HomeMy WebLinkAbout20113049.tiff MEMORANDUM
18 6 1 - 2 0 1 1 DATE: November 22, 2011
TO: Barbara Kirkmeyer, Chair, Weld County Board of C9cimis $ ners
WEL coI NTY
II
FROM:I--- Judy A. Griego, Director, Human Servic Depart ��
ent
RE: Agreements for Professional Services between the Weld
County Department of Human Services and Various Providers
for Placement on the Consent Agenda
Enclosed for Board approval are Agreements for Professional Services between the Department
and Various Providers. These Agreements were reviewed under the Board's Pass-Around
Memorandum dated November 17, 2011, and approved for placement on the Board's Consent
Agenda.
Below are the major provisions for the attached Agreements:
No. Contractor/Term Service/Funding Rates
1 Larry Matthews, M.D. Medical Consultation $75.00 per Hour
Services Max. of$5,600.00
January 1, 2012 — December 31, 2012
2 Theron Sills, M.D. Psychiatric $75.00 per Hour
Consultation Services Max. of$3,600.00
January 1, 2012 —December 31, 2012
If you have any questions, give me a call at extension 6510.
2011-3049
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PY-11-12-PSA-0006
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AGREEMENT is made by and between the Board of Weld County
Commissioners, on behalf of the Weld County Department of Human Services, whose address is
315 N. 11`h Avenue, Greeley, Colorado, 80631 ("Human Services"), and Larry Matthews, M.D.
whose address is 5489 South Morning Glory Lane, Littleton, CO 80123-2944, ("Contractor").
WHEREAS, Human Services desires to retain Contractor as an independent contractor
to perform services as more particularly set forth below; and
WHEREAS, Contractor has the time available to timely perform the services, and is
willing to perform the services according to the terms of this Agreement.
NOW THEREFORE, in consideration of the mutual promises and covenants contained
herein, the parties hereto agree as follows:
1. Engagement of Contractor. Human Services hereby retains Contractor, and Contractor
hereby accepts engagement by Human Services upon the terms and conditions set forth in this
Agreement.
2. Term. The term of this Agreement shall be from January 1, 2012, through and until
December 31, 2012.
3. Services to be Performed. Contractor agrees to perform the Services listed or referred to in
Exhibit A, attached hereto and incorporated herein.
4. Compensation. Human Services agrees to pay Contractor for services performed as set forth
on Exhibit B a maximum rate of$5,600.00 per year, which includes an hourly rate of$75.00 per
hour. Charges shall be based on the time actually spent performing the services, but shall
exclude travel time. Mileage may be charged and reimbursed according to Weld County mileage
rates. Contractor shall not be paid any other expenses unless set forth in this Agreement.
Payment to Contractor will be made only upon presentation of a proper claim by Contractor,
itemizing services performed and mileage expense incurred. Payment for services and all related
expenses under this Agreement shall not exceed $5,600.00.
5. Additional Work. In the event Human Services shall require changes in the scope,
character, or complexity of the work to be performed, and said changes cause an increase or
decrease in the time required or the costs to the Contractor for performance, an equitable
adjustment in fees and completion time shall be negotiated between the parties and this
Agreement shall be modified accordingly by a supplemental Agreement. Any claims by the
Contractor for adjustment hereunder must be made in writing prior to performance of any work
covered in the anticipated supplemental Agreement. Any change in work made without such
prior supplemental Agreement shall be deemed covered in the compensation and time provisions
of this Agreement.
1
PY-l 1-12-PSA-0006
6. Independent Contractor. Contractor agrees that Contractor is an independent contractor
and that neither Contractor nor Contractor's agents or employees are, or shall be deemed to be,
agents or employees of Human Services for any purpose. Contractor shall have no authorization,
express or implied,to bind Human Services to any agreement, liability, or understanding. The
parties agree that Contractor will not become an employee of Human Services, nor is Contractor
entitled to any employee benefits from Human Services as a result of the execution of this
Agreement.
7. Warranty. Contractor warrants that services performed under this Agreement will be
performed in a manner consistent with the professional standards governing such services and
the provisions of this Agreement.
8. Reports Human Services Property. All reports, test results and all other tangible materials
produced in connection with the performance of this Agreement, whether or not such materials
are in completed form, shall at all times be considered the property of Human Services.
Contractor shall not make use of such material for purposes other than in connection with this
Agreement without prior written approval of Human Services.
9. Acceptance of Product not Waiver. Upon completion of the work, Contractor shall submit
to Human Services originals of all test results, reports, etc., generated during completion of this
work. Acceptance by Human Services of reports and incidental material furnished under this
Agreement shall not in any way relieve Contractor of responsibility for the quality and accuracy
of the work. Acceptance by Human Services of, or payment for, any services performed under
this Agreement shall not be construed as a waiver of any of Human Services' rights under this
Agreement or under the law generally.
10. Insurance and Indemnification. Contractor shall defend and indemnify Human Services,
its officers and agents, from and against loss or liability arising from Contractor's acts, errors or
omissions in seeking to perform its obligations under this Agreement. Contractor shall provide
necessary workers' compensation insurance at Contractor's own cost and expense.
11. Termination. Either party may terminate this Agreement at any time by providing the other
party with a 10 day written notice thereof Furthermore, this Agreement may be terminated at
any time without notice upon a material breach of the terms of the Agreement. In the event of an
early termination, Contractor shall be paid for work performed up to the time of notice and
Human Services shall be entitled the use of all material generated pursuant to this Agreement.
12. Non-Assignment. Contractor may not assign or transfer this Agreement, any interest
therein or claim thereunder, without the prior written approval of Human Services.
13. Access to Records. Human Services shall have access to Contractor's financial records as
they relate to this Agreement for purposes of audit. Such records shall be complete and available
for audit 90 days after final payment hereunder and shall be retained and available for audit
purposes for at least five years after final payment hereunder.
14. Time of Essence. Time is of the essence in each and all of the provisions of this
Agreement.
2
PY-11-12-PSA-0006
15. Interruptions.Neither party to this Agreement shall be liable to the other for delays in
delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where
such failure is due to any cause beyond its reasonable control, including but not limited to Acts
of God, fires, strikes, war, flood, earthquakes or Governmental actions.
16. Notices. Any notice required to be given under this Agreement shall be in writing and shall
be mailed or delivered to the other party at that party's address as stated above.
17. Compliance. This Agreement and the provision of services hereunder shall be subject to the
laws of Colorado and be in accordance with the policies, procedures, and practices of Human
Services.
18. Non-Exclusive Agreement. This Agreement is nonexclusive and Human Services may
engage or use other contractors or persons to perform services of the same or similar nature.
19. Certification. Contractor certifies that Contractor is not an illegal immigrant, and further,
Contractor represents, warrants, and agrees that it has verified that Contractor does not employ
any illegal aliens. If it is discovered that Contractor is an illegal immigrant, employs illegal
aliens or subcontracts with illegal aliens, Human Services can terminate this Agreement and
Contractor may be held liable for damages.
20. Entire Agreement/Modifications. This Agreement contains the entire agreement between
the parties with respect to the subject matter contained in this Agreement. This instrument
supersedes all prior negotiation, representation, and understanding or agreements with respect to
the subject matter contained in this Agreement. This Agreement may be changed or
supplemented only by a written instrument signed by both parties.
21. Funding Contingency. No portion of this Agreement shall be deemed to create an
obligation on the part of Human Services to expend funds not otherwise appropriated or
budgeted for.
22. No Conflict. No employee of Contractor nor any member of Contractor's family shall serve
on a Human Services Board, committee or hold any such position which either by rule, practice
or action nominates, recommends, supervises Contractor's operations, or authorizes funding to
Contractor.
23. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal,
or unenforceable, this Agreement shall be construed and enforced without such provision, to the
extent that this Agreement is then capable of execution within the original intent of the parties.
24. Governmental Immunity. No portion of this Agreement shall be deemed to constitute a
waiver of any immunities the parties or their officers or employees may possess.
25. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of
the terms and conditions of this Agreement, and all rights of action relating to such enforcement,
shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or
allow any claim or right of action whatsoever by any other person not included in this
Agreement. It is the express intention of the undersigned parties that any entity other than the
undersigned parties receiving services or benefits under this Agreement shall be an incidental
beneficiary only.
3
PY-11-12-PSA-0006
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date and year
written below.
Contractor's Signature:
Date
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:
Bye, S ' 7ctij h� E
!hair Barbara Kirkmeyter I/s��w"�?/ "
Weld County Clerk to the :oar. 'S
�61 ry0 412
�
NOV 2 8 2011 By: �! IA !a! i4
Deputy CI:-'�to the Board o ---.ce
-�,
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
J A. Grie o, Dire r
4
Da//- 3e'4'9
PY-11-12-PSA-0006
EXHIBIT A
SCOPE OF SERVICES
1. Scope of Services
Human Services administer a Child Protection Team which is an advisory multi-disciplinary team which
was formed to advise Human Services on specific child protection cases. The Contractor's participation on
the Child Protection Team partially fulfills Human Services' statutory responsibility of providing a multi-
disciplinary Child Protection Team.
The Contractor agrees to provide medical consultation and interpretation related to the cases staffed in the
Child Protection Team in accordance to the policies and procedures provided by Human Services.
The Contractor shall:
a. Attend a maximum of two Child Protection meetings per month, providing medical consultation
on three to four cases per meeting. Each meeting is two hours in duration. The meeting time,
location, and dates will be determined by Human Services. Human Services will assess monthly
the number of meetings to be attended by the Contractor. Human Services will notify the
Contractor of such schedule.
b. Provide consultation on crisis situations where a session is needed to meet the special needs of an
abused or neglected child.
2. Confidentiality
The Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any
identifying information in those reports are strictly confidential.
3. Eligible Client Cases
Human Services shall be responsible for selecting cases to be reviewed and staffed by the Contractor.
5
PY-11-12-PSA-0006
EXHIBIT B
PAYMENT SCHEDULE
I. Funding and Method of Payment
Human Services agrees to reimburse to the Contractor, in consideration for the work and services
performed, a total amount not to exceed Five Thousand Six Hundred Dollars($5,600.00).
Expenses incurred by the Contractor, in association with said project prior to the term of this Agreement,
are not eligible Human Services expenditures and shall not be reimbursed by Human Services.
Payment pursuant to this Contract, if Weld County funds, whether in whole or in part, is subject to and
contingent upon the continuing availability of Weld County funds for the purposes hereof. In the event that
said funds, or any part thereof, become unavailable as determined by Human Services, Human Services
may immediately terminate this Contract or amend it accordingly.
2. Fees for Services
a. Human Services agrees to pay the Contractor at the rate of$75 per hour.
b. Human Services agrees to reimburse the Contractor for mileage to and from Weld County
Department of Human Services at two cents per mile below the standard mileage rate allowed,
pursuant to 26,U.S.C. 162 of the IRS regulations as amended.
3. Submittal of Vouchers
Human Services agrees to:
a. Itemize monthly, all case record information regarding services authorized and received for
service recipients according to its prescribed voucher form.
b. Provide monthly the completed voucher to the Contractor for his/her review and certification.
The Contractor shall:
a. Review monthly the itemized voucher and certify that the services authorized were provided on
the date indicated and the charges made were pursuant to the terms and conditions of Exhibit A.
b. Return the signed prescribed voucher form to Human Services for payment.
6
PY-11-12-PSA-0007
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AGREEMENT is made by and between the Board of Weld County
Commissioners, on behalf of the Weld County Department of Human Services, whose address is
315 N. 11`h Avenue, Greeley, Colorado, 80631 ("Human Services"), and Theron Sills, M.D.,
whose address is 900 14th Street, Greeley, CO 80631 ("Contractor").
WHEREAS, Human Services desires to retain Contractor as an independent contractor
to perform services as more particularly set forth below; and
WHEREAS, Contractor has the time available to timely perform the services, and is
willing to perform the services according to the terms of this Agreement.
NOW THEREFORE, in consideration of the mutual promises and covenants contained
herein, the parties hereto agree as follows:
1. Engagement of Contractor. Human Services hereby retains Contractor, and Contractor
hereby accepts engagement by Human Services upon the terms and conditions set forth in this
Agreement.
2. Term. The term of this Agreement shall be from January 1, 2012, through and until
December 31, 2012.
3. Services to be Performed. Contractor agrees to perform the Services listed or referred to in
Exhibit A, attached hereto and incorporated herein.
4. Compensation. Human Services agrees to pay Contractor for services performed as set forth
on Exhibit B a maximum rate of$3,600 per year, which includes an hourly rate of$75.00.
Charges shall be based on the time actually spent performing the services, but shall exclude
travel time. Contractor shall not be paid any other expenses unless set forth in this Agreement.
Payment to Contractor will be made only upon presentation of a proper claim by Contractor,
itemizing services performed and mileage expense incurred. Payment for services and all related
expenses under this Agreement shall not exceed$3,600.
5. Additional Work. In the event Human Services shall require changes in the scope,
character, or complexity of the work to be performed, and said changes cause an increase or
decrease in the time required or the costs to the Contractor for performance, an equitable
adjustment in fees and completion time shall be negotiated between the parties and this
Agreement shall be modified accordingly by a supplemental Agreement. Any claims by the
Contractor for adjustment hereunder must be made in writing prior to performance of any work
covered in the anticipated supplemental Agreement. Any change in work made without such
prior supplemental Agreement shall be deemed covered in the compensation and time provisions
of this Agreement.
6. Independent Contractor. Contractor agrees that Contractor is an independent contractor
and that neither Contractor nor Contractor's agents or employees are, or shall be deemed to be,
agents or employees of Human Services for any purpose. Contractor shall have no authorization,
express or implied, to bind Human Services to any agreement, liability, or understanding. The
parties agree that Contractor will not become an employee of Human Services, nor is Contractor
entitled to any employee benefits from Human Services as a result of the execution of this
Agreement.
1
PY-11-12-PSA-0007
7. Warranty. Contractor warrants that services performed under this Agreement will be
performed in a manner consistent with the professional standards governing such services and
the provisions of this Agreement.
8. Reports Human Services Property. All reports, test results and all other tangible materials
produced in connection with the performance of this Agreement, whether or not such materials
are in completed form, shall at all times be considered the property of Human Services.
Contractor shall not make use of such material for purposes other than in connection with this
Agreement without prior written approval of Human Services.
9. Acceptance of Product not Waiver. Upon completion of the work, Contractor shall submit
to Human Services originals of all test results, reports, etc., generated during completion of this
work. Acceptance by Human Services of reports and incidental material furnished under this
Agreement shall not in any way relieve Contractor of responsibility for the quality and accuracy
of the work. Acceptance by Human Services of, or payment for, any services performed under
this Agreement shall not be construed as a waiver of any of Human Services' rights under this
Agreement or under the law generally.
10. Insurance and Indemnification. Contractor shall defend and indemnify Human Services,
its officers and agents, from and against loss or liability arising from Contractor's acts, errors or
omissions in seeking to perform its obligations under this Agreement. Contractor shall provide
necessary workers' compensation insurance at Contractor's own cost and expense.
11. Termination. Either party may terminate this Agreement at any time by providing the other
party with a 10 day written notice thereof. Furthermore, this Agreement may be terminated at
any time without notice upon a material breach of the terms of the Agreement. In the event of an
early termination, Contractor shall be paid for work performed up to the time of notice and
Human Services shall be entitled the use of all material generated pursuant to this Agreement.
12. Non-Assignment. Contractor may not assign or transfer this Agreement, any interest
therein or claim thereunder, without the prior written approval of Human Services.
13. Access to Records. Human Services shall have access to Contractor's financial records as
they relate to this Agreement for purposes of audit. Such records shall be complete and available
for audit 90 days after final payment hereunder and shall be retained and available for audit
purposes for at least five years after final payment hereunder.
14. Time of Essence. Time is of the essence in each and all of the provisions of this
Agreement.
15. Interruptions. Neither party to this Agreement shall be liable to the other for delays in
delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where
such failure is due to any cause beyond its reasonable control, including but not limited to Acts
of God, fires, strikes, war, flood, earthquakes or Governmental actions.
16. Notices. Any notice required to be given under this Agreement shall be in writing and shall
be mailed or delivered to the other party at that party's address as stated above.
17. Compliance. This Agreement and the provision of services hereunder shall be subject to the
laws of Colorado and be in accordance with the policies, procedures, and practices of Human
Services.
18. Non-Exclusive Agreement. This Agreement is nonexclusive and Human Services may
engage or use other contractors or persons to perform services of the same or similar nature.
2
PY-11-12-PSA-0007
19. Certification. Contractor certifies that Contractor is not an illegal immigrant, and further,
Contractor represents, warrants, and agrees that it has verified that Contractor does not employ
any illegal aliens. If it is discovered that Contractor is an illegal immigrant, employs illegal
aliens or subcontracts with illegal aliens, Human Services can terminate this Agreement and
Contractor may be held liable for damages.
20. Entire Agreement/Modifications. This Agreement contains the entire agreement between
the parties with respect to the subject matter contained in this Agreement. This instrument
supersedes all prior negotiation, representation, and understanding or agreements with respect to
the subject matter contained in this Agreement. This Agreement may be changed or
supplemented only by a written instrument signed by both parties.
21. Funding Contingency. No portion of this Agreement shall be deemed to create an
obligation on the part of Human Services to expend funds not otherwise appropriated or
budgeted for.
22. No Conflict. No employee of Contractor nor any member of Contractor's family shall serve
on a Human Services Board, committee or hold any such position which either by rule, practice
or action nominates, recommends, supervises Contractor's operations, or authorizes funding to
Contractor.
23. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal,
or unenforceable, this Agreement shall be construed and enforced without such provision, to the
extent that this Agreement is then capable of execution within the original intent of the parties.
24. Governmental Immunity. No portion of this Agreement shall be deemed to constitute a
waiver of any immunities the parties or their officers or employees may possess.
25. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of
the terms and conditions of this Agreement, and all rights of action relating to such enforcement,
shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or
allow any claim or right of action whatsoever by any other person not included in this
Agreement. It is the express intention of the undersigned parties that any entity other than the
undersigned parties receiving services or benefits under this Agreement shall be an incidental
beneficiary only.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date and year
written below.
Contractor's Signature:
�a-4. 0
//W/
Date
3
PY-11-12-PSA-0007
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:
Clerk to the Board �' ��� t ^ ��
/ / �!?� ° ` Barbara Kirkmeyer, Chair
BY: ,i
Deputy Clerk to the Boa d ra+
1861 E,. . _.„ in
acre A
WELD COUNTY DEPARTMEN
OF HUMAN SERVICES
By:
J y A. Grieg , Directo
4
PY-11-12-PSA-0007
EXHIBIT A
SCOPE OF SERVICES
1. Scope of Services
Human Services administers a Child Protection Team which is an advisory multi-disciplinary team which
was formed to advise Human Services on specific child protection cases. The Contractor's participation on
the Child Protection Team partially fulfills Human Services' statutory responsibility of providing a multi-
disciplinary Child Protection Team.
The Contractor agrees to provide psychiatric consultation and interpretation of psychiatric dynamics related
to the cases staffed in the Child Protection Team in accordance to the policies and procedures provided by
Human Services.
The Contractor shall:
a. Attend a maximum of two Child Protection meetings per month, providing medical consultation
on three to four cases per meeting. Each meeting is two hours in duration. The meeting time,
location, and dates will be determined by Human Services. Human Services will assess monthly
the number of meetings to be attended by the Contractor. Human Services will notify the
Contractor of such schedule.
b. Provide consultation on crisis situations where a session is needed to meet the special needs of an
abused or neglected child.
2. Confidentiality
The Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any
identifying information in those reports are strictly confidential.
3. Eligible Client Cases
Human Services shall be responsible for selecting cases to be reviewed and staffed by the Contractor.
5
PY-11-12-PSA-0007
EXHIBIT B
PAYMENT SCHEDULE
1. Funding and Method of Payment
Human Services agrees to reimburse to the Contractor, in consideration for the work and services
performed, a total amount not to exceed Three Thousand Six Hundred Dollars($3,600.00).
Expenses incurred by the Contractor, in association with said project prior to the term of this Agreement,
are not eligible Human Services expenditures and shall not be reimbursed by Human Services.
Payment pursuant to this Contract, if Weld County funds, whether in whole or in part, is subject to and
contingent upon the continuing availability of Weld County funds for the purposes hereof. In the event that
said funds, or any part thereof, become unavailable as determined by Human Services, Human Services
may immediately terminate this Contract or amend it accordingly.
2. Fees for Services
Human Services agrees to pay the Contractor at the rate of$75.00 per hour.
3. Submittal of Vouchers
Human Services agrees to:
a. Itemize monthly, all case record information regarding services authorized and received for
service recipients according to its prescribed voucher form.
b. Provide monthly the completed voucher to the Contractor for his/her review and certification.
The Contractor shall:
a. Review monthly the itemized voucher and certify that the services authorized were provided on
the date indicated and the charges made were pursuant to the terms and conditions of Exhibit A.
b. Return the signed prescribed voucher form to Human Services for payment.
6
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