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Home My WebLink About20021315 RESOLUTION RE: APPROVE TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR VARIOUS PROGRAMS AND AUTHORIZE CHAIR TO SIGN - ISLAND GROVE REGIONAL TREATMENT CENTER, INC. 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 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, Inc., commencing June 1, 2002, and ending May 31, 2003, with further terms and conditions being as stated in said awards for the following programs: 1) Option B 2) Individualized Family Systems Intensive Family Therapy, and 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 Notification of Financial Assistance Awards for the above listed 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 Island Grove Regional Treatment Center, Inc., be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. (7e SS 2002-1315 SS0029 TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS - ISLAND GROVE REGIONAL TREATMENT CENTER, INC. PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of May, A.D., 2002. BOARD OF COUNTY COMMISSIONERS WEL COUNTY, OLO DO ATTEST: ,I1 � ` 186ISt n aad, Chair Weld County Clerk to th_`:o. c i r! David E. L g, Pro-Tern Deputy Clerk to the Board M. J. Geile / P DAST O .- ! /it t illi H. Jerke ountyAttorney &• \IIkL obeikdo. Masden Date of signature: 2002-1315 SS0029 11 . a DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933• COLORADO MEMORANDUM TO: Glenn Vaad, Chair Date: May 22, 2002 Board of County Commissioners FR: Judy Griego, Director Weld County Departme f So Series RE: PY 2002-2003 Notification of Financial Assistance Awards (NOFAA) under Core Services Funds-Island Grove Regional Treatment Center Enclosed for Board approval are the PY 2002-2003 Notifications of Financial Assistance Awards (NOFAA) for Families, Youth, and Children Commission (FYC) Core Services Funds, which are for the period of June 1, 2002, through May 31, 2003. The Families, Youth and Children Commission (FYC) reviewed proposals under a Request for Proposal process and are recommending approval of these bids. Island Grove Regional Treatment Center A. Option B-Home Based Intensive: Capacity to serve 14 Weld County families at any given time,for a total of 40 family units. Average duration of the program is 20-24 weeks, an average of one to two contacts per week for an estimate of three clock hours of contact at the outset of treatment. South Weld County families are expected to be one-fourth of the enrollment. Bilingual services to approximately 12 families per year. The rate is $110/hour. B. Intensive Family Therapy: A maximum of 40 families a year, 14 units active at any one time, with an estimated average stay in intensive therapy of 20-24 weeks (in-home or in-clinic), an average of one-two contacts per week of three clock hours of contact. South Weld County families are expected to be one-fourth of the enrollment. Bilingual services to approximately 12 families per year. Rate is 100.00/hour. If you have any questions, please telephone me at extension 6510. of 2002-1315 Page 1 of 1 Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission (Core) Funds Type of Action Contract Award No. X Initial Award FY02-PAC-3001 Revision (RFP-FYC-02008) Contract Award Period Name and Address of Contractor Island Grove Regional Treatment Center, Inc. Beginning 06/01/2002 and Individualized Family Systems Intensive Family Therapy Ending 05/31/2003 1140 M Street Greeley, CO 80631 Computation of Awards Description Unit of Service This program is especially designed to assist The issuance of the Notification of Financial Assistance individuals and families with their substance abuse Award is based upon your Request for Proposal (RFP). issues. A maximum of 40 families a year, 14 units The RFP specifies the scope of services and conditions active at any one time, with an estimated average of award. Except where it is in conflict with this stay in intensive therapy of 20-24 weeks(in-home NOFAA in which case the NOFAA governs, the RFP or in-clinic), an average of one-two contacts per upon which this award is based is an integral part of the week of 3 clock hours of contact. South Weld action. families are expected to be A of the enrollment. Bilingual services to approximately 12 families per Special conditions year. 1) Reimbursement for the Unit of Services will be based on Cost Per Unit of Service an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face Hourly Rate Per Unit of Service contact with the child and/or family, as evidenced by Based on Approved Plan $100.00 client-signed verification form, and as specified in the unit of cost computation. Enclosures: 3) Unit of service costs cannot exceed the hourly and yearly X Signed RFP:Exhibit A cost per child and/or family. X Supplemental Narrative to RFP: Exhibit B 4) Payment will only be remitted on cases open with, and X Recommendation(s) referrals made by the Weld County Department of Social Services. Conditions of Approval 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 provider must submit requests for payment on forms approved by Weld County Department of Social Services. Approvals: Program Official: By ideU By Glenn Vaad, Chair Judy A 'ego 'rector Board of Weld County Commissioners Weld my Department of Social Services Date: p5/Qa/Qo0 Date: Weld County Department of Social Services poca_13/5 EXHIBIT A SIGNED RFP Intensive Family Therapy Family Preservation Program Department of Social Services Weld County 2002 /2003 BID Proposal RFP-FYC # 02008 ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ Island Grove Regional Treatment Center, Inc. 1 140 'M' Street Greeley, CO 80631 INVITATION TO BID DATE:February 27, 2002 BID NO: RFP-FYC-02008 RETURN BID TO: Pat Persichino,Director of General Services 91.5 10th Street,P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-02008) for:Family Preservation Program--Intensive Family Therapy Program Family Issue's Cash Fund or Family Preservation Program Funds Deadline: March 22, 2002, Friday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program(C.R.S. 26-5.5- 101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement (C.R.S. 26-5.3-101). The Placement Alternatives Commission wishes to approve services targeted to run from June 1, 2002, through May 31,2003, at specific rates for different types of service, the County will authorize approved vendors and rates for services only. The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists, typically with all family members, to improve family communication, function, and relationships. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK B.J. Dean TYPED OR PRINTED SIGNATURE Island Grove Regional Treatment Center, Inc. �� VENDOR 6 (Name) Han&ritten Signature By Authorized Officer or Agent of Vender ADDRESS 1140 'M' Street TITLE Executive Director Greeley, CO 80631 DATE 3I1Vloa PHONE# (970) 356-6664 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 RFP-FYC-02008 Attached A INTENSIVE FAMILY THERAPY PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 2002-2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID#RFP-FYC-02008 Island Grove Regional Treatment Center NAME OF AGENCY: ADDRESS: 1140 'M' Street Greeley, CO 80631 PHONE:1970 ) 356-6664 ext. 16 CONTACT PERSON: Rochelle Galey, MSW TITLE: Program Manager of Youth & Family Services DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists. typically with all family members. to improve family communication. functioning.and relationships I2-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1.2002 Start June 1, 2002 End M.y 31.2003 End May 31, 2003 TITLE OF PROJECT: Intensive Family Therapy Program Rochelle Galey l\ �A 3/6/02 Name and Signature of Person Preparing Document Date B.J. Dean � I\/;�� 317I0L Name and Signature Chief dministrative Officer Applicant Agency Date MANDATORY PROPOSAL REOUIREMFNTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Proposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund Year 2002-2003. Indicate No Change from FY 2001-2002 to 2002-2003 RG Project Description no change RG Target/Eligibility Populations 1W _change —AG Types of services Provided slight change RG Measurable Outcomes slight change RG Service Objectives slight change RG Workload Standards slight change RG Staff Qualifications slight change RG Unit of Service Rate Computation slight change RG Program Capacity per Month slight change —AG Certificate of Insurance Page 25 of 31 RFP-FYC-02008 Attached A • ate of Meeting(s)with Social Services Division Supervisor: March 8, 2002 omments by SSD Supervisor: <g it VAn,t-e 1tA .F.fx 4 L d A , L ,QP. e I /1X aif ,__pm it. .1)I,./ )• • tt r, 1. .and Signature of S D Supervisor Date kl Page 26 of 31 RFP - FYC - 02008 Intensive Family Therapy Program Bid Category Intensive Family Therapy - Family Preservation Program Island Grove Regional Treatment Center, Inc. PROIECT DESCRIPTION Most families face enough challenges to test even the most successful families. Add an accompanying element by any of its members and the disruption can be so extensive that parent's face losing their children or children lose their parents to the control of outside influences. These high-risk situations require effective interventions. Island Grove Center's Intensive Family Therapy Program has remained current on developments in Family Therapy to deliver such interventions. The IFT Program is specifically geared to assist families in reclaiming their lives. Using a Strength Based Perspective, our staff focuses on building family strengths with the goal of reunifying the family and retaining children safely in their homes. Each referred family is provided with a Solution-based model of family therapy that has demonstrated success in working in a time-efficient, goal-directed manner. The clinical staff has expertise in both couples and family therapy, as well as recent developments in drug and alcohol abuse counseling. This combination of skills provides our staff with the tools to pave opportunities for families to choose more responsible and mutually satisfying ways of living. The frequency of sessions and the duration of the program is assessed and determined by the clinical team, in collaboration with the caseworker and the involved family. In addition to family sessions, case aide support, group therapy, other auxiliary services can be accessed by individual family members. Truly, an individualized and customized family treatment plan can be a reality. The following menu is available to augment and reinforce goal attainment with the approval to bill other authorized funding, such as the ADAD Menu. • Sobriety support groups • Domestic violence education and therapy • Substance abuse education • Women's Therapy Group • Pregnant Women's services • Vocational assessment and planning • Antabuse monitoring • Urinalysis and Breathalyzer testing As demonstrated in the past, our family services team will maintain and nurture collaborative relationships with caseworkers to facilitate timely, flexible, and appropriate services to support the case plan. t II. TARGET/ELIGIBILITY POPULATIONS Our Intensive Family Therapy team will serve eligible families within Weld County. Due to proven demand, we are currently capable of carrying an average of 14 family cases at any given time, for a total of 40 family units over the upcoming funding period. We have the flexibility to expand the availability of our team to accommodate additional referrals. This could include more than 150 children within these families, from preschool ages on up, within the year. We will also accept referred families where children are at high risk for substance misuse. Length and intensity of treatment vary among the families, depending on the severity of their challenges and their willingness to use the resources available to them. We- estimate the average duration of the treatment parameter is a twenty to twenty-four- week span, with an average between one to two contacts per week for an estimate of three clock hours of contact at the outset of treatment. Later stages of this time period would typically decrease services to bimonthly contacts. The upper end of the intensity could involve twelve hours of contact per week, for a brief period, in the most extreme cases. Our referred families are contacted within two business days to arrange for the initial assessment. Depending on the family's schedule, the assessment will occur, typically in- the office, within seven business days from the moment of referral. In case of crisis, all referred family members will have access to 24-hour response through our Acute Care Services unit. Services to south Weld County families have previously comprised approximately one- fourth of our total enrollment. We have been responding to these families through accessing our Ft. Lupton office, reaching families from further outlying areas such as Dacono, Hudson, Firestone, Keenesburg, and Frederick. Recognizing the need for bilingual/bicultural services, we are prepared to serve up to twelve Spanish-speaking families this year. If a family refuses treatment or appears inappropriate for outpatient services, we will immediately contact the caseworker and discuss other referral possibilities. This may include referrals to Intensive Outpatient, residential services, or other special program areas. III. TYPES OF SERVICES TO BE PROVIDED A. Comprehensive assessments and treatment planning:Family services counselors will complete an in-depth family assessment for all accepted referrals to determine to what factors impact the family's functioning, as well as to identify strengths the family brings to their situation. The Browning Outcome Scale Survey (BOSS) will be used to gather discharge and post-treatment measures. The Department of Human Services -Alcohol and Drug Abuse Division requires us to implement the ASAM criterion and ASI instrument to match level of treatment with level of care needed. The family's primary counselor will collaborate with the family to develop a treatment plan that will prioritize and specify measurable objectives. Frequently, families incorporate goals of accessing community resources and other providers. 2 B. Therapeutic interventions that may include an array of auxiliary services:In addition to weekly family therapy sessions and available case management services, individual family members and D55 case workers may find it beneficial to supplement or follow-up the IFT service base with other Island Grove Center offerings or additional community support. The IFT family member could have, at their disposal, therapy groups for women's issues, education and therapy for domestic violence offenders, counseling support and education for pregnant and postpartum women (Medicaid reimbursable), vocational assessment, substance abuse education, detoxification, residential treatment, urinalysis, and breathalyzer monitoring. Virtually every related and necessary service can be accessed within Weld County at Island Grove Center or via the collaborative relationships that Island Grove has with an extensive list of other community providers. There are many caring and competent professionals invested in the families that we share. Other funding streams, such as the ADAD Menu, have been utilized in the past to access existing Island Grove services when authorized by the caseworker. We estimate that 50%of our referred IFT families could benefit from being involved in additional monitored services. C. Therapeutic services are provided by qualified family therapists:deg reed family therapists facilitate Sessions. This strategy usually comprised of a male or female to accommodate the needs of the family. D. Therapy that is designed to dissolve conflicts and restore respectfulness within the family: Family counselors will consistently use solution-based models of family therapy. Solution building and outcome-based strategies have demonstrated success within the brief and managed care models of service provisions. Focusing on a family's strengths, this model integrates well with the services of other providers. The therapy is designed to empower families to implement respectful and responsible conflict skills, restore family boundaries, and discover life without the involvement of drugs and alcohol. The instrument chosen, the BOSS indicates the family's personal evaluation to the effectiveness of counseling received to bring about successful changes and adaptation to those changes. IV. MEASURABLE OUTCOMES A. Children receiving services do not go into outof-home placement:We can anticipate that 80% of families completing all recommended treatment will not lose children to placement. Our communication with caseworkers will verify these outcomes. B. Families remain intact Similarly, we expect that 80% of families completing this program will remain intact and continue to improve. Post-discharge version of the BOSS should indicate sustained positive changes. The survey instrument will be administered at the beginning of the session, at the end of treatment and by telephone six months after the family is discharged. It is believed that the use of the BOSS will provide a better indication of each family's success. 3 C. Reunification of children with families:The program design for IFT, by its nature, will include, as many family members in the solution-building process as there are available. Without this involvement, the progress toward goal attainment is slower and much more difficult. Our goal is set at 85% satisfactory completion of all families referred. Satisfactory completion is defined as: All significant family members were included in the treatment plan and completed stated goals prior to discharge. D. Improvements in parental competency, parent/child conflict management: Therapeutically, the focus of much solution building will be in regard to the areas of competency. We feel the BOSS instrument will give us a measure of these areas within the sub-scales. There are desired obvious behavioral outcomes we want to see, such as kids going to school, clean drug screens, etc. All of these incidents will be recorded as the counselor becomes informed, in the base file, and data brought together within the submitted monthly reports. E. Cost efficient IFT services in comparison to placing the child:We estimate our average monthly treatment costs per family to be under $500. With an average satisfactory completion period of six months, the high end of the total costs would still be at only 52,400.00. F. Therapeutic outcomes include fundamental chanaesin the family functioning and dynamics:We believe that the regular administration of the pre and post BOSS will indicate improvement in significant family functioning. Other indicators will be recorded such as child's school performance, any out-of-home placement decisions, and observed achievements between sessions. V. SERVICE OBJECTIVES A. Improve Family Conflict management: Family sessions are targeted toward demonstrating family skill building in conflict resolution and sensitive communication. In addition to the instrument mentioned throughout the proposal, the family's individual treatment plan will indicate progress or continued deficits. B. Improve Parental Competency: Instruments such as the BOSS will provide measures of the quality of the counseling received, as well as, their ability to utilize tools to improve relationships within the family. The counselor's office visit reports will also indicate basic safety, supervision, and nutrition needs being met. Additional referrals to participate in other provider's programs will be recommended as needed. Specialized materials will be purchased and utilized to address the impact of substance abuse on parenting abilities. C. Improve Ability to Access Resources: The program's responsibility, in addition to establishing a working, therapeutic atmosphere with the family, is to be a vehicle, literally, at times, to connect families to their communities. Our clinical staff will assist in facilitating the recommendation of family members to other agency or community resources, as they apply to the completion of the treatment plan. Consequently, the family may continue these sustaining relationships long after their treatment ends. 4 Documentation within the case files will indicate that the community net that is being woven with the family is validating their positive directions. Our minimal goal for each family is that one or more of its members establish at least two appropriate community contacts during their course of treatment. These could include such links as peer support groups for sobriety,Job Service, United Way agency volunteering, Food Bank, recreation center involvement, or Sunrise Community Health, etc. VI. WORKLOAD STANDARDS A. Number of hours per day, week, or month: Families are generally involved in one family session per week, 1 to 1 .5 hours in duration. One or more family members may have additional individual sessions of one hour per week and/or auxiliary support services ranging from 1 to 3 hours per week. A minimum average would be 2 hours per week but could range up to 6 hours, if even only periodically. We clearly want the family to have all possible resources and services available to them. On the other hand, we want to individualize the response to the presenting needs, without always assuming that "more is better." B. Number of individuals providing the services: We have access to two degreed counselors and one degreed case manager. C. Maximum caseload per worker With a staggered caseload, in that families will be at a range of service needs, and with the assistance of our case manager, our counselors can handle a case load of fourteen families. Their administrative duties are kept to a minimum so that full attention can be focused on direct services. D. Modality of treatment All IFT core services will be on an outpatient basis. E. Total number of hours per week:Our Weld County families will be receiving between 1 to 2 hours of service per week/per family (less in later stages of treatment). F. Total number of individuals providing these services: 3 G. Maximum caseload per supervisor: 14 H. Insurance: Flood & Peterson Insurance, Inc. - see attached documentation VII. STAFF QUALIFICATIONS Rochelle Galey, Youth and Family Services Program Manager BA in Psychology Masters degree in Social Work Experience: 3 years in Mental Health Services 3 years providing residential treatment Eddie Russell, Counselor- Family Services BA in Psychology Masters degree candidate in Marriage and Family Counseling: 7credit hours and internship remaining Experience: 1 year Family Therapy 2 years general counseling 5 Kendra Walker, CAC II Counselor-Youth and Family Services BA in Psychology Experience: 1 year Crisis Intervention and Detox 2 years Case management and Youth Services In addition to this core clinical staff whose education and experience is specifically in family services, we also have available a case manager, clerical assistance, administrative project supervisor, and additional contracted clinical supervisor, Dr. William Walsh, Director of the Marriage and Family Program at the University of Northern Colorado. All staff will have a minimum of 16 clock hours of continuing education annually. Rochelle Galey, our Program Manager, has a large role in the clinical monitoring of the daily operation of the program. She interacts with all involved staff numerous times per week and tracks case load, service hours provided, and responds to on-call crises. Dr. Walsh meets twice each month with our clinical team for 1.5 to 2 hours each session. Dr. Walsh is a well-respected clinician and scholar of innovative models of family therapies. He is well versed and practiced in the ongoing professional development of the field, in addition to mentoring bright and enthusiastic professionals such as Island Grove's Family Therapy team. While Dr. Walsh is on sabbatical, Evelin Gomez, PH.D, is providing monthly clinical consultation to the staff. Dr. Gomez is a Licensed Professional Counselor (LPC), a National Certified Counselor (NCC), and in the process of obtaining her CAC III. Previously, she was employed with Island Grove providing outpatient services; therefore, she is very in tune to the needs of our clients and staff. O:\Kathryn\CONTRACT\Youth Services\2002\DSS-IFT\IFT Bid 02-03.doc 6 • RFP-FYC-02008 ATTACHMENT A Intensive Family Therapy Program Bid Category Intensive Family Therapy - Family Preservation Program Island Grove Regional Treatment Center, Inc. Total Hours of Direct Service per Family Unit 5.00 Hours [A] Total Family Units to be Served 10 Families [B] Total Hours of Direct Service for Year 50 Hours [C] (Line[A] Multiplied by line[B] Cost per Hour of Direct Services $60.61 Per Hour [D] Total Direct Service Costs $3,030.71 [E] (Line [C] Multiplied by Line [D] Administration Costs Allocable to Program $1,278.80 [F] Overhead Costs Allocable to Program $690.50 [G] Total Cost, Direct and Allocated, of Program $5,000.00 [H] (Line [E] Plus Line [F] Plus Line [G]) Anticipated Profits Contributed by this Program $0.00 [I] Total Costs and Profits to be Covered $5,000.00 [J] by this Program (Line [H] Plus Line[I]) Total Hours of Direct Service for Year 50 [K] (Must Equal Line [C]) Rate per Hour of Direct, Face-to-Face Service $ 100.00 [L] to be Charged to Weld County Department of Social Services Day Treatment Programs Only: [M] Direct Service Hours Per Client Per Month Monthly Direct Service Rate [N] . ) :Il'tla,"!!!i!I'tN+IL'!':ilAtl!11uN+Ail'fi1^t E iil�•ti:IliLhnat;l!�!h�!I!!iitu�hi:!IHi lo!ioip+t'!iiWH,,eon_�...II,I,1 U plot 4 t!!tA.,l..l l.u.1,..�,L,oi.11l,.L tl.f ''�I`li: 1 I..,,li.. 1. n l:. I !. I� Iq. ,n: RAT :II: �! II I . +,: I k,l :In;{I t�lalfl.l,:!+'�:h;;:a.,,{vl,6!ull DA• ZE IMM/OOP '!a f!i ACORDfe gl. ;1•„ �, I �9l7 l !.d '1�,:.:I•.It)ijl Nt l ' l.f ij p ��.1e I I .11'I'.:,.Ilh +l f�ll f,:�!�li�!I°Ill'hl�j"ti;ufll�! s1l {,Pn•helYfll'IYriwitinhi ommi:fdl Illtlhll ;It41Alill;.11, lllifltliglill alll 1 4!IIkl,.lipMei4Pt: !illiil:!i i!+I!.10 li,;10il;;t%h 1, IIIp11 N1'pl'IlIunAII ft.ih.1lllll.F.ii;;;,t.11,40�il.!L,I1'nIIIN,;03�11/2002 . PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ' Talbot Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1601 28th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Boulder, CO 80301 COMPANIES AFFORDING COVERAGE coIPANY American Compensation Ins Co 303-444-4443 . . . fax303-449-7365 A INSURED COMPANY Island Grove Regional Treatment Center B 1140 M Street COMPANY C Greeley CO 80631 COMPANY !Ift'I'I I!•6'q•,' •••'r.Il it.' 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I,...I,...,,I:, .., ..I I.LaI t. .41u_d,I n,h, , THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO_WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PODGY EXPIRATION LIMITS LTR DATE IMINDDIYY) DATE IMMIDDIYY) GENERAL LIAMLITY GENERAL AGGREGATE E _ COMMERCIAL GENERAL LIABILITY PRODUCTS-C0MPOP AGG t 'CLAMS MADE n OCCIRI PERSONAL S ADV INJURY T OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE t ' FIRE DAMAGE Any one tire)_ S IND E P(Any one melon) i AUTOMOBILE LIABILITY ,COMBINED SINGLE LIMIT i, ANY AUTO _ ALL OWNED AUTOS I BODILY INJURY SCHEDULED AUTOS Mel person' t HIRED AUTOS 1 BODILY INJURY 1 HON-OWNED AUTOS (Per occident) PROPERTY DAMAGE t I GARAGE LIAENUTY I 4 AUTO ONLY-EA ACCIDENT t Ir 1 ANY AUTO II II OTHER THAN AUTO ONLY I EACH ACCIDENT i AGGREGATE $ EXCESS LIABIUTY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE E OTHER THAN UMBRELLA FORM i A WORKERS COMPENSATION AND ACC00040796 10/01/2001 10/01/2002 X lwr ..u• l 1DTH TORY INIITS ER '. EMPLOYERS'UABlITY a EACH ACCIDENT f 100,000 THE PROPRIETOR/ X INCL a DISEASE-POLICY LIMIT $ 500,000 XE PARTPERS/ECUTNE - _ OFFICERS ARE. EXCL a DISEASE-EA EMPLOYEE $ 100,000 OTHER I OESCRI►TION OF OPERATIONSILOCATNINSNEMCLENS►ECIAL ITEMS Certificate Bolder reads: Weld County Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents. DCR'tl.Ftc4*IbLaER.i ; III 't ... O.444cri3N ':0 11,I Ji I ._ l I,: 111 I ' i'I II,,I:.II .I;I I ;;? I fi Weld County Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE hoard cf County ConT'ias:onere EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOP TO MAIL 815 l Ot h St 3,9 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Iv days notice for non-payment BUT FAILURE TO MALL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABIUTY Greeley, CC 80631 OF ANY END UPON THE COMPANY, :Os .AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE —..Y''. ,t-•..n �,:,.)i ,::,,. ..y •el I �.;I It•ri'I•n 'I, it I ,, r .I I I IIljiI llIIIf: I I,:•iI , • !.,,u' I i I� ,„.. fi it l!!;; kIti.. I,!VI,i{r!,��!� I!I!iI.I,I!k��{°I �I it 'a!!IIIII!IIHI�I!!I!'I III,Cfrl,9!f,@Nrip;inlfl�gf l„l II III;III I ILIAIITIII11,11.1,1;1;!INI,!la!;II;� � 111; 1," ,I) . I . ipaa ! 19d9I125O6674 ACORN CERTIFICATE OF LIABILITY INSURANCE 03/21/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MA1TER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 211 First Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eaton, CO 80615 '0 454-3381 INSURERS AFFORDING COVERAGE edURED 'INSURER A: General Ins Company of America ISLAND GROVE REGIONAL INSURER e: TREATMENT CENTER INC INSURER C: 1140 M STREET INSURER D: GREELEY, CO 80631 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY(M EFFECTIVE M/DDNYY P M/DIXY PIRATION LTR ) DATE(MYI LIMITS A GENERAL LIABILITY CP7777649 04/01/01 04/01/02 EACHOCCURRENCE $1 , 000, 000 X COMMERCIAL GENERAL LIABILITY (BINDER182898) FIRE DAMAGE(MY one tire) $200 , 000 CLAIMS MADE X OCCUR MED EXP(My 000 person) S10 , 000 PERSONAL$ADV INJURY $1, 000, 000 GENERAL AGGREGATE $3 , 000, 000 GENT_AGGREGATE LIM IT APPLIES PER: PRODUCTS -COMP/OPAGG $1, 000 , 00 0 POLICY JECT LOC A AUTOMOBILE LIABIUTY BA7777649 04/01/01 04/01/02 COMBINED SINGLE LIMIT ANY AUTO (BINDER182898) (Ea accident) $1, 000 , 000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS I (Per person) I$ X HIRED AUTOS i BODILY INJURY X I NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) IGARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE $ OCCUR I 'CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ OTH-I WORKERS COMPENSATION AND TORY LIMITS FR EMPLOYERS'LIABILITY E.L EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ EL DISEASE-POLICY LIMIT IT-- A OTHER PROFESSIONAL LP7777649 04/01/01 04/01/02 $1, 000 , 000 Occurrence LIABILITY (BINDER182898) $3 , 000, 000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WELD COUNTY, COLORADO, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, IT' S EMPLOYEES & AGENTS, AND THE STATE OF COLORADO ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR IN REGARDS TO THE OPERATIONS OF THE INSURED. CERTIFICATE HOLDER ADDMONALINSUREDUNSURER LETTER: CANCELLATION I SHOULD ANY OF THE ABOVE 0 ESC RIBED POLICIESE E CANCELLED BEFORE TH E EXPIRATION WELD COUNTYOUNTY COLORADO BOARD OF DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 () DAYS WRITTEN COUNTY COMMISSIONERS OF WELD NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUT FAILURE TO DO SO SHALL COUNT IM POSE NO OBLIGATION OR LIABILITY OF MY KIND UPON THE INSURER,ITS AGENTS OR 915 - 10 STREET REPRESENTATIVES. GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE Flood . Pefr l-son.rnsa4anc.e , -L - ACORD 25-S(7197)1 of 2 #5210308/M179381 NAT © ACORD CORPORATION 1988 ORD., CERTIFICATE OF LIABILITY INSURANCE 03/11/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson. Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 211 First Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eaton, CO 80615 '0 454-3381 INSURERS AFFORDING COVERAGE INSURED INSURERA General Insurance of America ISLAND GROVE REGIONAL INSURER B: First Nat' l Insurance Co. of Amer . TREATMENT CENTER INC INSURER C: 1140 M STREET INSURER D: GREELEY, CO 80631 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NLIR I TYPE OF INSURANCE I POLICY NUMBER POUCY TIVE P DATE(UCY MM//DDPYY)PIRATION I UMITS A GENERALLIABIUTY CP7777649A 04/01/02 04/01/03 EACH OCCURRENCE $1, 500 , 000 X I COMMERCIAL GENERALLIABILrTY FIRE DAMAGE(Any cne tire) $200, 000 CLAIMS MADE I X I OCCUR, MED EXP(My one person) $10, 000 PERSONAL SADV INJURY $1, 500 , 000 GENERAL AGGREGATE $3 , 000, 000 GEN'L AGGREGATE LIM R APPLIES PER: PRODUCTS -COMP/DPAGG $3 , 000 , 000 POLICY�I jFo- LOC A AUTOMOBILEUABIUTY BA7777649A 04/01/02 04/01/03 I COMBINED SINGLE LIMIT ANY AUTO I(Ea accident) $1, 000 / 000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) X HIRED AUTO BODILY INJURY I X NON-OWNED AUTOS (Par accident) PROPERTY DAMAGE (Per accident) GARAGE UABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC I$ AUTO ONLY: AGO $ • I EXCESS UABILITY ' EACH OCCURRENCE I$ OCCUR I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WCSTATU- OH- WORKERS COMPENSATION AND TORY DMTTS � I Ffl EMPLOYERS'LIABILITY E.L EACH ACCIDENT $ E.L DISEASE-EA EMPLOYEE E.L DISEASE-POLICY LIMIT $ A OTHER PROFESSIONAL LP7777649A 04/01/02 04/01/03 $1, 000, 000 Occurrence LIABILITY $3 , 000, 000 Aggregate DESCRIPTION OF OPERATONS/LOCATIONSNEMCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WELD COUNTY, COLORADO, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, IT' S EMPLOYEES & AGENTS, AND THE STATE OF COLORADO ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR IN REGARDS TO THE OPERATIONS OF THE INSURED. CERTIFICATE HOLDER '.. !ADDrRONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXRRATION WELD COUNTY COLORADO BOARD OF DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN COUNTY COMMISSIONERS OF WELD NOTICE TO THE CERTIFICATE HOLD ERNAMEDTOTHE LEFT,BUT FAILURETODOSOSHALL COUNT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 915- 10 STREET REPRESENTATIVES. GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE • Flood Y-`7efeson InStacIa d , -�n�- ACORD25-S(7/97)1 of 2 45210312/M210309 NAT 0 ACORD CORPORATION 1988 EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS ISLAND GROVE REGIONAL TREATMENT CENTER, INC . Ed.1974 April 16, 2002 Gloria Romansik Social Services Administrator Weld County Department of Social Services P.O. Box A Greeley, Colorado 80632 Re: Response to Recommendation and Condition RFP 02008 Intensive Family Therapy RFP 02010 Option B Dear Ms. Romansik: We accept the recommendations as written by the FYC Commission. Condition: State the maximum number of hours your program will serve each client per initial referral. The maximum number of hours our program will serve each client per initial referral is 32; our average has been approximately 16-20 hours per client per initial referral. We would like consideration to negotiate renewals as clinically justified on a case-by-case basis should they exceed our stated maximum. Recommendation: Providers will report outcomes specific to their programs. As stated in our 2002/2003 RFP-BID Proposal, we will administer the BOSS instrument pre treatment and post discharge and report outcomes as described therein. If you have any questions regarding this response, please do not hesitate to contact me at 356-6664 extension 20. Sincerely, Peter E. Dunne, LAC, LPCC Director of Intensive Services �a>, A Behavioral Health Agency Specializing in AlcohoUDrug Abuse Mr1140 M Street Greeley,CO 80631 • FAX(970)356-1349DAD IT Intensive Treatment/Youth&Family/Acute Care Services/Administration • (970)356-6664 Community Counseling Center • (970)351-6678/Ft.Lupton Branch • (303)857-6365 cm.m.mr• Women's Services • (970)392-0261 nr°entOs.MaHS. 11. DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 ' WEBSITE:www.co.weld.cous Administration and Public Assistance(970)352-1551 CChild Support(970)352-6933 COLORADO April 10,2002 B. J. Dean,Executive Director Island Grove Regional Treatment Center 1140 M Street Greeley, CO 80631 Re: RFP 02008 Intensive Family Therapy RFP 02010 Option B Dear Ms. Dean: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written information or confirmation from you by Wednesday, April 17,2002. A. Results of the RFP Bid Process for PY 2002-2003 • Through the 2002-2003 Core Services bid evaluation process,the Families, Youth and Children(FYC) Commission approved the RFP(s) listed above for inclusion on our vendor list. The FYC Commission attached the following recommendations and/or conditions regarding your RFP bid(s). The FYC Commission approved the following recommendation for all programs on the vendor list for 2002-2003. The recommendation reads as follows: Recommendation:Providers will report outcomes speck to their programs. The FYC Commission approved the following condition for all Option B and Intensive Family Therapy programs. The recommendation reads as follows: Condition:State the maximum number of hours your program will serve each client per initial referral. 1. RFP PY 02008,Intensive Family Therapy Approved with the above recommendation and condition. 2. RFP 02010, Option B Approved with the above recommendation and condition. Page 2 Island Grove Regional Treatment Center Results of RFP Bid Process for PY 2002-2003 B. Required Response by FYC Bidden Concerning FYC Commission Recommendations and Conditions The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. Please respond in writing to Gloria Romansik,Weld County Department of Social Services,P.O. Box A, Greeley, CO, 80632,by Wednesday,April 17,2002, close of business, as follows: FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: a. accept the-recommendation(s) as written by the FYC Commission; or b. request alternatives to the FYC Commission's recommendation(s); or c. 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. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP 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 your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition,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 RFP Bid and Notification of Financial Assistance Award. If you wish to arrange a meeting to discuss the above conditions and/or recommendations, please do so through Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to April 17,2002. Sincerely, Judy A. Griego,Director cc: Dick Palmisano, Chair,FYC Commission Gloria Romansik, Social Services Administrator Weld County Department of Social Services Notification of Financial Assistance Award for Families, Youth and Children Commission (Core) Funds Type of Action Contract Award No. X Initial Award FY02-CORE-0008 Revision (RFP-FYC-02010) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and Island Grove Regional Treatment Center Ending 05/31/2003 Option B 1140 M Street Greeley, CO 80631 Computation of Awards Description The issuance of the Notification of Financial Unit of Service Assistance Award is based upon your Request for Proposal (RFP). The RFP specifies the scope of Comprehensive assessments and treatment services and conditions of award. Except where it is planning,therapeutic interventions that may in conflict with this NOFAA in which case the include an array of auxiliary services, co- NOFAA governs, the RFP upon which this award is facilitated therapeutic services by qualified based is an integral part of the action. family therapists, therapy that is designed to dissolve conflicts and restore respectfulness Special conditions within the family. Average duration of program 1) Reimbursement for the Unit of Services will be based is 20-24 weeks, with an average of 1-2 contacts on an hourly rate per child or per family. per week for an estimate of 3 clock hours of 2) The hourly rate will be paid for only direct face to face contact at outset of treatment. Capacity to serve contact with the child and/or family or as specified in 12 bilingual families per year. South Weld the unit of cost computation. families are expected to be 'A of the enrollment. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. Cost Per Unit of Service 4) Payment will only be remitted on cases open with, and referrals made by the County Department of Social Hourly Rate Per $110.00 Services. Unit of Service Based on Approved Plan 5) Requests for payment must be an original form and submitted to the Weld County Department of Social Enclosures: Services by the end of the 25th calendar day following X Signed RFP:Exhibit A the end of the month of service. The provider must X Supplemental Narrative to RFP: Exhibit B submit requests for payment on forms approved by X Recommendation(s) Weld County Department of Social Services. Conditions of Approval Approvals: Program Official: By By Glenn Vaad, Chai Judy . Grie' Direct Board of Weld County Commissioners Weld unty De-Jartment of Social Services Date: QS/c 1 ao.z Date: sit q 02.... ,200,2- /.315 EXIEBIT A SIGNED RFP Intensive Family Therapy Family Preservation Program Department of Social Services Weld County 2002 /2003 BID Proposal RFP-FYC # 02010 ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ Island Grove Regional Treatment Center, Inc. 1 140 M Street Greeley, CO 80631 INVITATION TO BID DATE:February 27, 2002 BID NO: RFP-FYC-02010 RETURN BID TO: Pat Persichino,Director of General Services 915 10th Street,P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-02010) for:Family Preservation Program--Home Based Intensive Family Intervention Prog am F mi v Issue' h Fund or Family Preservation Program Funds Deadline: March 22, 2002,Friday, 10:00 a.m. - - The Families, Youth and Children Conunission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement(C.R.S. 26-5.3-101). The Families,Youth and Children Commission wishes to approve services targeted to run from June 1, 2002, through May 31, 2003, at specific rates for different types of service. The County will authorize approved vendors and rates for services only. The Home Based Intensive Family Intervention Program is a family strength focused home-based services to families in crisis which are time limited,phased in intensity, and produce positive change which protects children,prevents or ends placement, and preserves families. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK B.J. Dean TYPED OR PRINTED SIGNATURE Island Grove Regional Treatment Center, Inc. �j� \r�Ql� VENDOR ^L `sJI' (Name) Harialwritten Signature By Authorized Officer or Agent of Vender ADDRESS 1140 'M' Street TITLE Executive Director Greeley, CO 80631 DATE An It PHONE # (970) 356-6664 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 RFP-FYC-02010 Attached A HOME BASED INTENSIVE FAMILY INTERVENTION PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING FAMILY PRESERVATION PROGRAM 2002-2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID #RFP-FYC-02010 Island Grove Regional Treatment Center NAME OF AGENCY: 1140 'M' Street Greeley, CO 80631 ADDRESS: PHONE: (970 1 356-6664 ext. 16 CONTACT PERSON: Rochelle Galey, MSW Program Manager of Youth & Family TITLE: Services DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Home Based Intensive Family Intervention Program is a family strength focused home-based services to families in crisis which are time limited.phased intensity. and produce positive change which protects children,prevents or ends placement. and preserves families 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1. 2002 Start June 1, 2002 End May 31.2003 End May 31, 2003 TITLE OF PROJECT: Home Based Intensive Family Therapy Program h/Ag/eh Rochelle Galey 3/6/0� Name and Signature of Perso Preparing Document Date - �J B. J. Dean /7 �� Name d Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Proposal for Bid. For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund year 2002-2003. Indicate No Change from FY 2001-2002 to 2002-2003 RGProject Description no change GTarget/Eligibility Populations no change RGTypes of services Provided slight change RGMeasurable Outcomes st ight change RG5ervice Objectives slight change RGworkload Standards slight change RGStaff Qualifications slight change R-unit of Service Rate Computation slight change _GProgram Capacity per Month slight change RGCertificate of Insurance Page 25 of 31 'RFP-FYC-02010 Attached A of Meeting(s)with Social Services Division Supervisor: March 8, 2002 n omments by SSD Supervisor: ^ Lr t A P 1 [RA-1_if A ) L g �p u .`t. 0` ,1 ► (�p /�S� f,Fi ink-64_ P&p ; F I P I7ry • �Qf ;A' ,ft, y ��74 `^_J �-n i .d - O.₹�A ? e k LA chi i f7 1 L( b 1- ` ( • Qt r ! yJl 9 ~xf 1 h� c��Q l .r ,kn1) )AA1 pin ,f.t-P,d�-u- �-(A ,LCQ n 1 pUi a ‘1. km P (I It t/1hrhrx (t ,9 d�e• d sIA fl .Ail v hi /. i aI abLi it , r*V•1--4ri ,ff, 4,(JkL) , / titi 3-I"° Name and Signature of SSD Supervisor ' Date Page 26 of 31 RFP - FYC - 02010 Intensive Family Therapy Program Bid Category Intensive Family Therapy - Family Preservation Program Island Grove Regional Treatment Center, Inc. PROIECT DESCRIPTION Most families face enough challenges to test even the most successful families. Add an accompanying element by any of its members and the disruption can be so extensive that parents face losing their children or children lose their parents to the control of outside influences. These high-risk situations require effective interventions. Island Grove Center's Intensive Family Therapy Program has remained current on developments in Family Therapy to deliver such interventions. The IFT Program is specifically geared to assist families in reclaiming their lives. Using a Strength based perspective, our staff focuses on building family strengths with the goal of reunifying the family and retaining children safely in their homes. Each referred family is provided with a Solution-based model of family therapy that has demonstrated success in working in a time-efficient, goal-directed manner. The clinical staff has expertise in both couples and family therapy, as well as recent developments in drug and alcohol abuse counseling. This combination of skills provides our staff with the tools to pave opportunities for families to choose more responsible and mutually satisfying ways of living. The frequency of sessions and the duration of the program is assessed and determined by the clinical team, in collaboration with the caseworker and the involved family. In addition to family sessions, case aide support, group therapy, other auxiliary services can be accessed by individual family members. Truly, an individualized and customized family treatment plan can be a reality. The following menu is available to augment and reinforce goal attainment with the approval to bill other authorized funding, such as the ADAD Menu. • Sobriety support groups • Domestic violence education and therapy • Substance abuse education • Women's Therapy Group • Pregnant Women's services • Vocational assessment and planning • Antabuse monitoring • Urinalysis and breathalyzer testing As demonstrated in the past, our family services team will maintain and nurture collaborative relationships with caseworkers to facilitate timely, flexible, and appropriate services to support the case plan. t II. TARGET/ELIGIBILITY POPULATIONS Our Intensive Family Therapy team will serve eligible families within Weld County. Due to proven demand, we are currently capable of carrying an average of 14 family cases at any given time, for a total of 40 family units over the upcoming funding period. We have the flexibility to expand the availability of our team to accommodate additional referrals. This could include more than 1 50 children within these families, from preschool ages on up, within the year. We will also accept referred families where children are at high risk for substance misuse. Length and intensity of treatment vary among the families, depending on the severity of their challenges and their willingness to use the resources available to them. We estimate the average duration of the treatment parameter is twenty to twenty-four-week span, with an average between one to two contacts per week for an estimate of three clock hours of contact at the outset of treatment. Later stages of this time period would typically decrease services to bimonthly contacts. The upper end of the intensity could involve twelve hours of contact per week, for a brief period, in the mat extreme cases. Our referred families are contacted within two business days to arrange for the initial assessment. Depending on the family's schedule, the assessment will occur, typically in- home, within seven business days from the moment of referral. In case of crisis, all referred family members will have access to 24-hour response through our Acute Care Services unit. Services to south Weld County families have previously comprised approximately one- fourth of our total enrollment. We have been responding to these families through accessing our Ft. Lupton office, reaching families from further outlying areas such as Dacono, Hudson, Firestone, Keenesburg, and Frederick. Recognizing the need for bilingual/bicultural services, we are prepared to serve up to twelve Spanish-speaking families this year. If a family refuses treatment or appears inappropriate for outpatient services, we will immediately contact the caseworker and discuss other referral possibilities. This may include referrals to Intensive Outpatient, residential services, or other special program areas. Ill. TYPES OF SERVICES TO BE PROVIDED A. Comprehensive assessments and treatment planning:Family services counselors will complete an in-depth family assessment for all accepted referrals to determine to what factors impact the family's functioning, as well as to identify strengths the family brings to their situation. The Browning Outcome Scale Survey (BOSS) will be used to gather discharge and post-treatment measures. The Department of Human Services - Alcohol and Drug Abuse Division requires us to implement the ASAM criterion and ASI instrument to match level of treatment with level of care needed. The family's primary counselor will collaborate with the family to develop a treatment plan that will prioritize and specify measurable objectives. Frequently, families incorporate goals of accessing community resources and other providers. 2 B. Therapeutic interventions that may include an array of auxiliary services:In addition to weekly family therapy sessions and available case management services, individual family members and DSS case workers may find it beneficial to supplement or follow-up the IFT service base with other Island Grove Center offerings or additional community support. The IFT family member could have, at their disposal, therapy groups for women's issues, education and therapy for domestic violence offenders, counseling support and education for pregnant and postpartum women (Medicaid reimbursable), vocational assessment, substance abuse education, detoxification, residential treatment, urinalysis, and breathalyzer monitoring. Virtually every related and necessary service can be accessed within Weld County at Island Grove Center or via the collaborative relationships that Island Grove has with an extensive list of other community providers. There are many caring and competent professionals invested in the families that we share. Other funding streams, such as the ADAD Menu, have been utilized in the past to access existing Island Grove services when authorized by the caseworker. We estimate that 50%of our referred IFT families could benefit from being involved in additional monitored services. C. Therapeutic services are provided by qualified family therapists:When therapeutically beneficial to the family, sessions may be facilitated by pairs of family therapists. This strategy, usually comprised of a male and female team, is employed discriminately to contain costs and to manage staff time and coverage, yet it may comprise 25%of the family sessions. Other staff combinations such as concurrent individual therapy have been useful in meeting the specific needs of some family members. D. Therapy that is designed to dissolve conflicts and restore respectfulnes within the family. Family counselors will consistently use solution-based models of family therapy. Solution building and outcome-based strategies have demonstrated success within the brief and managed care models of service provisions. Focusing on a family's strengths, this model integrates well with the services of other providers. The therapy is designed to empower families to implement respectful and responsible conflict skills, restore family boundaries, and discover life without the involvement of drugs and alcohol. The instrument chosen, the BOSS indicates the family's personal evaluation to the effectiveness of counseling received to bring about successful changes and adaptation to those changes. IV. MEASURABLE OUTCOMES A. Children receiving services do not qo into out-of-home placement:We can anticipate that 80% of families completing all recommended treatment will not lose children to placement. Our communication with caseworkers will verify these outcomes. B. Families remain intact: Similarly, we expect that 80% of families completing this program will remain intact and continue to improve. Post-discharge version of the BOSS should indicate sustained positive changes. It will be administered by telephone six months after the family is discharged. It is believed that the use of the BOSS will provide a better indication of each family's success. 3 C. Reunification of children with families:The program design for IFT, by its nature, will include, as many family members in the solution-building process as there are available. Without this involvement, the progress toward goal attainment is slower and much more difficult. Our goal is set at 85% satisfactory completion of all families referred. Satisfactory completion is defined as:All significant family members were included in the treatment plan and completed stated goals prior to discharge. D. Improvements in parental competency. parent/child conflict management: Therapeutically, the focus of much solution building will be in regard to the areas of competency. We feel the BOSS instrument will give us a measure of these areas within the sub-scales. There are desired obvious behavioral outcomes we want to see, such as kids going to school, clean drug screens, etc. All of these incidents will be recorded as the counselor becomes informed, in the base file, and data brought together within the submitted monthly reports. E. Cost efficient IFT services in comparison to placing the child:We estimate our average monthly treatment costs per family to be under $500. With an average satisfactory completion period of six months, the high end of the total costs would still be at only $2,400.00. F. Therapeutic outcomes include fundamental changes in the family functioning and dynamics:We believe that the regular administration of the pre and post BOSS will indicate improvement in significant family functioning. Other indicators will be recorded such as child's school performance, any out-of-home placement decisions, and observed achievements between sessions. V. SERVICE OBIECTIVES A. Improve Family Conflict management: Family sessions are targeted toward demonstrating family skill building in conflict resolution and sensitive communication. In addition to the instrument mentioned throughout the proposal, the family's individual treatment plan will indicate progress or continued deficits. B. Improve Parental Competency: Instruments such as the BOSS will provide measures of the quality of the counseling received, as well as, their ability to utilize tools to improve relationships within the family. The counselor's home visit reports will also indicate basic safety, supervision, and nutrition needs being met. Additional referrals to participate in other provider's programs will be recommended as needed. Specialized materials will be purchased and utilized to address the impact of substance abuse on parenting abilities. C. Improve Ability to Access Resources: The program's responsibility, in addition to establishing a working, therapeutic atmosphere with the family, is to be a vehicle, literally, at times, to connect families to their communities. Our clinical staff will assist in facilitating the recommendation of family members to other agency or community resources, as they apply to the completion of the treatment plan. Consequently, the family may continue these sustaining relationships long after their treatment ends. 4 • Documentation within the case files will indicate that the community net that is being woven with the family is validating their positive directions. Our minimal goal for each family is that one or more of its members establish at least two appropriate community contacts during their course of treatment. These could include such links as peer support groups for sobriety,Job Service, United Way agency volunteering, Food Bank, recreation center involvement, or Sunrise Community Health, etc. VI. WORKLOAD STANDARDS A. Number of hours per day, week, or month: Families are generally involved in one family session per week, 1 to 1.5 hours in duration. One or more family members may have additional individual sessions of one hour per week and/or auxiliary support services ranging from 1 to 3 hours per week. A minimum average would be 2 hours per week but could range up to 6 hours, if even only periodically. We clearly want the family to have all possible resources and services available to them. On the other hand, we want to individualize the response to the presenting needs, without always assuming that "more is better." B. Number of individuals providing the services: We have access to two degreed counselors and one degreed case manager. C. Maximum caseload per worker With a staggered caseload, in that families will be at a range of service needs, and with the assistance of our case manager, our counselors can handle a case load of fourteen families. Their administrative duties are kept to a minimum so that full attention can be focused on direct services. D. Modality of treatment:All IFT core services will be on an outpatient basis. E. Total number of hours per week:Our Weld County families will be receiving between 1 to 2 hours of service per week/per family (less in later stages of treatment). F. Total number of individuals providing these services: 3 G. Maximum caseload per supervisor: 14 H. Insurance: Flood & Peterson Insurance, Inc. - see attached documentation VII. STAFF QUALIFICATIONS Rochelle Galey, Youth and Family Services Program Manager Masters degree in Social Work Experience: 3 years in Mental Health Services 3 years providing residential treatment Eddie Russell, Counselor - Family Services BA in Psychology Masters degree candidate in Marriage and Family Counseling: 12 credit hours remaining Experience: 1 year Family Therapy 2 years general counseling 5 Kendra Walker, CACTI Counselor-Youth and Family Services BA in Psychology Experience: 1 year Crisis Intervention and Detox 2 years Case Management and Youth Services In addition to this core clinical staff whose education and experience is specifically in family services, we also have available a case manager, clerical assistance, administrative project supervisor, and additional contracted clinical supervisor, Dr. William Walsh, Director of the Marriage and Family Program at the University of Northern Colorado. All staff will have a minimum of 16 clock hours of continuing education annually. Rochelle Galey, our Program Manager, has a large role in the clinical monitoring of the program's daily operation. She interacts with all involved staff numerous times per week and tracks case load, service hours provided, and responds to on-call crises. Dr. Walsh meets twice each month with our clinical team for 1 .5 to 2 hours each session. Dr. Walsh is a well-respected clinician and scholar of innovative models of family therapies. He is well versed and practiced in the ongoing professional development of the field, in addition to mentoring bright and enthusiastic professionals such as Island Grove's Family Therapy team. While Dr. Walsh is on sabbatical, Evelin Gomez, PH.D, will be providing monthly clinical consultation to the staff. Dr. Gomez is a Licensed Professional Counselor (LPC), a National Certified Counselor (NCC), and in the process of obtaining her CACIII. Previously, she was employed with Island Grove providing outpatient services; therefore, she is very in tune to the needs of our clients and staff. O:\Kathryn\CONTRACT\Youth Services\2002\DSS-IFf\Bid home base 02-03.doc 6 RFP-FYC-02010 ATTACHMENT A Intensive Family Therapy Program Bid Category Intensive Family Therapy - Family Preservation Program Island Grove Regional Treatment Center, Inc. Total Hours of Direct Service per Family Unit 12.00 Hours [A] Total Family Units to be Served 30 Families [B] Total Hours of Direct Service for Year 360 Hours [C] (Line [A] Multiplied by line[B] Cost per Hour of Direct Services $63.14 Per Hour [D] Total Direct Service Costs $22,730.34 [E] (Line [C] Multiplied by Line [D] Administration Costs Allocable to Program $11,690.94 [F] Overhead Costs Allocable to Program $5,178.72 [G] Total Cost, Direct and Allocated, of Program $39,600.00 [H] (Line [E] Plus Line[F] Plus Line [G]) Anticipated Profits Contributed by this Program $0.00 [I] Total Costs and Profits to be Covered $39,600.00 [J] by this Program (Line[H] Plus Line [I]) Total Hours of Direct Service for Year 360 [K] (Must Equal Line[C]) Rate per Hour of Direct, Face-to-Face Service $ 110.00 [L] to be Charged to Weld County Department of Social Services Day Treatment Programs Only: [M] Direct Service Hours Per Client Per Month Monthly Direct Service Rate [N] rn.,. ., -.rt.' 1li!i!!Ilnll ., :.:.:{1I I 1 li 1 •• 1 �� 1...,. I ILI'i ,11111 L1'IIEIdI t ILL 1111{ i.l LIHII.III aI IL.I{II RII r ,i IIII�I III!I ! •hl is .11;1111 III'I I'I I'.I IaPlll i' '.{I I f I .',..:.: ..:.....: I.i •II' t I '7E I I. I I i, 1 I I a II En I II! In. II !!I I ! II !I Ifl1 f I I I fl DATE IMMJDDrYY) �, ACOru-1. :�t Tirtw !I I PfII.�T 1 ifry„i .RII .�,�,II blliil11�11!�Ip!III;I�II�I�f;;Li!Il. �, o,l!aLr L1(I.+r u:19a :I,.:fY!1111 41 111!. 1!1 l a 1.1 u nIl v1111I! �Ir114111+1!lllnld!Inll!lil l I!II IW,+IIII:GI•.11•IJ...lull rlr�n l I�li!if T::.i!.I:Il:.ulli.l,nl.J:I•fl I III i:;...Ii:,.I llui.l1..L,.I,:!;!!;103/11/2002 ..'. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Talbot Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1601 28th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Boulder, CO 80301 COMPANIES AFFORDING COVERAGE COMPANY American Compensation Ins Co 303-444-4443 . . . fax303-449-7365 A INSURED COMPANY Island Grove Regional Treatment Center a 1190 M Street — COMPANY C Greeley CO 80631 COMPANY •r: "1.. I•:I Ir ....rt rl I I it D ! Ill! 11111 f II I I f !II !lLI I 1'1, 1 I I l 1.1,11111 I I IIIII lll,, 1 I III 11 I1 I I I I f 11i'iI.II,{I I ! I'.III I rl I I I. !.1.Ili ;.l i n 1�II 1!II IJI h IISRI . .I LI,�,.I I II!I I'.P., � LJII 'tls.l.1 I I,....;:I:� :.I'.I.•11 I I I .. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. MITTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(PAM/DONT) DATE(MM/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE E COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG i CLAIMS MADE OCCUR PERSONAL&ADV INJURY i OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE(Any one Ire) i MED EXP!Any one person] E I AUTOMOBILE UABIUTY I I ANY AUTO I COMBINED SINGLE SINGLE LINT J i I ALL KMINED AUTOS BODILY INJURY i (-� I SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS IPer scadentl PROPERTY DAMAGE i GARAGE LIABILITY AUTO ONLY•EA ACCIDENT E ANY AUTO OTHER THAN AUTO ONLY: , EACH ACCIDENT t AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE UMRREILLA FORM AGGREGATE OTHER THAN UMBRELLA FORM i A WORMS CORPORATION Amp ACC00040796 10/01/2001 10/01/2002 XITonvuwrts I !0T EMPLOYERS'LIABILITY EL EACH ACCIDENT i 100,000 T HE?ROPRETOR! X )NCL EL DISEASE-POLICY LIMIT 5 500,000 PARTNERSEXECUTIVE OFFICERS ARE: EXCL EL DISEASE•EA EMPLOYEE i 100,O00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLE$IS►ECIAL ITEMS Certificate Holder reads: Weld County Colorado, by and through the Hoard of County Commissioners of Weld County, its employees and agents. Irtk�Rrli�laA�-�:;li�!�LDE�#> I,'a1 I I I I I I I I� �•,I IS I II'11111 11 I i�I I I I I !III I I 1 Gi III I I I 11 Held County Colorad- SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Board of County Commissioners EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAR. 815 10th St 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 10 days notice for non-payment BUT FAILURE TO MAE. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley, CO 80631 OF ANY KIND UPON THE COMPANY, :ITS .AGENTS OR REPRESENTATIVES. , AUTHORIZED REPRESENTATIVE ''`` I 11 1 II I I!' I I 1• ! j i 11 1 II 1 I I � 1 1 „i'I.I I I/WRD I"�. �h tI 1Jl{,I{I I h 111:' dI Irl),I l GII!jl l{I I L,!11111 I(tL1lltilirllll�I IN IfE IIhi4Gll11{IIIIt ILL:!I1II1 1 I lf{1:{Alf'I{II{'L11911h!Ip,�� ..1111'+" I I Ill I' I•.. II I. I :..., .,...,'I r :,.1.1.1•!,..t:,,lE.l II.I fIl:L61.}.I W..,,.,III III III b•I.,:a..,.I,.I .L.s.1.1.1.1:r 1'.,.,:. IAJ;I .. ... .. ;.A .I 1'��•.. �� R!,II�."'!1 .�.., edsil2506674 ACORD.. CERTIFICATE OF LIABILITY INSURANCE o3�Zi%oi _ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 211 First Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eaton, CO 80615 0 454-3381 INSURERS AFFORDING COVERAGE -INSURED INSURER General Ins Company of America ISLAND GROVE REGIONAL INSURER B: TREATMENT CENTER INC INSURER C' 1140 M STREET INSURER D: GREELEY, CO 80631 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY(MWDD/YY)EFFECTIVE POUCYy LIMITS A GENERAL LIABILITY CP7777649 04/01/01 04/01/02 EACH OCCURRENCE $1, 000 , 000 X COMMERCIAL GENERAL LIABILITY (BINDER182898) FIRE DAMAGE(Any one tire) $200, 000 CLAIMS MADE X OCCUR MED EXP(Any one person) F10, 000 PERSONAL BADV INJURY $1, 000, 000 GENERAL AGGREGATE $3 , 000, 000 GENT AGGREGATE LIM IT APPLIES PER: PRODUCTS -COMP/OP AGG $1, 000, 000 POLICY PCT I—I LOC A AUTOMOBILE LIABILITY BA7777649 04/01/01 04/01/02 COMBINED SINGLE LIMIT ANY AUTO (BINDER182898) (Ea accident) $1, 000, 000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ IOCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND Micas I IV- EMPLOYERS'LIABILITY EL EACH ACCIDENT $ EL DISEASE-EA EMPLOYEE S EL DISEASE-POLICY LIMIT I$ A CMER PROFESSIONAL LP7777649 04/01/01 04/01/02 $1 , 000, 000 Occurrence IABILITY (BINDER182898) $3 , 000, 000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WELD COUNTY, COLORADO, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, IT' S EMPLOYEES & AGENTS, AND THE STATE OF COLORADO ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR IN REGARDS TO THE OPERATIONS OF THE INSURED. CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: __. CANCELLATION SHOULD ANY OFTHE ABOVE D ESC W BED POLICIES BE CANCELLED BEFORE THE EXPIRATION WELD COUNTY COLORADO BOARD OF DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 I) DAYSWRITTEN COUNTY COMMISSIONERS OF WELD NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUT FAILURE TO DOSOSH ALL COUNT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 915 - 10 STREET REPRESENTATIVES. GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE 1 Flood 4- f?de-tsarL.Insculanc2 , -L.nc. ACORD25-S(7197)1 of 2 #S210308/M179381 NAT © ACORD CORPORATION 1988 ACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE o3�iiDN)2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 211 First Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Faton, CO 80615 454-3381 INSURERS AFFORDING COVERAGE INSURED INSURER A: General Insurance of America ISLAND GROVE REGIONAL INSURER B: First Nat' 1 Insurance Co. of Amer. TREATMENT CENTER INC INSURER C: 1140 M STREET INSURER D: GREELEY, CO 80631 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR,TYPE OF INSURANCE POLICY NUMBER DATE(MWDD/YY)DATE(MM/DDTYY) A GENERAL UABIUTY CP7777649A 04/01/02 04/01/03 EACH OCCURRENCE $1, 500 , 000 X COMMERCVLL GENERAL LIABILITY FIRE DAMAGE(Any one tire) $200, 000 CLAIMS MADE [ii OCCUR MED EXP(My one person) $10, 000 PERSONAL$ADV INJURY $1, 500, 000 GENERAL AGGREGATE $3, 000 , 000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $3 , 000, 000 RO- POLICY JEC7 LOC A AITTOMOBILEUABIUTY BA7777649A 04/01/02 04/01/03 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1, 000 , 000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS UABIUTY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WCSTAN- ON- EMPLOYERS'COMPENSATION AND (TORY LIMBSI ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L DISEASE-EAEMPLOYEE$ E.L DISEASE-POLICY LIMIT $ A OTMERPROFESSIONAL LP7777649A 04/01/02 04/01/03 $1, 000, 000 Occurrence LIABILITY $3 , 000, 000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WELD COUNTY, COLORADO, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, IT' S EMPLOYEES & AGENTS, AND THE STATE OF COLORADO ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR IN REGARDS TO THE OPERATIONS OF THE INSURED. CERTIFICATE HOLDER I I ADDmONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANYOFTH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WELD COUNTY COLORADO BOARD OF DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 C) DAYS WRITTEN COUNTY COMMISSIONERS OF WELD NOTICE TOTHE CERTIFICATE HOLD ER NAMED TO THE LEFT,BUT FAILURE TO DOSOSH ALL COUNT IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IN SU RER,ITS AGENTS OR 915 - 10 STREET REPRESENTATIVES. GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE Rood ti f e1e.Isan. Inscaa .ci , IAzc- ACORD 25-S(7/97)1 of 2 #S210312/M210309 NAT © ACORD CORPORATION 1999 EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS ISLAND GROVE ? s REGIONAL TREATMENT CENTER, INC . Est.1974 April 16, 2002 Gloria Romansik Social Services Administrator Weld County Department of Social Services P.O. Box A Greeley, Colorado 80632 Re: Response to Recommendation and Condition RFP 02008 Intensive Family Therapy RFP 02010 Option B Dear Ms. Romansik: We accept the recommendations as written by the FYC Commission. Condition: State the maximum number of hours your program will serve each client per initial referral. The maximum number of hours our program will serve each client per initial referral is 32; our average has been approximately 16-20 hours per client per initial referral. We would like consideration to negotiate renewals as clinically justified on a case-by-case basis should they exceed our stated maximum. Recommendation: Providers will report outcomes specific to their programs. As stated in our 2002/2003 RFP-BID Proposal, we will administer the BOSS instrument pre treatment and post discharge and report outcomes as described therein. If you have any questions regarding this response, please do not hesitate to contact me at 356-6664 extension 20. Sincerely, Peter E. Dunne, LAC, LPCC Director of Intensive Services PANa A Behavioral Health Agency Specializing In Alcohol/Drug Abuse 1140 M Street,Greeley,CO 80631 • FAX(970)356-1349 Intensive Treatment/Youth&Family/Acute Care Services/Administration • (970)356-6664 � � Community Counseling Center • (970)351-6678/Ft.Lupton Branch • (303)857-6365 pDAD Aa Women's Services • (970)392-0281 cd,•„�„e,,;a,,IS irDEPARTMENT OF SOCIAL SERVICES PO BOX A '16....4 kida GREELEY,CO 80632 WEBSiTEWW W .co.weld.co.us Administration and Public Assistance(970)352-1551 111 , Child Support(970)352-6933 COLORADO April 10,2002 B. J. Dean,Executive Director Island Grove Regional Treatment Center 1140 M Street Greeley, CO 80631 Re: RFP 02008 Intensive Family Therapy RFP 02010 Option B Dear Ms. Dean: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written information or confirmation from you by Wednesday, April 17, 2002. A. Results of the RFP Bid Process for PY 2002-2003 Through the 2002-2003 Core Services bid evaluation process,the Families, Youth and Children(FYC)Commission approved the RFP(s) listed above for inclusion on our vendor list. The FYC Commission attached the following recommendations and/or conditions regarding your RFP bid(s). The FYC Commission approved the following recommendation for all programs on the vendor list for 2002-2003. The recommendation reads as follows: Recommendation:Providers will report outcomes specific to their programs. • The FYC Commission approved the following condition for all Option B and Intensive Family Therapy programs. The recommendation reads as follows: Condition:State the maximum number of hours your program will serve each client per initial referral. 1. RFP PY 02008,Intensive Family Therapy Approved with the above recommendation and condition. 2. RFP 02010, Option B Approved with the above recommendation and condition. Page 2 Island Grove Regional Treatment Center Results of RFP Bid Process for PY 2002-2003 B. Required Response by FYC Bidden Concerning FYC Commission Recommendations and Conditions The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. Please respond in writing to Gloria Romansik,Weld County Department of Social Services,P.O. Box A, Greeley, CO, 80632, by Wednesday,April 17, 2002, close of business, as follows: FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: a. accept the.reoommendation(s) as written by the FYC Commission; or b. request alternatives to the FYC Commission's recommendation(s); or c. 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. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP 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 your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition,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 RFP Bid and Notification of Financial Assistance Award. If you wish to arrange a meeting to discuss the above conditions and/or recommendations, please do so through Elaine Punster, 352.1551, extension 6295, and one will be arranged prior to April 17,2002. Sincerely, Judy A. Griego,Director cc: Dick Palmisano, Chair,FYC Commission Gloria Romansik, Social Services Administrator Hello