a disability from receiving a high school diploma when the student
satisfactorily completes an individualized education program as required under 22 PA Code
§14.131. The superintendent or designee shall be responsible for the planning and execution of
graduation ceremonies which appropriately mark this important achievement.

The school board shall award a high school diploma to every student enrolled in this
district who meets the requirements of graduation established by this school board as
part of the district’s Strategic Plan.

There shall be only one diploma awarded by this district and no distinction shall be made
between various programs of instruction as provided by PA School Code.

The school board shall adopt the graduation requirements students must achieve, which
shall include course completion and grades, completion of a culminating project, and
results of local and state assessments.

The school board further requires that each candidate for graduation shall have earned a
minimum of specified credits as defined in the school board approved Program of
Studies or meet the requirement recommended by the IEP Team.

The school board shall also require that every student complete the requirements for
graduation as prescribed by Title 22, Chapter 4 of the PA School Code law.
CONTINUED
5127(b)

No student who has completed the requirements for graduation shall be denied a
diploma as a disciplinary measure but she/he may be denied participation in the
ceremony of graduation when personal conduct so warrants. Such exclusion shall be
regarded as a school suspension or except by explicit school board action.

Recording of each student’s achievement of academic standards shall be maintained, as
required by law and state board regulations.

Students shall be informed of graduation requirements they are expected to complete.

The superintendent shall develop procedures for implementing this policy.
Policy:
Adopted: June 22, 2006
Reviewed: November 15, 2007
Amended: June 16, 2016
NORTH PENN SCHOOL DISTRICT
Lansdale, PA 19446-3960
INFORMATIONAL SHEETS
ITEM NUMBER: __54-16_____
=============================================================================
SUBJECT: Renovations and Additions to Montgomery Elementary Owners Controlled Insurance Program
(OCIP)
MONTH/YEAR PRESENTED TO BOARD: May 2016
INITIATED BY:
Thomas Schneider
COMMITTEE:
Support Services
RECOMMENDATION:
Recommend approval of the PSBA’s Owners Controlled Insurance Program (OCIP) program for the
renovations and addition project at Montgomery Elementary School.
=============================================================================
BACKGROUND:
The Support Services Committee discussed the Owners Controlled Insurance Program (OCIP) for
Montgomery Elementary project on April 25th. The following is the description provided to the Support
Services Committee.
The OCIP process is when the District carries the Liability and Workman’s Compensation insurance for the
entire project. The final analysis indicates that it is financially beneficial for the District to maintain the
insurance on the project.
1. PSBA Owner Controlled Insurance Program (OCIP) recommendation for approval.
a. The project was bid without the contractors including their liability and workman’s
compensation insurance.
b. Post bid, a request went out to the low bidders to provide the District with their cost and
subcontractor cost for the insurance.
c. This base bid insurance cost was compared to the cost that the PSBA OCIP submitted and the
PSBA OCIP cost was less costly.
i. Base Bid Contractor’s Insurance Cost: $491,085.79
ii. Base Bid OCIP Insurance Cost: $465,719.98
iii. Total OCIP Project Cost: $490, 470.27
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OWNER CONTROLLED INSURANCE PROGRAM
PSBA Member Enrollment Form
PSBA Member:
North Penn School District
Address:
1340 Valley Forge Rd., Lansdale, PA 19446
Contact Person:
Thomas Scneider, Director of Facilities & Operations
Phone Number:
215.853-1140
Email Address:
schneit@npenn.org
Address of Project:
1221 Stump Road, North Wales, PA 19454
Description of Project:
Montgomery Elementary School Additions and Renovations
IDENTIFY PRIME CONTRACTOR
Bid Package
(Description)
Contract Award Amount
(Construction Value)
Prime Contractor
1. General Construction
2. HVAC Construction
3. Plumbing Construction
4. Electrical Costruction
5. Fire Protection
6. Roofing Work
7.
8.
(Refer to Page 2 of 2 for
Additional Prime Contractors)
Lobar, Inc.
Worth & Co., Inc.
Myco Mechanical
Boro Construction
Accelerated Fire Protection
Weatherproofing Technologies, Inc.
$9,018,600.00
$4,635,000.00
$879,800.00
$2,671,072.00
$297,024.00
$2,603,946.86
Page 2 – Construction Values:
Total Construction Values:
$ ---$20,105,442.86
OCIP PREMIUM CALCULATION
Total
Construction Values
$ 20,105,442.86
Premium Rate Per $1,000 CV
(Will be provided by Willis)
X WC, GL & Excess
$ 24.3949
OCIP Premium
/$1,000
=
WC, GL & Excess
$ 490,470
Project Term Builders Risk
$ N/A
Total Premium
$ 490,470
NOTE: Payment due upon receipt of invoice from PSBA Insurance Trust. Final OCIP Premium is subject to adjustment at the rate shown based on Final
Construction Values, including Change Orders. Builder’s Risk and Umbrella Liability premiums also may be subject to audit based on construction
schedule. OCIP coverages will be provided in accordance with contract language dated March 2012
ENROLLMENT AUTHORIZATION
NOTE: To bind OCIP coverages, submit this form to:
Willis
One PPG Place, 10th Floor
Pittsburgh, PA 15222
Attn: Paul Aaron
Phone: 412-863-4701
Fax: 844-774-3400
Signature (School District Official)
Print Name & Title
Date
Willis Representative
Page 1 of 2
Date
OWNER CONTROLLED INSURANCE PROGRAM
PSBA Member Enrollment Form
IDENTIFY PRIME CONTRACTOR (Continued)
Bid Package
IDENTIFY PRIME
CONTRACTOR (Continued)
(Description)
Prime Contractor
Contract Award Amount
(Construction Value)
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Page 2 – Construction Values:
$
THE FOLLOWING INFORMATION IS REQUIRED
►
Prime Contractors:
Please attach Prime Contractor information including address, contact person and telephone number.
►
Project Schedule
Construction Start Date:
Construction End Date:
►
Identify Local Insurance Agent:
Name:
Nicole Graham, Spect Insurance Group, Ltd.
Address:
1800 East High Street, Suite 200
Pottstown, PA 19464
Phone:
610.323.1666
Page 2 of 2