HomeMy WebLinkAbout20041838.tiff Contract No: 04/05-RESPITE CARE
CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
AND MIRIAM DONKIN
This Agreement,made and entered into the ay of June 2004,by and between the Board of Weld
County Commissioners,sitting as the Board of Social Services, on behalf of the Weld County Department of Social
Services,hereinafter referred to as"Social Services,"and MIRIAM DONKIN.
WITNESSETH
WHEREAS,required approval, clearance, and coordination have been accomplished from and with
appropriate agencies; and
WHEREAS,the Colorado Department of Human Services has provided Child Welfare Regular
Administration funding to Social Services for respite care for county foster care providers; and
WHEREAS,MIRIAM DONKIN is a for-profit Sole-Proprietor.
NOW THEREFORE, in consideration of the premises,the parties hereto covenant and agree as follows:
1. Tenn
This Agreement shall become effective on July I, 2004 upon proper execution of this Agreement and shall
expire June 30,2005,unless sooner terminated as provided herein.
2. grope of Services
Services shall be provided by MIRIAM DONKIN to any person(s)eligible for child protection services in
compliance with Exhibit A"Scope of Services,"a copy of which is attached by reference.
3. Payment
a. Payment shall be made on the basis of Exhibit B, "Payment Schedule,"of which are attached
hereto and incorporated herein by reference.
"Payment Schedule"shall establish the maximum reimbursement,which will be paid from Child
Welfare Regular Administration funds during the duration of this Agreement.
b. MIRIAM DONKIN shall submit an itemized monthly bill to Social Services for all costs incurred
and services provided pursuant to Exhibit A of this Agreement in accordance with criteria
established by Social Services. MIRIAM DONKIN shall submit all itemized monthly billings to
Social Services no later than the twenty-fifth(25)day of the month following the month the cost
was incurred.
c. Payments of costs incurred pursuant to this Agreement is expressly contingent upon the availability
of Child Welfare Regular Administration funds to Social Services.
d. Social Services shall not be billed for,and reimbursement shall not be made for time involved in
activities outside of those defined in Exhibit A. Work performed prior to the execution of this
Contract shall not be reimbursed or considered part of this Agreement.
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4. Financial Management
At all times from the effective date of this Contract until completion of this Contract,MIRIAM DONKIN
shall comply with the administrative requirements,cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under Child Welfare Regular Administration funding must conform to the Single Audit Act of
1984 and OMB Circular A-133.
5. Payment Method
Unless otherwise provided in the Scope of Services and Payment Schedule:
a. MIRIAM DONKIN shall provide proper monthly invoices and itemization of services performed for
costs incurred in the performance of the agreement.
b. Social Services may withhold any payment if MIRIAM DONKIN has failed to comply with the
Financial Management Requirements,program objectives,contractual terms,or reporting
requirements. In the event of a forfeiture of reimbursements,MIRIAM DONKIN may appeal such
circumstance to the Director of Social Services. The decision of the Director of Social Services
shall be final.
6. Assurances
MIRIAM DONKIN shall abide by all assurances as set forth in the attached Exhibit C,which is attached hereto
and incorporated herein by reference.
7. Compliance with Applicable Taws
At all times during the performance of this contract,MIRIAM DONKIN shall strictly adhere to all
applicable federal and state laws,orders,and all applicable standards,regulations,interpretations or
guidelines issued pursuant thereto. This includes the protection of the confidentiality of all
applicant/recipient records,papers,documents,tapes and any other materials that have been or may
hereafter be established which relate to the Contract. Mayfield acknowledges that the following laws are
included:
Title VI of the Civil Rights Act of 1964,42 U.S.C. Sections 2000d-1 eL seq-and its implementing
regulation,45 C.F.R.Part 80 et.seq• and
Section 504 of the Rehabilitation Act of 1973,29 U.S.C.Section 794,and
its implementing regulations,45 C.F.R.Part 84;and
the Age Discrimination Act of 1975,42 U.S.C. Sections 6101 et.seq. and
its implementation regulations,45 C.F.R.Part 91;and
Title VII of the Civil Rights Act of 1964;and
the Age Discrimination in Employment Act of 1967;and
the Equal Pay Act of 1963;and
the Education Amendments of 1972;and
Immigration Reform and Control Act of 1986,P.L.99-603;
42 C.F.R.Part 2
and all regulations applicable to these laws prohibiting discrimination because of race,color,
National origin,and sex,religion and handicap,including Acquired Immune Deficiency Syndrome(AIDS)
or AIDS related conditions,covered under Section 504 of the Rehabilitation Act of 1973,as amended,cited
above. If necessary,MIRIAM DONKIN and Social Services will resist in judicial proceedings any efforts
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Contract No: 04/05-RESPITE CARE
to obtain access to client records except as permitted by 42 CFR Part 2.
Included is 45 C.F.R.Part 74 Appendix G 9,which requires that affirmative steps be taken to assure that
small and minority businesses are utilized,when possible,as sources of supplies,equipment,construction
and services. This assurance is given in consideration of and for the purpose of obtaining any and all
federal and/or state financial assistance.
Any person who feels that s/he has been discriminated against has the right to file a complaint either with
the Colorado Department of Human Services or with the U.S.Department of Health and Human Services,
Office for Civil Rights.
8. certifications
MIRIAM DONKIN certifies that,at the time of entering into this Contract,it has currently in effect all
necessary licenses,approvals, insurance, etc. required to properly provide the services and/or supplies
covered by this contract.
9. Monitoring and Fvalnation
MIRIAM DONKIN and Social Services agree that monitoring and evaluation of the performance of this
Agreement shall be conducted by MIRIAM DONKIN and Social Services. The results of the monitoring
and evaluation shall be provided to the Board of Weld County Commissioners and MIRIAM DONICIN.
MIRIAM DONKIN shall permit Social Services,and any other duly authorized agent or governmental
agency,to monitor all activities conducted by MIRIAM DONKIN pursuant to the terms of this Agreement.
As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data,
special analyses,on-site checking,formal audit examinations,or any other reasonable procedures. All such
monitoring shall be performed in a manner that will not unduly interfere with agreement work.
10. Modification of Agreement
All modifications to this agreement shall be in writing and signed by both parties.
11. Remedies
The Director of Social Services or designee may exercise the following remedial actions should s/he fmd
MIRIAM DONKIN substantially failed to satisfy the scope of work found in this Agreement. Substantial
failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by
Mayfield. These remedial actions are as follows:
a. Withhold payment to MIRIAM DONKIN until the necessary services or corrections in performance
are satisfactorily completed;
b. Deny payment or recover reimbursement for those services or deliverables,which have not been
performed and which due to circumstances caused by MIRIAM DONKIN cannot be performed or
if performed would be of no value to the Social Services. Denial of the amount of payment shall
be reasonably related to the amount of work or deliverables lost to Social Services;
c. Incorrect payment to MIRIAM DONKIN due to omission,error,fraud,and/or defalcation shall be
recovered from MIRIAM DONKIN by deduction from subsequent payments under this Agreement or
other agreements between Social Services and MIRIAM DONKIN,or by Social Services as a debt
due to Social Services or otherwise as provided by law.
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12. Representatives
For the purpose of this Agreement,the individuals identified below are hereby designated representatives of
the respective parties. Either party may from time to time designate in writing a new or substitute
representative(s):
For Social Services:
Gloria Romansik Social Services Administrator
Name Title
For MIRIAM DONICIN:
MTRTAM DONKTN Respite Care Provider
Name Title
13. Notice
All notices required to be given by the parties hereunder shall be given by certified or registered mail to the
individuals at the addresses set forth below. Either party may from time to time designate in writing a
substitute person(s)or address to whom such notices shall be sent:
To: Social Services To: MIRIAM DONKIN
Judy A Gringo,Director 700 N 351°Avenue#46
P O Box A Greeley,CO 50614
Greeley,CO 50617
14. T itieption
MIRIAM DONKIN shall promptly notify Social Services in the event that MIRIAM DONKIN learns of
any actual litigation in which it is a party defendant in a case that involves services provided under this
Agreement.MIRIAM DONKIN,within five(5)calendar days after being served with a summons,
complaint,or other pleading which has been filed in any federal or state court or administrative agency,
shall deliver copies of such document(s)to the Social Services Director. The term"litigation"includes an
assignment for the benefit of creditors,and filings in bankruptcy,reorganization and/or foreclosure.
15. Termination
This Agreement may be terminated at any time by either party given thirty(30)days written notice and is
subject to the availability of funding. MIRIAM DONKIN reserves the right to suspend services to clients if
funding is no longer available.
16. Entire Agreement
This Agreement,together with all attachments hereto,constitutes the entire understanding between the
parties with respect to the subject matter hereof,and may not be changed or modified except as stated in
Paragraph 10 herein.
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IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day,month,and year first
above written.
®
NELD COUNTY BOARD OF COUNTY
1861 Zt ERK TO THE BOARD COMMISSIONERS WELD
' ` COUNTY, OLO O
yj
'R" ,Th //lzczm �,"-..0� By:
7" Clerk RobertD.Masden,Chair JUN 2 8 2004
AP AS TO FO RESPITE
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PROVIDER
BY � ntr/&1 2 kiAi
ounty A mey MIRIAM DONKIN
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By: l
Drcor
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Contract No: 04/05-RESPITE CARE
EXHIBIT A
SCOPE OF SERVICES
1. Complete a fingerprint card for a background check with the Colorado Bureau of Investigation. A
Federal Bureau of Investigation background check will be done if you have been a resident of the State
of Colorado for less than two years. The Department will clear the MIRIAM DONKIN through the
State of Colorado Central Registry of Child Abuse;
2. Complete a course in CPR and first aid;
3. Provide transportation for the child to appointments during the hours of service as agreed upon with the
foster parent;
4. Become familiar with State rules and regulations governing certified foster homes;
5. Must be eighteen years of age or older.
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EXHIBIT B
PAYMENT SCHEDULE
1. Funding and Method of Payment
Social Services agrees to reimburse MIRIAM DONKIN in consideration for the work and services
performed under Child Welfare Regular Administration funding.
Expenses incurred by MIRIAM DONKIN, in association with said project prior to the term of this
agreement,are not eligible Social Services expenditures and shall not be reimbursed by Social Services.
Payment pursuant to this Contract,if Child Welfare Regular Administration funds,whether in whole or in
part,is subject to and contingent upon the continuing availability of Child Welfare Regular Administration
funds for the purposes hereof. In the event that said funds,or any part thereof,become unavailable as
determined by Social Services,Social Services may immediately terminate this Contract or amend it
accordingly.
2. Fees for Services
Respite care is limited to four hours per week per child. The hours of care may be provided in any
combination throughout a month,but not to exceed 16 hours per month. Payment will be$16.75 per four
hours,but not to exceed$67.00 per month for 16 hours.
Social Services referrals will not be sent to collections by MIRIAM DONKIN for default of co-pay/fees.
Services will be performed regardless of client's refusal or inability to pay co-pay.
MIRIAM DONKIN will collect any applicable sliding scale co-pays and credit Social Services for any
payments received on the monthly billing statements.
3. Submittal of Vouchers
MIRIAM DONKIN shall prepare and submit monthly the itemized voucher and certify that the services
authorized were provided on the date indicated and the charges made were pursuant to the terms and
conditions of Exhibit A.
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EXHIBIT C
ASSURANCES
1. MIRIAM DONKIN agrees it is an independent contractor and that its officers and employees do not
become employees of Weld County,nor are they entitled to any employee benefits as Weld County
employees,as the result of the execution of this Agreement.
2. Weld County,the Board of County Commissioners of Weld County,its officers and employees,shall not be
held liable for injuries or damages caused by any negligent acts or omissions of MIRIAM DONKIN-
contracted MIRIAM DONKINs or its employees,volunteers,or agents while performing duties as
described in this Agreement. MIRIAM DONKIN shall indemnify,defend,and hold harmless Weld County,
the Board of County Commissioners of Weld County,its employees,volunteers,and agents. MIRIAM
DONKIN shall provide adequate liability and worker's compensation insurance for all its employees,
volunteers,and agents engaged in the performance of the Agreement upon request,MIRIAM DONKIN
shall provide Social Services with the acceptable evidence that such coverage is in effect.
3. No portion of this Contract shall be deemed to constitute a waiver of any immunities the parties or theft
officers or employees may possess,not shall any portion of this Agreement be deemed to have treated a
duty of care with respect to any persons not a party of this Agreement.
4. No portion of this Contract shall be deemed to create an obligation on the part of the County of Weld, State
of Colorado,to expend funds not otherwise appropriated in each succeeding year.
5. If any section, subsections,paragraph,sentence,clause,or phrase of this Contract is for any reason held or
decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The
parties hereto declare that they would have entered into this Contract and each and every section,
subsection,paragraph, sentence,clause,and phrase thereof irrespective of the fact that any one or more
sections,subsections,paragraphs,sentences,clauses,or phrases might be declared to be unconstitutional or
invalid.
6. No officer,member or employee of Weld County and no member of their governing bodies shall have any
pecuniary interest,direct or indirect,in the approved Agreement or the proceeds thereof.
7. MIRIAM DONKIN assures that they will comply with the Title VI of the Civil Rights Act of 1986 and that
no person shall,on the grounds of race, creed,color, sex, or national origin,be excluded from participation
in,be denied the benefits of, or be otherwise subjected to discrimination under this approved Contract.
8. MIRIAM DONKIN assures that sufficient,auditable,and otherwise adequate records that will provide
accurate,current,separate,and complete disclosure of the status of the funds received under the Contract
are maintained for three(3)years or the completion and resolution of an audit. Such records shall be
sufficient to allow authorized local,Federal, and State auditors,and representatives to audit and monitor
MIRIAM DONKIN.
9. All such records,documents,communications,and other materials shall be the property of Social Services
and shall be maintained by MIRIAM DONKIN,in a central location and custodian, in behalf of Social
Services, for a period of four(4)years from the date of final payment under this Contract, or for such
further period as may be necessary to resolve any matters which may be pending,or until an audit has been
completed with the following qualifications: If an audit by or on behalf of the federal and/or state
government has begun but is not completed at the end of the four(4)year period, or if audit findings have
not been resolved after a four(4)year period,the materials shall be retained until the resolution of the audit
fording.
10. MIRIAM DONKIN assures that authorized local,federal,and state auditors and representatives shall,
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during business hours,have access to inspect any copy records, and shall be allowed to monitor and review
through on-site visits,all contract activities, supported with funds under this Contract to ensure compliance
with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the
performance of the Agreement shall be conducted by appropriate funding sources. The results of the
monitoring and evaluation activities shall be provided to the appropriate and interested parties.
11. This Contract shall be binding upon the parties hereto,their successors,heirs,legal representatives,and
assigns. MIRIAM DONKIN or Social Services may not assign any of its rights or obligations hereunder
without the prior written consent of both parties.
12. MIRIAM DONKIN certifies that federal appropriated fluids have not been paid or will be paid,by or on
behalf of MIRIAM DONKIN,to any person for influencing or attempting to influence an officer or
employee of an agency, a Member of Congress,an officer or employee of Congress,or an employee of a
Member of Congress in connection with the awarding of any Federal contract,the making of any federal
grant,the making of any federal loan,the entering into of any cooperative agreement,and the extension,
continuation,renewal,amendment,or modification of any Federal contract, loan,grant, or cooperative
agreement.
13. MIRIAM DONKIN assures that it will fully comply with all other applicable federal and state laws.
MIRIAM DONKIN understands that the source of funds to be used under this Contract is Child Welfare
Regular Administration funds.
14. MIRIAM DONKIN assures and certifies that it and its principals:
a. Are not presently debarred,suspended,proposed for debarment, declared ineligible,or voluntarily
excluded from covered transaction by a federal department of agency.
b. Have not,within a three-year period of preceding this Agreement,been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with
obtaining,attempting to obtain,or performing a public(federal, state, or local)transaction or
contract under a public transaction;violation of federal or state antitrust statutes or commission of
embezzlement,theft,forgery,bribery,falsification or destruction of records,making false
statements,or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity
(federal,state,or local)with commission of any of the offenses enumerated in paragraph 11(b)of
this certification;and
d. Have not,within a three-year period preceding this Contract,had one or more public transactions
(federal,state,and local)terminated for cause or default.
15. The Appearance of Conflict of Interest applies to the relationship of a contractor with Social Services when
the contractor also maintains a relationship with a third party and the two relationships are in opposition. In
order to create the appearance of a conflict of interest,it is not necessary for the contractor to gain from
knowledge of these opposing interests. It is only necessary that the contractor know that the two
relationships are in opposition.During the term of the Contract,MIRIAM DONKIN shall not enter any
third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an
existing appearance of a conflict of interest situation,MIRIAM DONKIN shall submit to Social Services,a
full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure
to promptly submit a disclosure statement required by this paragraph shall constitute grounds for Social
Services'termination,for cause,of its contract with MIRIAM DONICIN.
16. MIRIAM DONKIN shall protect the confidentiality of all applicant records and other materials that are
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maintained in accordance with this Contract. Except for purposes directly connected with the
administration of Child Protection,no information about or obtained from any applicant/recipient in
possession of MIRIAM DONKIN shall be disclosed in a form identifiable with the applicant/recipient or a
minor's parent or guardian unless in accordance with MIRIAM DONKIN written policies governing access
to,duplication and dissemination of,all such information. MIRIAM DONKIN shall advise its employees,
agents,and subcontractor,if any,that they are subject to
these confidentiality requirements. MIRIAM DONKIN shall provide its employees,agents,and
subcontractors,if any,with a copy or written explanation of these confidentiality requirements before access
to confidential data is permitted.
17. Proprietary information for the purposes of this contract is information relating to a party's research,
development,trade secrets,business affairs,internal operations and management procedures and those of its
customers,clients or affiliates,but does not include information(1)lawfully obtained from third parties,(2)
that which is in the public domain,or(3)that which is developed independently. Neither party shall use or
disclose directly or indirectly without prior written authorization any proprietary information concerning the
other party obtained as a result of this Contract. Any proprietary information removed from the State's site
by MIRIAM DONKIN in the course of providing services under this Contract will be accorded at least the
same precautions as are employed by MIRIAM DONKIN for similar information in the course of its own
business.
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