AFFILIATION AGREEMENT PINE L)LAS*COUNTY SCHOOLS'
AFF IWATION A(,',U-1W11WT
1, PARTICIPATING AGENCIES
College, herelnafle�rlefbffed 4)as the PCS,and the City of Manviilv.i-,lieveiri4i6er referred'-to
.as the August I',2026thrm.AijF'v'
qt,1,2031..
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il. PURPOSE Or AGREEMENT
It is mutually agreed-that-Vie purpose of this Age6mentls to piovlde A�'oftlprehenslve' I*avping
-expvrl-ence. for llarklpahts rrolri 'Pinellas County, :Sc)td'ols Vithili vOinipaj setting, In
hc�-drdahcb with pr6W
vons of theguidolfi)q si6t Forth.in this agrepment,
ill. -GE NURAL PROVISIONS OF AGR.vxMJf.NT
A, Both parties agree ihattjiere will be.no distinction in einpioyiiieiit-oi%plac6iiie)ftbecause
qF race, sex, color, creed, -ago, nmloiml origiii,jelig)on, marital status,, disability or:
B. The Fir6 Rescue Agency MI]pro' Vide;at the PnrtiolpatiVs-expensei,.Otiiergeiicy care.
for ii,juvlbs ot'.-hdute illness,Nylille,qn,day gt the,Fire Rescue'Agency ln.accordana
with the provisions,of this4greernwit.
.Cj This.Agreement ilialt be.-siibj,eot to review,and renewal annually, by:A Letter-0
Agre'ement,,providvd,.'howevey, that,;eithei-Valty shMl-have the right td,torminate
thisAgreementupon,30 days written notice,
M. SPE QFIC RE, PONS BM-ITIES OF PINELLARC0.1.1 SOO L
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A:, kinglias-County Schools,shall desighW 9.pers6tvor p'drsohs to•couedinM6 acid act As
,liaison With the'aipptooria(6 Vire*Re'qcuo Agency ftvkolm6l,
13. Piiitllas'Co6ri(y,'866ols s.lialll pyqvIde'rh6 City of Clearwater patilcilpants
1ri the leaniipg exprielice atjpaq ten(10)biisinqss days bef6recach program is to Wit;
C. P.inella,s Go.qnty Schools shall Insure that, participants have the necessary didactic.
prerqvisi(cs to nmxhfflze the-jorilinwexpefienC6 at the Fire-Rescue Agdiicy.
.-D, Pinellas County&bodls shalVinsdeolhat the participants,com*P Aprovisionsth the provisions of
S&ti,011 vl.
'13. Pinellas County S.chools does.undertake and agree that it will 'indemnify 'a))d hold
harmje$s the City of ClearvAter arid.is oMars,41fe-etors,employees,and agd1s, and
reasonable,atompy18fees on actNnt thereof,that may bestishithed or incurred by r6as6n
66ny afid.all claims;d6mmids,'suits,action8judgm6its,And rxecut,l'ofis for daninges of
aliy and 'every kbid,atid by wh6mevor'btid-whetiev"er rpAdle 6r obtained,allegedly cal)sed
by, v ct
., arising -oul,of, o' �relating in.any manner' to 'the, a' Mlty.'Ofany :JMTkipfint Or
P�rdcipilpt' -suppliedby the,pipollits.County.80toola,ptirsuant to this Agreernpit,As a
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Florida public agency, P.CS's obligations hereunder:are limited by the provisions
of Section?68.28,;F.S. I
F. Pinellas`Cottnty Sehools'shaii procure and maintain,during the term of this Agreement
and any renewal, liability insurance,or,a.program of self-insurance'to cover Any*and i
all liability (itic.10ing professional..liability) for"clahns;', datnages,, or injuries to
persons or property of.tvhafsoever kind of nature arising out of%he activities of.the.
participants carried'ouf under this Agreement,
....... „Such in�>n'a ice 'sh j�.,i?�,.Qti„ n...4.cgArr..enge._basis..4);,art�auilts no. -less.than.. _,,.,........
...,1. ..,,1. .,. .... .... .
$3,000,000/$1,000,001 for personal-injuries and $50,000 for property damage; anti
the City ,of Clearivater sha(l. be an additional natned insured under any such
general and professional liability policy or policies..Piogilas County.Schools shall
submit.!cert(ficates of •insurance' fo the..City.,of ClearivateV- evidencing such.
insurance or self•ins.grance at theAme of the execution.bf,th'fs -Agreement, an&as••
requested. by the Fire Rescue.Agency, Pinellas County Schools agrees that the City
of Clearwator, will receive no less than thirty (30) days written notice prior,..to
cancellation,• modification, or non:renewal .of •arty of. the .insurance, coverages
described herein. Participants who do not have patient contact (non-allied health
participants) will not be required to be covered by professional liability insurance.
V. SPECIFIC.RESPONSIBILITIES OI!THC CITY OF CEEARW.A,TER:
It shall be the responsibility of the City of Clearwater to! .
A. Provide'an appropriate orientbtion of participants In'connection with its facilities and:its
policies and procedures,
B. Provide opportunities fora learning experience with,appropriate super.yisiou,
C, Retain ultioiafe'responsibility for patient care evert if a student gives thateare.
D, Designate a preceptor(or,coordinator)front its staff to act as the liaison witlt the Agency `
in this Agreement,as appropriate to the learning objectives. '
VI" SPECIFIC RESPONSI13ILITIES OF THE'P.ARTICIPANT(Student)
11 shall be the responsibility ofthe participant(s)'assigtied thropgh this Agreement to; ,
A, Comply with the policies'and procedures of the City. of Clearwater.' `
B. Provide,the necessary and appropriate uniform while on'duty in the Fh�e Rescue Agency;
C. Obtain pfior'written'approval of both parties to this Agreement before publishing any.
material related to.the,learning experience provided under the terns,of the Agreement,
D. Sign'a"Flold Harmless Agreement," with,the,City of Clearwater prior to cotnineticing
his/her experience within the Fire Rescue Agency.
B. At all times W6r the appropriate baiige on every clinical and comply'in'all,respects with
tite student requ'irenlents set forth in'the,requirements Sheets.
VII. REQUEST FOR WITHDRAWAL Or PARTICIPANT
The City of Clearwater shall reserve the tight to request Pinellas County,Schools to withdraw '
any participant froin Its facilities whnse'conduct or work with,patients or personnel is not in .
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accordance with the policies and procedures of the City of Clearwater or Is detrimental to
patients or others,
VIII, MODIFICATION OF AGREEMENT
Modification of this Agreement may be made by mutual consent of both parties, in writing,
and attached to this Agreement and.shall include the date and the signatures of patties agreeing
to the modification.
IXC COPIr?,h OF AGREEMENT
Copies of this signed Agreement shall be placed an file and be available at the Corporate office j
of Pinellas Country Schools and in the offices of the City of Clearwater,
X. SIGNATuR>aS TO AGI2I'♦EMENT I
A. City of Cleartivatee
1, Signed by: f
2, Niltno
3. Title:. �� �i�`t
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4, Date: _`f�' Cr}G ?�,r�
B,Pinellas County Schools
1. Signed by: �
2. Name" �• �_�� �
3. 'Title: r ti
4. Date:
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Approved As To Form:
Sc Boa Atbr,tneys Oliice
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