HomeMy WebLinkAbout20071067 06-07-RESPITE CARE
CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
AND CAROL RIPKA
This Agreement,made and entered into the L day of Air,I ,2007,by and between the Board of
Weld County Commissioners, sifting as the Board of Social Services, on behalf of the Weld County Department of
Social Services,hereinafter referred to as"Social Services,"and CAROL RIPKA.
WITNESSETH
WHEREAS,required approval,clearance, and coordination have been accomplished from and with
appropriate agencies;and
WHEREAS,the Colorado Department of Human Services has provided Child Welfare Regular
Administration funding to Social Services for respite care for county foster care CAROL RIPKA and
WHEREAS,CAROL RIPKA is a for-profit Sole-Proprietor.
NOW THEREFORE, in consideration of the premises,the parties hereto covenant and agree as follows:
1. Term
This Agreement shall become effective on February 1,2007, upon proper execution of this Agreement and
shall expire June 30,2007, unless sooner terminated as provided herein.
2. Scope of Services
Services shall be provided by CAROL RIPKA 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," and Exhibit C,"Fee
Schedule,"copies of which are attached hereto and incorporated herein by reference.
"Payment Schedule"shall establish the maximum reimbursement,which will be paid from Child
Welfare Regular Administration funds during the duration of this Agreement.
b. CAROL RIPKA shall submit an itemized monthly bil 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. CAROL RIPKA 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 Regular Administration funds to Social Services.
d. Social Services shall not be billed for, and reimbursement shall not be made for time involved in
activities outside of those defined in Exhibit A. Work performed prior to the execution of this
Contract shall not be reimbursed or considered part of this Agreement.
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4. Financial Management
At all times from the effective date of this Contract until completion of this Contract,CAROL RIPKA shall
comply with the administrative requirements,cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under Child Welfare Regular Administration funding must conform to the Single Audit Act of
1984 and OMB Circular A-133.
5. Payment Method
Unless otherwise provided in the Scope of Services and Payment Schedule:
a. CAROL RIPKA 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 paymart if CAROL RIPKA has failed to comply with the
Financial Management Requirements,program objectives, contractual terms, or reporting
requirements. In the event of a forfeiture of reimbursements,CAROL RIPKA may appeal such
circumstance to the Director of Social Services. The decision of the Director of Social Services
shall be final.
6. Assurances
CAROL RIPKA shall abide by all assurances as set forth in the attached Exhibit D,which is attached hereto
and incorporated herein by reference.
7. Compliance with Applicable Laws
At all times during the performance of this contract,CAROL RIPKA 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. CAROL RIPKA acknowledges that the following
laws are included:
Title VI of the Civil Rights Act of 1964,42 U.S.C.Sections 2000d—I 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,CAROL RIPKA 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
CAROL RIPKA 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. A copy of certificate will be provided to Social Services upon completion of
this agreement. Failure to do so will null and void this contract in its entirety.
9. Monitoring and Evaluation
CAROL RIPKA and Social Services agree that monitoring and evaluation of the performance of this
Agreement shall be conducted by CAROL RIPKA and Social Services. The results of the monitoring and
evaluation shall be provided to the Board of Weld County Commissioners andCAROL RIPKA.
CAROL RIPKA shall permit Social Services, and any other duly authorized agent or govemmental agency,
to monitor all activities conducted by CAROL RIPKA pursuant to the terms of this Agreement. As the
monitoring agency may in its sole discretion deem necessary or appropriate, such programdata, 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.
II. Remedies
The Director of Social Services or designee may exercise the following remedial actions should s/he find
CAROL RIPKA 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
CAROL RIPKA. These remedial actions are as follows:
a. Withhold payment to CAROL RIPKA 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 byCAROL RIPKA 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 CAROL RIPKA due to omission,error,fraud,and/or defalcation shall be
recovered from CAROL RIPKA by deduction from subsequent payments under this Agreement or
other agreements
between Social Services and CAROL RIPKA,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 CAROL RIPKA:
CAROL RIPKA Respite Care Provider
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: CAROL RIPKA
Judy A.Griego,Director 1138 35th Avenue
P.O. Box A Greeley,CO 80634
Greeley,CO 80632
14. Litigation
CAROL RIPKA shall promptly notify Social Services in the event thatCAROL RIPKA learns of any actual
litigation in which it is a party defendant in a case that involves services provided under this Agreement.
CAROL RIPKA,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. CAROL RIPKA 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 WI WHEREOF,the parties hereto have duly executed the Agreement as of the day,month,and year
first above
ATTE ic,' .-',.�
WEL y BOARD OF COUNTY
CLER TO THE BOAT;D ''-7 COMMISSION S WELD
COUNTY,COL DO
By: ,'.. �7 By:
AD4Depputyty Clerk " David E. Long,Chair 04/16/ 07
ESTING TO BOARD OF COUNTY
COM ISSIONER S,GNATURES ONLY
APPROV AS TO FO CAROL RIPKA
BY '--C�L..c .w,.
County Attorney CAROL RIP
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By:
D. for
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EXHIBIT A
SCOPE OF SERVICES
Each CAROL RIPKA will:
1. Complete a fingerprint card for a background check at the CAROL RIPKAs expense
with the Colorado Bureau of Investigation. A Federal Bureau of Investigation
background check will be done if the CAROL RIPKA has been a resident of the State of
Colorado for less than two years. Social Services will clear the CAROL RIPKA through
CBI and FBI;
2. Complete a course in CPR and first aid, in which a current copy of the certifications must
be provided to Social Services with this agreement. If either certification should expire
during the contracted period,the CAROL RIPKA will send a new current certification
copy to Social Services;
3. Provide transportation for the child to appointments during the hours of service as agreed
upon with the foster parent;
4. Become familiar with State rules and regulations governing certified foster Fumes;
5. Must be eighteen years of age or older.
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EXHIBIT B
PAYMENT SCHEDULE
I. Funding and Method of Payment
Social Services agrees to reimburse CAROL RIPKA in consideration for the work and services performed
under Child Welfare Regular Administration funding.
Expenses incurred by CAROL RIPKA, in association with said project prior to the term of this agreement,
are not eligible Social Services expenditures and shall not be reimbursed by Social Services.
Payment pursuant to this Contract, if Child Welfare Regular Administration funds,whether in whole or in
part, is subject to and contingent upon the continuing availability of Child Welfare Regular Administration
funds for the purposes hereof. In the event that saidfunds,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
Respite care is limited to four hours per week per child. The hours of care may be provided in any
combination throughout a month,but not to exceed 16 hours per month. Payment will be$16.75 per each
four hour period,but not to exceed$67.00 per month for 16 hours.
Social Services referrals will not be sent to collections by CAROL RIPKA for default of co-pay/fees.
Services will be performed regardless of client's refusal or inability to pay copay.
CAROL RIPKA 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
CAROL RIPKA shall prepare and submit monthly the itemized voucher according to the criteria listed
under"Standards of Responsibility" in Exhibit E, and certify that the services authorized were provided on
the date indicated and the charges made were pursuant to the terms and conditions of Exhibit A.
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EXHIBIT C
ASSURANCES
1. CAROL RIPKA 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 ofCAROL RIPKA-contracted
CAROL RIPKAs or its employees,volunteers,or agents while performing duties as described in this
Agreement. CAROL RIPKA shall indemnify,defend, and hold harmbss Weld County,the Board of
County Commissioners of Weld County, its employees, volunteers, and agents.CAROL RIPKA 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,CAROL RIPKA 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 theCounty 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 factthat 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. CAROL RIPKA 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. CAROL RIPKA 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
CAROL RIPKA.
9. All such records,documents, communications, and other materials shall be the property of Social Services
and shall be maintained by CAROL RIPKA, 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. CAROL RIPKA 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 andreview
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. CAROL RIPKA or Social Services may not assign any of its rights or obligations hereunder
without the prior written consent of both parties.
12. CAROL RIPKA certifies that federal appropriated funds have not been paid or wil be paid, by or on behalf
of CAROL RIPKA,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. CAROL RIPKA assures that it will fully comply with all other applicable federal and state laws. CAROL
RIPKA understands that the source of funds to be used under this Contract is Child Welfare Regular
Administration funds.
14. CAROL RIPKA 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,CAROL RIPKA 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,CAROL RIPKA 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 CAROL RIPKA.
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16. CAROL RIPKA 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 CAROL RIPKA shall be disclosed in a form identifiable with the applicant/recipient or a
minor's parent or guardian unless in accordance withCAROL RIPKA written policies governing access to,
duplication and dissemination of,all such information. CAROL RIPKA shall advise its employees,agents,
and subcontractor, if any,that they are subject to
these confidentiality requirements. CAROL RIPKA 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 CAROL RIPKA in the course of providing services under this Contract will to accorded at least the
same precautions as are employed by CAROL RIPKA for similar information in the course of its own
business.
18. CAROL RIPKA certifies that s/he will abide by Colorado Revised Statute(C.R.S.)26-6-104,requiring
criminal background checks for all employees,contractors, and sub-contractors.
19. CAROL RIPKA 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. 2476.5-103(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) k 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. 2476.5-101, et seq.,and(c)shall produce
one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of this Contract.
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