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Home My WebLink About20061841.tiff RESOLUTION RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES AND AUTHORIZE CHAIR TO SIGN - ISLAND GROVE REGIONAL TREATMENT CENTER WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with a Child Protection Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Department of Social Services, and Island Grove Regional Treatment Center, commencing July 1, 2006, and ending June 30, 2007, with further terms and conditions being as stated in said agreement, and WHEREAS,after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services, that the Child Protection Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services,and Island Grove Regional Treatment Center be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of July, A.D., 2005, nunc pro tunc July 1, 2006. BOARD OF COUNTY COMMISSIONERS �12 *.,f,a WELD COU Y, COLORADO ATTEST: Lid :%Q4c �/ , i m. g� CPir� Weld County Clerk to the/(/J/� ( �, r T`i`^ "'_ ��' -I' David E. Long, Pro-Tem BY: 4 1----An, De Clerlvto the Board . ' Willi H. Jerke APPR ASTOF -4_ Robert D. Masde ., unty orney 414 �� Glenn Vaad Date of signature: -7I a 10(0 2006-1841 SS0033 ern i, sS --oG a DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 80632 Webslte:www.co.weld.co.us Irs D Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 VI C. COLORADO MEMORANDUM TO: M.J. Geile, Chair Date: June 24, 2006 Board of County Commissioners FR: Judy A. Griego, Director, Social Services_SS 1CtC' ictt RE: Child Protection Agreement for Services li the Wel County Department gr P of Social Services and Island Grove Regional Treatment Center Enclosed for Board approval is a Child Protection Agreement for Services between the Weld County Department of Social Services (Department) and Island Grove Regional Treatment Center(Island Grove). This Agreement was reviewed at the Board's Work Session of May 24, 2006. The major provisions of the Agreement are as follows: 1. The term of the Agreement is from July 1, 2006 through June 30, 2007. 2. Island Grove agrees to provide anger and domestic violence evaluation and treatment for adults involved in child welfare cases. 3. The Department agrees to reimburse Island Grove at rates identified in the Agreement with at total not to exceed$7,500. 4. The source of funding is Child Welfare Block funding. If you have any questions,please telephone me at extension 6510. 2006-1841 • l2. 07-CPS-67 ,/2,, CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICS AND V to. ISLAND GROVE REGIONAL TREATMENT CENTER -s9 This Agreement,made and entered into the 191 day of July 2006,by and between the Board of Weld County Commissioners, sitting as the Board of Social Services,on behalf of the Weld County Department of Social Services, hereinafter referred to as"Social Services,"and Island Grove Regional Treatment Center,hereinafter referred to as"Island Grove." WITNESSETH WHEREAS,required approval,clearance,and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Regular Administration funding to Social Services for anger management and domestic violence evaluations and treatment services for families,children,and adolescents;and WHEREAS, Social Services requires the services of a provider to assist the County to deliver anger management and domestic violence evaluations and treatment services to child welfare clients, and Island Grove is willing and able to provide such services; and WHEREAS, Island Grove is a Colorado non-profit corporation organized for the purpose of managing and coordinating high quality,cost efficient, integrated chemical dependency and related behavioral health care services in the State of Colorado. NOW THEREFORE, in consideration of the premises,the parties hereto covenant and agree as follows: 1. Term This Agreement shall become effective on July 1,2006,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 Island Grove network providers to any person(s)eligible for child protection services in compliance with Exhibit A"Scope of Services,"a copy of which is attached by reference. 3. Payment a. Payment shall be made on the basis of Exhibit B, "Payment Schedule," a copy of which is attached hereto and incorporated herein by reference. "Payment Schedule"shall establish the maximum reimbursement,which will be paid from Child Welfare Regular Administration funds during the duration of this Agreement. b. Island Grove shall submit an itemized monthly bill to Social Services for all costs incurred and services provided pursuant to Exhibit A of this Agreement in accordance with criteria established by Social Services. Island Grove 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. Page 1 of 5 07-CPS-67 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. 4. Financial Management At all times from the effective date of this Contract until completion of this Contract, Island Grove 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. Island Grove shall provide proper monthly invoices and itemization of services performed for costs incurred in the performance of the agreement. b. Social Services may withhold any payment if Island Grove has failed to comply with the Financial Management Requirements,program objectives,contractual terms, or reporting requirements. In the event of a forfeiture of reimbursements, Island Grove may appeal such circumstance to the Director of Social Services. The decision of the Director of Social Services shall be final. 6. Assurances Island Grove shall abide by all assurances as set forth in the attached Exhibit C,which is attached hereto and incorporated herein by reference. 7. Compliance with Applicable Laws At all times during the performance of this contract, Island Grove 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. Island Grove acknowledges that the following laws are included: - Title VI of the Civil Rights Act of 1964,42 U.S.C. Sections 2000d-1 a 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 a 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 Page 2 of 5 07-CPS-67 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, Island Grove and Social Services will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 CFR Part 2. Included is 45 C.F.R. Part 74 Appendix G 9,which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies,equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any and all federal and/or state financial assistance. Any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the U.S. Department of Health and Human Services, Office for Civil Rights. 8. Certifications Island Grove certifies that,at the time of entering into this Contract, it has currently in effect all necessary licenses,approvals, insurance,etc. required to properly provide the services and/or supplies covered by this contract. 9. Monitoring and Evaluation Island Grove and Social Services agree that monitoring and evaluation of the performance of this Agreement shall be conducted by Island Grove and Social Services. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners and Island Grove. Island Grove shall permit Social Services, and any other duly authorized agent or governmental agency, to monitor all activities conducted by Island Grove pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on-site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with agreement work. 10. Modification of Agreement All modifications to this agreement shall be in writing and signed by both parties. II. Remedies The Director of Social Services or designee may exercise the following remedial actions should s/he find Island Grove 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 Island Grove. These remedial actions are as follows: a. Withhold payment to Island Grove until the necessary services or corrections in performance are satisfactorily completed; Page 3 of 5 07-CPS-67 b. Deny payment or recover reimbursement for those services or deliverables,which have not been performed and which due to circumstances caused by Island Grove 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 Island Grove due to omission,error,fraud,and/or defalcation shall be recovered from Island Grove by deduction from subsequent payments under this Agreement or other agreements between Social Services and Island Grove,or by Social Services as a debt due to Social Services or otherwise as provided by law. 12. Representatives For the purpose of this Agreement,the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s): For Social Services: Gloria Romansik Social Services Administrator Name Title For Island Grove: Kendall P. Alexander Executive Director, Island Grove Name Title 13. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s)or address to whom such notices shall be sent: To: Social Services To: Island Grove Judy A.Griego,Director Kendall P. Alexander P.O. Box A 1140 M. Street Greeley,CO 80632 Greeley,CO 80631 14. Litigation Island Grove shall promptly notify Social Services in the event that Island Grove learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Island Grove,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. Island Grove reserves the right to suspend services to clients if funding is no longer available. Page 4 of 5 07-CPS-67 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. IN WITNESS WHEREOF,the parties hefeto have dul ted the Agreement as of the day,month,and year first above written. , '.- , ATTEST: WELD COUNTY (I _+,yy' t rr� TY CLERK TO THE BOARD 1 '7 ='` jCR S W Sirai 47, By: Deputy Clerk ♦ �.L Ge,le,� JUL 1 0 LUUb O AS ISLAND GROV REGIONAL TREATMENT CENTER BY Kenda �(�T ��✓�-L� S l a/ unty A omey endall P.Alexander,Executive Director WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: J A. ri go,Directo Page 5 of 5 °Wed -- '(9 07-CPS-67 EXHIBIT A SCOPE OF SERVICES 1. Overall Project Description Areas of assessment will include criminal history,mental health status, medical history, suicidal/ psychological/cultural history,the profile of client's violent behaviors, client's potential for violence, substance abuse history,and the Millon test, if needed.A summary of the assessment and recommendations will be sent to Social Services. The estimated time required for the evaluation is three hours. Treatment services, agreed upon by the Social Services caseworker,and based on the Anger Management and/or Domestic Violence assessment. Duration of service is an average of 36 weeks,one group per week,at$30 per client per group. 2. Eligible Population for Services Social Services shall refer to Island Grove for only those child welfare cases that comply with the following criteria: A. The case is active in the TRAILS computerized tracking system. B. The case meets the Colorado Department of Human Services program criteria 4,5,or 6. C. The case meets the definition of"imminent risk for out of home placement/reunification,"as defined by the laws or rules of the State of Colorado. 3. Types of Services To Be Provided Assessments 1. Domestic Violence Evaluation $135.00 2. Anger Management Evaluation $135.00 3. Court Testimony $150.00(1/2 day to one full day of testifying) Treatment Anger Management Curriculum 1. Group Process and Skills 18. Sex Role Training 2. Time Out(2 weeks) 19. Inappropriate Use of Labels and Name • A tool to stop Violence Calling • To manage anger • To build trust in relationships 3. Cognitive-Behavioral Skills(2 weeks) 20. Socio-cultural Basis for Violence • Connection of thoughts, feelings, attitudes,values and behavior • Anger management • Taking the Long Term View • Thought reports 4. Thinking Errors(2 weeks) 21. Treatment of Goals and Review of Goals • Criminal thinking-pro-social thinking • Irrational thinking 5. Passive,Aggressive and Assertive Behaviors 22. Provocation 6. Treatment Goals and Review of Goals 23. Appropriate Containment and Expressions 07-CPS-67 of Anger 7. Substance Abuse(5 weeks) 24. Experiencing Emotions and Feelings Beyond Anger 8. Stages of Change 25. Grief and Loss 9. Parenting(2 weeks) 26. Depression and Anxiety 10. Men's Issues 27. Stress Management(3 weeks) • Male myths • Skills-assessments • Female myths • Skills to reduce stress • Beyond the hero role 11. Substance Abuse(5 weeks) 28. Relapse/Recidivism Prevention • Accurate self assessments • Reasons for using • Plans for change • Long-term sobriety • Connection with violence 12. Learning Styles 29. Healthy Relationships • Identifying individual styles 13. Values Clarification 30. Sexuality 14. Steps to Problem Solving 31. Spirituality 15. Steps to Conflict Resolution 32. Resources of Help 16. Characteristics of Assaultive Adults 33. Presentation of Plan for Change 17. Attitudes Toward the Opposite Sex 34. Treatment Goals and Review of Goals 4. Fee Schedule Anger Management Evaluation $135.00 Anger Management Treatment $ 30.00 per client per group for an average of 36 weeks of treatment Domestic Violence Evaluation $135.00 Domestic Violence Treatment $ 30.00 per client per group for an average of 36 weeks of treatment Court Testimony $150.00 for ''A day to one full day of testifying 5. Measurable Outcomes and Objectives Island Grove shall abide by Social Services outcome indicators of Safety, Permanency and Child and Family Well-Being,which are provided under Adoption and Safe Families Act(ASFA),1997;Colorado Child and Family Services Plan 2000-2004;and ACF Reviews(Reference: Federal Register,Volume 65, Number 16:45 CRF Parts 1355, 1356,and 1357),March 25,2000. a. Client Objectives The Social Services caseworker will identify three child welfare objectives to be addressed within each client's treatment plan. Island Grove shall develop action steps to reach the identified child welfare objectives. Island Grove shall report monthly on each client's progress in meeting the three identified objectives. Each objective will be measured via a percentage Liked Scale to determine progress. Page 2 of 3 07-CPS-67 b. Overall Program Objectives Island Grove and Social Services agree to monitor the ability of the domestic violence/anger management programs offered by Island Grove to achieve objectives as follows: 1. ncrease level of functioning currently impaired by domestic violence/aggressive behavior. 2. Decrease aggressive behaviors at home and/or school and in the community. 3. Develop the capacity to ask for help and assistance without resorting back to violence. 4. Clients will demonstrate increased verbal skills,empathy,and accountability. 5. Clients will develop problem-solving skills when confronted with a relapse trigger. 6. Clients will address past/current victimization issues that interfere with their ability to maintain non-aggressive behaviors. 7. Improve parent-child functioning to lower the risk of out of home placement. 6. Workload Standards Island Grove will meet the following workload standards: I. Complete up to 10 client domestic violence evaluations per month. 2. Begin group treatment with a minimum of four clients. 7. Staff Qualifications Island Grove staff members who provide services to Social Services will have the required credentials for delivery of alcohol and drug treatment,and domestic violence treatment. They will have further training in the areas of domestic violence and anger management. Page 3 of 3 07-CPS-67 EXHIBIT B PAYMENT SCHEDULE 1. Funding and Method of Payment Social Services agrees to reimburse to Island Grove in consideration for the work and Services performed, a total amount not to exceed Seven Thousand Five Hundred Dollars($7,500.00)under Child Welfare Regular Administration funding. Expenses incurred by Island Grove, in association with said project prior to the term of this agreement,are not eligible Social Services expenditures and shall not be reimbursed by Social Services. Payment pursuant to this Contract, if Child Welfare Regular Administration funds, whether in whole or in part, is subject to and contingent upon the continuing availability of Child Welfare Regular Administration funds for the purposes hereof. In the event that said funds, or any part thereof,become unavailable as determined by Social Services, Social Services may immediately terminate this Contract or amend it accordingly. 2. Fees for Services Social Services referrals will not be sent to collections by Island Grove for default of co-pay/fees. Services will be performed regardless of client's refusal or inability to pay co-pay. The Sliding Fee Schedule will only be applied to those services as noted on the fee schedule, all other fees will be charged directly to Social Services. Island Grove will collect any applicable sliding scale co-pays and credit Social Services for any payments received on the monthly billing statements. Anger Management Evaluation $135.00 Anger Management Treatment $30.00 per client per group for an average of 36 weeks of treatment Domestic Violence Evaluation $135.00 Domestic Violence Treatment $ 30.00 per client per group for an average of 36 weeks of treatment Court Testimony $150.00 for 1/2 day to one full day of testifying 3. Submittal of Vouchers Island Grove shall prepare and submit monthly the itemized voucher and certify that the services authorized were provided on the date indicated and the charges made were pursuant to the terms and conditions of Exhibit A. Page 1 of I 07-CPS-67 EXHIBIT C ASSURANCES 1. Island Grove agrees it is an independent contractor and that its officers and employees do not become employees of Weld County,nor are they entitled to any employee benefits as Weld County employees, as the result of the execution of this Agreement. 2. Weld County,the Board of County Commissioners of Weld County, its officers and employees,shall not be held liable for injuries or damages caused by any negligent acts or omissions of Island Grove-contracted providers or its employees,volunteers, or agents while performing duties as described in this Agreement. Island Grove shall indemnify,defend, and hold harmless Weld County,the Board of County Commissioners of Weld County, its employees, volunteers,and agents. Island Grove 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, Island Grove shall provide Social Services with the acceptable evidence that such coverage is in effect. 3. No portion of this Contract shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess,not shall any portion of this Agreement be deemed to have treated a duty of care with respect to any persons not a party of this Agreement. 4. No portion of this Contract shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year. 5. If any section, subsections,paragraph,sentence,clause,or phrase of this Contract is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Contract and each and every section, subsection,paragraph, sentence, clause,and phrase thereof irrespective of the fact that any one or more sections,subsections,paragraphs, sentences,clauses, or phrases might be declared to be unconstitutional or invalid. 6. No officer,member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest,direct or indirect, in the approved Agreement or the proceeds thereof. 7. Island Grove 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. Island Grove 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 Island Grove. 9. All such records, documents,communications,and other materials shall be the property of Social Services and shall be maintained by Island Grove, 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. Page 1 of 3 • 07-CPS-67 10. Island Grove assures that authorized local, federal,and state auditors and representatives shall,during business hours,have access to inspect any copy records, and shall be allowed to monitor and review through on-site visits,all contract activities, supported with funds under this Contract to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. 11. This Contract shall be binding upon the parties hereto,their successors,heirs,legal representatives,and assigns. Island Grove or Social Services may not assign any of its rights or obligations hereunder without the prior written consent of both parties. 12. Island Grove certifies that federal appropriated funds have not been paid or will be paid,by or on behalf of Island Grove,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. Island Grove assures that it will fully comply with all other applicable federal and state laws. Island Grove understands that the source of funds to be used under this Contract is Child Welfare Regular Administration funds. 14. Island Grove 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,Island Grove 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,Island Grove 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 Island Grove. Page 2 of 3 07-CPS-67 16. Island Grove 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 Island Grove shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with Island Grove written policies governing access to, duplication and dissemination of,all such information. Island Grove shall advise its employees, agents, and subcontractor, if any,that they are subject to these confidentiality requirements. Island Grove 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 Island Grove in the course of providing services under this Contract will be accorded at least the same precautions as are employed by Island Grove for similar information in the course of its own business. 18. The Contractor certifies it will abide by Colorado Revised Statue(C.R.S.)26-6-104, requiring criminal background record checks for all employees,contractors,and sub-contractors. Page 3 of 3 07-CPS-67 WELD COUNTY AUTHORIZATION FOR CONTRACTUAL SERVICES Date: Provider: Billing Contact: Phone #: Address: Description of Services: Service Month / Year Charges: $ I CERTIFY THE SERVICE AUTHORIZED WAS PROVIDED ON THE DATE INDICATED AND THE CHARGES ARE MADE PURSUANT TO A BONA FIDE CONTRACT BETWEEN ME AND THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES. / Printed Name of Signer Provider Signature Date (Original signature required—no faxes) AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA FOR COUNTY USE ONLY: Approvals: Core Caseworker Date Director Date AMOUNT PAYABLE: $ ANY CHANGES LISTED BELOW: Client/ID/HH# Billed Amt Denied Paid Reason 44, 79 \ ) ( \ [ , ) Z en Li CC \ : � � � . j \ \ \\ \/ \ } ) \ \ \ \ ® q f \ , © \\\\\ \ � /CJ e / 2 ; / ! . § { \ ) § ) \ u { tb \! \ � . al ( ) \ ) {} f= a \ \ /\ \ 0 7 2 ! ; » 2 J2 : , Hello