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HomeMy WebLinkAbout20041638.tiff RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR FAMILY ADVOCATE PROGRAM AND AUTHORIZE CHAIR TO SIGN - CHILD ADVOCACY RESOURCE AND EDUCATION (C.A.R.E.) WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with a Notification of Financial Assistance Award for the Family Advocate Program 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 Child Advocacy Resource and Education(C.A.R.E.)commencing June 1,2004, and ending May 31, 2005, with further terms and conditions being as stated in said award, and WHEREAS, after review, the Board deems it advisable to approve said award, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,ex-officio Board of Social Services,that the Notification of Financial Assistance Award for the above listed program 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 Child Advocacy Resource and Education (C.A.R.E.) be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said award. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 16th day of June, A.D., 2004, nunc pro tunc June 1, 2004. BOARD OF COUNTY COMMISSIONERS I E °�`� 1 W D COUNTY, COLORADO PE Robert D. Masden, Chair •u Clerk to the Board William H. rke, Pro-Tem r . Deputy Clerk to the Board M. eile AP D A • Davi . Long Cie my Attorne Glenn Vaad Date of signature: b --417-1'/ 2004-1638 SS0031 (7(2 S S L a-u jJ 04, as O�/ /J 6icii(tv\ r‘;;.„,„\\„, DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY,CO. 80632 Website:www.co.weld.co.us iiiiip Administration and Public Assistance(970)352-1551 Child Support(970)3524933 O • COLORADO MEMORANDUM TO: Robert D. Masden,Chair Date: June 14,2004 Board of County Commissioners /� FR: Judy A. Griego,Director, Social Services U. RE: Notification of Financial Assistance Awards for Life Skills Programs with Various Providers Enclosed for Board approval are Notification of Financial Assistance Awards (NOFAAs) for Life Skills Programs between the Weld County Department of Social Services and various providers. The NOFAAs are based upon the provider's Request for Proposal,which has been reviewed and approved by the Families,Youth and Children(FYC)Commission. The NOFAAs were reviewed at the Board's Work Session of June 14, 2004. The major provisions of the NOFAA are as follows: 1. The term period is from June 1, 2004 through May 31, 2005. 2. The Department agrees to reimburse providers under Core Services funding according to the NOFAA and their respective bid proposal for Life Skills Programs. These services are for children, youth, and families receiving child welfare services. Generally these Life Skills services are for families primarily in the home that teach household management, effectively accessing community resources,parenting techniques, and family conflict management. 3. Providers will be reimbursed according to various rates as provided below: Vendor Name Rate A. Youth Emancipation&Services,Inc. $81.29 per hour B. Ackerman and Associates P.C. $80.00 per hour C. Lori Kochevar LLC $85.00 per hour OChild Advocacy Resource&Education(c.a.r.e)— $69.49 per hour Family Advocate Program 2004-1638 E. Child Advocacy Resource&Education(c.a.r.e)— $41.08 per hour(supervised visit) House-Visitation $71.58 per hour(interactional visit) F. Lutheran Family Services—Home Based $65.15 per hour Parent Coach Program G. Lutheran Family Services—Visitation $69.79 per hour(monitored visit) $94.91 per hour(therapeutic visit) $94.72 per hour(in-home transition) $59.85 per hour(case consultation) $46.31 per hour(transportation) H. Transitions Psychology Group,LLC $85.68 per hour If you have any questions,please contact me at extension 6510. 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 FY04-PAC-6000 Revision (RFP-FYC-04005) Contract Award Period Name and Address of Contractor Beginning 06/01/2004 and Child Advocacy Ending 05/31/2005 Resource&Education (C.A.R.E.)Family Advocate Program 3700 Golden Street Evans, CO 80620 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 The program is a very intensive home-based services and conditions of award. Except where it is intervention program. Each family has an in conflict with this NOFAA in which case the individual service plan depending on the needs NOFAA governs, the RFP upon which this award is of the family and recommendations of the based is an integral part of the action. caseworker.Approximately 25 family units anticipated to be served, average capacity is 8 Special conditions families per month, 2 hours per week. The 1) Reimbursement for the Unit of Services will be based average stay in the program is 11 weeks. on an hourly rate per child or per family. Bicultural-bilingual services and South County 2) The hourly rate will be paid for only direct face to services are available. face contact with the child and/or family or as specified in the unit of cost computation. Cost Per Unit of Service 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. Hourly Rate Per $ 69.49 4) Payment will only be remitted on cases open with, Unit of Service Based on Approved Plan and referrals made by the County Department of Social Services. Enclosures: 5) Requests for payment must be an original form and X Signed RFP: Exhibit A submitted to the Weld County Department of Social X Supplemental Narrative to RFP: Exhibit B Services by the end of the 25th calendar day following Recommendation(s) the end of the month of service. The provider must submit requests for payment on forms approved by X Conditions of Approval Weld County Department of Social Services. 6) The Contractor will notify the Department of any changes in staff at the time of the change. Approvals: Si 1 1 Program Official: By 1� 4 By Robert D. Masden, Chair Ju ' go, D' ctor Board of Weld County Commissioners W Co Department of Social Services Date: JUN 1 '6 2004 Date: _ S U4 0?oa V-ie.3c9 , SIGNED RFP-EXHIBIT A INVITATION TO BID • OFF-SYSTEM BID B001-04(04005 -04011 and 006-00) DATE: February 11, 2004 BID NO: RFP-FYC-04005 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-04005) for:Colorado Family Preservation Act--Life Skills Program Emergency Assistance Program Deadline: March 5, 2004, Friday, 10:00 a.m. The Families,Youth and Children Commission, an advisory commission to the Weld County Department of Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners' authority under the Colorado Family Preservation Program Act (C.R.S. 26-5.5- 101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement Act (C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to' run from June 1, 2004, through May 31, 2005, at specific rates for different types of service,the county will authorize approved vendors and rates for services only. The Life Skills Program must provide services that focus on teaching life skills,which are designed to improve household management competency, parental competency, family conflict management and effectively accessing community resources. 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 I /14 (After receipt of order) BID ST BE SIGNED IN INK Gwen M. Schooley TYPED OR PRINTED SIGNATURE Child Advocacy Resource and VENDOR F.duratinn Tnr (r a r P ) (Name) dwritten Signature Authorized Officer or Agent of Vender ADDRESS 3700 Golden Street, Evans, CO TITLE Board President 80620 DATE March 4. 2004 PHONE# (97n) 'ISA-f17S1 Pxt 17 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 33 Off-System Bid B001-04 (RFP-FYC-04005) Attached A • LIFE SKILLS PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER CORE SERVICES FUNDING EMERGENCY ASSISTANCE PROGRAM 2004/2005 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2004-2005 OFF-SYSTEM BID B001-04 (04005) NAME OF AGENCY: Child Advocacy Resource and Education, Inc. (c.a.r.e.) ADDRESS: 3700 Golden Street Evans, Colorado 80620 PHONE: (970) 356-6751 X 16 CONTACT PERSON: Rose Francella TITLE: tnme Rased ased Parent V. Coordinator DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skills Program Category must provide services that focus on teaching life skills designed to facilitate implementation of the case plan by improving household management competency,parental competency, family conflict management, effectively accessing community resources,and encouraging goal setting and pro-social values. 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1, 2004 Start June 1 . 2001 End Mav 31, 2005 End May 31, 2002 TITLE OF PROJECT: Home Based Parent Education AMOUNT REQUESTED: $ (/p9 per hnnr Me4ditee.4.4t )en M. 5cAo./r y 3 -4-5 N e and Signature of Pers Preparing Document Date Judy A.Griego,Director f✓► m•,4 6ttk.t mr itn/ty J_ 'f-O Name and Signature Chief dministrative Officer A licant Agency Date MANDATORY PROPOSAL REOUIREMENTS 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 2003- 2004 to Program Fund year 2004-2005. Indicate No Chance from FY 2003-2004 to 2004-2005 Project Description Target/Eligibility Populations ✓ Types of services Provided Measurable Outcomes Service Objectives t/ Workload Standards 5 ma l l Chants.' Staff Qualifications Unit of Service Rate Computation 4 M all c.kin n j/S Program Capacity per Month 6 mm at Gha nstS Certificate of Insurance Assurance Statement Page 27 of 33 Off-System Bid B001-04 (RFP-FYC-04005) Attached A ----------- � - --------- — Date of Meeting(s)with Social Services Division Supervisor: AR 6 Ai Comments by SSD Supervisor:_ r�L7 Ge6r� 0\ Ro NS' -K , ,/._0_,Cv`lot RCS&\a"---A"‘ c /it4/O q , Name and Signature of SSD Supervisor Date Page 28 of 33 c-ic4me. L�,e,,,,.c IC'r ,, Off-System Bid B001-04 (RFP-FYC-04005) Attached A Program Category Life Skills Program Bid Category Project Title Home Based Parent Education Vendor Child Advocacy Resource and Education, Inc. (c.a.r.e.) PROJECT DESCRIPTION Provide a brief one-page description of the project. H. TARGET/ELIGIBILITY POPULATIONS Provide a brief one-page description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. The monthly maximum program capacity. G. The monthly average capacity. H. Average stay in the program(weeks). I. Average hours per week in the program. III. TYPE OF SERVICES TO BE PROVIDED Provide a two-page description of the types of services to be provided. Address if your project will provide the service minimums as follows: A. Mentoring: Address, at a minimum, the following ways the project will: 1. Teach,model, and coach adaptive strategies; 2. Model and influence parenting practices; 3. Teach relational skills; 4. Teach household management,including prioritizing, finances,cleaning, and leisure activities; 5. Actively help to establish community connections and resources; 6. Encourage goal setting and pro-social values. B. Visitation: Address, at a minimum,the following ways the project will: 1. Monitor parent/child interactions for physical and emotional safety; 2. Document clinical observations; 3. Strategize for teaching and modeling parenting skills; 4. Teach relational skills; 5. Encourage goal setting and pro-social values; 6. Plan structured activities in visitation to help achieve the objectives of the treatment plan. Page 29 of 33 Child Advocacy Resource and Education, Inc. 3700 Golden Street Evans,CO 80620 Home Based Parent Education (formally The Parent Advocate Program) I. Project Description Home-Based Parent Education was developed with the primary purpose of strengthening and preserving families whileprotecting children from (re)abuse or neglect; thereby, preventing out-of-home placement or expediting the return to the home from children living in foster care. Home-Based services are an integral part of an intervention plan for families struggling with issues of abuse or neglect. Families who mistreat their children, although in dire need of services, have trouble remaining in treatment because of their own difficulties in establishing relationships. By providing services in the home, families can be more comfortable which increases their ability to make necessary behavioral changes. When parents are able to learn skills and practice them in the environment they live in, they increase their ability to maintain new skills through the coaching of the parent educator. Home-based services help to decrease the isolation prevalent in child maltreatment. Developing a relationship with the parent educator can increase the family member's ability to transfer that comfort level to other entities such as schools, neighbors, medical personnel and friends. Finally, because of the parent educator's frequent visits to the home, they are in a position to become aware of any increased instances of further abuse or neglect. Each family that meets the F. y ' servation criteria that is referred into the program would be provided an averag of 20 ours of Parenting and Life Skills Training which would enhance and strengthen . - parents' ability to create and maintain stable and nurturing home environments. Services are designed to promote healthy child development, assist children and families to resolve crisis, connect with appropriate and necessary services, and remain safely together in their homes, avoiding unnecessary out- of-home placement of children and helping children already in out-of-home care to be returned to and maintained with their families. Home-Based Parent Education is also offered to families that are in need of supervised visitation. The purpose of the supervised visit is twofold: 1)to allow children to preserve relationships with people who are important to them, and 2) parent skills training as part of a treatment plan. During visits, the parent educator will teach childcare and demonstrate ways of setting and enforcing limits. During the supervised visit,parents have an opportunity to test and improve the skills they may be learning either with the parent educator or in other settings such as parenting classes or counseling sessions. The visits can occur either at the family home or at another agreed upon location. c.a.r.e. is Page 2 of 10 prepared to make appropriate arrangements as needed to provide supervised visits at other locations in Weld County, particularly the South Weld County area. The Home- Based supervised visits are not the same as the supervised visits at our c.a.r.e.House facility in Evans. This Home-Based Parent Education Program, formally known as the "Parent Advocate Program"has been successfully working with Weld County families for the past 17 years. We bring a wealth of professional and community experience to the families. Many families stay connected with the c.a.r.e. agency, accessing other services to help strengthen their family, such as parenting classes, children's groups and support groups. II. Target/Eligibility Population A. Total number of clients to be served: This depends on the amount of referrals into the program; however stated below, the program has the capacity to serve approximat y 25 families per year. B. Total individual clients and the childr s a s: As stated above, there is a total capacity €25 f ilies; this includes parents, plus children aged birth through teens. Families eligible for this program can vary in age from pregnant/parenting teens through grandparents or other specific caregivers. C. Total family units: 25 total family units per year D. Sub-total of individuals who will receive bicultural/bilingual services: V3 Q8 ilies per year. This is based on the total of 6 families we served in 003. We are able to provide this program for bicultural/bilingual families. D. Sub-total of individuals who will receive services in South Weld County: y5 5 families per year. In 2003, we worked with 2 families in South County. We are able to provide this program for other families in South County. The amount of families is driven strictly through referrals received. F. The monthly maximum capacity: 10 families G. The monthly average capacity: 8 families H. Average stay in the program: 11 weeks Page 3 of 10 I. Average hours per week in the program: 2 hours per week. The figures above are approximate. Each family in the program has an individual service plan depending on the needs of the family and recommendations of the caseworker. Therefore, not every family utilizes the program for a uniform amount of hours. The program has the capacity to expand as needed. III.Type of Services To Be Provided Each of the following services could be provided to any family enrolled in the program; however all families do not need all services. Services provided would be determined by the c.a.r.e. Program Coordinator, c.a.r.e. Parent educator and DSS caseworker. A. Mentoring 1. Teach, model and coach adaptive strategies Home-Based parenting and life skills education by a trained parent educator including role modeling,teaching and coaching of appropriate interactions with the family. The parent educator staff will utilize a variety of teaching modalities to achieve the goal of a healthier functioning family. Topics include stress and anger management, behavior management for children and other pertinent topics taught through written materials, videos and homework; role modeling and practicing of new skills in the family environment. Program Goals • Increase ability of parents to be in charge of their family's well being. • Increase ability to provide structure which can be modified as needs arise. • Increase ability to deal with stress in an appropriate manner with less maladaptive coping skills • Increase ability to recognize maladaptive coping skills of other family members and how to assist to regain balance 2. Model and influence parenting practices Provide home-based parent education utilizing ongoing education, support and encouragement. This is accomplished while directly intervening with the family to change maladaptive parenting styles and replace them with a more appropriate interaction. 3. Teach relational skills Page 4 of 10 The parent educator will model and teach a nurturing parent role with a focus on parent/child self esteem. The goal is to increase positive family relationships. Relationship skills as they pertain to community are also worked on as families access needed resources. 4. Teach Household Management including prioritizing, finances, cleaning, and leisure activities. Intensive home-based training in household management, especially as it pertains to safe and nurturing child rearing. When it is identified that the family needs to increase their skills in this area, the parent educator will problem solve and coach the family in keeping a home environment adequate to the safety of family members. The parent educator will also work with the family on prioritizing other elements of family life especially as they pertain to leisure and family budgeting. 5. Actively help to establish community connections and resources Provide information, training and role modeling in accessing community resources, as well as follow through in using resources. The parent educator would accompany the family on appointments to community resources, schools, medical offices and other locations when necessary and appropriate. 6. Encourage goal-setting and pro-social values The parent educator will educate the family about setting short and long term goals and a plan to attain them. They will work toward goals that. would be within a socially acceptable value system and examine bathers to achieving healthy goals. The supervised visitation service provided through this program includes all of the above activities when appropriate to the goals for the family. The parent educator will meet with the family separately from the supervised visit time to debrief, address concerns and work on issues that will aid them during future visit times. This will include parental support and guidance, help with the use of community resources and ongoing communication and feedback about parenting progress and goals. Quantitative Measures Each service can be offered to each family enrolled in the program, depending on need. Therefore,there is a potential for up to 25 families per year. These figures are estimates, Page 5 of 10 • based on the previous year. The program can be expanded when needed, depending on the number of referrals. The program employs hourly personnel to work with families and the staff can be expanded when the need arises. The home-based parent education program is the only home-based program of its' kind in Weld County, working with this population of families that are at risk of children's placement. We do not provide mental health services, substance abuse treatment or other professional services that are funded by another source. IV. Measurable Outcomes All families in the program will be evaluated using the following measures. In some instances, availability and ability of the clients might affect the program's success in obtaining outcomes. The average number of families available for measurement of outcomes is 25. A. Improvement of household management competency as measured by pre and posttest instruments. 90% of families will increase their ability to provide a safe home environment. This will be measured by staff report and observation. B. Improvement of Parental Competency as measured by pre and post assessment instruments. This will be measured by parent educator report and Observation, and pre and posttest scores on the Ongoing Planning and Assessment Form for Home-based Programs. 90% of families will increase their parental competency scores as reflected in the following: - Increase their ability to understand and implement non-physical methods of child discipline. - Increase their ability to understand the stages of development of their children and appropriate ways to manage their children's behavior at each stage. - Increase their empathic awareness of their child's needs - Decrease parent/child role reversal - Increase their stress management and anger management skills - Increase their ability to implement a"problem solving" model - Increase the communication and conflict resolution among family members Page 6 of 10 C. Parents can independently work with other sources in the community and within the local, state, and federal governments. This will be measured by parent educator report and observation of the family's progress, and pre and post test scores on the Ongoing Planning and Assessment Form for Home-based Programs. 90% of families will increase their ability to access resources in the community when needed D. Families receiving Life Skills services will remain intact six months after discharge of the services. 85% of parents will remain intact six months after discharge of the services. Parents will sign a consent to allow c.a.r.e. to do a follow-up contact with WCDSS six months after completion of the program. E. Families/Participants who complete the Life Skills Services will have improved competency level or reduced risk on standardized assessment,such as the Risk Assessment Tool. Utilizing the Ongoing Planning and Assessment Form for Home-based Programs. pre and post test, there will be documentation of improved competency and/or reduced risk. This will also be measured ongoing by parent educator report and observation. V. Service Objectives Mentoring A. Improve Household Management Competency: Intensive home-based household management techniques taught by parent educators to improve the capacity of parents to provide a safe, nurturing environment. This will include but not be limited to cleaning, budgeting, purchasing, safety, and maintenance. This will be measured partly through the Ongoing Planning and Assessment Form for Home-based Programs as well as parent educator report and observation. B. Improve Parental Competency: Page 7 of 10 The program will provide home-based parent education including coaching, instructing, problem-solving, role modeling, and supervision that will help improve the parent's ability to provide sound relationships within the family. This will include but not be limited to nutrition, hygiene, discipline and protection. This will be measured by advocate record and observation; as well as pre and post scores on the Nurturing Quiz which tests knowledge of parenting, and the Ongoing Planning and Assessment Form for Home-based Programs which documents changes for families. C. Improve Ability to Access Community Connections Parent educator will provide information, training, and follow-through to families to enable them to effectively learn to access appropriate community resources, including those on the local, state, and federal level. Outcomes will be measured by advocate record and observation as well as improved scores on the Ongoing Planning and Assessment Form for Home-based Programs. D. Improve goal-setting and pro-social values The parent educator will set monthly goals with the family. These goals will fall within our socially acceptable value system. VI. Workload Standards A. Number of hours per day,week,or month. Up to 20 hours for each family unit for length of stay in the program. This number changes depending upon DSS request, contracted hours with the family and any periodic changes due to the progress and needs of the family. 13. Number of individuals providing services: • 10 (ten)part-time hourly Parent Educators • 1 (one) 25 hr. per week Program Coordinator • 1(one)2 hr. per week Support Staff • I (one)2 hr. per week Administrative Support C. Maximum caseload per worker: Each part-time Parent Educator could work with from 1-4 families, depending upon skill level, amount of contracted hours per family, and personal work preference. Due to our use of hourly workers, they do not carry a specific caseload. Page 8 of 10 D. Modality of treatment: Home-based instruction and/or supervision, coaching, role modeling, practicing, and support. E. Total number of hours per day/week/month: From 1-25 hours per month, depending upon needs of the family. On the average, each family works directly with a parent educator for up to 8 hours per month in the program. F. Total number of individuals providing this service: • 10 (ten) part-time hourly Parent Educators • 1 (one)25 hr. per week Program Coordinator • 1(one)2 hr. per week Support Staff • I (one)2 hr. per week Administrative Support G. The maximum caseload per supervisor: 10 families per month. H. Insurance: Child Advocacy Resource and Education, Inc. carries a commercial general liability policy with Alliance for Non-Profits for Insurance: Risk Retention Group. VII.Staff Qualifications A. Yes,the staff that is providing direct services will have the minimum qualifications in education and experience. The majority of the staff has bachelor's degrees in related areas. The 10 Parent Educators have the following educational backgrounds: two staff member have master's degrees, eight have bachelor's degrees and two have high school degrees. They all meet the minimum qualifications of a Case Services Aide II, which includes graduation from High School or GED equivalent and six months full-time public contact experience. In addition, each advocate has had experience with parenting and/or working with children and families in environments such as a day care or preschool. Page 9 of 10 The Coordinator of the Home Based Parent Education Program holds a Bachelor's Degree in General Studies with an emphasis in Early Childhood Education. She has 27 years of experience in the human services field as both a teacher and supervisor. The part-time Support Staff person has a Bachelor's degree and appropriate experience. The Executive Director has a Master's in Agency Counseling with an emphasis in Marriage and Family Therapy. She has seven years experience as a Home-Based Parent Educator and four years experience as a Program Coordinator. B. Total number of staff available for the project: 14-16. Page 10 of 10 PROGRAM BUDGETS • PROGRAM Home Based Interacts:nal Suronuea Vas Transportation A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 15 23 3 3 a TOTAL CLIENTS SERVED 22 27 2 3 C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR IA X B) 330 021 a 9 D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $22.30 $15.27 $1000 $12.22 E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $7,360 $14,448 $60 5110t. F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM 112.090 $24_`51 $150 $135 G OVERHEAD COSTS ALLOCABLE TO PROGRAM 52,875 $5,250 537 558 H TOTAL DIRECT,ADMINISTRATION B.OVERHEAD COSTS(E•F•G) $22,933 $44,449 $247 $303 I PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 ,f0 $0 J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H•N $22933 $44,449 $247 $303 K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 330 821 0 9 L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE (J/K) $8949 $71.50 $41 06 $3381 CEand Fj•_er factual N T TEM NT ' I 4 WCe1 declare to the best of my knowledge and belief that the statements made on this document are true and complete and that the wage rates and her mthe unit costs hor the anaatlon pal or to paid under this contract an accurate,complete and Includes no duplicate cosh and and that I am the CEO or du authorized agent of �•a•�C• DIRECT SERVICE COSTS . Minimum Bud9.1 Average Total % TIME SALARY %OFTIME SALARY % TIME SALARY % UNE SALARY % TIME SALARY %OF TIME SALARY Dogma 000 S.MryIB.n. Salaries/ 100% SPENT ON MID SPENT ON AND SPENT ON MID SPENT ON AND SPENT ON AND SPENT ON AND DESCRIPTION Or CM FTEs Q 1.0 FTE Danalits/Othor ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COST! PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM Hans Band littnotlional Suponiud VIM Tn.pm1.M • TOTAL CLIENT HOURS OR DAYS PER PROGRAM IS 23 3 3 • TOTAL CLIENTS TO BE SERVED PER PROGRAM V 27 2 3 TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 33000 621.00 6.00 9.00 0.00 0.00 F Proper.Coordinator BA 1.00 330.000 $30.000.00 NO 10.00% $3.00000 10.00% 68.000.00 30.00 $0.00 $000 PN.M Edlwbr HS• SO $0.00 NO 100.00% $.180.00 100.00% 55.015.00 SO 00 5000 $0.00 $0.00 Transport/inn Akio HS+ $0.00 NO $0.00 $0.00 $0.00 $9000 $0.00 $0.00 VIM&Me*v Ms $0.00 NO $0.00 $0.00 $6000 $0.00 $0.00 $0.00 5000 NO 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 NO $0.00 $0.00 $0.00 $O.00 00.00 $0.00 5000 No $000 3000 $0.00 $0.00 30.00 5000 $0.00 NO $0.00 $0.00 $000 $0.00 $000 "- $0.00 $0.00 NO $0.00 $0.00 SO 00 50.00 $0.00 $0.00 $0.00 NO 5000 $0.00 $0.00 $0.00 $0.60 5060 $0.00 NO $0.00 30.60 $0.00 $0.00 5000 30.00 $0.00 NO $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 NO $0.00 $0.00 $0.00 30.00 50.00 $0.00 $0.00 NO $0.00 $0.00 $0.00 $000 $0.M $000 TOTAL DIRECT LABOR PER PROGRAM $30,000.00 $7.160.00 $14$6.00 $60.00 $90.00 $0.00 $0.00 OTHER 0IRFCT COSTS PER PROGRAM FACE-VI-VW S.aay9Mem NO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 5lgple. NO $200.00 $400.00 $0.00 $0.00 $0.00 $0.00 Cal phone NO $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 Maps NO $000 $000 $000 $1000 50 C0 $0050 NO $0.00 $0.60 $0.00 $000 30.00 $0.00 NO $0.00 $0.00 $000 3000 $0.00 $0.00 TOTAL OTHER DIRECT COSTS PER PROGRAM $0.00 $061 $200.00 50.64 3400.00 30.00 $2.22 $20.00 $000 $0.00 GRAND TOTAL DIRECT SERVICE COSTS $30,000.00 $22.30 $7,350.00 52327 $1!446.00 $10.00 $80.00 $1222 $11000 $0.00 $0.00 ADMIN COST NON-FACE-TO-FACE • Minimum Budget Avenge Total % TAE SALARY % THE SALARY %Of TAE SALARY %OF TIME SALARY %OF TIME SALARY % TIME SALARY Degree I01 SaMry/Bene Solarise/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND DESCRIPTION or CM FTEA 01.0 FTE Beriallts/Other ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM )THER COST PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM Home Based Interactional Supervised VIM Transportation • A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 15 23 3 3 B TOTAL CLIENTS TO BE SERVED PER PROGRAM 22 27 2 3. `- e C TOTAL HOURS OR GAYS PER PROGRAM FOR YEAR 330.00 021.00 SW 900 000 000 DIRECT LABOR NOT FACF-T.FAfF Propem Coottinator BA 1.00 550,000 $30000.00 NO 15.00% $.500.00 30.00% $9.000.00 190.00 590.00 50,00 5000 Parent Eduoetor BA $0.00 NO 100.00% $0,330.00 100.00% $11228.00 50.00 50.00 $0.00 $0.00 Irony:010os Aide MS 50.00 NO $0.00 50.00 50.00 545.00 $0.00 $0.00 Visit Supervisor MS 50.00 NO $0.00 50.00 $00.00 50.00 $0.00 50.00 Support Staff HO 1.00 523,537 123,587.00 NO 2.50% $500.00 5.00% 11.179.35 50.00 $0.00 50.00 50.00 AdmIMMOgWe Start MA 1.0D $42.000 $42,000.00 NO 2.50% 51.072.00 5.00% 12,14400 50.00 5000 5000 1000 $0.00 NO $0.00 SO 00 $0.00 $0.00 SOW . 5000 $0.00 NO $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 NO 10.00 50.00 50.00 50.00 50.00 $0.00 $0.00 NO 90.00 50.00 50.00 50.00 50.00 50.00 50.00 NO $0.00 $0.00 50.00 50.00 5000 1000 $0.00 NO 50.00 $0.00 50.00 5000 $000 50.00 $0.00 NO 10.00 50.00 $0.00 $0.00 50.00 50.00 $0.00 NO 10.00 10.00 50.00 50.00 5000 50.00 TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $08.467.00 512,49]00 $24,251.35 $150.00 5135.00 $0.00 5000 OTHFR DIRECT COSTS PER PROGRAM NOT FACF-TOFACF Travel ReimWlwmru NO $200.00 10.00 $0.00 $0.00 10.00 $0.00 NO 50.00 5000 50.00 $0.00 50.00 50.00 NO 50.00 50.00 50.00 50.00 $0.00 1000 NO $0.00 $0.00 50.00 $000 $0.00 1000 NO $0.00 $0.00 $0.00 $000 $0.00 $0.00 NO OD TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM $0.00 50.81 52000 10.00 1000 $0,00 5000 5$ 0,00 F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $90,46)00 530.48 $12,097.00 339.05 $24151.35 125.00 5150.00 $1500 1135.00 SOW 1000 OVERHEAD COSTS AND PROFITS TOTAL ALLOCATED ALLOCATED ALLOCATED I ALLOCATED ' ALLOCATED I OVERN ALLOCATED 100% ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED IVERNEAD COSTS %ALLOCATED OVERHEAD COSTS %ALLOCATED OVERHEAD COSTS DESCRIPTION COSTS ALLOCATED TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROOPAM TO PROGRAM TO PROGRAM PROGRAM Morn Rased Intantlanal Sugme.E Via, Tanaponoan a A TOTAL CLIENT HOURS OR DAYS PER PROGRAM $15.00 $23.03 $3.CO 3300 I3 TOTAL CLIENTS TO SE SERVED PER PROGRAM 522.00 $2700 $2 00 5300 a C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 330.00 82100 8 0 ii CO 000 000 PVPP$EAD OMNI%COMA R.rAUSItl.. 321,500.00 NO 600% 51050.00 10.00% 52.100.00 5000 0.10% 52100 5000 50.00 AOar,GAFF. *000.CO NO 5..00% $425.00 10.03% $05000 0.10% 58.50 0.10% fe50 GeneralCVarlw3 Msuntq.Technology,Rhona.Training.Equlpnwl Etc. 0,000.00 NO 5.00% $14 00 00.00 10.03% $2,5 .00 010% 3000 $000 Tim, 3$000 0.10% f$000 $0.00 $000 NO $0.00 00.00 50.00 5000 $000 5000 NO $0.03 $0.00 50 00 50.W 50.00 $000 NO NO $000 $0.00 $0 5 00 $000 3000 5000 NO $0.00 50.00 $0 $0 00 .00 SO OD SOW NO $0.00 50.00 $0.00 $000 5000 $O.00 $NO $0.00 $000 00 $0.00 $000 50.00 NO $0.00 $0.00 $0 50.00 3000 000 $000 $ NO 0.00 50.00 50.00 $0.00 5000 10.00 $ NO $0.00 5000 $000 $000 50.00 SOW NO $0.00 TO 3000 $0.00 mm 5000 NO $OW 5000 $000 $0.00 $000 00.00 NO 10.00 50.00 5000 5000 5000 $000 NO $0.00 $0.00 50.00 $0.00 50.00 $0 W NO $0.00 $0D 5000 $000 50.00 30.00 NO $O.W $0 DO TO 00 TO 00 SOW $p 00 G TOTAL OVERHEAD COSTS $57,50.00 $2,075.00 $5750.00 $3450 $5750 $000 1000 I TOTAL ANTICIPATED PROFGS $0.00 INO $0.00 00.00 $0.00 5000 30 W TOTAL OVERHEAD AND ANTICIPATED PROFITS 557.500 00 52.$]500 55,750.00 53850 $57.50 5000 5000 C Alliance Nonprofof its ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP P.O. Box 8546, Santa Cruz, CA 95061 fOnInsurance P: (800) 359-6422 Risk Retention Group F: (831)459-0853 COMMERCIAL LINES COMMON POLICY DECLARATIONS PRODUCER: POLICY NUMBER: 2003-11741 CANPO ASI 225 E. 16th Ave.,#1060 RENEWAL OF NUMBER: 2002-11741 Denver, CO 80203 NAME OF INSURED AND MAILING ADDRESS: Child Advocacy Resource And Education 3700 Golden Street Evans, CO 80620 POLICY PERIOD: FROM 07/23/2003 TO 07/23/2004 AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Child Advocacy Services IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED.THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT. PREMIUM COMMERCIAL GENERAL LIABILITY COVERAGE PART-OCCURRENCE $4,472 COMMERCIAL AUTO LIABILITY COVERAGE PART $500 IMPROPER SEXUAL CONDUCT COVERAGE PART $1,342 COMMERCIAL LIQUOR LIABILITY COVERAGE PART INCLUDED TERRORISM COVERAGE (Certified Acts) $47 TOTAL: $6,361 FORM(S)AND ENDORSEMENT(S)MADE A PART OF THIS POLICY AT TIME OF ISSUE:' ANI-RRG-GL, ANI-RRG-LL, ANI-RRG-SC, ANI-RRG-AL. SCHEDULE G, SCHEDULE L. SCHEDULE BA, CG0001/11-88, ANI-RRG-X1/0802, ANI-RRG-E3/1-99, ANI-RRG-E5/3-91, ANI-RRG-E7/0603, ANI-RRG-E11/7-92, ANI-RRG-E12/5-92, ANI-RRG-E15/3-94, ANI-RRG-E22/8-95, ANI-RRG-E28/1-99, ANI-RRG-E29/1-99, ANI-RRG-E30/4.00, ANI-RRG-E32/9-01, ANI-RRG-E33/1-02, CG0033/1198. CG2011-NPo/11-85, CG2012/11-85, CG2018/11-85, CG2020/11-85, CG2026/1195, CG2034/397, CG2101/11-85, CG 2171/1202, CG2240/11-85, CG2407/11-85, CG2504/11-85, CG7794/4-93, CG7794/04 93. IL0017/11-85, IL02289-00, IL 09 85/01 03, 'Omits applicable forms and endorsement If shown In specific coverage part I coverage form declarations. These declarations and the common policy declarations,If applicable,together with the common policy conditions,coverage form(s)and forms and endorsements,if any,issued to form a part thereof,complete the above numbered policy. "NOTICE ,//�� This policy is issued by your risk retention group.Your risk y� Q e 4 . retention group may not be subject to all of the Insurance laws BY Q and regulations of your State. State insurance insolvency (AUTHORIZED REPRESENTATIVE) guaranty funds are not available for your risk retention group." 07/22/2003 ANI- RRG-CO (02258-DB) SUPPLEMENTAL NARRATIVE TO RFP: EXHIBIT B _ RECOMMENDATIONS x CONDITIONS a DEPARTMENT OF SOCIAL SERVICES 6g(14 P.O.BOX A GREELEY, CO.80632 Website..www.co.weld co us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 0 COLORADO April 6,2004 Gwen Schooley,Director C.A.R.E. 3700 Golden Evans,CO 80620 Re: RFP 04005:Lifeskills,Parent Advocate RFP 04005:Lifeskills,Visitation Dear Ms. Schooley: i The purpose of this letter is to outline the results of the bid process for PY 2004-2005 and to request written confirmation from you by Wednesday,April 14,2004. A. Results of the Bid Process for PY 2004-2005 The Families,Youth and Children(FYC)Commission recommended approval of the bids listed below for inclusion on our vendor list with no recommendations. 1. RFP 04005:Lifeskills,Parent Advocate 2. RFP 04005: Lifeskills,Visitation B. The Families,Youth,and Children Commission recommended the following condition be applied to all 2004- 2005 contracts. The condition is: the provider will notify the Department of any change in staff at the time of the change. All conditions will be incorporated as part of your 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 the FYC Commission and the Weld County Department of Social Services accept your mitigating circumstances.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 Bid and Notification of Financial Assistance Award. The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations and/or conditions.Please respond in writing to Gloria Romansik,Weld County Department of Social Services,P.O.Box A,Greeley,CO,80632,by Wednesday,April 14,2004,close of business. If you have questions concerning the above,please call Gloria Romansik,970.352.1551 extension 6230. Sincerely, A J A.G 'ego,D ctor cc: Juan Lopez,Chair,FYC Commission Gloria Romansik,Administrator Hello