A-31278 BOARD OF EDUCATION CONTRACT/AMENDMENT/GRANT SUMMARYkippnashville.org/wp-content/uploads/2015/08/KIPP-Nashville... · BOARD OF EDUCATION CONTRACT/AMENDMENT/GRANT SUMMARY ...

Revised 2/19/2014

BOARD OF EDUCATION

CONTRACT/AMENDMENT/GRANT SUMMARY FROM: METROPOLITAN BOARD TO: Richard M. Riebeling, Director

OF PUBLIC EDUCATION Metropolitan Department of Finance

Contract/Grant Number: 2-474614-03 Contractor: KIPP Nashville

Start Date: August 1, 2014 End Date: June 30, 2024 Address: 3410 Knight Road, Nashville Tn 37207

PURPOSE OF CONTRACT: Charter school agreement for grades 5-8

DOES THIS CONTRACT/AMENDMENT REQUIRE FUNDS AUTHORIZATION BY THE MBPE?

YES Board Approval Date: 7-9-13

IS THIS CONTRACT WITH A FEDERAL, STATE, OR PUBLIC AGENCY: INTERGOVERNMENTAL

CONTRACT?

NO

IS THIS A REVENUE CONTRACT (BOARD OF EDUCATION WILL RECEIVE FUNDS)?

NO

GRANT SUMMARY (IF APPLICABLE)

Grant Name: ___________________________

Amount expected to receive: $________

Business unit to which it will be deposited: ________________

Are matching funds required? YES/NO

If yes, amount of obligation: $________

If yes, specify fund that is being obligated: ______________

IF CONTRACT: Amount obligated for current fiscal year: $ depends on enrollment

IF AMENDMENT: Additional funding obligated: $ ___________

Account number: ________________________ Fund number: __________

MNPS Contact: Carol Swan Contract Agent: Brad Wyatt

Phone Number: 259-8598 Phone Number: 259-8543

DocuSign Envelope ID: 786C82DD-99F2-4532-9796-E4E42DAD1245

3513580701503.502309

A-31278

https://trust.docusign.com


















N/A

80701503.502309 Fund35135

Leadership and Learning

5/8/2014















Certificate of CompletionEnvelope Number: 786C82DD99F245329796E4E42DAD1245 Status: Completed

Subject: Kipp Nashville 2-474614-03 (Grades 5-8)

Source Envelope:

Document Pages: 19 Signatures: 8 Envelope Originator:

Certificate Pages: 6 Initials: 6 Brad Wyatt

AutoNav: Enabled

EnvelopeId Stamping: Enabled

2601 Bransford Ave

Nashville, TN 37204

[email protected]

IP Address: 96.4.9.1

Record TrackingStatus: Original

4/30/2014 8:28:01 AM CT

Holder: Brad Wyatt

[email protected]

Location: DocuSign

Signer Events Signature TimestampGary Appenfelder

[email protected]

Director of Purchasing

Metro Nashville Public Schools

Security Level: Email, Account Authentication (None)

Using IP Address: 96.4.9.1

Sent: 4/30/2014 8:44:37 AM CT

Viewed: 4/30/2014 10:16:44 AM CT

Signed: 4/30/2014 10:25:09 AM CT

Electronic Record and Signature Disclosure: Not Offered ID:

Glenda Gregory

[email protected]



Sent: 4/30/2014 10:25:12 AM CT

Viewed: 4/30/2014 10:26:11 AM CT

Signed: 4/30/2014 10:28:15 AM CT

Electronic Record and Signature Disclosure: Accepted: 10/3/2013 10:38:22 AM CT ID: 7aab87f9-6f08-4aa4-9d95-b16b2beb02a7

Carol Swann

[email protected]



Sent: 4/30/2014 10:28:17 AM CT

Viewed: 5/1/2014 11:02:41 AM CT

Signed: 5/1/2014 11:02:52 AM CT

Electronic Record and Signature Disclosure: Accepted: 10/6/2013 8:03:14 PM CT ID: 1b96d20b-cd88-41af-907f-255f879d34fb

Alan Coverstone

[email protected]



Sent: 5/1/2014 11:02:54 AM CT

Resent: 5/6/2014 12:42:27 PM CT

Viewed: 5/6/2014 2:53:09 PM CT

Signed: 5/6/2014 2:54:41 PM CTElectronic Record and Signature Disclosure: Accepted: 10/25/2013 5:50:07 AM CT ID: 2ce94c6e-942e-470a-b388-82ba8c7eb463

Jay steele

[email protected]



Sent: 5/6/2014 2:54:43 PM CT

Viewed: 5/7/2014 8:08:08 AM CT

Signed: 5/7/2014 8:08:26 AM CT

Electronic Record and Signature Disclosure: Accepted: 5/7/2014 8:08:08 AM CT ID: 9b2a59f0-3e8c-465a-82f8-fe8161f06e7a

Signer Events Signature TimestampChris Henson

[email protected]



Sent: 5/7/2014 8:08:28 AM CT

Viewed: 5/7/2014 8:22:08 AM CT

Signed: 5/7/2014 8:24:27 AM CT

Electronic Record and Signature Disclosure: Accepted: 10/6/2013 8:41:36 PM CT ID: 51a69a5d-a0b4-4155-bc59-1cfd0c183010

Cameo Bobo

[email protected]

Board Secretary




Sent: 5/7/2014 8:24:29 AM CT

Viewed: 5/7/2014 10:46:57 AM CT

Signed: 5/7/2014 10:47:24 AM CT


Jennifer Frederick

[email protected]

Metro - Finance/OMB




Sent: 5/7/2014 10:47:26 AM CT

Viewed: 5/7/2014 10:47:50 AM CT

Signed: 5/7/2014 10:48:02 AM CT

Electronic Record and Signature Disclosure: Accepted: 11/15/2013 10:49:17 AM CT ID: bf5aef1c-5b1c-42b3-a0a4-f042a9f48b03

Talia Lomax-O'dneal

[email protected]

test title

Security Level: Email, Account Authentication (None) Using IP Address: 170.190.198.190

Sent: 5/7/2014 10:48:05 AM CT

Viewed: 5/8/2014 8:29:21 AM CT

Signed: 5/8/2014 8:29:52 AM CT

Electronic Record and Signature Disclosure: Accepted: 5/8/2014 8:29:21 AM CT ID: 32ee16a7-0cbf-4510-853d-c6af3759d89f

Richard M. Riebeling

[email protected]



Sent: 5/8/2014 8:29:55 AM CT

Viewed: 5/8/2014 9:57:20 AM CT

Signed: 5/8/2014 9:57:29 AM CT

Electronic Record and Signature Disclosure: Accepted: 5/8/2014 9:57:20 AM CT ID: 1944a149-6ccf-48df-8300-262c2146dac8

Sally Palmer

[email protected]


Completed


Sent: 5/8/2014 9:57:32 AM CT

Viewed: 5/8/2014 12:06:56 PM CT

Signed: 5/8/2014 12:10:32 PM CT

Electronic Record and Signature Disclosure: Accepted: 5/8/2014 12:06:56 PM CT ID: 77f8cf98-1aff-4c3d-a552-949d332aba13

Balogun Cobb

[email protected]



Sent: 5/8/2014 12:10:36 PM CT

Viewed: 5/8/2014 12:12:54 PM CT

Signed: 5/8/2014 12:18:04 PM CT

Electronic Record and Signature Disclosure: Accepted: 12/16/2013 9:15:56 AM CT ID: f09ba54f-35ed-45e3-b42c-7144f4e60a8d

Signer Events Signature TimestampKathryn Sinback

[email protected]



Sent: 5/8/2014 12:18:08 PM CT

Viewed: 5/8/2014 1:44:51 PM CT

Signed: 5/8/2014 1:45:01 PM CT

Electronic Record and Signature Disclosure: Accepted: 5/8/2014 1:44:51 PM CT ID: c0244c92-3e16-4c79-ad60-8301689e791e

Shannon Hall

[email protected]



Sent: 5/8/2014 1:45:08 PM CT

Viewed: 5/8/2014 1:46:24 PM CT

Signed: 5/8/2014 1:46:56 PM CT

Electronic Record and Signature Disclosure: Accepted: 5/8/2014 1:46:24 PM CT ID: 142f43c3-e247-4a6e-a320-627c10b1dfcf

In Person Signer Events Signature Timestamp

Editor Delivery Events Status Timestamp

Agent Delivery Events Status Timestamp

Intermediary Delivery Events Status Timestamp

Certified Delivery Events Status Timestamp

Carbon Copy Events Status TimestampPeggy Winstead

[email protected]


Sent: 5/7/2014 8:08:28 AM CT

Viewed: 5/7/2014 8:25:42 AM CT


Sally Palmer

[email protected]


Sent: 5/8/2014 1:45:05 PM CT

Electronic Record and Signature Disclosure: Accepted: 5/8/2014 12:06:56 PM CT ID: 77f8cf98-1aff-4c3d-a552-949d332aba13

Notary Events Timestamp

Envelope Summary Events Status TimestampsEnvelope Sent Hashed/Encrypted 5/8/2014 1:45:08 PM CT

Certified Delivered Security Checked 5/8/2014 1:46:24 PM CT

Signing Complete Security Checked 5/8/2014 1:46:56 PM CT

Completed Security Checked 5/8/2014 1:46:56 PM CT

Electronic Record and Signature Disclosure

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If you decide to receive notices and disclosures from us electronically, you may at any timechange your mind and tell us that thereafter you want to receive required notices and disclosuresonly in paper format. How you must inform us of your decision to receive future notices anddisclosure in paper format and withdraw your consent to receive notices and disclosureselectronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow thespeed at which we can complete certain steps in transactions with you and delivering services toyou because we will need first to send the required notices or disclosures to you in paper format,and then wait until we receive back from you your acknowledgment of your receipt of suchpaper notices or disclosures. To indicate to us that you are changing your mind, you mustwithdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of yourDocuSign account. This will indicate to us that you have withdrawn your consent to receiverequired notices and disclosures electronically from us and you will no longer be able to use yourDocuSign Express user account to receive required notices and consents electronically from usor to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provideelectronically to you through your DocuSign user account all required notices, disclosures,authorizations, acknowledgements, and other documents that are required to be provided ormade available to you during the course of our relationship with you. To reduce the chance ofyou inadvertently not receiving any notice or disclosure, we prefer to provide all of the requirednotices and disclosures to you by the same method and to the same address that you have givenus. Thus, you can receive all the disclosures and notices electronically or in paper format throughthe paper mail delivery system. If you do not agree with this process, please let us know asdescribed below. Please also see the paragraph immediately above that describes theconsequences of your electing not to receive delivery of the notices and disclosureselectronically from us.

Electronic Record and Signature Disclosure created on: 9/25/2013 8:23:34 PMParties agreed to: Glenda Gregory, Carol Swann, Alan Coverstone, Jay steele, Chris Henson, Jennifer Frederick, Talia Lomax-O'dneal, Richard M. Riebeling, Sally Palmer, Balogun Cobb, Kathryn Sinback, Shannon Hall, Sally Palmer

How to contact Metro Nashville Public Schools: You may contact us to let us know of your changes as to how we may contact you electronically,to request paper copies of certain information from us, and to withdraw your prior consent toreceive notices and disclosures electronically as follows: To contact us by email send messages to: [email protected] To advise Metro Nashville Public Schools of your new e-mail address

To let us know of a change in your e-mail address where we should send notices and disclosureselectronically to you, you must send an email message to us at [email protected] andin the body of such request you must state: your previous e-mail address, your new e-mailaddress. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflectedin your DocuSign account by following the process for changing e-mail in DocuSign. To request paper copies from Metro Nashville Public Schools To request delivery from us of paper copies of the notices and disclosures previously providedby us to you electronically, you must send us an e-mail to [email protected] and in thebody of such request you must state your e-mail address, full name, US Postal address, andtelephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Metro Nashville Public Schools To inform us that you no longer want to receive future notices and disclosures in electronicformat you may:

i. decline to sign a document from within your DocuSign account, and on the subsequentpage, select the check-box indicating you wish to withdraw your consent, or you may;ii. send us an e-mail to [email protected] and in the body of such request youmust state your e-mail, full name, IS Postal Address, telephone number, and accountnumber. We do not need any other information from you to withdraw consent.. Theconsequences of your withdrawing consent for online documents will be that transactionsmay take a longer time to process..

Required hardware and software

Operating Systems: Windows2000? or WindowsXP?

Browsers (for SENDERS): Internet Explorer 6.0? or above

Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0,NetScape 7.2 (or above)

Email: Access to a valid email account

Screen Resolution: 800 x 600 minimum

Enabled Security Settings: •Allow per session cookies

•Users accessing the internet behind a Proxy

Server must enable HTTP 1.1 settings viaproxy connection

** These minimum requirements are subject to change. If these requirements change, we willprovide you with an email message at the email address we have on file for you at that timeproviding you with the revised hardware and software requirements, at which time you willhave the right to withdraw your consent.

Acknowledging your access and consent to receive materials electronically To confirm to us that you can access this information electronically, which will be similar toother electronic notices and disclosures that we will provide to you, please verify that youwere able to read this electronic disclosure and that you also were able to print on paper orelectronically save this page for your future reference and access or that you were able toe-mail this disclosure and consent to an address where you will be able to print on paper orsave it for your future reference and access. Further, if you consent to receiving notices anddisclosures exclusively in electronic format on the terms and conditions described above,please let us know by clicking the 'I agree' button below. By checking the 'I Agree' box, I confirm that:

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A-31278 BOARD OF EDUCATION CONTRACT/AMENDMENT/GRANT SUMMARYkippnashville.org/wp-content/uploads/2015/08/KIPP-Nashville... · BOARD OF EDUCATION CONTRACT/AMENDMENT/GRANT SUMMARY ...

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