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Home My WebLink About20020740.tiff RESOLUTION RE: APPROVE FOUR PURCHASE OF SERVICE AGREEMENTS 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 four Purchase of Service Agreements 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 Human Services, Family Educational Network of Weld County, and the following providers, with terms beginning March 18, 2002, and ending October 17, 2002, with further terms and conditions being as stated in said agreements: 1. Mike HO, Skyline Dental 2. Lyle Yost, D.D.S. 3. Walker Pharmacy 4. Gibson Pharmacy of Delta Store WHEREAS, after review, the Board deems it advisable to approve said agreements, 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, that the four Purchase of Services Agreements 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 Human Services, Family Educational Network of Weld County, and the above listed providers be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreements. 2002-0740 HR0073 RE: FOUR PURCHASE OF SERVICE AGREEMENTS PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of March, A.D., 2002, nunc pro tunc March 18, 2002. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, OLORADO ATTEST: Gle ad, Clpir Weld County Clerk to the Board David Lo ., Pro-Ter Deputy Clerk to the Board . J. eile O ED AS M: ' 5(/4-4—` illiam H. Jerk! unty Attorn y Robert D. Masden Date of signature: 2002-0740 HR0073 MEMORANDUM (itDATE: March 27, 2002 WC' TO: Weld County Board of County Commissioners � FROM: Walt Speckman, Executive Director, Division of COLORADO Human Services SUBJECT: Purchase of Service Agreements for the Family Educational Network of Weld County, Migrant Head Start Program, Western Slope Presented before the Weld County Board of County Commissioners for consideration are Purchase of Service Agreements between FENWC and the following: 1. Kathi Taylor, for nursing services in Grand Junction and Olathe. 2. Skyline Dental, for dental screenings/examinations for Migrant Head Start children in Grand Junction. 3. Dr. Lyle Yost, D.D.S., for dental screenings for Migrant Head Start children in Olathe. 4. Walker Pharmacy, for pharmaceuticals and supplies for Grand Junction. 5. Gibson Pharmacy, of Delta, for pharmaceuticals and supplies for Olathe. For further information please contact Tere Keller-Amaya at extension 3342. 2002-0740 PURCHASE OF SERVICE AGREEMENT THIS AGREEMENT, made and entered into this day of January, 2002, by and between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Services' Family Educational Network of Weld County, Migrant Head Start Program, hereinafter referred to as "FENWC" and Dr. Mike Ho, D.D.S., Skyline Dental hereinafter referred to as "Dentist." WITNESSETH THAT FOR and in consideration of the covenants here in agreed to be kept and performed, the Dentist hereby agrees to provide to FENWC the following described services based upon the following terms and conditions: 1. FENWC agrees to arrange transportation for Head Start children to the dentist as needed. This will enable parents to be transported with their children to attend their child's scheduled appointment at the Dentist's office. 2. FENWC agrees to reimburse the Dentist $15.00 per child per screening/examination not to exceed $1050.00 for up to seventy (70) Head Start eligible children. Other dental services will be reimbursed according to the attached fee schedule, not to exceed $5000.00. All bills submitted will be itemized according to child and service to: Family Educational Network of Weld County Migrant Head Start Program attn: Julie Mallory PO Box 1805 Greeley, CO 80632 4. FENWC will not be charged for those children covered by Medicaid or private insurance. Medicaid numbers shall be provided at the time of the appointment and billing will be sent to the appropriate agency by the Dentist. Head Start is a payer of last resort. 5. For services not reimbursed by FENWC, the amount will be designated as In-Kind Contribution to the FENWC Program on behalf of the Dentist and will be documented on the bill. 6. The term of this Agreement is March 18, 2002 through October 17, 2002. 7. The Dentist assures that it carries adequate liability and malpractice insurance. 8. Assurances: a. The Dentist agrees that he is an independent contractor and that his officers, employees, and clients do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees, as a result of the execution of this Agreement. b. FENWC, the Weld County Board of Commissioners, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Dentist, its employees, volunteers or agents while performing this Agreement. The Dentist, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of FENWC, the Weld County Board of Commissioners, its officers and employees. The respective contracting parties shall provide such liability insurance and worker's compensation coverage as each deems appropriate, and as required by the Colorado Worker's Compensation Act. c. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care with respect to any persons not a party to this Agreement. d. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriate in each succeeding year. e. 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. f. The Dentist understands that monitoring and evaluation of the performance of this Agreement shall be conducted by the Weld County Division of Human Resources and the results provided to the Weld County Board of Commissioners. g. The Dentist and FENWC assure compliance with Title VI of the Civil Rights Act of 1986, and that no person shall on the grounds of race, creed, color, sex, handicap or national origin be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. 9. All modifications to this Agreement shall be in writing and signed by both parties. 10. This Agreement may be terminated by either party giving a thirty (30) days written notice to the other party. If funding to FENWC should cease, this Agreement will terminate immediately. If FENWC funding should be reduced, this Agreement will be renegotiated immediately to reflect funding changes. IN WITNESS WHEREOF, of the parties above hereunto placed their hands as of the date first written above. WELD COUNTY BOARD OF DENTIST COUNTY COMMISSIONERS , - Glenn Vaad, Chairp r. Mike Ho . ., Skyline Dental (03/27/2002) ATTEST: atetialif ,I:- 1` WELD COUNTY CLERK j 0 £ s . •° ' 1861 1.1r1"„1:- By: Deputy Clerk to the Boa gll}A � WELD COUNTY DIVISION OF HUMAN SERVICES Lal r J. Speckman, Executive Director FAMILY EDUCATIONAL NETWORK OF WELD COUNTY/MIGRANT HEAD START DENTAL FEE SCHEDULE PROCEDURE CODE PROCEDURE DESRIPTION ": LICENSED DENTIST . DENTAL GRADUATE STUDENT 0120 PERIODIC ORAL EXAMINATION 14.00 7.00 0140 LIMITED ORAL EVALUATION/SCREENING 22.00 11.00 0210 FULL SERIES XR 36.00 18.00 0220 PERIAPICAL XR 10.00 5.00 0230 ADDITIONAL PERIAPICAL XR 6.00 3.00 0240 OCCLUSAL FILM 10.00 5.00 0272 TWO BITEWING XR 14.00 7.00 0274 FOUR BITEWING XR 18.00 9.00 0330 PANORAMIC FILM 38.00 19.00 1110 ADULT PROPHYLAXIS 31.00 15.50 1120 CHILD PROPHYLAXIS 22.00 11.00 1201 CHILD FLOURIDE W/PROPHY 30.00 15.00 1203 CHILD FLOURIDE W/O PROPHY 11.00 5.50 1204 ADULT FLOURIDE W/O PROPHY 12.00 6.00 1205 ADULT FLOURIDE W/PROPHY 30.00 15.00 1330 OHI 18.00 9.00 1351 SEALANT-PER TOOTH 18.00 9.00 1510 UNILATERAL SPACE MAINTAINER-FIXED 81.00 1515 BILATERAL SPACE MAITAINER-FIXED 137.00 1520 SPACE MAINT-REMOVABLE-UNILATERAL 31.00 1525 SPACE MAINT-BILATERAL REMOVABLE 87.00 2110 ONE SURFACE AMALGAM,PRIM 31.00 15.50 2120 TWO SURFACE AMALGAM,PRIM 44.00 22.00 2130 THREE SURFACE AMALGAM,PRIM 56.00 28.00 2131 FOUR SURFACE AMALGAM,PRIM 69.00 34.50 2140 ONE SURF AMALGAM,PERMANENT 38.00 19.00 2150 TWO SURF AMALGAM,PERMANENT 50.00 25.00 2160 THREE SURF AMALGAM,PERMANENT 63.00 31.50 2161 FOUR SURF AMALGAM,PERMANENT 76.00 38.00 2330 ONE SURFACE RESIN 45.00 22.50 2331 TWO SURFACE RESIN 58.00 29.00 2332 THREE SURFACE RESIN 73.00 36.50 2335 FOUR SURFACE RESIN 80.00 40.00 2710 CROWN-RESIN(LABORATORY) 249.00 124.50 2751 PFM CROWN,BASE METAL 320.00 160.00 2791 CAST CROWN,BASE METAL 254.00 127.00 2920 RECEMENT CROWN 50.00 25.00 2930 SSC,PRIMARY 73.00 36.50 2931 SSC,PERMANENT 102.00 51.00 2940 SEDATIVE FILLING 32.00 16.00 2950 CORE BUILDUP(INCLUDING ANY PINS) 86.00 43.00 FAMILY EDUCATIONAL NETWORK OF WELD COUNTY/MIGRANT HEAD START DENTAL FEE SCHEDULE • PROCEDURE CODE -PROCEDURE DESRIPTION- ' LICENSED DENTIST DENTAL GRADUATE STUDENT 2980 CROWN REPAIR BY REPORT 60.00 30.00 3110 DIRECT PULP CAP 19.00 9.50 3220 PULPOTOMY 41.00 20.50 3310 RCT,SINGLE CANAL 190.00 95.00 3320 RCT,TWO CANALS 255.00 127.50 3330 RCT,THREE CANALS 337.00 168.50 3990 EMERGENCY ROOT CANAL 50.00 25.00 4241 ROOT PLANING,ONE QUADRANT 68.00 34.00 4355 GROSS DEBRIMENT 80.00 40.00 4910 PERIO MAINTENANCE 50.00 25.00 4999 PERIO PROCEDURES BY REPORT By Report .;ji 5110 COMPLETE MAXILLARY DENTURE By Report 5120 COMPLETE MANDIBULAR DENTURE By Report a t 5211 UPPER PARTIAL-RESIN BASE By Report 5212 LOWER PARTIAL-RESIN BASE By Report 5610 REPAIR RESIN DENTURE BASE By Report 5620 REPAIR CAST FRAMEWORK By Report 5630 REPAIR OR REPLACE BROKEN CLASP By Report 4E :; 5640 REPLACE BROKEN TEETH By Report 5710 REBASE MAXILLARY DENTURE By Report ii 9 ` '" 5711 REBASE MANDIBULAR DENTURE By Report s;f :,' 5740 OFFICE RELINE,UPPER DENTURE By Report 5741 OFFICE RELINE,LOWER DENTURE By Report - 7110 EXTRACTION,FIRST TOOTH 48.00 24.00 7130 REMOVAL OF EXPOSED ROOTS 66.00 33.00 7210 SURGICAL EXTRACTION-ERUPTED TEETH 91.00 45.50 7220 SOFT TISSUE EXTRACTION 80.00 40.00 7230 PARTIAL BONY EXTRACTION 109.00 54.50 7240 COMPLETE BONY EXTRACTION 109.00 54.50 7285 HARD TISSUE BIOPSY 87.00 43.50 7286 SOFT TISSUE BIOPSY 65.00 32.50 9110 EMERGENCY PALLIATIVE TREATMENT 22.00 11.00 9230 ANALGESIA(N2 O2) Up To 20.00 10.00 9240 I.V.SEDATION By Report _ 9310 CONSULTATION/HOME VISIT 22.00 9630 DRUGS AND MEDICAMENTS By Report 9920 BEHAVIOR MANAGEMENT Up To$30.00 .. 9997 FAILED APPOINTMENT Up To$20.00 9999 UNSPECIFIED DENTAL PROCEDURE By Report PURCHASE OF SERVICE AGREEMENT THIS AGREEMENT, made and entered into this II 1 day of February, 2002, by and between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Services' Family Educational Network of Weld County, Migrant Head Start Program, hereinafter referred to as "FENWC" and Lyle Yost, D.D.S., hereinafter referred to as "Dentist." WITNESSETH THAT FOR and in consideration of the covenants here in agreed to be kept and performed, the Dentist hereby agrees to provide to FENWC the following described services based upon the following terms and conditions: 1. FENWC agrees to arrange transportation for Head Start children to the dentist as needed. This will enable parents to be transported with their children to attend their child's scheduled appointment at the Dentist's office. 2. FENWC agrees to reimburse the Dentist $5.00 per child per screening not to exceed $200.00 for up to forty (40) Head Start eligible children. All bills submitted will be itemized according to child and service to: Family Educational Network of Weld County Migrant Head Start Program attn: Julie Mallory PO Box 1805 Greeley, CO 80632 4. FENWC will not be charged for those children covered by Medicaid or private insurance. Medicaid numbers shall be provided at the time of the appointment and billing will be sent to the appropriate agency by the Dentist. Head Start is a payer of last resort. 5. For services not reimbursed by FENWC, the amount will be designated as In-Kind Contribution to the FENWC Program on behalf of the Dentist and will be documented on the bill. 6. The term of this Agreement is March 18, 2002 through October 17, 2002. 7. The Dentist assures that it carries adequate liability and malpractice insurance. 8. Assurances: a. The Dentist agrees that he is an independent contractor and that his officers, employees, and clients do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees, as a result of the execution of this Agreement. b. FENWC, the Weld County Board of Commissioners, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Dentist, its employees, volunteers or agents while performing this Agreement. The Dentist, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of FENWC, the Weld County Board of Commissioners, its officers and employees. The respective contracting parties shall provide such liability insurance and worker's compensation coverage as each deems appropriate, and as required by the Colorado Worker's Compensation Act. c. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care with respect to any persons not a party to this Agreement. d. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriate in each succeeding year. e. 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. f. The Dentist understands that monitoring and evaluation of the performance of this Agreement shall be conducted by the Weld County Division of Human Resources and the results provided to the Weld County Board of Commissioners. g. The Dentist and FENWC assure compliance with Title VI of the Civil Rights Act of 1986, and that no person shall on the grounds of race, creed, color, sex, handicap or national origin be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. 9. All modifications to this Agreement shall be in writing and signed by both parties. 10. This Agreement may be terminated by either party giving a thirty (30) days written notice to the other party. If funding to FENWC should cease, this Agreement will terminate immediately. If FENWC funding should be reduced, this Agreement will be renegotiated immediately to reflect funding changes. IN WITNESS WHEREOF, of the parties above hereunto placed their hands as of the date first written above. WELD COUNTYi OARD OF COMMISSIONERS DENTIST ciennVaad, Chairperson Lyle Vo$t)D.D.S. (03/27/2002 V ATTEST: r k11..,/,,,:,) \\\ WELD COUNTY CL= =K, WEN = By: Deputy Clerk to the c,r jj)0 WELD COUN IVISION OF HUMAN SERVICES /./ r J. Speckman, Executive Dire 0 PURCHASE OF SERVICES THIS AGREEMENT, made and entered into this G.? - day of January, 2002, by and between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources, Family Educational Network of Weld County's Summer Migrant Head Start Program, hereinafter referred to as "FENWC" and the Walker Pharmacy hereinafter referred to as " Pharmacy." WITNESSETH THAT for and in consideration of the covenants herein agreed to be kept and performed, the pharmacy hereby agrees to provide to FENWC,the following described services based upon the following terms. 1. The pharmacy will fill all prescriptions prescribed by a Medical provider licensed in the State of Colorado brought to the said pharmacy for families/children enrolled in a FENWC Migrant Head Start Center. 2. The pharmacy will use generic drugs whenever possible. Whether prescribed or over the counter medications. 3. The pharmacy will write directions in both English and Spanish. 4. FENWC will supply prescription pads. 5. The pharmacy will submit a itemized bill, for children not covered by Medicaid or private insurance, monthly for services to: Family Educational Network of Weld County Attention: Julie Mallory P.O. Box 1805 Greeley, CO 80632 FENWC will provide the Pharmacy with necessary insurance/Medicaid information. 6. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care with respect to any persons not a party to this Agreement. 7. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, or Pharmacy to expend funds not otherwise appropriated in each succeeding year. 8. The term of this Agreement shall be from March 18, 2002 through October 17, 2002. 9. This Agreement may be amended at any time with the written mutual consent of both parties 10. Assurances: a. The Pharmacy agrees that it is an independent contractor and that its officers, employees, and clients do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees, as a result of the execution of this Agreement. b. FENWC, the Weld County Board of Commissioners, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Pharmacy, its employees or agents while performing this Agreement. The Pharmacy, employees, shall not be held liable for injuries or damage caused by any negligent acts or omissions of FENWC, the Weld County Board of Commissioners, its officers and employees. The respecting contracting parties shall provide such liability insurance and worker's compensation coverage as each deems appropriate, and as required by the Colorado Worker's Compensation Act. c. 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 proceeds thereof. d. The Pharmacy and FENWC assure compliance with Title VI of the Civil Rights. e. Act of 1986, and that no person shall, on the grounds of race, creed, color, sex, handicap, or national origin be excluded from participation in, or denied the benefits of, or be otherwise subjected to discrimination under the approved Agreements. IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly expected as of the day, month, and year first herein above set forth. WELD COUNTY BOARD OF WAL ER PHARM Y COUNTY COMMISSIONERS GlennVaad, Chairpers (03/27/2002) r LIlla, Y 145, 4✓ WELD COUNTY CLE , sli WELD COUNTY DEPARTMENT p OF UM N RVICES By: � 69. `- I, Deputy Clerk to the Boa Wa J. Speckman, Execu Director PURCHASE OF SERVICES THIS AGREEMENT, made and entered into this / 54 - day of February, 2002, by and between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources, Family Educational Network of Weld County's Summer Migrant Head Start Program, hereinafter referred to as "FENWC" and the Gibson Pharmacy of Delta Store hereinafter referred to as " Pharmacy." WITNESSETH THAT for and in consideration of the covenants herein agreed to be kept and performed, the pharmacy hereby agrees to provide to FENWC,the following described services based upon the following terms. 1. The pharmacy will fill all prescriptions prescribed by a Medical provider licensed in the State of Colorado brought to the said pharmacy for families/children enrolled in a FENWC Migrant Head Start Center. 2. The pharmacy will use generic drugs whenever possible. Whether prescribed or over the counter medications. 3. The pharmacy will write directions in both English and Spanish. 4. FENWC will supply prescription pads. 5. The pharmacy will submit a itemized bill, for children not covered by Medicaid or private insurance, monthly for services to: Family Educational Network of Weld County Attention: Julie Mallory P.O. Box 1805 Greeley, CO 80632 FENWC will provide the Pharmacy with necessary insurance/Medicaid information. 6. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care with respect to any persons not a party to this Agreement. 7. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, or Pharmacy to expend funds not otherwise appropriated in each succeeding year. 8. The term of this Agreement shall be from March 18, 2002 through October 17, 2002. 9. This Agreement may be amended at any time with the written mutual consent of both parties 10. Assurances: a. The Pharmacy agrees that it is an independent contractor and that its officers, employees, and clients do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees, as a result of the execution of this Agreement. b. FENWC, the Weld County Board of Commissioners, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Pharmacy, its employees or agents while performing this Agreement. The Pharmacy, employees, shall not be held liable for injuries or damage caused by any negligent acts or omissions of FENWC, the Weld County Board of Commissioners, its officers and employees. The respecting contracting parties shall provide such liability insurance and worker's compensation coverage as each deems appropriate, and as required by the Colorado Worker's Compensation Act. c. 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 proceeds thereof. d. The Pharmacy and FENWC assure compliance with Title VI of the Civil Rights. e. Act of 1986, and that no person shall, on the grounds of race, creed, color, sex, handicap, or national origin be excluded from participation in, or denied the benefits of, or be otherwise subjected to discrimination under the approved Agreements. IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly expected as of the day, month, and year first herein above set forth. WELD COUNTY BOARD OF GIBSON PHARMACY OF DELTA COUNTY COMMI SIONERS --3 cm /i+ C c,Poi ciennVaad, Chairperson --- (03/27/2002) Mial 5' , WELD COUNTY CLE • = • + WELD COUNT PARTMENT / " L ,p. OF A ICES 1p, ?"13 Deputy Clerk to the' 'l d 4, J. Speckman, Executive Li RfI 're or Hello