HomeMy WebLinkAboutContracts & Agreements_170-2011_CCv0001.pdf California State University,San Bernardino
College mfBusiness and Public Administration (CBPA) Internship Program
55OOUniversity Parkway,J8-IO5
San Bernardino,[A 92407-2397
(909)537-3581/3881 Fax: (9O9)537'3883
PRELIMINARY INTERNSHIP AGREEMENT WITH HOST
Dear Internship Host:
We're delighted to receive your request to participate in our Internship Program. The CBPA student who does an internship DZgg
register inan internship course,soplease notify uswhen you make selection with the student's information. The course offers the
student 4units for completing 15O'2OOhours over aten-week period. Failure tonotif,usmay compromise future assistance k»you.
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_X_ We're completing the following because we have not completed this Preliminary Agreement Form in over a year.
Our agency/organization has a Preliminary Agreement Form on file with the CBPA Internship Office for the current academic year.
INSURANCE REQUIREMENTS: The State of California,Trustees of the California State University,California State University,San Bernardino
and the officers, employees, students, volunteers, and agents of each shall be named as additional insured for each of the insurance
provisions listed below. This section will remain valid with CBPA's Internship Office for one academic yea
AGENCY/ORGANIZATION shall maintain limits noless than: (Select and initial insurance you carry that would also cover hrte/n.)
*Excess Liab8ityƒorPublic Entities
^
General Liability:$zmillion per occurrence bodily injury,personal injury,property damage,$2million general aggregate. Expires 07101112
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Employer �1miUionperoccurrencefmrbodi|yinjuryordisease� Expires -------
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Business Auto Liability: $1 million per occurrence for bodily injury,personal injury and property damage. Exp/ns 07101112
Also,the agency/organization shall be responsible for WORKERS'COMPENSATION coverage for students during partnership
with this program.Failure to do so will render the agency/organization ineligible to participate in CBPA's Internship Program.
OR Our organization has a standing agreement with CSUSB;approved by Kathy Hansen-Risk Mgmt Officer. exp/ms
Request arrangements to be attempted with the university as our non-profit agency/organization is not able to provide
On the above insurance requirements,excluding Workers'Compensation. [SLSBsRisk Management will contact you.
LIABILITY: Both Student and Agency/Organization shall hold harmless, indemnify, and defend' the State of California, the Trustees of the
California State University,the California State University San Bernardino and the officers, employees, students, volunteers, and agents of
each of them from and against any and all liability, loss, damage' expense, coots (including, with limitation, costs and fees of litigation) of
every nature and causes ofaction arising out nfor in connection with the sole negligent acts oromissions orwillful misconduct of
a§ency/organiratinm'orits officers,employers,agents and volunteers in connection with the performance of this agreement.
If you understand and agree to the above, please do the following so we can assist you:
1. Attached iso sample internship flyer to use. Replace the information with yours and return bye-mail asa Word attachment
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co n�i�xv� az . Once received,our office will make the appropriate announcements.
2. Fill out the Business/Organization Sign-Up Form below and return it with your completed Interriship Flyer by email to Angie Webb.
3. Once you start receiving student resumes and cover letters,you can schedule interviews with the applicants. After selecting a
candidate, please e'mai| withthe �
4� Have your intern contact: to register for an internship course, and (b)the C]BPA
Internship Office too. The intern will provide you any necessary supervisor forms once he/she is registered in the course.
gus}ueas/Ur0an|xatimmNanme,= City myRedlands Date:* 11/15/11
Address: 35 City,State,ZIP: Redlands,C4 92373
Type ofBusiness: Municipality
Contact Name: Janice McConnell Title:* Executive Assistant the City Manager
Phone: * �
Signature: ^ Website: mwmw.c[ b
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Thank You! *Required for renewals only
Angie S. Webb Rev.3-2011
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