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To Norman Carlson, Chairman Date November 16, 1984
Board of County Commissioners
COLORADO FmmFrom Walter J. Speckman, Executive Director, Human Resources
Subject Purchase of Service Agreement for Speech-Language therapy for
Head Start children in southern Weld County
Enclosed for Board approval is a purchase of service agreement between
Frank J. Perez, MA, CCC, and the Weld County Division of Human Resources '
Head Start Program. Head Start is contracting with Mr. Perez for the
purpose of providing speech and language therapy for the Head Start
children in the Frederick Head Start Center.
Mr. Perez will provide the required therapy for the price of $15.00
per hour, not to exceed three hours per week. The agreement runs from
November 14, ,1984, through June 15, 1985.
If you have any questions, please do not hesitate to contact me.
340913
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PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this 19th day of November, 1984,
by and between the Weld County Division of Human Resources' Head Start
Program, hereinafter referred to as "Head Start," and Mr. Frank J. Perez,
MA, CCC, hereinafter referred to as "Provider".
WITNESSETH:
WHEREAS, Head Start is required to provide diagnostic and therapuetic
services addressing speech and hearing disorders of Head Start children;
and
WHEREAS, Head Start must provide those services to Head Start children
who live in southern Weld County; and
WHEREAS, the Provider has the qualifications and certifications re-
quired to deliver said services; and
NOW THEREFORE, in accordance with the mutual benefits, responsibilities
and considerations set forth herein, the parties hereto convenant and agree
as follows:
1. The Provider will provide speech and language therapy to
children with a specific speech or language need that might
impair communication or learning. This therapy will be, when
possible, in the dominant language of the child. The following
tasks will be completed:
A. Observe those children in the classroom before initiating
therapy.
B. Set up therapy schedule.
C. Develop for each child in therapy a written, individualized
plan stating goals and objectives for speech-language
therapy.
D. Consult with the teacher of the child receiving therapy
and establish an Individualized Education Plan (I.E.P. ) _
and provide a copy of the I.E.P. to the teacher and the
Special Needs Technician.
E. Conduct evaluations of speech communication.
F. Conduct one-to-one therapy for those children with the
most severe needs.
G. Conduct group therapy sessions for those children not seen
individually.
2. This agreement will be effective from November 14, 1984, through
June 15, 1984.
3. Head Start will reimburse the Provider for services only after
receipt of documentation from the Provider specifying the
number and kinds of services delivered. The billing should be
made on a monthly basis and reimbursement will be made within
two weeks of the billing.
4. Head Start will not reimburse the Provider for mileage.
5. The Provider will bill Head Start at the rate of $15.00 per
hour for all services provided (preparation time and actual time) ,
not to exceed three hours per week.
6. This Agreement may be amended at any time with the consent
in writing of both parties and upon receipt of thirty (30)
days written notice. This Agreement may also be terminated
upon thirty (30) days written notice by either party or upon
completion of services or loss of funding to the Head Start
Program.
IN WITNES.S WHEREOF, the parties hereto have executed this Agreement
on the day first written above.
WELD COUNTY BOARD OF COMMISSIONERS FRANK J. PEREZ, MA, CCC
Norman Carlson, Chairman Frank J. Perez, MA, CCC
2760 29th Street, Suite 101
Boulder, Colorado 80301
WELD COUNTY DIVISION OF HUMAN
RESOURCES
Walt . Specknan,
Exe t've Director
ATTEST:
WELD COUNTY CLERK AND RECORDER,
AND CLERK TO THE BOARD
BY: f
Deputy Cefinty i .
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