HomeMy WebLinkAbout20082213.tiff RESOLUTION
RE: APPROVE NINE ADDENDUMS TO AGREEMENT TO PURCHASE GROUP HOME /
GROUP CENTER CARE SERVICES WITH VARIOUS PROVIDERS AND AUTHORIZE
CHAIR TO SIGN
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 nine Addendums to the Agreement to
Purchase Group Home / Group Center Care Services 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 Social Services, and the providers listed below, commencing July 1, 2008, and
ending June 30, 2009, with further terms and conditions being as stated in said addendums, and
1. A Kidz Hope Homes, Inc.
2. A Kidz Hope Homes, Inc. (Annex)
3. Evergreen Group Center
4. Loving Homes, Inc.
5. Maple Star Colorado
6. Savio House (Wilson)
7. Savio House (J CS Journey for Girls)
8. Savio House (Carr Group Center for Girls)
9. Smith Agency, dba Serenity IX
WHEREAS,after review,the Board deems it advisable to approve said addendums, copies
of which are attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the nine Addendums to the Agreement to Purchase Group Home/Group
Center Care Services 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 Human Services, and
the providers listed above, be, and hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said addendums.
2008-2213
HR0079
CI('. Hs c7gt/t0(c3
NINE ADDENDUMS TO AGREEMENT TO PURCHASE GROUP HOME/GROUP CENTER CARE
SERVICES WITH VARIOUS PROVIDERS
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 18th day of August, A.D., 2008, nunc pro tunc July 1, 2008.
BOARD OF COUNTY COMMISSIONERS
E WELD COUNTY, COLORADO
ATTEST: kmahi '��
4=� William H. Jerke, Chair
Weld County Clerk to t l ' • tiz"
R I EXCUSED
BY: 04� l •_�� Robert D. MasLdert Pro-Tem
De. y CIer7 o the Board' ( 1�
Will' . Garcia
A E AS •
Ac G
David E. Long
County Attorney « . r . •
Douglas Ra emacher
Date of signature: q /q/off
2008-2213
HR0079
r
1
re ,r ,s,,,.. Memorandum
Date: August 18, 2008
III ID
0 To: William H. Jerke, Chair, Board of County Commissioners
COLORADO. From: Judy A. Griego, Director, Human Services Department
a
RE: Purchase of Service Agreeme for t Weld C my
Department of Human Service
Enclosed for Board approval are Purchase of Group Home Services Agreements between the Weld
County Department of Human Services and various providers. The rates for these Agreements
were negotiated with the providers on an individual basis. These Agreements were reviewed at
the August 11, 2008 Work Session Meeting by the Board.
No. Contractor& Type of Service & Daily Rate
Term Funding Source
1. A Kidz Hope Group Home $ 95.00
July 1, 08 through June 30, 09 Child Welfare
2. A Kidz Hope Annex Group Home $ 89.13
July 1, 08 through June 30, 09 Child Welfare
3. Evergreen Group Center Group Home $ 80.00
July 1, 08 through June 30, 09 Child Welfare
4. Loving Homes Group Home $ 71.11
July 1, 08 through June 30, 09 Child Welfare
5. Maple Star Group Home $ 86.00
July 1, 08 through June 30, 09 Child Welfare
Page 1 of 2
2008-2213
No. Contractor& Type of Service & Daily Rate
Term Funding Source
6. House—Wilson Group Home $ 81.24
July 1, 08 through June 30, 09 Child Welfare
7. Savio—J CS Journey For Group Home $106.96
Girls
July 1, 08 through June 30, 09 Child Welfare
8. Savio—Can Group Center Group Home $106.96
For Girls
July 1, 08 through June 30, 09 Child Welfare
9. Serenity IX Group Home $144.23
July 1, 08 through June 30, 09 Child Welfare
If you have any questions on the items above please give me a call at extension 6510.
Filed BM 08 18 08 s-b 02.DOC
Page 2 of 2
..
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between A Kidz Hope Homes Inc. and Weld
County Department of Human Services for the period from
July 1, 2008 through June 30, 2009.
ca
The following provisions, made this i1 day of vc. - , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of t e Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$95.00,per day for children placed within the
Group Home/Group Center identified as Provider ID #1531611. These services will be
for children who have been deemed eligible for social services under the statutes, rules
and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include,but are not limited to: Basic 24-hour care and child
maintenance(food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum
n7,01)— adv3
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended,proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public(federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
circumvent or replace such immunities.
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five (5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s)to the Human Services' Director. The
term "litigation"includes an assignment for the benefit of creditors, and filings in
bankruptcy,reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: g add
Weld County C o the Board
E bi WELD COUNTY BOARD OF
HUMAN SERVICES, ON BEHALF
t`A,�
1811 i OF THE WELD COUNTY
..:fr j ma'
DEPARTMENT OF HUMAN
kJ?' A SERVICES
By: By:
Deputy C1er o the Board Chair Signature AUG 1 8 2908
William H. Jerke
CONTRACTOR
A Kidz Hope Homes Inc.
1401 W Colorado Ave
Colorado Springs, CO 80904
BY: kirvy.tilru 16Forn
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By: st A ( ,
Dctor L
4 Weld County SS-23A Addendum
07/ 9-dam/_"
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between A Kidz Hope Homes Inc. and Weld
County Department of Human Services for the period from
July 1, 2008 through June 30, 2009.
1t
The following provisions, made this /6—day of /tk'pU.5 , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$89.13,per day for children placed within the
Group Home/Group Center identified as Provider ID #1531612. These services will be
for children who have been deemed eligible for social services under the statutes, rules
and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County,prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include,but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum
• 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local)terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
• circumvent or replace such immunities.
v
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five(5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s) to the Human Services' Director. The
term"litigation"includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first 1above written. l�
&h'J u ,t
ATTEST:
Weld C C l&c Q J oard
' `\
IN
.4-:\ WELD COUNTY BOARD OF
HUMAN SERVICES, ON BEHALF
r ,,,:e7�` OF THE WELD COUNTY
DEPARTMENT OF HUMAN
x,.'' ' ' SERVICES
By: ° /� By: 1-2 ie--' i
Deputy Cl to the Board Chair Signature AUG 1 8 2008
William H. Jerke
CONTRACTOR
A Kidz Hope Homes Inc.
1401 W Colorado Ave
Colorado Springs, CO 80904
By: dt . turo.
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By: u
JDirector
4 Weld County SS-23A Addendum
c/06(P-aai_
•
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between Evergreen Group Center and Weld
County Department of Human Services for the period from
July 1, 2008 00 through June 30, 2009.
The following provisions,made this `1`� day of V`r , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of the greement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$80.00,per day for children placed within the
Group Home/Group Center identified as Provider ID#61317. These services will be for
children who have been deemed eligible for social services under the statutes, rules and
regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include,but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum
—aai3
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended,proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local)terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
circumvent or replace such immunities.
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five(5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s) to the Human Services' Director. The
term"litigation" includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
., •,
• IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: £6 %
Weld County Cl , d$eard
WELD COUNTY BOARD OF
,1 \ ' HUMAN SERVICES, ON BEHALF
t� kw / " OF THE WELD COUNTY
+r' ' t ? DEPARTMENT OF HUMAN
is SERVICES
By: 4iut4Z4 &/ By: �-,"—'�G,"�
Deputy the Board Chair Signature AUG 1 8 20
� 08
William H. Jerke
CONTRACTOR
Evergreen Group Center
1436 Hilltop Dr.
Longmont, CO 80501
By.� 4t�L o 11
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By: -
rector
4 Weld County SS-23A Addendum oCCU
d c2 J,
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between Loving Homes, Inc. and Weld County
Department of Human Services for the period from
July 1, 2008 through June 30, 2009.
The following provisions,made this /p d ay of g}'o,c11- , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$71.11,per day for children placed within the
Group Home/Group Center identified as Provider ID #8822. These services will be for
children who have been deemed eligible for social services under the statutes, rules and
regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include,but are not limited to; polygraph tests,plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include,but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training,mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public(federal, state, or local)transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records,making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
circumvent or replace such immunities.
s '
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five(5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s) to the Human Services' Director. The
term"litigation" includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: 4144114444
Weld Co Board
WELD COUNTY BOARD OF
lael
'I HUMAN SERVICES, ON BEHALF
re OF THE WELD COUNTY
,� DEPARTMENT OF HUMAN
\� �� � / SERVICES
By: By:
Deputy Cl to the Board Chair Signature AUG 1 8 2008
William H. Jerke
CONTRACTOR
Loving Homes, Inc.
125 S Union Ave
Pueblo CO 81003-345
By: k� '1I gill
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By: J
�Dit�ctor qtaer
I \�
4 Weld County SS-23A Addendum
0;240(P—WmG— &cJ
• ' - WELD COUNTY ADDENDUM
s `
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between Maple Star Colorado and Weld County
Department of Human Services for the period from
July 1, 2008 through June 30, 2009.
The following provisions, made this i p
o day of , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of tement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$86.00,per day for children placed within the
Group Home/Group Center identified as Provider ID #13416. These services will be for
children who have been deemed eligible for social services under the statutes, rules and
regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include,but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
] Weld County SS-23A Addendum
7 ^ 9
J
. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section W. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local)terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
circumvent or replace such immunities.
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five (5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s) to the Human Services' Director. The
term "litigation"includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
MM4
ATTEST:
Weld Cou #, hard
WELD COUNTY BOARD OF
1861f-`$ HUMAN SERVICES, ON BEHALF
OF THE WELD COUNTY
17141 DEPARTMENT OF HUMAN
.." ' SERVICES
By: By: el.—.C
Deputy Cl to the Board Chair Signature AUG 1 8 2008
William H. Jerke
CONTRACTOR
Maple Star Colorado
2785 Speer Blvd, Suite 340
Denver, CO 80211
h
By:' 1.07l
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
Di ector
4 Weld County SS-23A Addendum&,ees)-a,Q/
WELD COUNTY ADDENDUM a44115-1‘)
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between Savio House and Weld County
Department of Human Services for the period from
July 1, 2008 through June 30,2009.
The following provisions, made this /f day of , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of a Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$81.24,per day for children placed within the
Group Home/Group Center identified as Provider ID#5628. These services will be for
children who have been deemed eligible for social services under the statutes, rules and
regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include,but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include,but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum
of Cco?
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records,making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph(B) above.
D. Have not within a three-year period preceding this Agreement,had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
circumvent or replace such immunities.
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five (5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s) to the Human Services' Director. The
term "litigation" includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: Liaa
Weld County CI e Board
Al
E f�
WELD COUNTY BOARD OF
r.: HUMAN SERVICES, ON BEHALF
s . J OF THE WELD COUNTY
d Viii;t `` DEPARTMENT OF HUMAN
1, TT A, SERVICES
ter, I
By: By: '4w
Deputy Cler o the oard Chair Signature AUG 1 8 20U.
William H. Jerke
CONTRACTOR
Savio House
325 King Street
Denver,/�%v/��COO 80219
/
By: 1711" (' '
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES Or
By: ".," k9
D ector
4 Weld County SS-23A Addendum 3) !f9
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between Savio House and Weld County
Department of Human Services for the period from
July 1, 2008 through June 30, 2009.
The following provisions, made this -day of,4!( !!S$ , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of(he Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$106.96,per day for children placed within the
Group Home/Group Center identified as Provider ID #1548844. These services will be
for children who have been deemed eligible for social services under the statutes, rules
and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be fumished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum
&cQ/3
• 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
/ County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement,the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public(federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local)terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
• circumvent or replace such immunities.
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor,or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five(5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s)to the Human Services' Director. The
team"litigation" includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
• IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: aG��s
Weld Coq•� e Board
:,
WELD COUNTY BOARD OF
<I( "'r - p HUMAN SERVICES, ON BEHALF
`" OF THE WELD COUNTY
i \ FC ' DEPARTMENT OF HUMAN
• l;; • `- SERVICES
ip
e.-
By: j �.1i4f4 1 By: -1--C-14—/-2...-,
Deputy Cl to the Board Chair Signature AUG 1 8 2008
William H. Jerke
CONTRACTOR
Savio House
325 King Street
Denver, CO 80219
/
BY:�. �G%�/12 Y
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
' ector
4 Weld County SS-23A Addendum
.p
WELD COUNTY ADDENDUM
t , ,.
1
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between Savio House and Weld County
Department of Human Services for the period from
July 1, 2008 through June 30, 2009.
The following provisions, made this day of Aq#5 f , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$106.96, per day for children placed within the
Group Home/Group Center identified as Provider ID #1548445. These services will be
for children who have been deemed eligible for social services under the statutes, rules
and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph(B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
circumvent or replace such immunities.
.4
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five (5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s) to the Human Services' Director. The
term "litigation" includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
a .
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.) �� et
ATTEST: '"" s 4r
Weld County , and
WELD COUNTY BOARD OF
I % �,' _ HUMAN SERVICES, ON BEHALF
H\ L / /4 OF THE WELD COUNTY
r ?„,/k DEPARTMENT OF HUMAN
i .
SERVICES
By: By: n--1_rj.
Deputy C k to the Board Chair Signature AUG 1 8 2008
William H. Jerke
CONTRACTOR
Savio House
325 King Street
Denver, CO 80219
By:/.L�/fXh Y
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
Di ctor
K.
4 Weld County SS-23A Addendum
fig- a,Q/3
r WELD COUNTY ADDENDUM
r
To that certain Agreement to Purchase Group Home/Group Center Care
Services (the "Agreement") between Smith Agency DBA Serenity IX and
Weld County Department of Human Services for the period from
July 1, 2008 through June 30, 2009.
The following provisions, made this %0 day of4yq j' / , 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$144.23,per day for children placed within the
Group Home/Group Center identified as Provider ID#1540493. These services will be
for children who have been deemed eligible for social services under the statutes, rules
and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
5. Add Paragraph 8 to Section I. The services purchased under this Agreement for Group
Home/Center services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, mentor/advocate, and supervised visitation.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
1 Weld County SS-23A Addendum {Jj
c9a2dd a/-cR
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery,bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local)terminated for cause or default.
12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Human Services Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. 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 or their
assignees, and nothing contained 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 or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
2 Weld County SS-23A Addendum
'. circumvent or replace such immunities.
r
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event that the Contractor learns of any actual litigation in which it is a party
defendant in a case, which involves services provided under the agreement. The
Contractor, within five (5) calendar days after being served with a summons, complaint,
or other pleading which has been filed in any federal or state court or administrative
agency, shall deliver copies of such document(s) to the Human Services' Director. The
term "litigation" includes an assignment for the benefit of creditors, and filings in
bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
s ..
I +
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: f"____
al
Weld County Cl to e , atd.
1861 O4 \)' - WELD COUNTY BOARD OF
O 3+ ' HUMAN SERVICES, ON BEHALF
T� OF THE WELD COUNTY
A (717' DEPARTMENT OF HUMAN
SERVICES
By: il114., By: #61- ;7?---z-ty
Deputy Cl k to the Board Chair Signature AUG 1 8 7008
William H. Jerke
CONTRACTOR
Smith Agency DBA Serenity IX
7169 S Liverpool St
Centennial, CO 80016
By:c
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By: ithYlirector
^3 �(I I
J
4 Weld County SS-23A Addendum
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