HomeMy WebLinkAbout20071947.tiff RESOLUTION
RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES AND AUTHORIZE
CHAIR TO SIGN - ISLAND GROVE REGIONAL TREATMENT CENTER
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 a Child Protection Agreement for 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 Island Grove
Regional Treatment Center, commencing June 1, 2007, and ending May 31, 2008, with further
terms and conditions being as stated in said agreement, and
WHEREAS,after review,the Board deems it advisable to approve said agreement, 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, ex-officio Board of Social Services, that the Child Protection Agreement for
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 Island Grove
Regional Treatment Center be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said agreement.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
the following vote on the 11th day of July, A.D., 2007, nunc pro tunc June 1, 2007.
BOARD OF COUNTY COMMISSIONERS
COUNTY, COLORADO
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ATTEST:
ATTEST: ' i RAOCC: 0(-
d E. Long, Chair
Weld County Clerk to the Bo
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BY: cut l t t ,'illiem J k Tem
De ty Cl k to the B rd
Willi F Garcia
APPROVED AS T /. � . r�" __
Robert D. Masden
unty Attorney Zache
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Date of signature: -0gl0�
2007-1947
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44 DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
Website: www.co.weld.co.us
ig Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
C.
COLORADO MEMORANDUM
TO: David E. Long, Chair Date: July 5, 2007
Board of County Commissioners
okIF
FR: Judy A. Griego, Director, Social Services . At V` ,
RE: Child Protection Agreement
g Bement for Services Be Ben t e Weld County Department
of Social Services and Island Grove Regional Treatment Center
Enclosed for Board approval is a Child Protection Agreement for Services between the Weld
County Department of Social Services(Department) and Island Grove Regional Treatment
Center(Island Grove). This Agreement was reviewed at the Board's work session of June 27,
2007.
The major provisions of the Agreement are as follows:
1. The term of the Agreement is from June 1, 2007 through June 30, 2008.
2. Island Grove agrees to provide anger and domestic violence evaluation and treatment for
adults involved in child welfare cases.
3. The Department agrees to reimburse Island Grove at rates identified in the Agreement
4. The source of funding is Core Services and Child Welfare Block funding.
If you have any questions, please telephone me at extension 6510.
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2007-1947
Contract No.: PY-07-08 CPS-78
CHILD PROTECTION AGREEMENT FOR SERVMSNI 28 P1 12: 08
BETWEEN THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICS AND
ISLAND GROVE REGIONAL TREATMENT CENTER
This Agreement,made and entered into the 1st day of June 2007,by and between the Board of Weld County
Commissioners,sitting as the Board of Social Services,on behalf of the Weld County Department of Social
Services,hereinafter referred to as"Social Services,"and Island Grove Regional Treatment Center,hereinafter
referred to as"Provider."
WITNESSETH
WHEREAS,required approval,clearance,and coordination have been accomplished from and with
appropriate agencies;and
WHEREAS,the Colorado Department of Human Services has provided Child Welfare Regular
Administration funding to Social Services for anger management and domestic violence evaluations and treatment
services for families,children, and adolescents; and
WHEREAS, Social Services requires the services of a provider to assist the County to deliver anger
management and domestic violence evaluations and treatment services to child welfare clients,and Provider is
willing and able to provide such services;and
WHEREAS,Provider is a Colorado non-profit corporation organized for the purpose of managing and
coordinating high quality,cost efficient,integrated chemical dependency and related behavioral health care services
in the State of Colorado.
NOW THEREFORE, in consideration of the premises,the parties hereto covenant and agree as follows:
1. Term
This Agreement shall become effective on June 1,2007,upon proper execution of this Agreement and shall
expire May 31,2008,unless sooner terminated as provided herein.
2. Scope of Services
Services shall be provided by Provider network providers to any person(s)eligible for child protection
services in compliance with Exhibit A"Scope of Services,"a copy of which is attached by reference.
3. Payment
a. Payment shall be made on the basis of Exhibit B,"Payment Schedule,"a copy of which is attached
hereto and incorporated herein by reference.
"Payment Schedule"shall establish the maximum reimbursement,which will be paid from Child
Welfare Regular Administration funds during the duration of this Agreement.
b. Provider shall submit an itemized monthly bill to Social Services for all costs incurred and services
provided pursuant to Exhibit A of this Agreement in accordance with criteria established by Social
Services. Provider shall submit all itemized monthly billings to Social Services no later than the
twenty-fifth(25)day of the month following the month the cost was incurred.
c. Payments of costs incurred pursuant to this Agreement is expressly contingent upon the availability
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Contract No.: PY-07-08 CPS-78
of Child Welfare Regular Administration funds to Social Services.
d. Social Services shall not be billed for,and reimbursement shall not be made for time involved in
activities outside of those defined in Exhibit A. Work performed prior to the execution of this
Contract shall not be reimbursed or considered part of this Agreement.
4. Financial Management
At all times from the effective date of this Contract until completion of this Contract,Provider shall comply
with the administrative requirements,cost principles and other requirements set forth in the Financial
Management Manual adopted by the State of Colorado. The required annual audit of all funds expended
under Child Welfare Regular Administration funding must conform to the Single Audit Act of 1984 and
OMB Circular A-133.
5. Payment Method
Unless otherwise provided in the Scope of Services and Payment Schedule:
a. Provider shall provide proper monthly invoices and itemization of services performed for costs
incurred in the performance of the agreement.
b. Social Services may withhold any payment if Provider has failed to comply with the Financial
Management Requirements,program objectives,contractual terms,or reporting requirements. In
the event of a forfeiture of reimbursements,Provider may appeal such circumstance to the Director
of Social Services. The decision of the Director of Social Services shall be final.
6. Assurances
Provider shall abide by all assurances as set forth in the attached Exhibit C,which is attached hereto and
incorporated herein by reference.
7. Compliance with Applicable Laws
At all times during the performance of this contract,Provider shall strictly adhere to all applicable federal
and state laws,orders,and all applicable standards,regulations,interpretations or guidelines issued pursuant
thereto. This includes the protection of the confidentiality of all applicant/recipient records,papers,
documents,tapes and any other materials that have been or may hereafter be established which relate to the
Contract. Provider acknowledges that the following laws are included:
Title VI of the Civil Rights Act of 1964,42 U.S.C. Sections 2000d—1 et.seq. and its implementing
regulation,45 C.F.R.Part 80 et.seq.;and
- Section 504 of the Rehabilitation Act of 1973,29 U.S.C. Section 794,and its implementing
regulations,
45 C.F.R.Part 84;and
the Age Discrimination Act of 1975,42 U.S.C. Sections 6101 et.seq.and
its implementation regulations,45 C.F.R.Part 91;and
Title VII of the Civil Rights Act of 1964;and
the Age Discrimination in Employment Act of 1967;and
the Equal Pay Act of 1963;and
- the Education Amendments of 1972;and
Immigration Reform and Control Act of 1986,P.L.99-603;
42 C.F.R.Part 2
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Contract No.: PY-07-08 CPS-78
and all regulations applicable to these laws prohibiting discrimination because of race,color,national
origin,and sex,religion and handicap,including Acquired Immune Deficiency Syndrome(AIDS)or AIDS
related conditions,covered under Section 504 of the Rehabilitation Act of 1973,as amended,cited above.
If necessary,Provider and Social Services will resist in judicial proceedings any efforts to obtain access to
client records except as permitted by 42 CFR Part 2.
Included is 45 C.F.R.Part 74 Appendix G 9,which requires that affirmative steps be taken to assure that
small and minority businesses are utilized,when possible,as sources of supplies,equipment,construction
and services.
This assurance is given in consideration of and for the purpose of obtaining any and all federal and/or state
financial assistance.
Any person who feels that s/he has been discriminated against has the right to file a complaint either with
the Colorado Department of Human Services or with the U.S.Department of Health and Human Services,
Office for Civil Rights.
8. Certifications
Provider certifies that,at the time of entering into this Contract,it has currently in effect all necessary
licenses,approvals,insurance,etc.required to properly provide the services and/or supplies covered by this
contract.
9. Monitoring and Evaluation
Provider and Social Services agree that monitoring and evaluation of the performance of this Agreement
shall be conducted by Provider and Social Services. The results of the monitoring and evaluation shall be
provided to the Board of Weld County Commissioners and Provider.
Provider shall permit Social Services,and any other duly authorized agent or governmental agency,to
monitor all activities conducted by Provider pursuant to the terms of this Agreement. As the monitoring
agency may in its sole discretion deem necessary or appropriate,such program data,special analyses,on-
site checking, formal audit examinations,or any other reasonable procedures. All such monitoring shall be
performed in a manner that will not unduly interfere with agreement work.
10. Modification of Agreement
All modifications to this agreement shall be in writing and signed by both parties.
11. Remedies
The Director of Social Services or designee may exercise the following remedial actions should s/he find
Provider 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 Provider.
These remedial actions are as follows:
a. Withhold payment to Provider 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 Provider cannot be performed or if
performed would be of no value to the Social Services. Denial of the amount of payment shall be
reasonably related to the amount of work or deliverables lost to Social Services;
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Contract No.: PY-07-08 CPS-78
c. Incorrect payment to Provider due to omission,error,fraud,and/or defalcation shall be recovered
from Provider by deduction from subsequent payments under this Agreement or other agreements
between Social Services and Provider,or by Social Services as a debt due to Social Services or
otherwise as provided by law.
12. Representatives
For the purpose of this Agreement,the individuals identified below are hereby designated representatives of
the respective parties. Either party may from time to time designate in writing a new or substitute
representative(s):
For Social Services:
Gloria Romansik Social Services Administrator
Name Title
For Provider:
Kendall P.Alexander Executive Director
Name Title
13. Notice
All notices required to be given by the parties hereunder shall be given by certified or registered mail to the
individuals at the addresses set forth below. Either party may from time to time designate in writing a
substitute person(s)or address to whom such notices shall be sent:
To: Social Services To: Island Grove Regional Treatment Center
Judy A.Griego,Director Kendall P. Alexander
P.O.Box A 1140 M.Street
Greeley,CO 80632 Greeley,CO 80631
14. Litigation
Provider shall promptly notify Social Services in the event that Provider learns of any actual litigation in
which it is a party defendant in a case that involves services provided under this Agreement. Provider,
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 Social Services Director. The term"litigation"includes an assignment for the benefit of creditors,and
filings in bankruptcy,reorganization and/or foreclosure.
15. Termination
This Agreement may be terminated at any time by either party given thirty(30)days written notice and is
subject to the availability of funding. Provider reserves the right to suspend services to clients if funding is no
longer available.
16. Entire Agreement
This Agreement,together with all attachments hereto,constitutes the entire understanding between the
parties with respect to the subject matter hereof,and may not be changed or modified except as stated in
Paragraph 10 herein.
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Contract No.: PY-07-08 CPS-78
IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day,month,and year first
above written.
ATTEST:
WELD COUNTY ��:�. / 1a OUNTY
CLERK TO THE BOARD t" ��: 1, RS WELD
!4t• iit RADO
^ 1861
By: a6tYd 7
Deputy Cle � d Pre a .Long,Chair JU 1 2007
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ATTESTING TO BOARD OF COUNTY � Un
COMMISSIONER SIGNATURES
APP AS TO PROVIDER•
� BY Cti
ounty At mey endall P.Alexander,Executive Director
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By:
J y . rie o,Direc
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Contract No.:PY-07-08 CPS-78
EXHIBIT A
SCOPE OF SERVICES
1. Overall Project Description
Areas of assessment will include criminal history,mental health status,medical history, suicidal/
psychological/cultural history,the profile of client's violent behaviors,client's potential for violence,
substance abuse history,and the Millon test, if needed. A summary of the assessment and recommendations
will be sent to Social Services. The estimated time required for the evaluation is three hours. Treatment
services,agreed upon by the Social Services caseworker,and based on the Anger Management and/or
Domestic Violence assessment. Duration of service is an average of 36 weeks,one group per week,at$35
per client per group.
2. Eligible Population for Services
Social Services shall refer to Provider for only those child welfare cases that comply with the following
criteria:
A. The case is active in the TRAILS computerized tracking system.
B. The case meets the Colorado Department of Human Services program criteria 4, 5,or 6.
C. The case meets the defmition of"imminent risk for out of home placement/reunification,"as
defined by the laws or rules of the State of Colorado.
3. Types of Services To Be Provided
Assessments
1. Domestic Violence Evaluation $135.00
2. Anger Management Evaluation $135.00
3. Court Testimony $150.00(1/2 day to one full day of testifying)
Treatment
Anger Management Curriculum
1. Group Process and Skills 18. Sex Role Training
2. Time Out(2 weeks) 19. Inappropriate Use of Labels and Name
• A tool to stop Violence Calling
• To manage anger
• To build trust in relationships
3. Cognitive-Behavioral Skills(2 weeks) 20. Socio-cultural Basis for Violence
• Connection of thoughts,feelings,
attitudes,values and behavior
• Anger management
• Taking the Long Term View
• Thought reports
4. Thinking Errors(2 weeks) 21. Treatment of Goals and Review of Goals
• Criminal thinking-pro-social thinking
• Irrational thinking
5. Passive,Aggressive and Assertive Behaviors 22. Provocation
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Contract No.:PY-07-08 CPS-78
6. Treatment Goals and Review of Goals 23. Appropriate Containment and Expressions
of Anger
7. Substance Abuse(5 weeks) 24. Experiencing Emotions and Feelings
Beyond Anger
8. Stages of Change 25. Grief and Loss
9. Parenting(2 weeks) 26. Depression and Anxiety
10. Men's Issues 27. Stress Management(3 weeks)
• Male myths • Skills-assessments
• Female myths • Skills to reduce stress
• Beyond the hero role
11. Substance Abuse(5 weeks) 28. Relapse/Recidivism Prevention
• Accurate self assessments
• Reasons for using
• Plans for change
• Long-term sobriety
• Connection with violence
12. Learning Styles 29. Healthy Relationships
• Identifying individual styles
13. Values Clarification 30. Sexuality
14. Steps to Problem Solving 31. Spirituality
15. Steps to Conflict Resolution 32. Resources of Help
16. Characteristics of Assaultive Adults 33. Presentation of Plan for Change
17. Attitudes Toward the Opposite Sex 34. Treatment Goals and Review of Goals
4. Fee Schedule
Anger Management Evaluation $135.00
Anger Management Treatment $35.00 per client per group for an average of 36
weeks of treatment
Domestic Violence Evaluation $135.00
Domestic Violence Treatment $35.00 per client per group for an average of 36
weeks of treatment
Court Testimony $150.00 for'A day to one full day of testifying
5. Measurable Outcomes and Objectives
Provider shall abide by Social Services outcome indicators of Safety,Permanency and Child and Family
Well-Being,which are provided under Adoption and Safe Families Act(ASFA),1997;Colorado Child and
Family Services Plan 2000-2004;and ACF Reviews(Reference: Federal Register,Volume 65,Number
16:45 CRF Parts 1355, 1356,and 1357),March 25,2000.
a. Client Objectives
The Social Services caseworker will identify three child welfare objectives to be addressed within
each client's treatment plan.Provider shall develop action steps to reach the identified child
welfare objectives.Provider shall report monthly on each client's progress in meeting the three
identified objectives. Each objective will be measured via a percentage Likert Scale to determine
progress.
b. Overall Program Objectives
Provider and Social Services agree to monitor the ability of the domestic violence/anger
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Contract No.:PY-07-08 CPS-78
management programs offered by Provider to achieve objectives as follows:
1. Increase level of functioning currently impaired by domestic violence/aggressive
behavior.
2. Decrease aggressive behaviors at home and/or school and in the community.
3. Develop the capacity to ask for help and assistance without resorting back to violence.
4. Clients will demonstrate increased verbal skills,empathy,and accountability.
5. Clients will develop problem-solving skills when confronted with a relapse trigger.
6. Clients will address past/current victimization issues that interfere with their ability to
maintain non-aggressive behaviors.
7. Improve parent-child functioning to lower the risk of out of home placement.
6. Workload Standards
Provider will meet the following workload standards:
1. Complete up to 10 client domestic violence evaluations per month.
2. Begin group treatment with a minimum of four clients.
7. Staff Qualifications
Provider staff members who provide services to Social Services will have the required credentials for
delivery of alcohol and drug treatment,and domestic violence treatment. They will have further training in
the areas of domestic violence and anger management.
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Contract No.:PY-07-08 CPS-78
EXHIBIT B
PAYMENT SCHEDULE
1. Funding and Method of Payment
Social Services agrees to reimburse to Provider in consideration for the work and Services performed,a
total amount not to exceed Seven Thousand Five Hundred Dollars($7,500.00)under Child Welfare Regular
Administration funding.
Expenses incurred by Provider, in association with said project prior to the term of this agreement,are not
eligible Social Services expenditures and shall not be reimbursed by Social Services.
Payment pursuant to this Contract,if Child Welfare Regular Administration funds,whether in whole or in
part,is subject to and contingent upon the continuing availability of Child Welfare Regular Administration
funds for the purposes hereof. In the event that said funds,or any part thereof,become unavailable as
determined by Social Services, Social Services may immediately terminate this Contract or amend it
accordingly.
2. Fees for Services
Social Services referrals will not be sent to collections by Provider for default of co-pay/fees. Services will
be performed regardless of client's refusal or inability to pay co-pay.
The Sliding Fee Schedule will only be applied to those services as noted on the fee schedule,all other fees
will be charged directly to Social Services.
Provider will collect any applicable sliding scale co-pays and credit Social Services for any payments
received on the monthly billing statements.
Anger Management Evaluation $135.00
Anger Management Treatment $ 35.00 per client per group for an average of 36
weeks of treatment
Domestic Violence Evaluation $135.00
Domestic Violence Treatment $ 35.00 per client per group for an average of 36
weeks of treatment
Court Testimony $150.00 for'A day to one full day of testifying
3. Submittal of Vouchers
Provider shall prepare and submit 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.
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Contract No.:PY-07-08 CPS-78
EXHIBIT C
ASSURANCES
1. Provider agrees it is an independent contractor and that its officers and employees do not become
employees of Weld County,nor are they entitled to any employee benefits as Weld County employees,as
the result of the execution of this Agreement.
2. Weld County,the Board of County Commissioners of Weld County,its officers and employees,shall not be
held liable for injuries or damages caused by any negligent acts or omissions of Provider-contracted
providers or its employees,volunteers,or agents while performing duties as described in this Agreement.
Provider shall indemnify,defend,and hold harmless Weld County,the Board of County Commissioners of
Weld County,its employees,volunteers,and agents. Provider shall provide adequate liability and worker's
compensation insurance for all its employees,volunteers,and agents engaged in the performance of the
Agreement upon request,Provider shall provide Social Services with the acceptable evidence that such
coverage is in effect.
3. No portion of this Contract shall be deemed to constitute a waiver of any immunities the parties or their
officers or employees may possess,not shall any portion of this Agreement be deemed to have treated a
duty of care with respect to any persons not a party of this Agreement.
4. No portion of this Contract shall be deemed to create an obligation on the part of the County of Weld,State
of Colorado,to expend funds not otherwise appropriated in each succeeding year.
5. If any section,subsections,paragraph,sentence,clause,or phrase of this Contract is for any reason held or
decided to be unconstitutional,such decision shall not affect the validity of the remaining portions. The
parties hereto declare that they would have entered into this Contract and each and every section,
subsection,paragraph,sentence,clause,and phrase thereof irrespective of the fact that any one or more
sections,subsections,paragraphs, sentences,clauses,or phrases might be declared to be unconstitutional or
invalid.
6. No officer,member or employee of Weld County and no member of their governing bodies shall have any
pecuniary interest,direct or indirect,in the approved Agreement or the proceeds thereof.
7. Provider assures that they will comply with the Title VI of the Civil Rights Act of 1986 and that no person
shall,on the grounds of race,creed,color,sex,or national origin,be excluded from participation in,be
denied the benefits of,or be otherwise subjected to discrimination under this approved Contract.
8. Provider assures that sufficient,auditable,and otherwise adequate records that will provide accurate,
current, separate,and complete disclosure of the status of the funds received under the Contract are
maintained for three(3)years or the completion and resolution of an audit. Such records shall be sufficient
to allow authorized local,Federal,and State auditors,and representatives to audit and monitor Provider.
9. All such records,documents,communications,and other materials shall be the property of Social Services
and shall be maintained by Provider,in a central location and custodian, in behalf of Social Services, for a
period of four(4)years from the date of final payment under this Contract,or for such further period as may
be necessary to resolve any matters which may be pending,or until an audit has been completed with the
following qualifications: If an audit by or on behalf of the federal and/or state government has begun but is
not completed at the end of the four(4)year period,or if audit findings have not been resolved after a four
(4)year period,the materials shall be retained until the resolution of the audit finding.
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Contract No.:PY-07-08 CPS-78
10. Provider assures that authorized local, federal,and state auditors and representatives shall,during business
hours,have access to inspect any copy records,and shall be allowed to monitor and review through on-site
visits,all contract activities,supported with funds under this Contract to ensure compliance with the terms
of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the
Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation
activities shall be provided to the appropriate and interested parties.
11. This Contract shall be binding upon the parties hereto,their successors,heirs,legal representatives,and
assigns. Provider or Social Services may not assign any of its rights or obligations hereunder without the
prior written consent of both parties.
12. Provider certifies that federal appropriated funds have not been paid or will be paid,by or on behalf of
Provider,to any person for influencing or attempting to influence an officer or employee of an agency,a
Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in
connection with the awarding of any Federal contract,the making of any federal grant,the making of any
federal loan,the entering into of any cooperative agreement,and the extension,continuation,renewal,
amendment,or modification of any Federal contract,loan,grant,or cooperative agreement.
13. Provider assures that it will fully comply with all other applicable federal and state laws. Provider
understands that the source of funds to be used under this Contract is Child Welfare Regular Administration
funds.
14. Provider assures and certifies that it and its principals:
a. Are not presently debarred, suspended,proposed for debarment,declared ineligible,or voluntarily
excluded from covered transaction by a federal department of 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 11(b)of
this certification;and
d. Have not within a three-year period preceding this Contract,had one or more public transactions
(federal,state,and local)terminated for cause or default.
15. The Appearance of Conflict of Interest applies to the relationship of a contractor with Social Services when
the contractor also maintains a relationship with a third party and the two relationships are in opposition. In
order to create the appearance of a conflict of interest, it is not necessary for the contractor to gain from
knowledge of these opposing interests. It is only necessary that the contractor know that the two
relationships are in opposition.During the term of the Contract,Provider shall not enter any third party
relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing
appearance of a conflict of interest situation,Provider shall submit to Social Services,a full disclosure
statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly
submit a disclosure statement required by this paragraph shall constitute grounds for Social Services'
termination,for cause,of its contract with Provider.
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Contract No.: PY-07-08 CPS-78
16. Provider shall protect the confidentiality of all applicant records and other materials that are maintained in
accordance with this Contract. Except for purposes directly connected with the administration of Child
Protection,no information about or obtained from any applicant/recipient in possession of Provider shall be
disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in
accordance with Provider written policies governing access to,duplication and dissemination of,all such
information. Provider shall advise its employees,agents,and subcontractor, if any,that they are subject to
these confidentiality requirements. Provider shall provide its employees,agents,and subcontractors, if any,
with a copy or written explanation of these confidentiality requirements before access to confidential data is
permitted.
17. Proprietary information for the purposes of this contract is information relating to a party's research,
development,trade secrets,business affairs,internal operations and management procedures and those of its
customers,clients or affiliates,but does not include information(1)lawfully obtained from third parties,(2)
that which is in the public domain,or(3)that which is developed independently. Neither party shall use or
disclose directly or indirectly without prior written authorization any proprietary information concerning the
other party obtained as a result of this Contract. Any proprietary information removed from the State's site
by Provider in the course of providing services under this Contract will be accorded at least the same
precautions as are employed by Provider for similar information in the course of its own business.
18. The Contractor certifies it will abide by Colorado Revised Statue(C.R.S.)26-6-104,requiring criminal
background record checks for all employees,contractors,and sub-contractors.
19. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-
101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under
this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the
subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this
Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any
illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by
the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply
with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests
made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and
Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et
seq., Social Services may terminate this Contract for breach and Contractor shall be liable for actual and
consequential damages to Social Services.
Except where exempted by federal law and except as provided in C.R.S. 24-76.5-103(3), if Contractor
receives federal or state funds under this Contract, Contractor must confirm that any individual natural
person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. 24-
76.5-103(4) if such individual applies for public benefits provided under this Contract. If Contractor
operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of
the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall
produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce
one of the forms of identification required by C.R.S.24-76.5-103 prior to the effective date of this Contract.
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Contract No.: PY-07-08 CPS-78
EXHIBIT D
BILLING PROCEDURES
1. All billings are to be submitted by the lee day of the month following the month of
service. If the billing is not submitted within twenty-five (25) calendar days of the month
following service, it may result in forfeiture of payment.
2. Billings must be submitted with the attached required forms, Authorization for
Contractural Services, Request for Reimbursement and Client Verification Form. The
forms must be submitted with original signatures.
3. For monitored sobriety, proof of services rendered shall be a sign-in sheet with client
signatures or the test result.
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