Renewal Questionnaire School

Account Name:

Agency Name:

Indian Hill Exempted Village School District

For the upcoming renewal, please provide:
General
	
Advise status of the outstanding Risk Control Recommendations attached
	See Attached
	
Property
	
Attach an updated and signed Statement of Values (SOV) See Attached
	
Complete attached business income worksheet. None Attached to complete

Updated exposures for General Liability
	
Day care exposure; don't include before & after school programs or preschool (# age 2 and under)
	0
	
Preschool (# students age 3-5)	IHESD partners with Champions
	20
	
K-8 Exposure (# of students) Total enrollment 2033 students all grades
	1363
	
9-12 Exposure (# of students)
	670
	
Trade or Vocational (# students)
		
Swimming Pools (# of pools)
	0
	
Stadiums (Receipts)
		
Number of Outdoor Bleachers – standalone; not stadium bleachers (# of sections)
	14
	
Corporal Punishment (# of teachers and administrators)	Administrators 17 teachers 166
	183

Updated exposures for Automobile
	
Provide revisions to the auto schedule for the renewal that have not been addressed by endorsement 6 New BUSES RETIRES SIX OLDER BUSES
	
Attach updated drivers list with name, date of birth and, license # Coming from Transportation
	
If this district hires an independent bus operator to transport its students: Does Not Use
	
Verify School is listed as additional insured on contractor auto policy, obtains Certificate of Insurance (COI), and has contract reviewed by legal counsel (Y/N)
		
Annual cost of hire ($ Cost)
		
Primary auto and umbrella limits carried by contractor

Updated counts for Law Enforcement
	
Has Contract for Security with Indian Hill Rangers Police Department Armed Staff (#)
	20

Unarmed Staff (#)

Y/N
	Renewal Questions

No
	Does the school have plans to allow armed staff or volunteers on campus other than School Resource Officers or Law Enforcement Professionals?
(If yes, please complete: Questionnaire - Armed Staff Policy and Procedure)

No
	Does the school own or operate any drones?
	
	If yes, explain all uses:
		
	If yes, do your activities require an exception with the FAA?

Yes
	Does the school have a concussion management program that implements and documents compliance with state concussion law and any athletic governing body?

No
	Are there any buildings that are currently or have plans to be vacated or unoccupied (<50% occupancy)?
	
	If yes, please advise location:

If yes, please advise current protective measures:

If yes, please advise timeframe and plan to repurpose, dispose or demolish:

No
	Are there any 15 Passenger Vans used to transport students?

No
	Are any school vehicles used for Drivers Education?
	
	If yes, please advise vehicle(s) are used:

Yes
	Does the school have any current or future unique school programs or clubs. (i.e. Sports camps, gun clubs, climbing walls, boating, challenge courses, etc.)
	
	If yes, please describe:
	SPORT CAMPS DURING THE SUMMER SOCCER VOLLYBALL

No
	Does the school have any vocational programs that produce products or provide services to the public (i.e. build homes, operate farm equipment, auto mechanical / body repairs, etc.)?
	
	If yes, please describe:

Yes
	Does the school have any current or future special events. (i.e. Carnivals with rides or inflatables, fireworks, bonfires, circuses, donkey basketball, car shows, or any unusual fund raising events)

If yes, please describe:
	After Prom Party, PTO Annual Fundraising Spring Fling, Village 4th of July fireworks, Antique Fair

Please provide the date that the following were updated

Building Name / Address
	
Electrical
	
Plumbing
	
HVAC
	
Roof
	
ALLOCATED IN THE FACIALITES UPKEEP AND REPAIR AND MAINTENANCE FUND 20019 $3.5 MILLION