HomeMy WebLinkAbout20073282.tiff RESOLUTION
RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES AND AUTHORIZE
CHAIR TO SIGN - SOUTHERN CORRECTIONS SYSTEMS, INC.
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 Southern
Corrections Systems, Inc.,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 Southern
Corrections Systems, Inc., 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 22nd day of October, A.D., 2007, nunc pro tunc June 1, 2007.
BOARD OF COUNTY COMMISSIONERS
\ / W D COUNTY, COLORADO
� J ATTEST: J roc
l��
avid E. Long, Chair
Weld County Clerk to the - -y
BY: ��t( ice. William H. Jerks. Pro-Te
„
D ty CI to the Boar.
kV iam F. Garcia,
APP_ROVE6 A ORM: ,'L�
Robert D. (Malden
u y tt rney o e I O.a O wiCti
Douglas de acher
Date of signature: UHF/
2007-3282
SS0034
CO //-o7-v7
Pia DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
illipe,
GREELEY, CO. 80632
Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Fax Number(970)353-5215
COLORADO
MEMORANDUM
TO: David E. Long, Chair Date: October 17, 2007
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services. .).44,4„)
RE: Child Protection Agreement for Core Serv.ces between e Weld County
Department of Social Services and Southern Corrections System, Inc.
Enclosed for Board approval is a Child Protection Agreement for Core Services between the
Weld County Department of Social Services (Department) and Southern Corrections Systems,
Inc. This contract was reviewed at the Board's Work Session held on September 10,2007.
The major provisions of the contract are as follows:
1. The term of the contract is June 1,2007 through May 31, 2008.
2. The source of funding is Child Welfare Administration funding.
3. Southern Corrections System, Inc.will provide monitored sobriety services for families
and adolescents involved in the child welfare system.
4. The Department will reimburse Southern Corrections System, Inc., according to their
fee schedule for a total not to exceed $52,398.
If you have any questions, please telephone me at extension 6510.
2007-3282
PY 07-08-CPS-83 19tN,
CHILD PROTECTION AGREEMENT FOR SERVICES - `‘))/ftj
BETWEEN THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
AND SOUTHERN CORRECTIONS SYSTEMS,INC. O
This Agreement,made and entered into the day of 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 Southern Corrections Systems,Inc.,hereinafter
referred to as"Contractor".
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 Administration funding to Social Services for immediate referrals for monitored sobriety services for
families,children,and adolescents; and
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 CONTRACTOR 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,"of which are attached
hereto and incorporated herein by reference.
"Payment Schedule"shall establish the maximum reimbursement,which will be paid from
Child Welfare Administration Funding Service funding during the duration of this Agreement.
b. CONTRACTOR 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. CONTRACTOR 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
of Child Welfare 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.
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4. Financial Management
At all times from the effective date of this Contract until completion of this Contract,CONTRACTOR 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 Core Service 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. CONTRACTOR 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 CONTRACTOR has failed to comply with the
Financial Management Requirements,program objectives,contractual terms,or reporting
requirements. In the event of a forfeiture of reimbursements,CONTRACTOR may appeal such
circumstance to the Director of Social Services. The decision of the Director of Social Services
shall be final.
6. Assurances
CONTRACTOR 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,CONTRACTOR 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. CONTRACTOR 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
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,CONTRACTOR and Social Services will resist in judicial proceedings any efforts to
obtain access to client records except as permitted by 42 CFR Part 2.
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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
CONTRACTOR 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
CONTRACTOR and Social Services agree that monitoring and evaluation of the performance of this
Agreement shall be conducted by CONTRACTOR and Social Services. The results of the monitoring and
evaluation shall be provided to the Board of Weld County Commissioners and CONTRACTOR.
CONTRACTOR shall permit Social Services,and any other duly authorized agent or governmental agency,
to monitor all activities conducted by CONTRACTOR 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
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
CONTRACTOR. These remedial actions are as follows:
a. Withhold payment to 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 CONTRACTOR 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;
c. Incorrect payment to CONTRACTOR due to omission,error,fraud,and/or defalcation shall be
recovered from CONTRACTOR by deduction from subsequent payments under this Agreement or
other agreements between Social Services and CONTRACTOR,or by Social Services as a debt due
to Social Services or otherwise as provided by law.
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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 CONTRACTOR:
James Sane President
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: CONTRACTOR 5 S
Judy A.Griego,Director James Sallie,President
P.O.Box A 7650 id-Washuielu.r j 340( RAIL L`a4V 92 V`
Greeley,CO 80632 Denver,CO802,39- Ok
73,19
14. Litigation
CONTRACTOR shall promptly notify Social Services in the event that CONTRACTOR learns of any
actual litigation in which it is a party defendant in a case that involves services provided under this
Agreement.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 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. CONTRACTOR 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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IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day,month,and year first
above written.
f
ATTEST: _•fr.:,y r v t
WELD COUNTY a q,,,, OWN pF OUNTY
CLERK TO THE BO e.I COMIvl,1SSTQ RS WELD
a �,, COjlNTCt ORADO
By:
D ty Cler v • David E.Long,Chair OCT 2 2 2007
J�
APPROVED AS TO F CONTRACT R:
1
BY 1, Vrir1� ('1
Attorney es Saffle,Presides
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By:
J d A.Gri go,Duet
5
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PY 07-08-CPS-83
EXHIBIT A
SCOPE OF SERVICES
1. Special Conditions:
a. CONTRACTOR will follow their UA policy with each UA,herein described below under"UA Collection
Procedure Example."
b. CONTRACTOR will only conduct monitored sobriety for Social Service clients at their Day Reporting
Center.
c. CONTRACTOR will have enough staff available to meet Social Service client's needs. CONTRACTOR
will not turn away a client or have them wait more than fifteen(15)minutes to provide a sample.
d. CONTRACTOR will confirm any positive monitored sobriety result within 24 hours through a fax and a
phone call to the Social Services caseworker.
e. CONTRACTOR will provide court testimony at no additional charge.
2. UA Collection Procedure Example:
A. Important Point
The collector and the donor shall keep the urine in view at all times prior to its being sealed with a tamper-
evident sealing label.
B. Prior to Collection
1. The collection facilities must be clean,well lighted,and dedicated solely to urine collection during
the collection process.
2. The toilet water must not be available to the donor for specimen adulteration:
a. Regular flushing toilets: Bluing agent(or dye)should be placed in the toilet bowl and
tank,and secure the tank cover with tamper-proof tape.
b. Pressure flushing toilets: Bluing tablets(or dye)should be placed in the toilet bowl after
each flush or before the next donor.
3. No other source of water should be accessible to the donor during the collection process.
C. Collection
1. Collector must positively identify the donor. If the collector is not the caseworker for the donor,
the collector must ask the donor for photo identification. The only other form of acceptable
identification is for the donor's identify to be verified by their caseworker,or supervisor,in person.
2. Collector must assure that all applicable information on the Chain-of-Custody(COC)form is
complete.
3. Collector must ask the donor to remove all items form their pockets,and pull their pockets inside
out.
4. All personal belongings,such as purse or briefcase,are to remain outside the collections location
(with outer garments).
5. Collector instructs donor to wash and dry hands. (Do not use soap. Use water only.)
6. Collector instructs donor to fill the specimen collection bottle.
7. Donor enters the toilet stall,if an observed collection,collector accompanies the donor.
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D. Upon Receiving Specimen from Donor
1. Collector visually checks the specimen for signs of contamination or adulteration(discoloration,
precipitation,etc.)and notes all observations in the Test Request space provided on the Chain-of-
Custody form.
2. In the presence of the donor,collector notes the temperature of the specimen using the temperature
strips provided on the container within four(4)minutes from the time of urination. The acceptable
sample temperature range is 90-100 degrees Fahrenheit.
3. Record the temperature on the Chain-of Custody form.
4. If tamper proof tape was used on the toilet tank,check that the tape was tampered with.
5. Collector and donor shall keep the specimen in view at all times prior to the specimen being sealed
with tamper evident tape.
6. Make sure the bottle is tightly capped.
7. Seal the specimen by placing the tamper evident tape over the lid of the bottle with the ends of the
tape coming down the sides of the bottle.
8. Have the donor place their initials in the space provided on the security seal. This is to certify that
the specimen has been sealed with tamper-evident sealing label in the donor's presence,and that
the donor gave the specimen.
9. Using a ballpoint pen,donor and collector sign the appropriate area on the Chain-of-Custody form.
10. Collector encourages donor to wash hands.
E. Specimen Rejection Criteria
You should reject the specimen if one of the following occurs:
1. If the specimen is not within the acceptable temperature range(90-100 degrees Fahrenheit)
discard the specimen and request another specimen from the donor.
2. If the specimen shows signs of discoloration from the addition of bluing agent/dye,clearly state
this fact on the Chain-of-Custody form,and send specimen to the laboratory.
3. If there is the distinctive odor of bleach in the specimen collection area,or on the donor,clearly
state this fact on the Chain-of-Custody form,and send specimen to the laboratory.
4. If there is insufficient volume of specimen to perform the required analysis discard the specimen
and request another from the donor. Insufficient volume here means that the specimen level must
be above the level of the temperature strip on the collection bottle.
F. Prepare Specimen for Shipment to Laboratory
1. Collector removes copy of Chain-of-Custody form,and keeps for records.
2. Place the top coy of the Chain-of-Custody form in the front pouch of specimen bag.
3. Place the capped,sealed specimen bottle in the bag(with absorbent pad)and seal specimen bag by
removing adhesive strip.
4. Place the sealed bag in the proper mailing product. If specimens are shipped via courier,prepare
according to courier's instructions.
5. Specimens should be shipped as soon as possible(within seven days of collection). Keep
specimens in a secure area until shipped.
G. Notes
1. Specimens left at room temperature longer than seven(7)days may produce unreliable results.
2. Minimize the number of people handling specimens.
3. Ensure that all necessary areas of the Chain-of-Custody form are filled out.
4. Make sure the specimen is tightly and properly sealed.
5. Ensure the specimen is sealed/labeled.
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EXHIBIT B
PAYMENT SCHEDULE
1. Funding and Method of Payment
Social Services agrees to reimburse CONTRACTOR in consideration for the work and services performed,
a total not to exceed Fifty-two Thousand,Three Hundred Ninety-Eight Dollars($52,398.00),from
Child Welfare Administration funding.
Expenses incurred by CONTRACTOR,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 Administration funding,whether in whole or in part,is
subject to and contingent upon the continuing availability of Child Welfare 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
Description of Services Charge
Standard Five-Panel UA,with GM/MS confirmation on positive results. Screens for THC, $20.00
Cocaine,Meth/Amphetamines,Opiates,and Barbiturates.
Automatic GC/MS confirmation on positive UA screens at no additional cost $0.00
If a UA screen tests positive,and it is confirmed positive by the GC/MS,the client may pay $20.00
to have the specimen rescreened by GC/MS confirmation.
Saliva Tests $25.00
Breath Analysis Testing $2.00
Other illicit substances can be screened at an additional cost. Please contact Contractor for
associated fees.
Social Services referrals will not be sent to collections by Contractor for default of co-pay/fess. Services
will be performed regardless of client's refusal or inability to pay co-pay.
Contractor will collect any applicable sliding scale co-pays and credit Social Services for any payments
received on the monthly billing statements.
3. Submittal of Vouchers
CONTRACTOR 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.
a. All billings are to be submitted by the 10the 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.
b. Billings must be submitted with the attached required forms,
Authorization for Contractual Services,Request for Reimbursement and
Client Verification Form. The forms must be submitted with original
signatures.
c. For monitored sobriety,proof of services rendered shall be a sign-in sheet
with client signatures or the test result.
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EXHIBIT C
ASSURANCES
1. CONTRACTOR 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 CONTRACTOR-contracted
CONTRACTOR or its employees,volunteers,or agents while performing duties as described in this
Agreement. CONTRACTOR shall indemnify,defend,and hold harmless Weld County,the Board of
County Commissioners of Weld County, its employees,volunteers,and agents. CONTRACTOR 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,CONTRACTOR 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. CONTRACTOR 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. CONTRACTOR 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
CONTRACTOR.
9. All such records,documents,communications,and other materials shall be the property of Social Services
and shall be maintained by CONTRACTOR,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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10. CONTRACTOR 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. CONTRACTOR or Social Services may not assign any of its rights or obligations hereunder
without the prior written consent of both parties.
12. CONTRACTOR certifies that federal appropriated funds have not been paid or will be paid,by or on behalf
of CONTRACTOR,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. CONTRACTOR assures that it will fully comply with all other applicable federal and state laws.
CONTRACTOR understands that the source of funds to be used under this Contract is
Child Welfare Administration funds.
14. CONTRACTOR 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,CONTRACTOR 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,CONTRACTOR 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 CONTRACTOR.
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16. CONTRACTOR 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 CONTRACTOR shall be disclosed in a form identifiable with the applicant/recipient or a
minor's parent or guardian unless in accordance with CONTRACTOR written policies governing access to,
duplication and dissemination of,all such information. CONTRACTOR shall advise its employees,agents,
and subcontractor,if any,that they are subject to these confidentiality requirements. CONTRACTOR 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 CONTRACTOR in the course of providing services under this Contract will be accorded at least the
same precautions as are employed by CONTRACTOR for similar information in the course of its own
business.
18. 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.
11
PY 07-08-CPS-83
EXHIBIT D
SOUTHERN CORRECTIONS SYSTEMS,INC.CORRECTIONAL SERVICES,INC.,
ON BEHALF OF THE VILLA AT GREELEY,LLC
QUALIFIED SERVICE ORGANIZATION AGREEMENT
.cn-(24C,'R c.i7o,vcSys vn ,1
Thflittrat-Caretstra-e,and Weld County Department of Human Services(County)hereby enter into a Qualified
Service Organization Agreement whereby the Villa at Greeley;; ,'agrees to accept and serve Counties'clients
substance abuse treatment needs. In light of the relationship between County and The Villa at Greeley,, , r 5
County requires client identifying information and data and information related to the services furnished to the
clients. County and the Villa at Greeley;t,-will have this relationship from June 1,2007,to May 31,2008,thus
the QSOA will be in effect during this period of time.
Furthermore,the County:
1. acknowledges that in receiving,storing,processing,or otherwise dealing with any information
from the Villa at Greeley, E',about the clients in the Villa at Greeley ms's program,it is fully
bound by the provisions of the federal regulations governing confidentiality of Alcohol and Drug
Abuse Patient Records,42 CFR Part 2;and
a. agrees to undertake in resisting judicial proceedings in any effort to obtain access to
information pertaining to clients otherwise than as expressly provided for in the federal
confidentiality regulations,42 CFR Part 2.
Executed this day of ,2007.
441.
�L. Saffle,Presi ent Judy 1 rie._.'elirector
13, T 1& c Weld o n,t fl:.artmentof',o•ialServi s
Southern Corrections Systems.A4e er
12
WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
AUTHORIZATION FOR CONTRACTUAL SERVICES
Program Year 2007-08
TO BE COMPLETED BY PROVIDER:
Date:
Provider: Billing Contact:
Phone Number:
Address:
Description of Services:
Service Month / Year: Charges: $
I CERTIFY THE SERVICE AUTHORIZED WAS PROVIDED ON THE DATE
INDICATED AND THE CHARGES ARE MADE PURSUANT TO A BONA FIDE
CONTRACT BETWEEN ME AND THE WELD COUNTY DEPARTMENT OF SOCIAL
SERVICES.
Printed Name of Signer Provider Signature Date
(Original signature REQUIRED-NO FAXES)
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
FOR COUNTY USE ONLY:
AMOUNT AUTHORIZED FOR PAYMENT: $
Approvals:
Core & Service Contract Coordinator Date
Director Date
Comments:
13
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