HomeMy WebLinkAbout20110867.tiff RESOLUTION
RE: APPROVE AMENDMENT #1 TO AGREEMENT FOR PROVISION OF INTERNSHIP
EXPERIENCES AND AUTHORIZE CHAIR TO SIGN - UNIVERSITY OF NORTHERN
COLORADO
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Amendment#1 to the Agreement for the
Provision of Internship Experiences between the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Public Health
and Environment, and the University of Northern Colorado, College of Natural and Health Services,
commencing March 1, 2011, with further terms and conditions being as stated in said amendment,
and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado,that Amendment#1 to the Agreement for the Provision of Internship Experiences
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and
the University of Northern Colorado, College of Natural and Health Services, be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 4th day of April, A.D., 2011, nunc pro tunc March 1, 2011.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
NI
ATTEST: 0,1 [ s � /H" ,
rbara Kirkmeyer/Chair
Weld County Clerk to the );(5$;,..? `
r� fSean P. Conwa , Pro-Tem
BY.
�j, /
Deputy Clerk to the /��i"1
7_,T1 F. Garcia
APP D AS RM: C AQ^
David E. Long
torney r9,i rdo� c�cX ecsi4 �%�cr
1 Douglas Rademacher
Date of signature: T/2(0///
c g A \ S-\1/4g-L. e . a 2011-0867
4- - tt y - als-1I HL0038
Memorandum
1861 - 2011
TO: Barbara Kirkmeyer, Chair
Board of County Commissioners
W E L D__-C O U N T } FROM: Mark E. Wallace,MD, MPH,Director
Department of Public Health and
Environment
DATE: March 17,2011
SUBJECT: Amendment to Agreement for Provision
of Internship Experiences for UNC
students
Enclosed for Board review and approval is the Amendment to the Agreement for Provision of
Services between the University of Northern Colorado College of Natural and Health Sciences
and the Weld County Department of Public Health and Environment for provision of a student
internship site for the time period of January 1, 2010—December 31, 2015.
The parties now wish to add an additional term to include a student immunization requirement.
Students must provide the Weld County Department of Public Health and Environment
documentation of immunizations ten (10) days in advance of a student rotation, the student will
provide the agency with documentation of immunization: MMR, hepatitis B series (or a signed
declaration statement), varicella, Tdap (tetanus, diphtheria, and a-pertussis), and current (within
current-year) PPD results (or if a known converter, initial chest x-ray results and annual TB
update documentation thereafter from healthcare provider).
All other terms and conditions of the original Agreement for Provision of Internship Experiences
remain in full force and effect.
I recommend approval of this agreement.
Enclosure
2011-0867
AMENDMENT#1 TO AGREEMENT FOR PROVISION OF INTERNSHIP EXPERIENCES
BETWEEN
THE UNIVERSITY OF NORTHERN COLORADO
COLLEGE OF NATURAL AND HEALTH SCIENCES
AND
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
THIS AMENDMENT #1 to the Agreement for Provision of Internship Experiences is made March 1, 2011, by
and between the State of Colorado acting by and on behalf of the Board of Trustees of the University of
Northern Colorado, an institution of higher education existing under and by virtue of the laws of the State of
Colorado, for the use and benefit of the College of Natural and Health Sciences, Gunter Hall 1000, with a
mailing address of 501 20th Street, Greeley, Colorado 80639, hereinafter referred to as College, and the Weld
County Department of Public Health and Environment, a body politic, 1555 N. 17th Avenue, Greeley, Colorado
80631, hereinafter referred to as Agency.
FACTUAL RECITALS
A. School and Agency are parties to the original Clinical Experience Agreement entered into on January 1, 2010,
in which the Agency provides its site for College interns completing his or her final practicum experience(s) to
graduate.
B. The parties now wish to add an additional term to include a student immunization requirement.
NOW, THEREFORE, the parties hereto agree as follows:
1. An additional Paragraph 4.18 is added: Students must provide the Agency documentation of immunizations
ten (10) days in advance of a student rotation, the student will provide the agency with documentation of
immunization: to wit: MMR, hepatitis B series (or a signed declaration statement), varicella, Tdap (tetanus,
diphtheria, and a-pertussis), and current (within current-year) PPD results (or if a known converter, initial chest
x-ray results and annual TB update documentation thereafter from healthcare provider).
2. All other terms and conditions of the original Agreement for Provision of Internship Experiences remain in full
force and effect and made a part hereof as if fully set forth herein.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment#1 as of the dates set forth below.
COLLEGE: AGENCY:
STATE OF COLORADO WELD COUNTY DEPARTMENT OF
John W. Hickenlooper, Governor PUBLIC HEALTH AND ENVIRONMENT
Acting by and through the Board of Trustees of .0,• e
The University of Northern Colorado By:
College of Natural & He th Sciences Mark E. Wallace, M.D. MPH, Executive Director
4Date. - - 'a.2 —v'
By : 1
Denise A. Battles, Dean
Date: March )� , 2011 BOARD OF COUNTY COMMISSIONERS
FOR THE COUNTY OF WELD
STATE OF COLORADO
Re it
BY
Barbara Kirkm yer, Ch
. .
ATTEST: ‘OC_
� f�lClerk e Bo
B f
Deputy erk to the B
Date APR 0 4 2011
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