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Home My WebLink About20071689.tiff RESOLUTION RE: APPROVE TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR INTENSIVE FAMILY THERAPY PROGRAMS 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 two Notification of Financial Assistance Awards for Intensive Family Therapy Programs 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 various providers, listed below, commencing June 1, 2007, and ending May 31, 2008, with further terms and conditions being as stated in said awards: 1. W. Troy Hause, Attorney at Law 2. Julie Box, Private Practice WHEREAS, after review, the Board deems it advisable to approve said awards, 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, ex-officio Board of Social Services, that the two Notification of Financial Assistance Awards for Intensive Family Therapy Programs 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 various providers, listed above be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. 2007-1689 SS0034 l;(3 ' SS /D o 2 TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR INTENSIVE FAMILY THERAPY PROGRAMS PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of June, A.D., 2007, nunc pro tunc June 1, 2007. BOA OF COUNTY COMMISSIONERS WEL OUNTY, CO�QRZ ATTEST: ! �'/ ` r 1 '�� avid E. Long, Chair r/ Weld County Clerk to the B f,rd 44,k- 01,4 ,� iii V _ '%�$ _ Iliam t. Pro-T , BY: �iC /� ►�.� t- �� Deputy Clerk to the Boas: O � ``� �/ '' �j� Wil F. Garcia AP ED AS T �. .* Robe D. Masden odnty Att rney Douglas ademache Date of signature: 7- 7-07 2007-1689 SS0034 f , ,c, WELD COUNTY COP^F9SS!0^�ERS 7001 JUN 12 S8 ARTMENT OF SOCIAL SERVICES P.O. BOX A ipe. 7� d _@ GREELEY, CO. 80632 €g E C t 2 V t D Website:www.co.weld.co.us Administration and Public Assistance(970)352-1551 III Fax Number(970)353-5215 COLORADO MEMORANDUM TO: David E. Long, Chair Date: June 11, 2006 Board of County Commissioners FR: Judy A. Griego, Director, Social Services C RE: Notification of Financial Assistance Awar�arious Contractors— Intensive Family Therapy Programs Enclosed for your approval are Notification of Financial Assistance Awards with Various Contractors for Intensive Family Therapy Programs. The Department and the Families, Youth, and Children(FYC)Commission are recommending approval of these Awards. These Awards were reviewed at the Board's work session of June 6, 2007. The major provisions of these Awards are as follows: 1. The Award period is June 1, 2007 through May 31, 2008. 2. The source of funding is Core Services or Child Welfare Administration. 3. The Contractors will provide mediation and facilitation services under Intensive Family Therapy Programs for those families involved in the child welfare system. 4. The Contractors include: A. W. Troy Hause—Attorney at $190.00 hourly rate mediation Law $190.00 hourly rate court testimony B. Julie Box $100.00 hourly rate mediation $100.00 hourly rate court testimony If you have any questions, please telephone me. 2007-1689 Weld County Department of Social Services Notification of Financial Assistance Award for Core Funds Type of Action Contract Award No. X Initial Award FY07-CORE-62 Revision (RFP-FYC-07008; 003-IFT-07) Contract Award Period Name and Address of Contractor Beginning 06/01/2007 and W.Troy Hause-Attomey at Law Ending 05/31/2008 Mediation&Facilitation under Intensive Family Therapy 710 11 Avenue, Suite 205 Greeley,CO 80634 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Mediation services during the pendency of a Assistance Award is based upon your Request for D&N case.These stages may include placement, Proposal (RFP). The RFP specifies the scope of adjudication,disposition,permanency planning, services and conditions of award. Except where it custody,and termination of parental rights. is in conflict with this NOFAA in which case the Monthly minimum capacity of six mediations NOFAA governs, the RFP upon which this award per month. is based is an integral part of the action. Special conditions Cost Per Unit of Service 1) Reimbursement for the Unit of Services will be based on an hourly rate. Hourly Rate Per 2) The designated rate will be paid for only direct Treatment Package $190.00 face to face contact with the child and/or family Court Testimony $190.00 as evidenced by client-signed verification form and as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the designate rate and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 5) Requests for payment must be an original submitted to the Weld County Department of Social Services by the end of the 25th calendar day following the end of the month of service.The Enclosures: provider must submit requests for payment on X Signed RFP: Exhibit A forms approved by Weld County Department of X Supplemental Narrative to RFP: Exhibit B Social Services. Requests for payments submitted X Recommendation(s) 90 days from the date of service,and thereafter, X Conditions of Approval will not be paid. 6) The Contractor will notify the Department of any change in staff at the time of the change. Approvals. Program Offi ial: By By . r Ai David E. Long, Chair Judy Grie Directo4, Board of Weld County Co ioners Weld ounty epartment of Social Services Date: JUN 1 8 2007 Date: i l L)1 aoo2-/6 J'9 J EXHIBIT A SIGNED RFP . . 7 INVITATION TO BID BID 001-07 DATE: February 28, 2007 BID NO: 001-07 RETURN BID TO: Monica Mika, Director of Administrative Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 Third Floor, Centennial Building, Purchasing Department SUMMARY Request for Proposal for: Colorado Family Preservation Act—Core Services Program Deadline: Friday, March 30, 2007, 10:00 a.m. (MST) The Families, Youth and Children Commission, an advisory commission to Social Services, announces that competing applications will be accepted for approved providers pursuant to the Board of Weld County Commissioners' authority under the Colorado Family Preservation Act(C.R.S. 26- 5.5-101) and Emergency Assistance for Families, Youth and Children Commission wishes to approve services targeted to run from June 1, 2007, through May 31, 2008, at specific rates for different types of service,the County will authorize approved providers and rates for services only. This program announcement consists of the following documents, as follows: • Invitation to Bid • Main Request for Proposal (All program areas) • Addendum A - Program Improvement Plan Requirements (by program area) • Addendum B - Scope of Services (by program area) • Core Budget Form Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK Program Area: Mediation W. Troy Hause TYPED OR PRINTED SIGNATURE VENDOR W. Troy Hause (Name) Handwritten Sig6ature By Authorized Officer of Agent of Vendor ADDRESS 710 11`h Avenue, Suite 205 TITLE Attorney at Law Greeley,Colorado 80631 DATE 03/29/07 PHONE# (970) 351-6711 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 I. ABSTRACT This project is to provide mediation services in Dependency and Neglect cases. Mediation can be utilized during the difference stages of a Dependency and Neglect case, to cover various issues including placement, adjudication,disposition,permanency planning,custody(allocation of parental rights and responsibilities), and termination of parental rights. Mediation will provide a process whereby the identified parties in a Dependency and Neglect case will be brought together to discuss and attempt to resolve issues in the foregoing areas. The mediator will not be able to impose any type of agreement on the parties,but will attempt to assist the parties in coming to their own agreement. The Court has long experienced the realities in such cases that stipulated agreements are much more apt to be long standing and permanent, as well as, to be followed by the parties, in contrast to contested matters whereby the Court enters orders over the objection of a party or possibly all parties. Mediation can occur by all parties being present in the same room or can be facilitated by separate rooms or even over the telephone. Issues are many times raised at the time of adjudication, whereby it must be mediated on what type or scope fo plea will be acceptable by the Department and the parents,which many times may include the disposition or treatment plan that will be entered by the Court. Many parents come into this system not knowing what their rights are or their options and have a complete fear of the Department of Social Services. Mediation can assist in resolving some of those fears, provide understanding of the system and options to the parents. Even if an adjudication cannot be stipulated to by the parties, mediation can be most helpful in facilitating trial efficiencies for the adjudicatory trial. Given the fact that Weld County is a expedited permanency planning county, as well as, all judges strive for permanency of the children as soon as possible, mediation can be utilized to facilitate permanency planning for a child, as well as, facilitating a final outcome (i.e. permanent custody/allocation of parental rights and responsibilities) by assisting the parties to come to an agreement. If family members have the minor child and the Department is not looking to terminate parental rights of the Respondents, it can be very helpful to mediate these decisions between the parents and the Department, or many times between the parents and the custodians of the minor child. This provides closure to the case, as well as,a potentially stipulated plan for the future of the minor child or children. In some cases,the Department has encountered the situation that the parents are unable to agree to a final resolution, as there is a highly contested custody battle between the parents as to who should have the primary care of the minor child and how such a permanency plan will be followed in the future. Mediation,once again,can assist in attempting to provide closure for the case and a permanent plan for the child that meets the best interests of the minor child. Finally, once the Department of Social Services seeks to terminate parental rights,mediation can be helpful in assisting the parties to provide closure for the case,as well as,for the parents,and can be effective in eliminating or limiting litigation on termination of parental rights. 2 II. TABLE OF CONTENTS Invitation to Bid 1 Abstract 2 Table of Contents 3 Target/Eligibility Populations 4-6 Project Narrative/Supporting Documentation 5 Budget 6 Appendices 6 3 III. TARGET/ELIGIBILITY POPULATIONS It is difficult at this time to determine the number of clients that will be served, as well as, the total family units and number of children. In my experience, the Assistant County Attorneys, caseworkers,Guardian Ad Litems and parent's counsel are well versed in mediation and are the most qualified,along with the Court,to determine what cases and what issues in cases are appropriate for mediation. I have the capacity in my practice to perform a minimum of six (6) mediations per month, but scheduling and timing of these mediations can be difficult, given the number of parties involved and their respective calendars. I am willing to accommodate mediation sessions,including potentially forthwith or emergency mediation,by providing early morning times,noon hour sessions, as well as,evenings and weekends. It is difficult to estimate at this time the average hours per week that will be spent in this program, as it will all be dependent upon the number of cases that are referred to the mediator. As stated previously,the mediator has the capacity to do a minimum of six (6) mediations per month, but will have the capacity to do even more should the need arise. The length of services in any one case will normally be one mediation session that can last anywhere from one (1) hour to one-half(%) day. Normal mediation sessions scheduled will be one(1) hour to two (2) hours in length; however, upon special circumstances, the mediator can allow a longer block of time up to one (1) day to deal with very difficult and complicated cases, or schedule more than one (1) mediation session. IV. PROJECT NARRATIVE/SUPPORTING DOCUMENTATION A. TYPE OF SERVICES PROVIDED. Mediation services to be provided in Dependency and Neglect cases will attempt to resolve issues between the parties, which will lessen the amount of Court time and contested matters,assist in providing permanency for children in a shorter time frame, and assist the parties in coming to their own resolutions which are more likely to be followed. Mediation is not therapy, but rather is a process whereby the parties can come together in a more comfortable and controlled setting then can be provided in either negotiations, settlement conferences or court actions, and will assist the parties, primarily the parents, in education of the system and their options, which will hopefully provide better resolutions. This project is not meant to provide any therapeutic services,but rather is designed to be a process for resolution and advancement of the court case and issues presented therein. These services will not supplant existing or available services in the community concerning mental health services, ADAD and professional services otherwise funded, unless the Department provides other contracts with mediators. The children of Dependency and Neglect cases are the beneficiaries of appropriate and successful mediation sessions. When the parties can come together and work to resolve problems, this creates less conflict within cases and less litigation, which moves the case through the system much more efficiently. B. MEASURABLE OUTCOMES. Mediation is seen to be successful if the parties can reach agreements that will advance the case and reduce litigation. The full benefit 4 of successful mediations can be hard to document,as the mediator will not have any post-follow up with the parties,the Department or the Guardian Ad Litem. Even if the parties cannot reach a full agreement in mediation, mediation can be seen successful if it brings the parties closer to a resolution, limits the issues to be presented to the court, or provides a better working relationship with the parties. I will provide in each individual case a statement to the Department of whether an agreement or partial agreement was reached in each case referred for mediation. C. SERVICE OBJECTIVES. 1. The first service objective is to have timely mediation sessions provided to the parties in a Dependency and Neglect case. It is important in mediation to look at the timing of mediation and once the professionals believe that mediation is necessary, services be provided as soon as possible. Cases tend to stagnate and become protracted once mediation is decided to be undertaken and very little will occur to advance the case until mediation occurs. The mediator has a half-time secretary/legal assistant that will be providing all of the calendaring of these mediation sessions, and upon agreement with the mediator, can provide times beyond the typical 8:00 a.m. to 5:00 p.m. work week. 2. Another service objective is to assure that all parties are appropriate and that a facilitation of good communication occurs during the mediation session. It is up to the mediator to provide as comfortable and safe of an environment as possible so the parties can discuss their differences, as well as, potential common ground be explored in trying to resolve the issues presented for mediation. 3. The most important service objective is to provide a forum in which the parties can successfully resolve their differences, reducing court time and advance the case on a timely basis. The true success of this program will be to either obtain partial agreements or full agreements on the issues that are presented for mediation. D. WORKLOAD STANDARDS. It is once again difficult to determine the number of hours per day, week or month that will be provided in this program, as it will completely depend upon the referrals received and availabilities of the parties to meet in mediation. The mediator does have a conference room, as well as, two available conference rooms within the building in which he rents. The mediator is also willing to travel to other attorneys' offices for mediation or to the Department of Social Services. Only this mediator will provide services, as there is no plan to hire any other mediators under this contract. 5 E. STAFF QUALIFICATIONS. I do employ a full-time secretary/legal assistant that is highly qualified in scheduling and preparing mediations for the mediator. The mediator will provide all direct services to the parties. My qualifications are that I have been licensed to practice law in the State of Colorado since 1986, and I have been mediating,primarily family law cases,since 1992. During my twenty plus years of practice, I have focused the vast majority of my time in the areas of Family and Juvenile Law. For sixteen years of my practice I had a contract with the state of Colorado to be appointed in Dependency and Neglect cases as a Guardian Ad Litem and Respondent/Parent Counsel. I am estimating that I have averaged over eighty appointments per year during that sixteen year period. F. PROGRAM CAPACITY PER MONTH. I have no minimum number of clients needed to support this program. The maximum client capacity per month is six (6) referrals,though in the last two(2)years it has averaged two(2)to three(3)referrals per month. G. INTERNAL TRACKINGS AND BILLING PROCESS. My assistant will provide information on each mediation session to the Department outlining whether the mediation session produced any partial or full agreements on the issues referred for mediation. My assistant will then bill monthly for the hours spent by the mediator in face-to-face contact with clients. H. UNIT OF SERVICE RATE COMPUTATION. I will charge $190.00 per hour in providing services under this contract, which will be the direct time spent in mediation with the parties. There are no other costs associated with this program. V. BUDGET A. See attached Direct Service Costs. VI. APPENDICES A. Proof of Malpractice Insurance. B. Resume of LeAnna M. Hunker, Legal Assistant. 6 \ N - \ c \ \ \ \ \ \ - \ j \ } \ 0 0 0 _ _ _ _ = o = _ _ < w _ _ _ _ _ = o = _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ co U > z § / \ cd § \ § < E 2 E \ j Q \ j { + \ § i - a + 6 - y 0 6 2 = / / / \ \ > U \ VD 0 0 \ > � \ * / 2 { \ > ( \ c4 < 0 z < E y5 i k 0 5 j 3 k ) k o < ( c 0 0 2 < 0 > = z 0 } s / ) 0 / H § 0 5 e § ) 7 { ± / 9 § Q ° Z ( 2 7 E % ) - C4 3 § = o - z o \ \ j [ 4 0 \ H H « j / / ( E § 8 ) < c4 ® ( E e / \ 2 = cif \ J \ § ( \ \ / } 0 & % \ » 2 & O § u < I J ® ° \ 0 ° \ » { ) \ < \ j / o up' \ \ j j j \ j / [ \ / ( \ / U } [ 3 _ \ 5 I U / / = % H / a y j \ \ a j H \ R § \ / % / UO / < / / < / / { / U < = U = L.L. LU c = _ y = Bid 002-05 (RFP-FYC-06008) Attached A Provider: W. Troy Hause Billing Contact: W. Troy Hause Address: 710 11th Avenue, Suite 205 Greeley, Colorado 80631 Telephone No.: (970) 351-6711 Description of Services: Mediation Service Month/Year: Charges: $ 190.00 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. W. Troy Hause Printed Name of Signer Provider Signature Date: A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A AA FOR COUNTY USE ONLY: Approvals: Core Case Worker Date Director Date Amount Payable: $ ANY CHANGES LISTED BELOW: CLIENT/ID/HH# BILLED AMT DENIED PAID REASON » \To a) {_ ] ) ) 0 , ( / ) \ > \ \ \ _c ) � � \ « 7 § L $ ( § • I. ) ` Em d }� / a « } k /) » as { ) Ga % 44 CO >$ | _ % \ / So N ) \ }� co \ iI- — A $ ! § et = § ) - \ / = � � - a. ` k23mtj a is - \ [t ) 7 { S "cn ` - % - ems o § am . re ° � o § t a \ § / § / >- / � 0 b _ - ce $ - a2 \s$ { _ ' E am ( \ t ctQHU \ } j \ $ E � � 2 \ 6ii O t § Li a * * ® f / S D c / \ ® § E ) I j V O.O. < ) C ) �� 6 { , / VI a)E co { f \ ) ® k / u Bkla 2 ° ■ E t\ } 2 // - j= ± _ ) \ ) ° e c2 . e CL a) 7k f ] < C § a ) \ ° E :, fib cuQJ CO -C CII Lica 0 ) 2 ° LU ) � 3 / { ) C aa) E D $ < 9 § B Zm 6E 0.• k / \ a \ \ \ U. + t et - § k • a Cola ■ � E f / ` ) / a � \7 a. § _cul _ ) ) 2 _ ` \ Sri �Wan ) k Z § ) , \ m / zt o § ) 7a #} $m % ) j / .0 ) k \ # c + m / t 2 b2 ■ / ( ■ ! ° \ / 2 '>7 cu 0.Z ii O/ ( j § � O . } \ X 0.1 O. 0f 2 ) § \ {\j \ � k $ # D o ` ) ° f � ai \\ y \ co \ = a _ f \ »�\` _ » § $ e au $ / O { \ U. \) 2 « § S � 01- ) � � a) k- o \\ \ ) ) CU ) D � \ ye /\] . ae § ) 6 18 Ni � 0 C. k I I CU c0 W LL LLn3 2 § ® — ) U) �� o\ I �§ Ce C \ \ ■ O 2 ^ i % Ill ) k/ cm ri - a0 § »@ \ Ii; § 2 \ + ( an o g ( \ I ® ° , ) t ( | a , '5 ) \2 U.a)45 \ ki �1.2 ) } ) t) ! ) ) i k ) i LEANNA M. HUNKER 427 North 1'Street•La Salle, Colorado 80645• OBJECTIVE To find ajob where I can utilize my skills as a Legal Assistant. EMPLOYMENT LEGAL ASSISTANT 2001 -PRESENT Troy Hause&James J Peyton Greeley, Colorado Prepare legal pleadings and correspondence, schedule appointments, schedule mediations and settlement conferences, e-file pleadings with the Court, maintain client files, and communicate with clients on the telephone and in person. RECEPTIONIST 1997 -2001 Houtchens, Houtchens&Greenfield, LLC Greeley, Colorado Answered multiple telephone lines,relayed messages to attorneys,light legal typing,and assisted the attorney's with preparation of legal documents when their legal assistants were out sick or on vacation. EDUCATION _ ASSOCIATED DEGREE 1997-2000 Aims Community College Greeley, Colorado Received my Associates Degree in the Legal Assistant program,was on the Dean's List in 2000 and tutored other students in the same program. HIGH SCHOOL DIKPLOMA 1989- 1991 Proctor R. Hug High School Reno, Nevada Received my high school diploma. SKILLS • Ten-Key by touch • Proficient with Word Perfect application • Proficient with LexisNexis • Typing • Ability to Multi-task • Lawyers Professional • Professionals Direct® ProDirectSelect Liabiolicy lity Certificate rtfcate a Renewal Certificate INSURANCE C 0 t�4 P q td Y RENEWAL CERTIFICATE DECLARATIONS THIS 1S A CLAIMS-MADE POLICY.PLEASE READ THE POLICY CAREFULLY (An insurance company,herein called the Company) Issue Date: September 12,2006 Policy Number: 06CO10021900400 Change Description: 1. Named Insured and Address: 2. Policy Period: W.Troy Hause Attorney at Law Effective Date: September 5,2006 710 Eleventh Avenue Expiration Date: September 5,2007 Suite 205 Firm Retroactive Date: September 5, 1991 Greeley,CO 80631 Endorsement Effective Date: 12:01 A.M.Standard Time at the address of the Named Insured as stated herein. 4. Limit of Liability (Includes Claim Expenses) 3. Producer Name: $300,000 Each Claim Professionals Direct Insurance Services $600,000 Aggregate PO Box 2679 Grand Rapids,MI 49501 5. Deductible: Schedule of Lawyer(s) $ 1000 Per Claim Lawyer Retroactive Date W.Troy Hause 09/05/1991 Annual Premium: $2017.00 Revised Annual Premium: $ Additional/Return Premium: $ Taxes/State fees: $0/$0 THIS IS NOT A BILL Forms attached at issue: S-LPL-CO(12/02) S-LPL-E210(01/04) S-LPL-J200(01/04) S-LPL-E221 (04/06) Forms attached at endorsement: By acceptance of this policy the Insured agrees that the statements in thisiDeclaration and the Application on file with the Company and any attachments hereto are the Insured's agreements and representations,and that this policy embodies all agreements existing between the Insured and the Company or any of its representatives relating to this insurance. Countersigned at: Grand Rapids,MI Authorized Representatives: �^ r ev. Ce Je t ,' Stephen M.Tuuk,President Stephen M.Westfield, Secretary Countersign Date: 12-Sep-2006 S-LPL-D202 (04/06) Page 1 of 2 S-LPL-D202(04/06) Program Area Supervisor/Provider Meeting Verification/Comment Form Date of Meeting: F C Program Area: ii I l i ^d r R ib Comments (to be completed by Program Area Supervisor): CSI • '� ; . L w � . : L ' r I t • Ate'- i isiLt % Signature of Program Area Supervisor EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP W. Troy Hause Attorney at Law The Greeley Building Telephone:(970)351-6711 710 Eleventh Avenue.Suite 205 Facsimile:(970)3534025 Greeley,Colorado 80631 FACSIMILE TRANSMISSION COVER SHEET FACSIMILE NUMBER TRANSMIT TED TO: (970)346-7662 DATE: May 21, 2007 TO: Ms. Tobi Vegter OF: Core Services Coordinator Weld County Department of Social Services RE: Bid No 003-IFT-07 (RFP 07008) Intensive Mediation Under Intensive Family Therapy Dear Ms.Vegter: With respect to your letter dated May 11, 2007, concerning the recommendations and conditions of my bid, I need you to know that I can not accept the recommendation to pursue bilingual interpreters/translators/staff in order to serve bilingual and monolingual clients. However, 1 have not found this to be an issue the last two years. I have one legal assistant that I have employed for a number of years,who unfortunately does not speak Spanish,but I do not want to change this staff member. With regards to attaining interpreters or translators,the one or two times that it was necessary in the last two years,the interpreter was either provided by the court or by the Department. Please be assured that if there was a case that I needed to mediate that required an interpreters, I would be utilizing the interpreters from the court. If there is a time that I need to pay for interpreters, and this became a general practice,and I will need to vastly rework the amount that I am charging per hour under this bid. As to the conditions of my bid, I was requested to submit additional information not addressed or submitted with my original bid, including: 1. Statement of Work, 2. Literature Citations,and 3. Program Improvement Plan. As to the statement of work and program improvement plan, my program is to provide mediations in Dependency and Neglect cases to address various issues, which may include adjudication,treatment plans,permanency plans, allocation of parental rights and responsibilities, TO 39Vd 2QV1 NTA3d Sf1VH )LNP 9Z0b-£5£-0L6 0t:9T T00Z/nZ/50 Ms.Tobi Vegter May 21,2007 Page 2 and termination. At every stage of a Dependency and Neglect case,mediation can afford the parties an opportunity to work through their issues, without the involvement of the Court, which does promote a relationship between the parties and may have a dramatic affect as to the successful outcome on a case. Further,mediation is an attempt to provide results for the family and the children on a more timely basis and to provide an opportunity for the case to be resolved more timely. Mediation can address at every session the permanency needs of children in out ofhome placements. Whether it be for adjudication,treatment plan issues, or permanency issues,focus at all times will be to have the children return home or to other relatives,if they are in out of home placements. Even a mediation for termination of parental rights can focus upon the permanency needs of the children in out of home placements. As to literature citations,the focus of mediation in Dependency and Neglect cases requires knowledge of the Children's Code, C.R.S. §19-3-101, et seq, and the case law. In addition, mediation procedures and perimeters are governed by the Dispute Resolution Act,C.R.S. §13-22- 301, et seq. With regards to mediations concerning the allocation of parental rights and responsibilities,certain portions of the Uniform Dissolution of Marriage Act are also applicable as found in C.R.S. §14-10-101, et seq. I have considerable knowledge and experience in applying these statutes. I hope this provides the information you requested,and if you have any further questions or I can be of any further assistance,please do not hesitate to contact me. Sincerely, L 74‘46V W. Troy Had WTH:hnh 7p .antl4 ?17111 AIIA'].J Cf*,.1 \M.MP C7lh_CCC_Li1G QT:gT TpfA7/T7/CP rs DEPARTMENT OF SOCIAL SERVICES P.O. BOX A I GREELEY, CO. 80632 WI D Website:www.co.weld.co.us Administration and Public Assistance(970)352-1551 OFax Number(970)353-5215 COLORADO May 11, 2007 Troy Hause,Attorney at Law 710 11 Avenue, Suite 205 Greeley, CO 80631 Re: Bid#003-IFT-07 (RFP 07008) Intensive Mediation under Intensive Family Therapy Dear Mr. Hause: The purpose of this letter is to outline the results of the Bid process for PY 2007-2008 and to request written confirmation from you by Monday,May 21, 2007. The Families, Youth, and Children Commission appreciate your interest in providing services for families in Weld county. This year,strides were made in structuring an RFP that is clear and concise, and more user friendly, for both prospective bidders and evaluators. It is important to stress the value of following formatting guidelines and addressing the required sections concisely and appropriately. A. Results of the Bid Process for PY 2007-2008 • The Families, Youth and Children(FYC)Commission recommended approval of your Bid# 003-IFT-07, (RFP 07008)Mediation under Intensive Family Therapy, for inclusion on our vendor list.The FYC Commission attached the following recommendation and conditions to your bid.. Recommendation: The approved bidder will pursue bilingual interpreters/translators/staff in order to better serve bilingual and monolingual clients.This may include offering incentives, accommodations, and encouragement to Spanish bilingual interpreters, translators, and staff. Conditions: Bidder must submit information that was not addressed or submitted with the original bid submission, including; 1. Statement of Work, 2. Literature Citations, 3. Program Improvement Plan. B. Required Response by FYC Bidders Concerning FYC Commission Recommendations: Page 2 Hause/Results of RFP Practice 2007-2008 You are requested to review the FYC Commission recommendations and to: 1. accept the recommendation(s)as written by the FYC Commission; or 2. request alternatives to the FYC Commission's recommendation(s); or 3. not accept the recommendation(s)of the FYC Commission. Please provide in writing how you will incorporate the recommendation(s)into your bid. If you do not accept the recommendation,please provide written reasons why. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. Concerning FYC Commission Conditions: All conditions will be incorporated as part of your Bid and Notification of Financial Assistance Award(NOFAA). If you do not accept the condition(s),you will not be authorized as a vendor unless the FYC Commission and the Weld County Department of Social Services accepts your mitigating circumstances.If you do not accept the conditions, you must provide in writing reasons why. A meeting will be arranged to discuss your response.Your response to the above conditions will be incorporated in the Bid and Notification of Financial Assistance Award. The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendation and conditions.Please respond in writing to Tobi Vegter, Core Services Coordinator,Weld County Department of Social Services, P.O.Box A, Greeley,CO, 80632,by Monday, May 21,2007,close of business. If you have questions concerning the above,please call Tobi Vegter, 352.1551, extension 6392. Sincerely, u y A. ego,D for cc: Juan Lopez, Chair,FYC Commission Tobi Vegter,Core Services Coordinator Gloria Romansik, Social Services Administrator Weld County Department of Social Services Notification of Financial Assistance Award for Core Funds Type of Action Contract Award No. X Initial Award 07-CORE-67 Revision (RFP-07008; 001-IFT-07) Contract Award Period Name and Address of Contractor Beginning 06/01/2007 and Julie Box, Private Practice. Ending 05/31/2008 Mediation&Facilitation under Intensive Family Therapy 1702 68th Avenue Greeley,CO 80634 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Program focuses on family strengths by using Assistance Award is based upon your Request for direct, intensive,time-limited mediation services Proposal(RFP). The RFP specifies the scope of to prevent the placement of children and/or to services and conditions of award. Except where it is reunify the children with their families as soon in conflict with this NOFAA in which case the as safely possible. Program promotes NOFAA governs,the RFP upon which this award is constructive communication between the parties based is an integral part of the action. using techniques such as reframing,positive connotation, separating people from the Special conditions problem, metaphoric storytelling and 1) Reimbursement for the Unit of Services will be based establishing ground rules for dialogue. on an hourly rate per child or per family. Program capacity is four mediation sessions per 2) The hourly rate will be paid only for direct face-to- month,48 mediation sessions per year.The face contact with the child and/or family, or as Department and referred families will receive no specified in the unit of cost computation. more then five hours of direct,face-to-face 3) Unit of service costs cannot exceed the hourly and service as arranged. Bilingual-bicultural and yearly cost per child and/or family. South county services available. 4) Payments will only be remitted on cases open with, and referrals made by the Weld County Department Cost Per Unit of Service of Social Services.Requests for payment must be an Hourly Rate Per original submitted to the Weld County Department of Social Services by the end of the 25h calendar day Treatment Package $100.00 following the end of the month of service.The Treatment Package Low(Court Testimony) $100.00 provider must submit requests for payment on forms approved by Weld County Department of Social Services. Requests for payments submitted 90 days from the date of service, and thereafter, will not be Enclosures: paid. X Signed RFP:Exhibit A 5) The Contractor will notify the Department of any X Supplemental Narrative to RFP: Exhibit B changes in staff at the time of the change. X Recommendation(s) X Conditions of Approval Appro}^ f Progr Of icia�!�, By �J cc` &)/ : By f`/,�` ti David E. Long, Chair Jud A. Grie o,Drec Board of Weld County Co 'ssioners Wel ount epartm t of Social Services Date: JUN ) 8 2007 Date: (o JI ill.1 doe?-/6:9 l EXHIBIT A SIGNED RFP 'LT: 7 INVITATION TO BID BID 001-07 DATE: February 28,2007 BID NO: 001-07 RETURN BID TO: Monica Mika,Director of Administrative Services 915 10th Street, P.O. Box 758,Greeley,CO 80632 Third floor,Centennial Building,Purchasing Department SUMMARY Request for Proposal for: Colorado Family Preservation Act--Core Services Program Deadline: Friday,March 30,2007, 10:00 a.m. (MST) The Families,Youth and Children Commission,an advisory commission to Social Services, announces that competing applications will be accepted for approved providers pursuant to the Board of Weld County Commissioner's authority under the Colorado Family Preservation Act (C.R.S. 26-5.5-101)and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement Act(C.R.S.26-5.3-101). The Families,Youth and Children Commission wishes to approve services targeted to run from June 1,2007,through May 31, 2008, at specific rates for different types of service,the County will authorize approved providers and rates for services only. This program announcement consists of the following documents, as follows: • Invitation to Bid • Main Request for Proposal(All program areas) • Addendum A—Program Improvement Plan Requirements(by program area) • Addendum B—Scope of Services(by program area) • Core Budget Form Delivery Date L `1 Z i C 1 (After receipt of order) BID MUST BE SIGNED IN INK Program Area: Mediation/Facilitation Julie Box TYPED OR PRINTED SIGNATURE VENDOR _Julie Box.LCSW (Name) Handwritten Signature By Authorized Offi gent of Vendor ADDRESS 1702 68th Avenue \\\\ Greeley,CO 80634 DATE & .J-1 Z-Ll PHONE# 970.302.1471 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 S , June 2007 BID NO: 001-07 Colorado Family Preservation Act—Intensive Family Mediation and Facilitation wider the intensive Family Therapy Program Area--- Emergency Assistance Program Julie Box.LCSW Private Practice ABSTRACT Julie Box(Bidder)is a Licensed Clinical Social Worker offeiikiy u wick' range c t:rrtviers. to children,famines and adults. Bidder has bean providing human services to tilt: Northern t.s II;k("2.1,; . •.:I: .,.:i 1 11:t..I:. (i :,' .j :,1: far7t.':?r ii:_t:j ovidull 'iC+rvi es as a :,;1;1;<(•, •11:;1 ..1 ;:. ;I;ii,i .t ir1 ii: field of l iiild welfare. Bidder has also provided hnrnt Ctl lriIr' !of t1 V`Irlt:t(1l:Ihl',! l (.Ch(Tl:ti::1:11 lilt• t.'vf•!" 1 .1:•a it" I 1 :,% I;:,:7 :.. .'I • I: ,:17 t•7"(••; 911ILt: Jill lt. l!1 Ill f'1. l.t:!7:14't li 1, r..t111 . .•. 1:'.. .• 1: ,:.• I .. ... • :i • I. . k,. I t.I1kJsuu., i.'t.i::.�I:i, 1.1i•::; 1.41[171::, ;:Lill:Ii :: �:1%I::;i, ':t 1..:I�.I1:17.'ii;l:l,l;, .JL'l;l 1:4V7:l,il(!1L 3LdLU�. ROOer WIII rl111V 1l1!• Irt(+(tl;tllhll trrblrr•!"1.0 1n(•VAL(•1(1 l .rllIIuN 1 1(•lx•tr!ln,•r14 (il :•.(w.:l;:: '.t•IVIftr•[;:111(1 Idllliiit:S i1,vt.Ii'l:U WV Lilt; V[:hiiLlllialt It); Slli% [:).i.ril::i:. pint r,);.: lt: I:i•,•t!:•':i� 17:1 iii.: �I.alll,iilkai[I rlctfVi!:r11'r'fll'rlt'rlt, •,1 rllif r'1 iP(t)I'C't1i;1f'(•iir)(,t1,'fttlf1 r!:':1;411ir1/1 :!:.1:;'4 Ifi :1 fill)0h/:3flrl '•!1nG:(an1w11aI Ilia:III::1, ;i.,. ;LI :.i:ll.i•I:J :t.sa.l1 ,:.I I.11..:,, i1I flit: .:;.x:.i1. 111IIII:.lY1; tI I.Si 11 i1;1. j);ljtJi,:l IVLU:it::.till ;tidily RTren(lihl: i1V 0G11(1(iirry:I. Inil•elt I\/(• 1NT1(• ki(rill(fi Ir1r•(tl:ttlrlrl (:r•It/trt•r:1(1 pir:q/(:.I III!,111:/('(•tr10,•n1 nt LIIlIUICIi rlllU/Ul it) IUUJIity till Llllitilt.1I vritiI Li suit 1.11111i11:t.OZ,:at.?i111 ,.1: .LiiL:1�' i/[Jb:•lUll:. i1IUkJI rr('(1Ptrtvr...:fn;.,f lrl+\rIll r11;•11'rtt'ri:i'-=till t1CN•1•:itift..rr'i;Jlriflrl f vrulleNr r111T nr(ln/rlr(ic r'11140Ti.i(:TIVP SAM i llIUIlil.c:llt.itl 1!i:!Lt/t:i:lI Llii:F.IdiLI1::1 LJ:ili3� I.1:1,: ..,Ut.JI d:, :l'JIIt.111111I , pU,ItiVL't.UIIIJUtdUIUII, c•Pnaranlnn npnnir?Tr(lrn tf1P nrnfliern nlr+f:inn(lrin Ct(1tv[niilnrl ti Minn n rmmc fr r uidiuyut. r1J ediRtirnr+17f1:Aitz :Jrr,iel 11Vfltrr trrlll'il IrIV111V4+(i IM,+r?i€K:to r4;' r•il riFv_ir:}nnc That orrlmnte!fQ oPcr illit31Cbi9 ui CI 1C Li 111tHClI, LU LIdll LJUId/Jle`JUIUUV1f`,r L11di IdL.111td1C JJVIIIldlltem.:y W.1id111111I IVI t11C children, ir'1'1orove corrrnuniratirin h'ttu"en ca'e work,Nrc and famiiv rn(1rnhRtrs. eraatF• petLCvUUII ul IdilIIt,b*ill Ume iJltJt.t:.15 1i11UU1311 bit I`)Uwl3lII ICI 1L5 ItSt.u1JI I dl 36 UJI[iVi iI.dilUilly UI U'e neeric of the. fanliiiac recntirr•ac gnat-saffrx•tiVely, ea'iv the churl's i imeriiate safety dllU weiiJ11C lIJU t tit;tbtd4Jft.`ii,Cti 1>Cuie iIIe c1uull UGH pIIJ3.,:4"CU. 2 TABLE OF CONTENTS A. Invitation to Bid . page 1 B. Abstract. page 2 C. Table of Contents page 3 D. Target/Eligibility Populations pages 4-5 • Total number of clients to be served • Total family units • Sub,total of individuals who will receive bicultural/bilingual services • Sub-total of individuals who wilt receive services in South Weld County • Monthly program capacity per group • Average stay in the program (weeks) • Avorago groups per week in the program E. Project Narrative/Siipportiri t)oc;uri erth.lhu11 paces 3-8 • Types of service provided • Measurable outcomes • Service objectives • Workload standard. • Staff qualification: • j--";-u1,11.31ri f..;apaLity per month • Int:.inal tracking and billing process F. Budges page 9 G. Appendices• .')1 Hcx. LCSI.A/ pages 1U-12 • App., 2: t);It 1 r.f)ittle.ti011 Instruments/Protocols page 13 • Appendix 3: Sample Consent Forms pvcles 14-15 3 TARGET/ELIGIBILITY POPULATIONS: The population to be served under this contract includes: families that the Weld County Department of Social Services has filed a Dependency and Neglect(D&N)petition on and wherein the family has been unable to come to any form of resolution with the Department and the treatment plan submitted by the Department. Bidder has been providing clinical services for hums✓ n; nt r ourlseting to Weld County for the past two years and has only turned dewi r: ruirals in the flcriv;r M;rtro area. At 5 hours of direct service per mediation, Bidder would l,t:ut,Ir: it. 4 itII.n IL;1 f�tt:,;l;:i141,1 f'ir Lr: .:r given 5 hours of direct Sfllrir:e HflCi 5 hi t,<.7..11 t ,,r.0 :. i,,L.,,"tot• iI •. . • •. ' j:• . . .. I .. • IOltOwll1 7il•IV1lt!;..;., !f'`1Fr.:i .•• .;'t t:lr't_:ii Ill r? {ll,'1'i:.,;71;t:i t i'I;`• •cl:I.',lil . r1 li<Ui(:: .rl r'I wu�li 1':+.. .alit.:tpl r'.Irr-.. of time RitidOt1 4'±il±1!tr1tF,`'?:4tic� E.111•fij�c;c;�fri�'►Ic`g!.' e� Rlilt:•k.eV1.14�ttt 1ltF`f:`ll'rh f,> �"i"e rk'r.E. The !Itir'it,1-i or ii'17tiyi:l1_1_et, :)Illfl,(0 +' l,l.it'ii.'-tel 11-if•a i_ _r17_lg(dt:f±iCS of .... specific ages. '. .. . ..... . . . ..... .. ..... . ...I.a . L.. 1 . J. a•Jf:J. "...if 1...41 u11,LJ. Bidder estimates she could complete 48 mediation meetings per year. L_. 4JIJ.11.V\•-l. VI .1141 r14t,lfl`.,. ffl... Sall✓ rfl. ..I\..VllLu.l-,alL.,. ..II _L..44.1.•... Unfortunately, Bidder is not bilingual; however, Bidder would be able to contract with a qualified `J I.•YIf.V1> •-•••;•......••••44••.# :.V.• ,v ll y.•i•.4iYLL.• .✓‘.I,•.y Iar1•.'4aW lrL..: ...••..y.11:ay•✓Wt y14VLa YV LJ 4.V .141\ refuse any bicultural services. L-- 44../1414.4 0.4411 VI II,\IIV1,4441.1 •111 iV 11111 .141.1,4444 Ili .-1410111 1S S414 \J%J4A1IL}, Bidder does not limit her services to specific geographical areas so Bidder will provide services in the Southern part of Weld County as they are referred. . V41411\I\{'461 441 111,41 V 1,444.1144 CV11\J VV111 11411 I.,444446.1 0.0 A.'i 11L/,41 444...V,V444. Bidder will provide consumers with her cell phone number and is available for consultation from 8:00 a.m. to 7:00 p.m. per day, 5 days per week. V. 111,4 1,1411III 11t 11.41\111.4.,1 '//,441,4111 44►IW41Ly. Bidder estimates she could complete a maximum of 4 mediation meetings every month. of 1. 1.,4 I.IV.41..11! r.1V 411 v1y4 V41.Il1Vt4 . Bidder estimates she can manage 4 mediation meetings per month on average. \V MI,{1y4.1Wy 1.1 ‘111.4i4/1Vy14111 \14141/44,46,...1 Bidder's goal is to complete the mediation meetings within a maximum of 3 months of receipt of the referral. 1. ..._r H. I4 411dyl,11414114`A.C I(II4I✓i4 111 014 NI Vy14111. The Department and referred families will receive no more than 5 hours of direct, face-to-face service, as arranged. 4 K. Cultural/ethnically specific services. Bidder does not limit her services to specific cultural or ethnic individuals or families so Bidder will provide services as they are referred. Bidder has participated in various conferences and courses specifically related to sensitivity toward cultures and ethnicities that may be different from the Bidder. L. Service to South Weld County clients. Bidder is available to provide mediation services in South Weld County as referred and as meets the above requirements. 5 PROJECT NARRATIVE/SUPPORTING DOCUMENTATION Intensive Family Mediation and Facilitation A. Typee of services provided: Bidder will provide solution-focused mediation that is designed to resolve conflicts and disagreements between the Weld County Department of Social Services and the families contributing to child maltreatment, running away, and to the behavior c:onr:iituting status offenses. Bidders service is goal specific and limited to five (r,) hours of direct lic,l: • '41 rc it rr:.{I. tic;cd::r:,:;()ivici:;,arcs liniiioci to mediation services only, and do not include treatment J. ,.. °.':.... .'I:.:. t r..:n::J c:f iene. f►'r;:zrin finel r.crttftc,nto attached. Bidder will provide mediation servic:cS only anti wtur#ti iioi t:uppiiant cxistuifl i:r,i.i i:v;:ii;:i,i► ;i:rvicos r .tilt : r r ur. i• ` `` in the community;e.g rricnli:, rir.•.R i-� c:�:;,:tR.•.rt►:, .��v .� •, /1•t•.it{:i,;i 1.:{:::::::::::::.:: otherwise funded. B. Measurbie outcomes_ Mediation goals;3w to Won Wolk With involved partite-) to reach decisions that promote the best 1 r :f t; eu f. permanency planning for the rnirr;. .;r:t:i;:1 c:#�:::�rr;n. r� r. ; r c.r;r.:rs.r :r ;r R1rn:,tn. t •sc;r,r:atc. x?rrn;.tr.: children, improve communication between ta.ise woikeis and family liternbars, c:mt;k:the perception of tarrnc::s in irm process through r.rnpc1wermnc:n , rc:ei,:`}:iieecc en:{ u:r;:l:...:#: :,:+:r,�,, n;the needs of the f:_male:1 and usin;/ rc:;;uurces cost-effectively. Clearly, the child's immediate safety irlA welt;:r: rr;:;.:t i;,c:•::i,:h:;.^,rlcr'i Y:^.rerr rnenkltnnrl r'r311 proceed. Bidder will provide mediation services to pirveni the pitrccurieni of c:tiiiarc:ii ii such iiiiuc:trleni is not in the muds best inters e. telecast:reniant citneom::s for eht:;rreil r rl::,riing WW1 tan i;;:t'.`:is based :3r1 i,uw rr till :iri:ilic::3 ar::rc:felled wherein the ehilcfron are still at home and how many of :,r;; rat:'r.r':i c;c.r:m:rl:r rc)tern..:ri Lunn t:.mrly after the milduitinn preceee. t:iddor will make all suitable attempts to make sure families iciunin intact. /`piri, rheastrrault:outtacrnt:.; .. t ae assessed by new m;manyi<,.ml IC. .arc Int,. .t upon rr:ir:ifel C:ir;rif►arC:rr to now many t. .il::l;?::iT:m..{n intact alter the mediation prxc:css. iteursific tiorr of children and families is a key focus for mcdtnrion ::r:rv:i•:••:;. ;tct;rut:cattnn i;rependrnt lipon the c atety nerds of the children and measured outcomes would be based on how many chritiierl can be ie:uriiirt:c;With iirei: ioniiiies after the mediation process rtes neon complex::. !udder wit::entrees any ern :•oventeree In parental competency a:1 rnoaeured by reporte of providers before and after mediation services. •, �. e.,,r. r,r..,. ;•:rc;,:, C..c•.:',r. :{tx�,•.r r. rllrr; at;c;nrrlrtire",to lower .^ rr,^t.,rat[:t1:3 placement, court costs as well as other collaborative costs. Therapeutic uutconies of ri►editliruii services will be measured by a s>e'smcnt n made of any t;rn:tement;:cnenue : in the tatrelt trineluo:l::iu;.:nn dynamics. Measurable outcomes of fundamental changes in the family would be assessed by trio i)opertn ent ca oworkcr. The goal for each mediation referral is to complete a mediation set sien(s), a written'it:Kitt to the Department idcnt#fy{ng the omi(s) met:nit true m ttiaten it:ms:, w;m;n a illanth5:;,t irutc,:;lc.,:i 01 receipt or it:::reic;rrel. file outcome wril be measured the through timely completion of the rncrtint:emi ,::er1 end can moee;fit of tr. :repert by rr:n referring ca:.n orlter. IT:ddcr will also track the number of mediations referred that fiicider aid not accept and the iu:rYitle:t of mediations referred anti subsequently can:dilea by the.department 6 Quantitative measures will include a higher level of satisfaction for the families and the Department as measured by family and Department response; lower financial costs, as measured by the reunification of families, fewer court hearings and fewer collaborative costs; and a reduction in areas of conflict between the families and the Department. Such measures will be monitored and evaluated by the results of the mediation process and the verbalisations of increased feelings of satisfaction of all parties C. Service objectives: The service objectives are to: • Improve family conflict management using mediation and counseling designed to resolve ci nftit :'and disagreement within the family contributing to child maltreatment, running away and other offenses. • Improve the furnily's ability to(iueess rc-:+uuit:Cs. Strefl ;1':!;I:3 IP.:rt::tit; in learning to obtain help from other;:oureef.-in the (.nnlmlunity+s:;ui within htr: :i -.ir:rt:, ;:lid federai governments • Address specific reie,rel issues. iiitiueit;f:vrvic s f,ht:ii be solution lt►0use:u nilri aiioress issues specified by fire i iepartrneni. t�tifitisi�tt`: t i=i : l wiii t;:>:: ,) :+ :;..r:,til::, ;sv.elu:aU: Wit.) 11111ftlitli t;Jt;tl Set 4/Ws!ol)Jt'.euve will ae +r):)f i.1 ,s f t.tr ttit)ii3+'rII [I?tl proms tf)J.`:a:3SS ino efte,etivertess or me mediation. ii. *iontioaa standards: A. iliunlbe'of hours per day,week ci it town. itiiiuei C:it111ri:1(;s(: IitaxilatIii1 of 0 Iicuts ui direct, face-to-Rice, mediation services per referr€ti. Numbers of noilis per(i :/, W(:cK or rtiurliii :srn dept redei►t upon rufenais. Bidder estimates that she can provide mediation services ft:f i s rtl(.'atation meetings per year. B. Number of individuals providing the services: 1, Bidder,unti a Spanish•speaking translator as needed. er. iii..►Yiii:ter 11 t.:, ; ii;:itJ lit:r tt4•tlr;tt:r (t:=:r►:_�t..ii►y ii jai-tulle;per worker. ci tti -iU families per rVti(V0r,pr'+N/init'.:i r•Ano ii;:inn emonii scrviC i to urn families on me caseload) D. Moaaiily of treatment. Biuuei's lit (lai►ty U► ►it:.itrrli:nt IS Stl1ii jiiI tatO S .it:itis t.t;•;e;(:(!. E. Total number of hours per ctayrweekimantn (Minimum r:verngc of/ rlcnir:;of f:r:rvic:e per iurilrty pt.:r weute). l.iupenclenl upon referrals. F. 1 nc maximum c:aseioaa per supervisor: (NA) G. insurance: Neese find Bidder's proof of liaoiiity insurance attacnea. E. Staff qualifications: biocter has a bachelor's degree in Psyeiioiogy (RA), a Master:;(sep.toe iii (u:iu1 1'liuiK(ivlSvtl) and is a Licensed Clinical Social Worker(i GSA') since January (,ic erase. number. ii:/u ia). Flt:;.ase u:.:c; tr;(. :+I;:;r:lt<:ll t tipy r/r i)ltiucI :i!1(;; li:at:. ijtetek.r•has her owrl piiVate pracUce and is the only start:;�t:.)il:i=i::?. i li.iwot;t:r, tiiduor can provide a qualified professionai that can translate curing rmeulatiurts iss nueueu. As an I.i;vv, bilked (1OO,S ttoi i►itvt;c:uinuceii Suporvisur. liiuuel has not received mandated new caseworker training. isiCitcer nos ninny years of lmair►irig ano experience in risk astats Merit. bidder secures a ntiiruniufil of 8 hours per year of continuing eaucation training. T F. Program capacity per month: As outlined in this proposal, Bidder's capacity is based on a direct/indirect service ratio. Bidder estimates that her monthly capacity is 4 mediation sessions per month. G. Internal tracking: Please refer to the attached budget for Computation of Direct Service Rates. Bidder's charges$100.00 per hour per mediation. This is a total cost for face-to-face contact Bidder's internal tracking is done through a form recording: receipt of referral's, name of client, referring caseworker, referral type, household and TRAILS numbers, date received, date completed, date submitted and date payment was received Cidder will use the Department's Monthly Request for Reiinbursc:marit•PY 2006-2007, as well as the Department's Provider Att nif:l:.u:' ;:•:it iO( t3ills will be submitted on or about the 10th day of the month following the month the ;:c:Nig were provided. H. Literaturf3 citations: NA: Bidder did not refer to any literature citiltion5 withir, this application. I. Cenfid :ati.11ify snit participant protection: • Protect clients and staff from potential ;isks Covered by Bidder's Agreen it:nt to Mediate form on pages1/1-15. a •ui: Of pal tie,if:afii.i' '.)iild::r :au,epts all n:feiral's from the;WCD•^,; regardless of ;::, i..i, ;r: :" :+.i:!�= .•.' :Stjfu�,uI, I:hillir;n of>;iJl tan00 alusors, foster children, pregnant women, religious preference s.'xuat preference or (t!;: ltlilitie':. i>li'ii 'r aoc.: not re:A uii .r1 ::;:i(:c:l (lily lithoont:i. ,,, VICI- ..*` iiii:l._. ...i :. ... i4.i'. • Ab:_-ni::; i?f c;i;i rf::r:ii %i.,^r::(i i1i ilid&r':i i;grer:mr:nt to iviediat,form on pages 'id-16. • 1_ .,. ,.: . r. y +i�. n i • rie..lt. • , f4Jiri7 tar lt:c:'i 14 15. •.i :i•. . .u•.ii ;i: •1 :•% as� .r':i r d.Ti: .ii. :1i ix.; wa. i.ii:, j.i:. • Q ri'=lrae 'nr1 e'rinfiripniiniity ('ebtlorwi Iv.r FAir$r8H4'R A.rlLp!nynt terrkik.diPic.thrrrr r. r�:.rrypc • Adequate c()rsent procedure3: Covered t3y tsmocrs Agreement to Mediate form on 1iugoz; 14.15. • Ride/ ru fit r'tir .!!,4sinr±' f':r)v.4rc ri by nirirtur'c Aorpornyr!f 4r� !modti:.rtaa fr nn ors b=441444 14_ � 1 :I BUDGET Please refer to the attached budget forms and Unit of Rate Computations. APPENDICES 1 THROUGH 3 • Appendix 1: Resume for Bidder • Appendix 2: Data Collection Instruments/Protocols • Appendix 3: Sample Consent Forms 9 APPENDIX 1: RESUME Julie Box, LCSW 1702 68 Avenue Greeley, CO, 80634 970.339 9036 or 970.302.1471 Education: Adams State College; BA in Psychology. Graduated 1984. Colorado State University;MSW;Masters in Social Work. Graduated in 1996. Licensed Clinical Social Worker as of January of 2003; License# 992996. Work History: Private Practice: June 01, 2004, to present This clinician cu+rcntly has a contract with the Weld County Department of Social Services (WCDSS) to complete home studies for individuals applying as foster/adoptive parent(s)in Weld County. Responsibilities include the nsc of the rl;, Sri 'iiue l Analysis !Tan iily i..slFtioa,a written,narrative,home study provided to the WCi)SS,with i'e4. nline.richition. I,ac l rli,inc{ ciai't'h•: ti: �+r;�i it 1):'t'•:aitn,t'ril .'f M. and local law i!itforceinent, four letters of t !, ...... ..0 .. : ;u r.,i r ., ;'• e f ••,,%1.li,S:.. .eii ail t.;lr.r1..n•; n '•1 tgyrl ,.-4.i ipi,otk d by the .ir� applicant parent(s). The W( )* eompk' r.s r.the.t hac'.ic7.rcliiacl on.•1s ii rtl;lj h ay...(III weli ;IS the.(o oriar.k F.a•.litrlal {t(tistry,0.. t{rr,'•:r own Clinician at 1.taiheran Family Services Miry II, 1 t:9,'.c, 1(r.1(t►NI((ry /.3, 2006, Program brionake r for Fam ly Pr<.'.i.rf•vrriion t'rnc•,rrrne, rm.i l:r-Iirlr;ru. Otpertt ('r>rrn.velio, Pr;bivt nr f:(f+rr►ti••t'...i'k". ,h4nr, (i1 7in)I fir.lnnwry of 7(}f)4 Iran ray1 r►11{1(f lirwu! W11 (e positi(►►i els Cluaicifiti, Responsibilities as a clinician include erisis intervention,thertpeaafie sc•rvitx•s'For filsli•r children dealing with ryiel iand toss issues in I.N.;homes,t••issc.lilill►ilri.alif:YrF .l'(.r\rl(:i:� ft h. foster ehildrrn, cosier parents,birth parents and comity caseworkers, attending and testifying at coijo i;tiii pill ioii Of tiOris .Vtiitlit;s tilt I irifieraii Family Sol(4it.:/;.ti hiii►li.- ilk i.y/1fl s for the Weld County Department of Social Services,completion of ail related paperwork inchidinp but not limited in iIOtithIY i'i••ports., (nipping ptop1'(aC Fii)it'.\„ iuir`.r'w.tieib.d asse.ssint••aN\, monthly staffing(Tows rani development rWtircairni.nt plans. Responsibilities as a program manager inclu de d responsibility for elinical and administrative oversight of 11w three•programs listed{.ihovc•,assisting in sc.{e.t.tiny,siaf{:, rissi ping in program development and definition, identifying community resources to supplement program activities ancd onsnet, dine. consigtent.ly high iltiialify etiiziriai care and case manageetncnt wrvi4.:os are provided for each program consumer. 10 Social Caseworker III: Child Protection for the Boulder County Department of Social Services August 05, 1996, to May 11, 1998 Responsibilities include family assessments, family and individual therapy, updated written reports on case progress, written court reports, attendance and testimony at court hearings, school stuffing's, therapeutic stuffing's,crisis intervention,written social histories,attending interagency ffi stung s, development of treatment plans and general case management. .Supervisor for Work Release and Nome Detention Inmates for the Weld County Sheriffs Department December of 1994 to July of 1996 Responsibilities include direct supervision of inmates in the work release and home detention programs,daily record keeping of inmate activities,home visits to verify the inmates whereabouts,crisis intervention and counseling of inmates. Counselor it/rtssistant Program Director Jiff the Weld(bunt',('h►.hrrr flame and Alternative Homes for Youth November of/9R6 to August of 1994 R(�spt�rlsihititi+.�, iru;tialtA all flu►aw'ial rita,tageineiit,supervision of adjudicated delinquent youth aged twelve to eighteen,(•ounsclinp,ti'cn►tlt with n frn uS(,n p,t;t't';'nul toss it:st►es, (tcvr.Icrt►nrt:ni ill- -treatment plans, tJ PA liaison, sttprrvisk ti of sts+ir, Iiainint litt tlI n,'-w stATAirti il;lt .'►i: a�\rlrtllltitttr �,I 110 Im'n'ranr tli:'r:lor;s dt(tit's.,ylrt,n tho dircelnr wns absent,communicating t;flt.'c:I.i'. 't, t., :r( '11 'tl .ti c '�'r f':'c s:t3rt:lts and the upkeep t;t':;lalisiics. Continuing tre ininy Family Group Do;ision Makiu(r:November 1998 Underatar:tfint Anxiety: October 1999 Play Therapy and Therapeutic Care of Children in foster Care and Adoption: October 1999 Oppositional fi:ltsvior::rid 01)1). 2009 Attachment and Bonding: January 2001 Verbal 1!t; t:;calulit'll and Personal safety: f.ebruary 2002 Psychiatric Medications in Children I'1Hce i in Foster or Adoptive.(:are: Mat-oh 2002 Building Skill,: in I lii h l;i;:k Families: Jinn..2.002 Confirming Sufi) I?ns'inlnn eats: September 2002 Forster Family Acm5:'teat'l'raining: September 2002 EMDR:. Basic Training: November 2002 Attachnlcnt and Bonding: February 700:1 IJndcrst.tntlin:g and Responding,to the Sexual Behavior of Children: May 2003 Advanced Ttaining for Special Advt:catea: September 2003 NNlnincr(;rirev t (`hiMrr.n �nrl'I'rrrte' (10,:tttr,r 7(103 Mediation Comae: June 2006 Refer eneex: Lutheran Family Services 1 kuman Resourccs Department_ 1.800.579.9496; 3f,3 S. Harlan, Suite 200.Denver.CO.. 30226 3552. 11 Sharon Thomas: Supervisor at LFS from May of 1998 to December of 2003: 970.663.1039; 3733 Lincoln Court, Loveland,CO,80538. Email: SktI225@aol.com Diane Baird: LCSW Consultant: Private Practice. 720.217.9352. Maria Baladez: Co-worker at the Boulder County Department of Social Services: 303.250.1484; 640 Gooseberry Drive,#402, Longmont,CO., 80503. Email: mbass@co.boulder.co.us. 12 APPENDIX 2: Data Collection Instruments/Protocol Currently, Bidder uses face-to-face discussion to gather data regarding each mediation case. Bidder's uses a Memorandum of Understanding(MOU)when required to clarify issues as well as to record specific agreements between parties. 13 ......__. .._._ APPENDIX 3: Sample Consent Form Julie Box, LCSW 1702 68th Avenue,Greeley, CO 80634 970.302.1471 (o)* 970339.9036(f) AGREEMENT TO MEDIATE This Agreement is between and (hereinafter referred to as Parties)and Julie Box, LCSW(hereinafter referred to as Mediator)to work toward a settlement of a dispute between the Parties. 1. Good Faith: In consideration of receiving services from Julie Box,T.CSW,the Parties agree to enter into this mediation in good faith. Each Party agrees to undertake to attempt to resolve the issues relevant to this dispute and will consider reasonable solutions presented to them toward this goal. 2. Mediator Role: The role of the Mediator is to assist the Parties to each a mutually acceptable resolution of the dispute. The Parties understand that the MI'_<liator is not acting as a therape,l in this pl'Lc cs;i mid the l'.uties Will not tVeeivo therapeutic services front the Mediator. I lie i'ttriies understand that the role of the Mediator is neutral. 3. Legal Advice: Fad) Party is i(tkiiL%i1 I. ti t11ii1 (•t tlllha'•i i::a ;k:ii:i)itt• auy i tt•Oi.<;ti.il responsibilliw.orthe%1'1tlj. Tii I'ii•t 't;ii iiiiii t�ii.T�'li'delitti.i (�.ti%'t tit)ii Iti: t.t:,„i1iu.t c.r tititlt`•I:i1.;i•'i:'+e, ::hitter iii fitie;tlL 11mi, this tlt)t;trllrelit is an aid It)the iiitiU:ill-;i;,l r,.•'•�.-..•..i.iw ii:i•l i:i ;:i illr iVii:riiiiril.:i�r O11;11, 1(44 ai�iler. Abo)a Party inay wish to have any agreement between the.Parties ir•ti'ir•wed l>y c.Oiilneil lit in; to r•>eetitii)ti. This is a personal decision of ca.•l; Party, based on the Party's rty's own of tIR'•ia;it t%itieiii as developed by the Parties. 4. Legal Rights The Parties uiulerstinnd that the ii Bator is not obligated to identify or resolve legal issues,whether or riot raised by the Parries in the course or lire mediation. The Pttnt.ies understand that they may be waiving or compromising legal rights by settlement of the dispute and their claims. 5. Disclosure of Information: The Parties ituiltr)stand thrl to; nie4l;atio;l to work,lint disclosure o all relevant ititorniatioii,writicii and oral, is essential. Tliereloae each Pai to be open and iit)iii;:;t n i to all autrh relevai(t information. Phis include:,providing each other and the Iviediaioc with ail iuibrutatitxi and tiO4;uiricutatiou that would be available; through the discovery process in a litigation proceeding. 14 6. Confidentiality: a. The Parties agree that they will not,at any point in the mediation process or thereafter,call the mediator as a witness in any legal or administrative proceedings relative to the dispute. The Parties further agree that they will not subpoena or otherwise call for the production of any records,notes or work product relevant to this dispute in the possession of the mediator in such legal or administrative proceedings. To the extent that the Parties may have such rights,such rights are hereby waived. If an attempt to subpoena the Mediator is made in violation of this paragraph,the violating Party agrees to reimburse the Mediator for any and all expenses incurred to quash such subpoena. Expenses will include the Mediator's hourly rate of S100.00 per hour. b. The Parties may use this Agreement to Mediate and any written agreement hetwucn the. Parties that results from this mediation in any relevant legal proem cling. if either f ath- so desires. Any agreement reached between the Parties is not confidential information. c. The Parties understand that the Mediator will keep all information revealed pursuant to the. mediation confidential as to any and all third parties, unless permission to civt n by both Parties. .\nutlet`e c(1)1 ion to cont ulon uatity co)neerns any reports of present or tuture harm to seller t)tio' s t+r'•u t11.; post, presk,iit luturc commission of:l felony, which wilt be reported to the appropriate authorities. 7. Kestra+nrn►g t)rcicrs, the t'artlrs will obtain an exception to any current restraining orders so they can meet together in mediation. N. Termination of nictitation: I. in the opinion (it either fatty('i the rokli)att,r li is (it lcrtllne(t that it is not possible to resolve the dispute through mediation,aft:•r kill discw,sinn kir ti;( Ieasons this conclusion has taken place,the mediation may be terminated. I have read,understand and agree to each of the provisions of this Agreement to Mediate. Signature Date Signature Date Signature Date 15 Account Number: CO BOXJ 1700 ,.ace: 2/20/07 Initials: DMM CERTIFICATE OF INSURANCE AMERICAN HOME ASSURANCE CO_ C/O: American Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 This is to certify that the insurance policies specified below have been issued by the company indicated above to the insured named herein and that, subject to their provisions and conditions, such policies afford the coverages indicated insofar as such coverages apply to the occupation or business of the Haled insured(s) as stated. AMS, EXTENDS OR THIS ALTERS�THEFC0VTE OF ERAGE(S)SAFF0RDDEDEITHER BYY THEAP0LI�CY(IES)YLISSTTED 0N NEGATIVELY THIS CERTIFICATE. Name and Address of Insured: Additional Named Insureds: JULIENNE E. BOX 1702 68TH AVE GREELEY CO 80634 Type of Work Covered: PROFESSIONAL SOCIAL WORKER Location of Operations: N/A (If different than address listed above) Claim History: Policy Effective Expiration Limits of Coverages Number Date Date Liability PROFESSIONAL/ 1, 000, 000 LIABILITY SWL-1919252 2/20/07 2/20/08 1, 000, 000 NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED ON THIS POLICY AND HE OR SHE SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF CANCELLATION. Corments: This Certificate Issued to: Name: JULIENNE E. BOX 1702 68TH AVE Address: GREELEY CO 80634 Au orized Representative d \ ? ^ Q Q S -, \ \ I 4 $ ` J \ yy . :», , ,„; ` \ - / d i 9 r i ' 2 @ ~~ - . �, � { e /) ;/ / \ \ | \ "n-O v a , k \� \ \ \ / ` \ - \ \ | | \ \ « \ < t \ . . ` © | ( \ \ ° © w z \ I \ § . . . . - . 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E |||| m \\ g 5- | A E` 882888888888888888 8 8 8 \ �| § 8 8 8 §§k!##=�aeel�a2;=8 ; ; § § � §� I w §\ ||§| ° <0 n 888888888888888888 8 ° 083 a m ring2U22;a■aSg22; 7 ; § § q ) 2 ± « - |e §0 |§|§ §[ S 0 § :§§§ ZZZZZZZZIZZZZ CO 4 sass . $ |■■2 # a ! � a, a ; : | _ 7 I § 3 0 1.1 a, f ■ kus 02 R. § . 0 | § 2 ; | | | | § 000 > | 000 EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP 05.1 7.2007 Julie Box,LCSW 1702 68`"Avenue Greeley, CO, 80634 970.302.1471 Re: Response to recommendations made on: Bid#01-IFT-07 (RFP 07008)Mediation and Facilitation under IFT Bid#007-FPC-07 (RFP006-00A)Foster Parent Consultation Bidder accepts recommendations made and will meet recommendations in the following fashion: Response to recommendations from Weld County DSS for Mediation: • This bidder offers a bilingual translator for any Spanish speaking clients at no extra charge to the County. This bidder pays a set amount for interpretations as agreed upon by bidder and translator. • This bidder will meet all PIP requirements included in the initial bid from the Weld County DSS. This includes meeting placement changes by focusing on the needs of permanency for children in out-of-home-placement, maintaining cultural and racial connections and encouraging communication between families and the Department caseworkers. Response to recommendations from Weld County DSS for Foster Parent Consultations: • Bidder assures that all Program Improvement Plan requirements under the Foster Parent Consultation program will be met. These PIP requirements include: Placement changes, independent living, maintaining cultural and racial connections,monthly face-to-face visits with caseworkers,timely initial assessment within two weeks of placement and health needs identified and services provided.Please refer to this section addressed in bidder's initial bid for more detail. • Literature citations used with Foster Parent Consultations include Parenting with Love and Logic by Foster Cline and Jim Fay; Adopting the Hurt Child by Keck and Kupecky; Fostering Changes by Richard Delaney as well as bidder's System's Based approach to supporting foster families,the children in their home and the preservation of placements for children placed out of their homes. As stated in the initial bid,bidder has a BA in Psychology, a Master's degree in Social Work and is a Licensed Clinical Social Worker in Colorado. Bidder has 21 years of experience in working with foster families,children in out-of-home placement and birth families. All of this experience is tapped to help support the permanency of placements. Please feel free to contact bidder at the above number to clarify any questions. Sincerely, Julie Box,LCSW . a #: DEPARTMENT OF SOCIAL SERVICES P.O. BOX A I GREELEY,CO. 80632 Website:www.co.weld.co.us Administration and Public Assistance(970)352-1551 OFax Number(970)353-5215 • COLORADO May 11,2007 Julie Box,Private Practice 1702 68 Avenue Greeley,CO 80634 Re: Bid#01-IFT-07(RFP 07008)Mediation&Facilitation under[FT Bid#001-FPT-07(RFP 006-00C)Foster Parent Training Bid#007-FPC-07(RFP 006-00A)Foster Parent Consultation Bid#004-HS-07(RFP 006-00B)Home Studies and Relinquishment Counseling Dear Ms.Box: The purpose of this letter is to outline the results of the Bid process for PY 2007-2008 and to request written information or confirmation from you by Monday,May 21, 2007. The Families,Youth,and Children Commission appreciates your interest in providing services for families in Weld county.This year, strides were made in structuring an RFP that is clear and concise,and more user friendly, for both prospective bidders and evaluators.It is important to stress the value of following formatting guidelines and addressing the required sections concisely and appropriately. A. Results of the Bid Process for PY 2007-2008 • The Families,Youth and Children(FYC)Commission recommended approval of your Bid# 01-FPT-07,Foster Parent Training program area,and your Bid#004-HS-07,Home Studies, Updates, and Relinquishment Counseling for inclusion on our vendor list. No conditions or recommendations were attached to these bids. • The Families,Youth and Children(FYC)Commission recommended approval of your Bid# 0I-IFT-07,Mediation&Facilitation under the Intensive Family Therapy program area with the following recommendations. Recommendations: 1. The approved bidder will pursue bilingual interpreters/translators/staff in order to better serve bilingual and monolingual clients.This may include offering incentives, accommodations, and encouragement to Spanish bilingual interpreters,translators, and staff. 2. The bidder will provide more information relating to PIP requirements. • The Families,Youth and Children(FYC)Commission recommended approval of your Bid# 007-FPC-07, Foster Parent Consultation program area with the following conditions. • 'Page 2 • Julie Box,Private Practice/Results of Bid Process for PY 2007-2008 Conditions: The bidder must clarify and submit information that was not addressed or included with the original bid submission, including; 1. Program Improvement Plan(PIP); 2. Literature citations for evidenced-based practices. B. Required Response by FTC Bidders: Concerning FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: 1. accept the recommendation(s)as written by the FYC Commission; or 2. request alternatives to the FYC Commission's recommendation(s); or 3. not accept the recommendation(s)of the FYC Commission. Please provide in writing how you will incorporate the recommendation(s)into your bid. If you do not accept the recommendation,please provide written reasons why.All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. Concerning FYC Commission Conditions: All conditions will be incorporated as part of your Bid and Notification of Financial Assistance Award(NOFAA). If you do not accept the condition(s), you will not be authorized as a vendor unless the FYC Commission and the Weld County Department of Social Services accept your mitigating circumstances. If you do not accept the conditions, you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the Bid and Notification of Financial Assistance Award. The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations and conditions. Please respond in writing to Tobi Vegter, Core Services Coordinator, Weld County Department of Social Services,P.O. Box A, Greeley,CO, 80632,by Monday, May 21,2007, close of business. . If you have questions concerning the above,please call Tobi Vegter,970.352.1551,extension 6392. Sincerely, a J A. Gri o,Di or cc: Juan Lopez,Chair, FYC Commission Tobi Vegter, Core Services Coordinator Gloria Romansik, Social Services Administrator Hello