HomeMy WebLinkAbout20031068.tiff RESOLUTION
RE: APPROVE FIVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR
VARIOUS PROGRAMS AND AUTHORIZE CHAIR TO SIGN - LUTHERAN FAMILY
SERVICES
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 five 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 Lutheran
Family Services, commencing June 1, 2003, and ending May 31, 2004, with further terms and
conditions being as stated in said awards for the following programs:
1) Mediation and Facilitation under the Intensive Family Therapy Program
Area
2) Option B, Home Based Intensive
3) Lifeskills - Mentoring
4) Lifeskills -Visitation
5) Lifeskills - Home Based Parent Coach Program, 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 five 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 Lutheran Family Services, be, and hereby are,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said awards.
2003-1068
(sr ?...4.1„,,a--3
�M�� SS00
FIVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS - LUTHERAN FAMILY
SERVICES
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 30th day of April, A.D., 2003.
BOARD OF COUNTY COMMISSIONERS
WE OUN COLO DO
ATTEST: j2 `�l,/ , ,SLa
vid E. Lo , Chair
Weld County Clerk to 10,4cr
smc
nr Robert D. sden, Pro-Tem
BY:
Deputy Clerk to the Boa'':
M. J. Geile
APP AS •
Willis H. Jerke
nt t -0i.t.,ua a1J\
5/ Glenn Vaad
Da e of signature: S
2003-1068
SS0030
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 FY03-CORE-0002
Revision (RFP-FYC-03008)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2003 and Lutheran Family Services
Ending 05/31/2004 Mediation and Facilitation under the Intensive Family Therapy
Program Area
3800 Automation Way, Suite 200
Fort Collins,CO 80525
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Services are solution-focused using conflict Award is based upon your Request for Proposal(RFP).
management therapy,goal specific and time The RFP specifies the scope of services and conditions
limited to five (5)hours of therapy per referral. of award. Except where it is in conflict with this
Services are therapy services only and do not NOFAA in which case the NOFAA governs, the RFP
include treatment services. Total number of upon which this award is based is an integral part of the
family units is 30 per funding year,monthly action.
average capacity is 2 families,the average stay in
the program is 2.5 weeks, and the average hours Special conditions
per week is 2. South County access. Currently,
there are no Bilingual staff trained in mediation, 1) Reimbursement for the Unit of Services will be based on
however,upon Department's request,Bilingual hourly rate.
staff may be trained in mediation. 2) The rate will be paid for only direct face-to-face contact
with the child and/or family, as evidenced by client-
signed verification form, and as specified in the unit of
Cost Per Unit of Service cost computation.
3) Unit of service costs cannot exceed the hourly and yearly
Hourly Rate per $96.70 cost per child and/or family.
Unit of Service Based on Approved Plan 4) Payment will only be remitted on cases open with, and
referrals made by the Weld County Department of Social
Enclosures: Services.
X Signed RFP:Exhibit A 5) Requests for payment must be an original submitted to
_ Supplemental Narrative to RFP: Exhibit B the Weld County Department of Social Services by the
X Recommendation(s) end of the 25th calendar day following the end of the
Conditions of Approval month of service.The provider must submit requests for
payment on forms approved by Weld County
Department of Social Services.
Approval • Program Official:
By ° J, �� B
David E.Long,Chair (y- -aco3 Ju y A. i go,Dire# r y/21 03
Board of Weld County Co sioners Wed County Dep ent of Social yervic s
2ov3—/Otofr
EXHIBIT "A"
! . • •
INVITATION TO BID
OFF-SYSTEM BID 02-03 RFP-FYC 03008
DATE:February 19, 2003 BID NO: RFP-FYC-03008
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-03008) for:Colorado Family Preservation Act--Intensive Family Mediation
and Facilitation under the Intensive Family Therapy Program
Area—Emergency Assistance Program
Deadline: March 14, 2003, Friday, 10:00 a.m.
The Families, Youth, and Children 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 Colorado Family Preservation 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, 2003,through May 31, 2004, at specific rates for different types of service,the County will
authorize approved vendors and rates for services only. The Intensive Family Mediation and Facilitation
program under the Intensive Family Therapy Program area 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
ames D. cla
TYPED ED SIGNATURE 7
7
VENDOR Lutheran Family Services
(Name) an written Signature B utho ' d
Officer Ag V er
ADDRESS 3800 Automation Way, #200 TITLE /
Ft Collins. CO 80575 DATE
PHONE# 970.266. 1788
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-03008 Attached A
INTENSIVE FAMILY THERAPY MEDIATION/FACILITATION PROGRAM BID PROPOSAL
FAMILY PRESERVATION PROGRAM
2003-2004 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2003-2004
OFF-SYSTEM BID 02-03 RFP-FYC-03008
NAME OF AGENCY: Lutheran Family Services
ADDRESS: 3800 Automation Way, #200 Ft. Collins, CO 80525
PHONE: ( 9n) 266. 1788 970.356.6080
CONTACT PERSON: Ju]ie Box TITLE: Program Manager
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Mediation/Facilitation Program must
provide for solution-focused therapy through one or more qualified therapists,typically with all family members,to resolve
conflicts and disagreements within the family contributing to child maltreatment,running away, and to the behavior
constituting status offenses.
12-Month approximate Project Dates: _ 12-month contract with actual time lines of:
Start June 1,2003 Start
End May 31,2004 End -
TITLE OF PROJECT: LFS Mediation Program
AMOUNT REQUESTED:
%Mie x ,� Lc 3/1403
Name and Signature of Person Preparing cument Date
Name and 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 2002-
2003 to Program Fund Year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004Project Description
X Target/Eligibility Populations
x Types of services Provided
X Measurable Outcomes
x Service Objectives
x Workload Standards
X StaffQ'alil}cations
X Unit of Service Rate Computation
Program Capacity per Month
_x_ Certificate of Insurance
Assurance Statement
Page 26 of 32
Core Services Proposal
Mediation
FY 03-04
Lutheran Family Services of Colorado
Mediation Program
I. PROJECT DESCRIPTION
Lutheran Family Services of Colorado(LFS) is a community-based agency with an experienced
staff that offers a wide range of services to children, families and adults. It is a non-profit agency,
which has provided human services to Colorado since 1948. Although the agency was
established as an affiliate of the Lutheran Church, it is an equal opportunity agency that provides
services to all individuals without consideration of religious beliefs, race, ethnicity, sex or
economic status.
This program is intended to serve Weld County families referred by the Department of Social
Services. This program will improve family conflict management by using mediation and
counseling to resolve conflict within the family,which may be contributing to child maltreatment,
running away and/or other offenses. The program will improve parental competency by using
mediation and counseling to improve the capacity of parents to maintain sound relationships with
their children, provide adequate care, nutrition, hygiene, discipline, protection, instruction and
supervision. The program will improve the parent's ability to access resources by assisting
parents to access and work with other sources in the community and within the local, state and
federal governments. The program will also address specific referral issues such as custody and
visitation issues, termination issues and court ordered treatment plan issues.
This program is intended to be directed toward families, focused on family strengths, protect
children and prevent placement or reunify children and their families. Services will be solution-
focused using conflict management therapy, goal specific and time limited to five (5) hours of
therapy per referral. Services will be therapy services only and will not include treatment services.
II. TARGET/ELIGIBILITY POPULATIONS:
Families considered appropriate for these services are those in which the parental rights are to be
or have been relinquished or terminated, families where the children are at imminent risk of being
removed from the home, or families where children are transitioning back home after being
removed. All families will be referred through the Department of Social Srvices.
A. Total number of clients served: 30 families
We have budgeted one professional staff person to this program. The number of clients served
represents the caseload of the staff time budgeted. ,
B. Total individual clients and the children's ages: 120
We estimate that each family will have four family members. Children's ages can be from birth to
21.
C. Total family units: 30
This number reflects the caseload of the budgeted staff time.
Lutheran Family Services;Mediation Services
D. Sub-total of individuals who will receive bicultural/bilingual services: 0
Although we have had two bilingual workers on staff, they will not be receiving training as a
Mediator. If the Department requests,we will attempt to get one bilingual worker trained in
Mediation.
E. Sub-total of individuals who will receive services in South Weld County: 30
We do not limit our services geographically. This number is reflective of an estimated one quarter
of the referrals being from South County.
F. Sub-total of individuals who will have access to 24-hour services: 120
All full-time clinicians carry a cell phone and are available for crisis intervention 24-hours per day.
Response to crisis calls will terminate after the provision of the maximum number of direct service
hours(5).
F. The monthly maximum program capacity: 3 families
This number is based on the budgeted number of families per year(30). We will provide 5 hours
of direct service per week for 2.5 weeks to the families in the program.
G. The monthly average capacity: 2 families
This number is based on our budgeted capacity.
H. Average stay in the program (weeks): 2.5 weeks
I. Average hours per week in the program: 2
III. TYPES OF SERVICES TO BE PROVIDED
The clinical philosophy that drives our practice is that we will provide services in the families
environment whenever possible and appropriate. We believe that this treatment approach
reduces the stress on the family by reducing the need for the family to adjust to our environment.
We believe that we can provide more appropriate treatment in the family's 'natural environment';
their home, their church,their school, etc. The second primary philosophy that directs our
practice is that we will build on the strengths of the family and will utilize a strength-based model
of treatment and intervention.
The program is intended to provide solution-focused therapy that is designated to resolve conflicts
and disagreements within the family contributing to child maltreatment, running away, and to
behavior constituting status offenses. The services will be goal specific and limited to five(5)
hours of therapy per referral.
A clinician will provide solution-focused, time-limited therapy which will include the development
of problem solving skills, the development or strengthening of the family's communication skills,
addressing the current parenting practices and developing healthier parenting habits,working with
the family on parent-child conflict management skills, helping the family to understand the court
ordered treatment plan as well as the termination process if applicable and assist Department
caseworkers schedule family meetings. The duration of services for each referral is limited to five
(5) hours of face-to-face contact per referral. Sessions will be designed to provide
comprehensive, diagnostic and treatment planning with the family and other service providers.
Therapeutic interventions will be flexible enough to bring in other service providers, if needed.
Mediation/Facilitation Program 2
Weld County
Off-System Bid 02-03 RFP-FYC-03008
Lutheran Family Services;Mediation Services
The clinician will provide collateral services by assisting the families and their support networks in
accessing and utilizing community resources to deal with particular risk areas identified (ex:
access to drug and alcohol programs, health care, housing, employment, advocacy and the use of
community support groups). The family's effective use of community resources is an imperative
goal within this program as accessing resources is generally a core issue for families who have
achieved a level of stress intensive enough to warrant a referral for family preservation services.
The preponderance of services provided in this program will fall into this category. Therapy will be
designed to resolve conflicts and disagreements within the family with specific goals identified
using a structured and directive brief therapy modality.
The clinician will be available to open CORE Services cases on a 24 hour basis. All clinical staff
carry cell phones and can respond to a crisis (via telephone)within 1 hour. Crisis response will
not be provided after the provision of the maximum number of direct service hours (5).
IV. MEASURABLE OUTCOMES
For children that have remained in the family's home, the Family Risk Assessment Scales will be
administered initially and at the follow up meeting in measuring the efficacy of the program.
Additionally, the criteria of whether the children have been moved and if there have been incidents
of substantiated abuse or neglect will be assessed at the follow up meeting and at 6 and 12
months.The Family Risk Scales were designed as a standardized measure of a child's risk of
entering foster care. The risk variables measured by the scales are those believed to contribute
to or precipitate the need for out of home placement. Changes in a family's risk status may be
determined by rating the scales two or more times (pre and post tests).
The following will be measured either using the Family Risk Assessment Scale or through
observation:
1. Children receiving services do not go into placement: measured by observation.
2. Families remain intact: measured by observation.
3. Reunification of children with families: measured by observation.
4. Improvements in parental competency, parent/child conflict management as determined
or measured by pre and post placement functional tests: measured with the Family Risk
Assessment Scale.
5. More cost efficient services through the Intensive Family Therapy Program than the
placement of the child: measured by observation of the child remaining in the home or
reunification of the child with their family.
6. Therapeutic outcomes include fundamental changes in the family functioning and
dynamics: measured by observation and the Family Risk Assessment Scales.
The Family Risk Scales will be used with the family at the onset of treatment to pinpoint the
family's specific intervention needs. The Scales may be used throughout the course of treatment
to measure the family's movement toward amelioration of the highest risk concerns. The Scales
will be completed immediately prior to program completion in order to measure the expected
improvement in the family and child's functioning.
V. SERVICE OBJECTIVES •
Improving Family Conflict Management skills will be enhanced through mediation and counseling.
Clinician's will provide mediation and counseling to increase the family's ability to resolve conflicts
between family members so as to reduce child maltreatment issues as well as reducing
delinquent behaviors on the part of the child. Improving Parental Competency will be achieved
through individualized consultation regarding child specific behavior management and support
issues such as the provision of care, protection, appropriate discipline, adequate nutrition and
Mediation/Facilitation Program 3
Weld County
Off-System Bid 02-03 RFP-FYC-03008
Lutheran Family Services;Mediation Services
hygiene care, supervision and instruction. The capacity of parents to provide a safe household
environment for their children will be addressed by increasing the parent's awareness of safety
issues as well as enhancing the parent's ability to protect their children. Improved Ability to
Access Resources will be achieved through assisting parents in learning to obtain help from other
sources in the community and within the local, state and federal governments. These services will
be provided through individualized instruction.
The three minimum service objectives that the Department would like to have assessed are
inherent in the Family Risk Assessment Scales. The Family Risk Scales provide more detailed
assessment of the family's risk areas and will satisfy these criteria. The assessments will be done
pre and post as well as during the course of treatment as deemed necessary by the clinician.
A plan regarding specific goals of the mediation process will be developed early in the process.
The goals will address the high-risk areas that are contributing to the need for the mediation. The
central objectives of the mediation are to promote the safety, well-being and permanency of
children in the family.
VI. WORKLOAD STANDARDS
We intend to have two staff available for the mediation program. One staff is budgeted to provide
sixteen (16) percent of her time for mediation. The other staff is budgeted at providing twenty (20)
percent of her time for mediation. Our supervision standard is one FTE supervisor for every
seven FTE professional staff members. The requested minimum standards for insurance have
been met and documentation attached.
A. Number of hours per day,week or month: 12 hours per month
Based on a total of 29 cases per year at 5 hours of direct service for each case.
B. Number of individuals providing the services: 1
We plan to have one direct service staff and one supervisor trained as Level 1 mediators. The
supervisor can pick up some additional cases.
C. Maximum caseload per worker: 8
This number is based on one FTE providing 2 hours of direct service per week per family.
D. Modality of Treatment
LFS is a system's theory program with a family based focus. The focus of treatment is on applied
parenting, conflict resolution, family solution focused and will focus on development of conflict
resolution skills.
E. Total number of hours per day/week/month: 2 hours per week
F. Total number of individuals providing the services: 1
We plan to have one direct service staff and one supervisor trained as Level 1 mediators. The
supervisor can pick up some additional cases.
G. The maximum caseload per supervisor: 1:7
Mediation/Facilitation Program 4
Weld County
Off-System Bid 02-03 RFP-FYC-03008
Lutheran Family Services;Mediation Services
VII. STAFF QUALIFICATIONS
Clinicians assigned to this program are qualified by one of the following:
• A master's degree in social work or another human service field; and/or
• A bachelor's degree in social work or another human service field and at least one years post-
degree experience in family and children's services.
We currently employ three Licensed Clinical Social Workers, one Licensed Professional
Counselor, seven clinicians with their Master's in Social Work, one clinician with a Master's of Art,
one recruiter with a Master's in Education, one clinician with a Masters in Human Development
and Family studies, eight employees with Bachelor's Degrees.
All staff has expertise in family therapy and/or foster care services as demonstrated by
specialized training and/or experience. We plan to send one direct service staff person and one
supervisor to training to become a Level 1 Mediator. All staff in this program are required to
secure thirty two hours per year of continuing education training. All staff will receive weekly
supervision from a supervisor experienced in foster family support work. The clinical supervisors
are also required to secure thirty two hours per year of continuing education training.
VIII. COMPUTATION OF DIRECT SERVICE RATE
The required spreadsheet is attached.
Mediation/Facilitation Program 5
Weld County
Off-System Bid 02-03 RFP-FYC-03008
RFP-FYC-03010 Attached A
Cor by SSD Supervisor: r /
.i k" EA_ s P , a - -a a
Name and Signature of SSD Supervisor Date
Page 27 of 32
• �FAMII�
"A
n
of Colorado
"Services that heal,strengthen,and provide hope"
Assurance Statement
RE: Mediation Program
The actual direct face to face rate that Lutheran Family Services charges to Weld
County Department o ocial Services will not be more then what is charged to
the general pu ' illed to insurance agencies.
Ja s . Barclay
esident/ EC
3800 Automation Way, Suite 200 • Fort Collins, CO 80525-3433 • (970) 266-1788 • Fax (970) 266-1799 • www.lfsco.org
,.•a.®.D 1...'I�$ °mils thy xaw Kin
03/13/2003
AR-0 E- aria S A - » „I . . I • - - . I'R
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
MARSH ADVANTAGE AMERICA
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
160 SPEAR STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFPORDINGtOVERARsE
SAN FRANCISCO,CA 54105
COMPANY GUIDEONE SPECIALTY MUTUAL NSURANCE
A
GUIDEONE MUTUAL INSURANCE COMPANY
LUTHERAN FAMILY SERVICES OF COLORADO B
_ _ _. ..__ - _ .- .- __ __ - .._. - ._. _ ._. _
363 SOUTH HARLAN,SUITE 200 COMPANY
DENVER,CO 80226 C _ _ -- _. - - - ._"- .- -'- _ .-
COMPANY
D
I
1 HA SE N AB I PE
CERTIFICATE
NOTWITHSTANDING MAYBID ANY REQUIREMENT,TT TERM OR CONDITION O ANY CONTRACT OTHER DOCUMENT NI V UBITH RESPECT T WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE pOUOY NUMBER POLICY GROOVE POLICY EXPIRATION LRAM L
UR DATEIMMIGD/TO BATE IMXDWYI
GENERAL LIABILITY 1213-263 7/1/02 7/1/03 GENERAL AGGREGATE f 3,000000
A K'COMMERCIAL GENERAL LAASRT' PRODUS CT ••CI-8;107:P i _
1 Caw MADE LXJ DCCU0. ►ERSONAL i ADV IIJUIY f -1,QDO,000-
ONNEIA'i i CONTRACTOR'S PROT EACH OCCURRENCE S -1, Dtr-
r SOCIAL WORKERS& (PER FORM PCG7650) ;PIE DANCE PAYE RC I f, "
-- ZOUFS€G CM—UAW_— MEDEXP(AN en*wan) i-
--5,00D-
-
AU'oMONLf mature
COMBINED SINGLE LINT II
— ANY AUTO
I_ -_-.--_I--
ALL OWNED AUTOS pOsai Y I
SCHEDULED AUTOS ____ _._ - ._,- _ _
_' HIRED AUTOS BOD EYI Y
NON-OWNED AUTOS (_ ',-
— _...__ — ._ PROPERTY DAMAGE i
GARAGE LIABILITY - AUTO ONLY•EA ACCIDENT S
ANY AUTO OTHER TNANAUTO ONLY---
-.. EACH ACCIDENT I— _ — —.
__ —,__ ._ — _. ,----- _. —_.—
AGGREGATE i .
• EtEBS LIABILITY 7/1/02 7/1/03 EACH OCCURRENCE 3 4,000,000
B 'X7 UMBRELLA FORM A REGAT GGE . B _-47ODD,13D0—
L OTHER THAN UMIRELLA FORM i
WORNENY COMPENSATION AND ,
I r„�. ,•u E NT�MA — ._ —.—...__
EMPLOYERS'uASRITY EL EACH A ACCIDENT E
Tw HomItoN NCI EL DISEASE•POLICY LMAT S • —
OMMERWtECUTNE .— .— —.— —. -
GRUMMe EXCL EL DIiFASE•EA EMPLOYEE f!
OTHER _ _
I
(Mann"WIw DFlM,NNER.U,.AINI•EIYIANbLtEIPYEGAL lion
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED (CG 2026)AS RESPECTS GENERAL LIABILITY ONLY IN CONNECTION
WITH CONTRACT SERVICES PROVIDED BY THE INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RR CANCELLED SRFORE THE
WELD COUNTY SOCIAL SERVICES EXPIRATION GATE THEREOF. TIE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN:JUDY A.GREIGO, DIRECTOR 30 DAYS WRITTEN NOTICE TO THE CERTIFICATEHOLDER NAMED TO THE LEFT,
PO BOX A RUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OILIGATION OR IJABILITY
GREELEY,CO 80632 OF ANY KIN, UPON THE COMPANY, ITS AGENTS OR RRPRE$ENTATYEI
PROGRAM BUDGETS
COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentoring FP Consult
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 48 17 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,496 663 1,924 150 720 1,120 1,044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E t C) $12.50 $8.75 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $31,191 $5,802 $50,413 $3,789 $15,154 $21,641 $22,995 $1,136
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION B OVERHEAD COSTS(E+F+G) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,496 663 1,924 150 720 1,120 1,044 48
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J t K) $42.14 $62.07 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
DIRECT SERVICE COSTS
COMPUTERIZED BUDGET
•
1 Minimum Budget Avanga Total %OF TIME SALARY 14 OF TIME SALARY X OF TIME SALARY 14 OF TIME SALARY X OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Dogma S01 SalarylSen Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Cart FTER CA1.0 FTE Ben•MalTher ALLOCATED PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Transportation vitiation A VNSMbn B MaoMNn HST Parent Coach McNOMO FP C0RSIB .
A TOTAL CUENT HOURS OR DAYS PER PROGRAM $2 39 62 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 36 26 20 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2496.00 063.03 1924.00 150.00 120.00 1120.00 1044.00 48.00
DIRECT LABOR FACF-TOFAr.F POSRNIN TT F OR IOR FUNFTI tt
Bonnet Julia MS 0.45 $40,110 118,091.45 YES 0.00% 10.00 OM% $000 100.00%. $18.00145 $0.00 $0.00 $0.00 $0.00 10.00
Fbma.Jena BA 0.45 533,700 $15.165.00 YES 0.00% $0.00 000% $0.00 0.00% $0.00 $0.00 $0.00 $0.00 100.00% 118,05145 SG CO
EONMN:'T BA 0.45 $42,851 $10,282.05 YES 0.00% $0.00 0.00% $000 100.00% $10.051.45 $000 10.00 10.00 3000 $0.00
Boman,SAawna MS 0.45 135.047 $11.520.05 YES $0.00 $0.00 $0.00 20.00% 13,00500 75.00% 111.373.15 SO 00 10.00 5.00% 1758.25
MCW,Holy BA 0,50 $37,170 $11,565.00 YES 10000%:.. $18,58500 0.00% 1000 0.00% $0.00 $000 $000 $000 $0.00 10.00
DeMMtls,Shwa BA $0.00 NO sum SO CO $0.00 tam $0.00 $0.00 $0.00 $0.00
TlMms,50400 $0.00 NO $000 $000 $000 10.00 $0.00 $0.00 $000 $0.00
IIBMBya,Caben - $0.00 NO $0.00 $000 $0.00 $0.02 $0.00 10.00 $oma 10.00
Ul11aIN000,Dmatray $0.00 NO $0.00 SO00 $0.00 $000 - $000 $0.00 - $000 10.00
LVoa.IbDO 5000 NO $0.00 $000 $0.00 $000 $0.00 $0.00 $000 $O.00
Box.JW $0.00 NO SO.m $000 5000 000% 10.00 $0.00 $000 $0.00
Ra dI.I',AIIIT $0.00 NO $000 $000 $000 $000 $000 .0.0%1. 10.00 0.00%. 1000 $0.00
VataM " BA -045 39),170. $18,720.50 YES 10000%. $000 - $0.00 $000 $0.00 0.W%' $0.00 $000 $0.00
Vaag e0, 0,50 $37,110 $18,195.00 YEs 100 m% $000
Vaaall BA 0.15 $37,110 $1072Em YEs 0.00% $0.00 0.00%: $000 000% W00 $000 $0.00 100.00% $18,12100 +.. $000 $0.00
TOTAL DIRECT LABOR PER PROGRAM $140,575.55 11.45 $18,585.00 $0.00 518.00 $35,162.00 $20.22 $3,033.00 $1500 $11,373.75 $1.081 $16,728.50 $1.001 $16001.45 $15.80 $75835
f1THFR nIPFr.T mt.<PER PWYRAM FACETIXFACF
V%MOOn HNM -" ,$0280000 YES - 28%! $2,100.00 .= 25% $240000 SO% $490000 0000 - $0.00 3000 $008 5000
Cal Abet" "3.30000• VEs :27%4 $1.13400 o%i 53710 ,�25% $10500 " :;10%' 1420,0 131 $51600 13% $51000 f%. $4200
miens 3 fi x3360000' YES 27%� 19,072.00 0%:' $3,024.00 25% $040000 211' $57200 '.-10% $6360.00 13% $430500 ` 13% 1438800 , '„ 1%1 $330.00
:4 ''-f NO 4 3000 - Soma x $000 .: 3000 10.00 $000 a $000 *00
1 c. NO 5000 1000 $Om 5000 1000 5000 5000 1000,
r -' x '`' ;" ,' , _,. :", . . NO $DOD . °. SOm y'�' $000 _ $000 � . $0.00 ' ,, $0.00 z, 5000 '-.. $0.001
TOTAL OTHER DIRECT COSTS PER PROGRAM $47,400.00 $5.05 $12,005.00 $815 $5.002.00 $7.41 114,250.08 35.04 $75808 55.25 13,700.03 54.30 $4.914.00 $4.71 $4,914.00 $7.88 $370.001
E GRAND TOTAL DIRECT SERVICE COSTS $158,07855 $1250 $31,101.00 $5.755 $5,802.00 $2520 $50,412.00 $2536 $3,789.00 $21.05 $15,153.15 $19.32 S21,640.50 $22.03 $22,965.45 $23.87 11135.251
• ADMIN COST NON-FACE-TO-FACE
•
COMPUTERIZED BUDGET
4
/1 Minimum Bu09M Anms Total %OF TIME SALARY %OF TIME SALARY %OF1IME SALARY % TIME SALARY %OF TIME SALARY %Of TIME SALARY %OFTME SALARY % TIME SALARY
Degra II 01 Salary/Ban Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON MID SPENT ON MID SPENT ON AND SPENT ON MID SPENT ON AND
DESCMPTION or Cell FTEa ®1.0 FTE BoorMs/Oinar ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM - TrmpotaM M n VatiOnA V9eat nB Mad ljon HET Parent Coach McNonng FP Consul
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 38 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 IT 37 30 30 28 29 12
C TOTAL HOURS OR OATS PER PROGRAM FOR YEAR 2498.00 86.00 1924.00 150.00 720.00 1120.00 1044.00 4696
DIRECT LABOR NOT FACE-TOFAFF
e6ntll.J9M,CMSNMI _.. MS 041 140,181 110.47421 YES 25.00% $4,118.55 15.90%. $2,471.13 80.00% 19.884.3 $0.00 $0.00 $0.00 $0.00 50.00
Fbaa,am.Tmanai Coo,*,ar BA 0.15 .133,700 $18,535.00 YES 000% 10.00 0.00% $0.00 0.00% $6.96 0.00% 50.00 $0.00 $0.00 10000%. 110,535.00 0.00% 10,00
Edwards,T02Tr.RIMIl COOIAIBM BA 0.55 $42,851 123,558.M YES 25,00% $5,802.01 15.00% $3,535.21 .60.00%: 514.14003 $0.00 $0.00 $0.00 $0.00 $0.00
Boorman,Shawn.Clinician MS . 035 $38.94] $21,42085 YES $0.00 10.03 $0.00 1000%. 13.127.34 79.00% 118.922.47 . $0.00 $0.00 5.00% $1,011.04
MCM,Holy.TreMmsi8CORdlaor BA 0.55 .187,170 $20,443.50 YES 25.00%' $5,110.88 15.00% $3,058.53 boas% 112,205.10 $0.00 $0.03 : $0.00 $0.00 $0.00
DeMadis,Sheds BA 1.00 "148,661 $46..661.90 YES 25.00% 111,60525 15.00% 16.999.15 60.00% 12190060 10.40 $0.00 $6.96 $000 $030
Tloma,SNRML Megrim C68ctor LCSW 034 $63,366 $21,544.44 YES 15,00%. $3.231.87 9.00% 11,939.00 : 54.00% 1732511 3.00%: 5641.33 1100% 13,578.00 1030% 12.15444 . 10.00% 12.15414 1.00%' $21544
Hebec*Y.CDMML SMperl Scab HS . 034 134,666 111,85144 YES 15.00% $177817 9.00% 11,068 BO : 34.00%. 14000.51 803% $355.63 18.00%' 12.133.50 10.00%' $116544 10.00% 1116544 1.00% $118.54
Underaco6,Cau01ry.S.BVO1 Stet MS 034 : 127.530 599,380.20 YES 15.00%. 11,404.03 9.00%: $842.42 34.00% 13,18247 '.3.03% $280.61 18.00%. 11.89414 10.00% 193502 10:00%' $93602 100% 193.50
Luca,Nallry,Support SMB MS 000 $30,382 $2.56247 YES 15.00%. 1387.37 9.004 $232.42 .:34,00%. $87804 3.001 $77.47 18.00%. 1464.64 :.. 10.00% 52582.5 .10.00%: 523825 1.00%. $25.62
Boa,JW.Pto9raM SMIvOel. LCSW QSO 744313 SII.43650 YES $0.00 10.00 5000 14.001 13.14111 0000%. 117.949.20 $000 $000 .::000% 51.346.19
SVINIS011.JJI6 VP of Program Satos MA. 0.12 3178,700 19204.00 YES 1500% $138060 930% 5828.36 3103%: 1312935 3.00%'. 5276.12 18.00%. 51856.12 10.00% 102040 10.00%: 192040 1.00%: $92.04
Hitll4c MW.PMMan Matogo M5W. 0.40 00395 511.358.00 YES 0.00X. 5000 $0.00 1000 $0.96 $0.00 50.00% $667000 `: 50.005... $867600 :`. 10.00
Vocal BA 065 $67,170 120,44].50 YES $000 100.00%. Sli 35600
Want _ BA 015 137:170. $20,443.50 YES 25309 15110.68 15.00% $3,08653 60.00%; $12366.10 $0.00 $0.00 $000 $000 1000
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO#ACE $212,320.85 $1606 140,0740 53827 524,047.84 549.43 105,09034 154.70 11.204.81 $82.07 144.881.87 $2612 131,491.58 $31.29 132.688.58 $81.7 52,96230
r1THER nIRFrT FORTS PFR PRLNBAM NOT FAPF-TOFACF
Oawcf ROV�Coal '$0.00 NO - ,5000 $000 - $696 $0.00 30.00 _ $000 $000 „ $0.00
ptos.c111 FM " 1 rTI, - $2,661.96 YES F -27..00% 572347 030% $241.29 13:.25.110%! $68525 2.00%'. 00.82 9.10.00% $28810 !:.' - 1300% $346.53 . 13.00%, $34853 1.0051 $2631
O96pny c 2 .tom 12630$,00 YES '-.27.47011 17,236 51 • 9 $2.41227 25 $0.70075 y-. . . 1538.06 ,10.00% $258038 .: ,,-1300% 1348439 `"7. 13.00%1 5345419 :-100%. 1284303
T�T� l E 111;221.00 YES ( 27,0314 $3.22038 ,. 1002 $1,073.52 25.0012 5201200 2..%7 1238.56 1000% $1.192.80 , 13.00% 11.55064 ..,I, 1300% $155064 s L1.00%: 1119.28
0160.E .L' IC :e Kt V '15.4724.47.0 YES - 27,'00%: 5138721 "909% $155.76 25,005, 1126800 '1.3z0011 $10125 100091 150640 ,4000%: $66832 ":„,13,004. $68132 -`1.001. $50.64
MMIM1119 Fae9M18D4M4 ;= q; tit 2 „"t y... w12,58696 YES '` }X00% $59622 .„;100% 38274 .„95.00%'. 164650 ,.1470% $5172 '.10,0031 $256801 '1300% 383111 „1$00%7 $33818 ¢;140%_ $25.85
• Mbctlrrua ERPMBa r ',-,114:11„,i,' ' { 12.32100 YES -„2740% $896.67 900% $2$6.6 2.00%', 503025 296% 21812 ,10.96% $33210 7J.OQ%' 143173 1300% $43173 `,100%' $3321
'w 1 : ",I''''.147.17-44‘.4,"ryt NO `.'. 270452.. $6.00 1 2530%:. $096 2.005L'. $0.00 k 10.00% $600 1300% 10.00 13.0011. 5000 -.,,1,4051 $0.00
_ . 5., 3 NO rl 514-41_ $696 10.00 Elio* $000 _.. NOT +` -TO FFA L .. - _ s'�*=1„o- 50.00.. 15725 5000 2 43.0059, f0 a0 +. 1$852 3879 '"110 $0.00
TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM 55230.1.00 $5.67 $14,143.41 17.11 14,714.47 58.81 $13,095.75 15.95 11,047.88 5121 $523830 16.08 10.109.79 $652 $6,909.19 110.91 5523.83
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE.TOFACE 5354,712.88 121.72 $54222.81 143.38 52,762.11 158.23 1100,195.39 18138 39252.47 $6.34 549,928.17 $3420 $38301.35 13731 $39,478.35 $72.84 13,454152
OVERHEAD COSTS AND PROFITS
4 COMPUTERIZED BUDGET
`)
00ORA$A % pVALLOAD ED ' % p ALLOCATED I % ALLOCATED I % ALLOCATED I ALLOCATED ALLOCATED ( ALLOCATED ALLOCATED
DESCRIPTION COSTS 10DD TOLPROGRAOM TO PROGRAM]$ TO P0.0GTRAM VTO PROGCRAMtt TO PROGRAD p TO ROD COSTS ALLOCATED TO PROGRAM TO PROGRAM RAMTS TO PROGRAM TED V O PROGRAM EAD COST5 %ALLOCATED TO PROGRAM TO PROGRAD M TO PROGRAM%ALLOCATED VTO PROGEAD CRAMT TO PROGRAM OPT COSTS
PROGRAM Transport%bn Visitation A LI Ve4Mion B MCBiMbn NET Patera Coach MCMmvO FP Consult
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 31 52 5 20 40 40 4
B TOTAL CLIENT!TO BE SERVED PER PROGRAM 48 17 37 30 38 28 23 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2496.00 863.00 102400 150.00 720.00 1120.00 920.00 48.00
OYEBmmal
Tota101MINa8(14%Of mpsMe$) $73,191.0 YES 27. $19,781.57 040% $8.58)19 25.00% $18,207.75 200% $1,483.83 '0.00% $7.319.10 13.00% 19,51483 13.00% $9,514.83 1.00% $73191
NO $0.0 $0.03 $0.00 $0.00 $0.00 $000 $0.00 $0.00
NO $0.00 3000 $0.00 $000 50.00 $0.00 $0.00 $0.00
NO $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
NO $D.00 $0.00 $000 $0.00 $0.00 $0.00 $0.00 $0.00
NO 10.00 50.00 $000 30.00 .$D.00 $0.00 $0.00 $0.00
NO $0.00 $Om $000 10.00 $0.00 50.00 50.00 $0.00
NO 5000 Sour 1000 $000 $0.00 $0.00 $0.00 $000
NO $000 5000 1000 woo 80.00 60.00 $0.00 $0.00
NO 3000 $000 $000 $000 moo 50.00 $0.00 $0.00
No mm $000 $000 $0.00 $0.00 So.00 8000 50.00
NO som 3000 $D.m som $D.m $0.00 $000 : $0.00
NO $Om $000 $Om $0.00 $D.m SO.m $0.00 $0.00
":'NO $000 $0.00 SOm SD.m som $0.00 $0.00 $60000
NO som Sam SDm $000 $0.00 $pm $0.00 $0.
NO Som Som $0.00 $0.00 10,00 SO.m 50.00 10.00
NO $000 5000 5000 $0.00 $0.00 $0.00 $0.00 $0.00
G TOTAL OVEftHEA0 COSTS 573,191.00 $10,781.57 $8387.19 $18,29775 $1,403.82 $7,319.10 $9,514.83 $9,514.83 173101
I TOTAL ANTICIPATED PROFITS $0.00 .;,;IEEE 15% . $000 9% . 50.00 34% $0.00 3% 50.00 1!% 10.00 .,. ..Tp'R 39.00 20% SD.m 1% MOO
OTALOVERNEAD AND ANTICIPATED PROFITS $73,101.00 $19.781.57 $8367.19 $18,197.75 31,483.82 $7,319.10 89.514.89 $9,514.83 $731.01
EXHIBIT B
RECOMMENDATION(S)
(41111511"
of Colorado 13
"Services that heal strengthen,and provide hope"
April 15, 2003 Y'
Weld County Department of Social Services
ATT: Gloria Romansik
P.O. Box A
Greeley, CO 80632-
RE: RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program Area
RFP 03010: Option B, Home Based
RFP 03005: Lifeskills: Home Based Parenting Coach
RFP 03005: Lifeskills: Mentoring
RFP 03005: Lifeskills: Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Ms. Romansik:
This letter is in response to your letter dated 4/9/03 regarding the FYC
Commission's recommendations and/or conditions for the above core service
proposals.
1. RFP 03010 — Option B. There were no recommendations or conditions.
2. RFP 03008 — Mediation. We accept the commission's recommendation.
Only staff certified to provide mediation will perform this service.
3, 4, 5: RFP 03005 - (Home Based Parenting Coach, Mentoring, Visitation).
LFS contacted John Kruse on 4/14/03. We also made the specified
corrections on the spreadsheet and sent that corrected spreadsheet to Mr.
Kruse via email.
6. RFP 006-00 — Foster Parent Consultation. We accept the commission's
condition.
Thank you for consideration of our proposals. Please don't hesitate to let me
know if you need further information.
Respe • /
s P. Barclay
resi• -nt/CE•
363 South Harlan, Suite 200 • eenver, CO 80226-3552 • (303) 922-3433 • Fax (303) 922-7335 • www.lfsco.org
rct r' is VON r..Hip ..
PROGRAM BUDGETS COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentoring FP Consult
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 55 23 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,860 897 1,924 150 720 1,120 1,044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $17.40 $25.12 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $49,776 $22,529 $50,413 $3,789 $15,154 $21,641 $22,995 $1,136
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION&OVERHEAD COSTS(E+F+G) $123,760 $57,878 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $123,760 $57,878 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,860 897 1,924 150 720 1,120 1,044 48
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $43.27 $64.52 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
we/e/ co
°eUn,;,O
C/er/ Ser1./eoc, of
tie/ unites
Au,) ,
4.103
CCI 6417:14
DEPARTMENT OF SOCIAL SERVICES
P.O.BOX A
GREELEY,CO.80632
Website:www.eo,weld.eo,us
Administration and Public Asststanee(970)352-1551
Child Support(970)352-6933
O
April 9,2003
COLORADO
James Barclay President/CEO
Lutheran Family Services
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Re: RFP 03008: Mediation and Facilitation under the Intensive Family Therapy
Program Area
RFP 03010: Option B,Home Based
RFP 03005: Lifeskills,Home Based Parenting Coach
RFP 03005: Lifeskills,Mentoring
RFP 03005: Lifeskills,Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Mr. Barclay:
The purposes of this letter are to outline the results of the Core Services Bid process for
PY 2003-2004 and to request written information or confirmation from you by
Wednesday, April 16,2003.
A. Results of the Core Services Bid Process for PY 2003-2004
The Families,Youth, and Children(FYC)Commission has reviewed the bids
according to the criteria established in the bids and provides recommendation(s)
and/or condition(s)as follows:
1. RFP 03010-Option B: The FYC Commission has no recommendations or
conditions.
2. RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program area.The FYC Commission has a recommendation as
follows: Theprovider shall make efforts to train staff in using a professional
interpretation standard when interpreting during mediations.
3. RFP 03005—Lifeskills,Home Based Parenting Coach. The FYC
Commission has a condition as follows: The provider shall submit the dollars
allocated for vacant positions on the budget page as required in the RFP
process, and, if necessary,work with John Kruse,Business Office Manager,
Social Services,to resolve any requirements of the budget pages of the bid.
4. RFP 03005—Lifeskills,Mentoring. The FYC Commission has a condition
as follows: The provider shall submit the dollars allocated for vacant positions
on the budget page as required in the RFP process, and, if necessary,work
with John Kruse,Business Office Manager, Social Services,to resolve any .
requirements of the budget pages of the bid.
Page 2
Lutheran Family Services/Results of RFP Process for PY 2003-2004
5. RFP 03005-Lifeskills, Visitation: The FYC Conunission has a condition as
follows: The rovider shall submit the dollars allocated for vacpositions
on the bud et a e as re tared in the RFP rocess and if necess work
with John Kruse Business Office Mana er Social Services to resolve an
re9_uirements of the budget na es frh bid
6. RFP 006-00—Foster Parent Consultation. The FYC Conunission has a
condition as follows: All individual consultation referrals will be referred to other ualified bidders because of the higher cost of individual consult t
through Lutheran Family Services. n
B. Required Response by FYC Bidders Concerning FYC Commission
Recommendations and Conditions
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 16,2003,close
of business.
1. FYC Commission Recommendations:
You are requested to review the FYC Conunission 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. Your responses that are accepted by the FYC
Commission and the Weld County Department of Social Services will be
incorporated as part of your bid and Notification of Financial Assistance
Award FAA.
2. FYC Commission Conditions:
All conditions will be incorporated as part of your bid and Notification of
Financial Assistance Award OFAA)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 bid and Notification of Financial Assistance Award
OFAA.
I 1
Page 3
Lutheran Family Services/Resu
Its of RFP Process for PY 2003-2004
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 16,2003.
S. cerely,�
J y A.` 'ego, ' t
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 03-CORE-0001
Revision (RFP-FYC-03010)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2003 and Lutheran Family Services
Ending 05/31/2004 Option B,Home Based Intensive
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Designed to promote the safety and well being of Award is based upon your Request for Proposal (RFP).
children and their family members. Services will The RFP specifies the scope of services and conditions
build on primary family connections and help of award. Except where it is in conflict with this
parents improve parenting abilities, identify NOFAA in which case the NOFAA governs, the RFP
parental strengths and support their efforts to upon which this award is based is an integral part of the
care for their children. The program will expedite action.
the return of children to their family and assist in Special conditions
creating a stable and nurturing family 1) Reimbursement for the Unit of Services will be based on
environment. The program serves families where an hourly rate per child or per family.
children are ages 0-18. The number to be served 2) The hourly rate will be paid for only direct face to face
is 36 families per funding year,monthly average contact with the child and/or family, as evidenced by
capacity is 12 hours of service per family,with client-signed verification form, and as specified in the
service to 4 families per month. The average stay unit of cost computation.
in the program is 6 weeks. Bilingual-bicultural 3) Unit of service costs cannot exceed the hourly and yearly
and South County services available. cost per child and/or family.
4) Payment will only be remitted on cases open with, and
Cost Per Unit of Service referrals made by the Weld County Department of Social
Hourly Rate Per $ 100.56 Services.
Unit of Service Based on Approved Plan Requests for payment must be an original submitted to the Weld
County Department of Social Services by the end of the 25th
Enclosures: calendar day following the end of the month of service. The
X Signed RFP:Exhibit A provider must submit requests for payment on forms approved by
Supplemental Narrative to RFP: Exhibit B Weld County Department of Social Services.
Recommendation(s)
Conditions of Approval
Appro Is. Program- Official:n
By � By, ry
David E. Long, Chair Judire r
Board of Weld County Comt ssioners Welrtment of Social Services
Date: 41-a) -.2003Date: 3_______
X03--/Q 1f B
i-
EXHIBIT "A"
INVITATION TO BID
OFF-SYSTEM BID 02-03 RFP-FYC-03010
DATE:February 19, 2003 BID NO: RFP-FYC-03010
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-03010) for:Colorado Family Preservation Act—Home Based Intensive
Emergency Assistance Program
Deadline: March 14, 2003,Friday, 10:00 a.m.
The Families, Youth and Children 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 Colorado Family Preservation 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, 2003, through May 31, 2004, 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
D arcla
TYP PRINTED SIGNATURE
VENDOR Lutheran Family Services / 2
(Name) tten Signatur y Auth zed
Offi er or Agent of ender
ADDRESS 3800 Automation Way, #200 TITLE dent/CEO
Ft Collin.. CO 80525 DATE 7/1:p
//
PHONE # I 970.266. 1788 C
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
•
Page 1 of 32
RFP-FYC-03010 Attached A
HOME BASED INTENSIVE FAMILY INTERVENTION PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2003-2004 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2003-2004
OFF-SYSTEM BID RFP-FYC-03010
NAME OF AGENCY: Lutheran Family Services
ADDRESS: 3800 Automation Way, #200 Ft. Collins, CO 80525
PHONE(970) 266. 1788 970.356.6080
CONTACT PERSON: Julie Box TITLE: Program Manager
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 1,2003 Start
End May 31,2004 End
TITLE OF PROJECT: LFS HBT Program
llz &54Ljix` LLZU ?Info
Name and Signature of Person Prep g Document Date 1
Name and 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 2002-
2003 to Program Fund year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004
X Project Description
x Target/Eligibility Populations
x Types of services Provided
-K Measurable Outcomes
X Service Objectives
X Workload Standards
X Staff Qualifications
x Unit of Service Rate Computation
X Program Capacity per Month
X Certificate of Insurance
X Assurance Statement
Date of Meeting(s)with Social Services Division Supervisor: ---7:2/27/0,5
Page 26 of 32
Core Services Proposal
Home Based Intensive Family Intervention
FY 03-04
Lutheran Family Services of Colorado
Home Based Option B
PROJECT DESCRIPTION
Lutheran Family Services of Colorado is a community-based agency with an experienced staff
that offers a wide range of services to children,families and adults. It is a non-profit agency,
which has provided human services to Colorado since 1948. Although the agency was
established as an affiliate of the Lutheran Church, it is an equal opportunity agency that provides
services to all individuals without consideration of religious beliefs, race, ethnicity, sex or
economic status.
This program is the Home Based Intensive Family Intervention Program and is designed to
promote the safety and well being of children and their family members by reducing the risk of
child maltreatment in the home, reducing the risk of imminent placement out of the home and/or to
reunify children in placement with their family. Services will build upon primary family connections
and help parents improve their parenting abilities, identify parental strengths and support their
efforts to provide care for their children. The program is directed toward families, focused on
family strengths, is protective of children, prevents placement or reunifies children and their
families, is time limited and interventions will occur at critical points in the family's functioning.
Families must be receptive to the services; however, exceptions shall be made for families who
are court ordered. The program will expedite the return of children to their family and assist in
creating a stable and nurturing family environment in which children can grow and develop. If
children are returning to their permanent home from out of home care we intend to help them
reintegrate and stabilize in the family system as soon as possible. The program goal is to improve
both individual and family functioning in a time-limited manner. We will provide crisis intervention
services throughout the duration of the families' involvement with our agency.
The Option B program will utilize the Family Risk Scales to assess the family's out of home
placement risk areas, this will enable the program to individualize services for each family's
specific needs. Additionally,we will be using the Achenbach Child Behavior Checklists, when
appropriate, to assess problematic behaviors, if any, presented by the children in the family. We
have the ability to administer the SASSI (substance abuse screening)when warranted.
II. TARGET/ELIGIBILITY POPULATIONS:
Families considered appropriate for these services are those in which family members are facing
problems that have affected their well being, safety, psychosocial growth and development, and
family stability. Families mandated or referred by the courts will be considered for the Option B
program contingent upon their willingness to participate in and ability to profit by participation in
such services. Primary caregivers must demonstrate a desire to maintain family relationships and
must possess the mental stability to utilize home-based services. Children will be at imminent risk
of out of home placement or have been removed from the home and imminent return is expected.
Clients will not be eligible if they can be successfully treated with less intensive service programs
and those services have not yet been tried. Families appropriate for this program should be able
to benefit from services that are primarily therapeutic in nature (vs. concrete and collateral). The
provision of services will have a reasonable possibility of diminishing or ameliorating the
Lutheran Family Services Home Based Intensive Family Therapy
problematic behaviors/issues in the home. There must be a manageable level of risk of harm to
the child and/or among family members.
Total number of clients to be served: 36 families
Total individual clients and the children's age: 144
The maximum number of individuals to be served would be 144 (with the average family
consisting of four members)with the ages of children ranging from birth to 18 years old.
Total family units: 36
Sub-total of individuals who will receive bicultural/bilingual services: 36
We have one full-time clinician who is able to provide bicultural/bilingual services as needed. This
estimate is predicated on one quarter of the cases referred involving monolingual Spanish
speaking family members.
Sub-total of individuals who will receive services in South Weld County: 36
We do not limit services based on geographical proximity. This estimate is based on one quarter
of our cases being from South County.
Sub-total of individuals who will have access to 24-hour service: 144
All full-time clinicians carry a cell phone and are available for crisis intervention 24-hours per day.
The monthly maximum program capacity: 4
This estimate is based on 20 hours of direct service per family provided over a 6-week period of
time. The annual capacity is 36 families. We have a total of 7 Master's level therapists who could
provide services if needed so our capacity can be much higher.
The monthly average capacity: 12 hours per month per family.
Average stay in the program (weeks): 6 weeks
Average hours per week in the program: Minimum of 3 hours per week per family.
III. TYPES OF SERVICES TO BE PROVIDED
The clinical philosophy that drives our practice is that we will provide services in the families
environment whenever possible and appropriate. We believe that this treatment approach
reduces the stress on the family by reducing the need for the family to adjust to our environment.
We believe that we can provide more appropriate treatment in the family's 'natural environment';
their home,their church, their school, etc. The second primary philosophy that directs our
practice is that we will build on the strengths of the family and will utilize a strength-based model
of treatment and intervention.
A clinician will provide in-home, limited family therapy which will include the development of
problem solving skills, the development or strengthening of the family's communication skills,
addressing the current parenting practices and developing healthier parenting habits, and working
with the family on parent-child conflict management skills. The duration of services for each
referral is limited to 20 hours of face-to-face contact per referral. The clinician will work with the
Option B 2
Weld County
Off-System Bid RFP-FYC-03010
Lutheran Family Services Home Based Intensive Family Therapy
family in providing concrete services such as the development and enhancement of parenting
skills, stress reduction, problem solving, budget management, recreational activities, etc., with
direct interventions and hands-on parenting of the children. The Program Clinician will provide an
average of 3 hours of direct service to the family per week. Weekly family therapy sessions will
be designed to provide comprehensive, diagnostic and treatment planning with the family and
other service providers. Therapeutic interventions will be flexible enough to bring in other service
providers, if needed. The clinician will provide collateral services by assisting the families and
their support networks in accessing and utilizing community resources to deal with particular risk
areas identified (ex: access to drug and alcohol programs, health care, housing, employment,
advocacy and the use of community support groups). The family's effective use of community
resources is an imperative goal within this program as accessing resources is generally a core
issue for families who have achieved a level of stress intensive enough to warrant a referral for
family preservation services. The preponderance of services provided in this program will fall into
this category. Therapy will be designed to resolve conflicts and disagreements within the family
with specific goals identified using a structured and directive brief therapy modality.
The clinician will be available to open CORE Services cases on a 24 hour basis. All clinical staff
carry cell phones and can respond to a crisis (via telephone)within 1 hour.
The Clinician and their supervisor will review cases at least on a monthly basis. A regular monthly
meeting will be held with the county caseworker,family and other involved parties to assess
whether or not the family's needs can be met with alternative community services.
Every effort will be made to stay within the above parameters. Should a family present with
extremely high needs at any given phase of treatment that require services above the stated
maximum amounts of time per week to maintain the safety of the family members, the caseworker
will be contacted and additional time negotiated.
IV. MEASURABLE OUTCOMES
The Family Risk Assessment Scales and the Achenbach Checklists will be used as pre and post
assessment instruments to measure the following:
1. Child remains in the home at the time the case is closed: measured by observation.
2. Improvements in parental competency, parent/child conflict management and household
management competency: measured with the Family Risk Assessment Scales.
3. Children who are currently in their own home will remain in their own home 12 months
after the completion of Home Based Intensive Family Intervention family preservation
services: measured by observation of the Department.
4. Children currently in long-term placement who are provided reunification Home Based
Intensive Family Intervention services will return to their own home and not reenter out-of-
home placement 12 months after completion of services: measured by observation of the
Department.
5. Families who receive either family preservation or reunification services will not have a
substantiated abuse or neglect 12 months after completion of Home Based Intensive
Family Intervention services: measured by observation of the Department.
6. Cases which receive either family preservation or reunification services by Home Based
Intensive Family Intervention will measure"LOW'on the risk assessment device at
service closure: measured by the Family Risk Assessment Scales and the Achenbach
Checklists.
The Family Risk Scales and the Achenbach Checklists will be used with the family at the onset of
treatment to pinpoint the family's specific intervention needs. The tools may be used throughout
Option B 3
Weld County
Off-System Bid RFP-FYC-03010
Lutheran Family Services Home Based Intensive Family Therapy
the course of treatment to measure the family's movement toward amelioration of the highest risk
concerns. The Family Risk Scales and the Achenbach Checklists will be completed immediately
prior to program completion in order to measure the expected improvement in the family and
child's functioning.
The child's living arrangements will be documented at the time the case is closed. (Is the child still
in the home?). An aftercare plan for each family will be developed which includes referral to a
less intensive family counseling program and/or the use of informal and community resources,
such as family self help groups or support network. The program staff will follow up regarding the
status of the family/child at 6 months and 12 months with the WCDSS. The program staff will
complete a follow up contact sheet, which will include the objectives listed by the department, i.e.
Is the child still in the home? Has there been substantiated abuse/neglect in this family?
V. SERVICE OBJECTIVES
Family Conflict Management skills will be enhanced through individual, family and group therapy.
Clinician's will provide mediation and counseling to increase the family's ability to resolve conflicts
between family members so as to reduce child maltreatment issues as well as reducing
delinquent behaviors on the part of the child. Improving Parental and Household Management
Competency will be achieved through individualized consultation regarding child specific behavior
management and support issues. The capacity of parents to provide a safe household
environment for their children will be addressed by increasing the parent's awareness of safety
issues as well as enhancing the parent's ability to protect their children. Improved Ability to
Access Resources will be achieved through assisting parents in learning to obtain help from other
sources in the community and within the local, state and federal governments. These services will
be provided through individualized instruction.
The three minimum service objectives that the Department would like to have assessed are
inherent in the Family Risk Scales. The Family Risk Scales provide more detailed assessment of
the family's risk areas and will satisfy this criteria. Also the Child Behavior Checklist will be used
to assess the children's level of functioning as it applies to these objectives. The assessments will
be done pre and post as well as during the course of treatment as deemed necessary by the
clinician. Monthly Progress Reports and ongoing updating of the Treatment Plan will monitor the
objectives.
VI. WORKLOAD STANDARDS
This program is intended to reduce the risk of child maltreatment in the home, reduce the risk of
imminent placement of children into the foster care system and/or reunify children in placement
with their families.
Number of hours per day,week or month: 3 hours per week per family.
Number of individuals providing the services: 1
We have one professional staff person budgeted to this program. We have a total of 7 Master's
level therapists who could provide services if needed so our capacity can be much higher
Maximum caseload per worker: 8
Modality of treatment:
LFS is a system's theory program with a family based focus. We will provide family therapy, crisis
intervention, information and referral services and will focus on skill building within the family.
Option B 4
Weld County
Off-System Bid RFP-FYC-03010
Lutheran Family Services Home Based Intensive Family Therapy
Total number of hours per day/week/month: 3 hours per week per family
A minimum of 3 hours per week with a maximum of 6 hours per week per family.
Total number of individuals providing these services: 1
We currently have seven (7) staff members who are qualified to provide these services. There
has been only one staff member budgeted in this program.
The maximum caseload per supervisor: 1:7
Insurance: Proof of insurance is attached.
VII. STAFF QUALIFICATIONS
Clinicians assigned to this program are qualified by one of the following:
• A master's degree in social work or another human service field; and/or
• A bachelor's degree in social work or another human service field and at least one years post-
degree experience in family and children's services.
We currently employ three Licensed Clinical Social Workers, one Licensed Professional
Counselor, seven clinicians with their Master's in Social Work, one clinician with a Master's of Art,
one recruiter with a Master's in Education, one clinician with a Masters in Human Development
and Family studies, eight employees with Bachelor's Degrees.
All staff has expertise in family therapy and/or foster care services as demonstrated by
specialized training and/or experience. We plan to send one direct service staff person and one
supervisor to training to become a Level 1 Mediator. All staff in this program are required to
secure thirty two hours per year of continuing education training. All staff will receive weekly
supervision from a supervisor experienced in foster family support work. The clinical supervisors
are also required to secure thirty two hours per year of continuing education training.
VIII. COMPUTATION OF DIRECT SERVICE RATE
The required budget spreadsheet is attached.
Option B 5
Weld County
Off-System Bid RFP-FYC-03010
RFP-FYC-03010 Attached A
v
Comments by SSD Supervisor: \
bit-ix
__,Tit. Gam= ' 'Z_cn,.,, ,,,,n `r Ju 4i \l,(il t r rL c r �1-I 1 ( c rib S,_ /r i A'.
L y� ' R sir t ( if ti Lit LT L ( a .( - R f r L�`i t f r -J c/ i l t• _r r =i 1 .( , Y(^
•
i•l . Ct 3-7 r_� 7d 7 C ti: (t I-- 2.1,'. r k..r-/ -X e tt ..;
‘,27k , _ - - ('� C;-C `j Ft_i_,
A �� e � L
CI r •i
C
(LA' 4k).q (Li C •- i._1/2- r 0 _ yil)---21-r1.3
Name and Signature of SD Supervisor Date
Page 27 of 32
11 I,,;
�FAMILy
•
cair
of Colorado
"Services that beat, strengthen, and provide hope"
Assurance Statement
RE: Home Based Therapy Program
The actual direct face to face rate that Lutheran Family Services charges to Weld
County Department of Social Services will not be more then what is charged to
the general p ' or billed to insurance agencies.
s D. Barclay Da
President/CEO
3800 Automation Way, Suite 200 • Fort Collins, CO 80525-3433 • (970) 266-1788 • Fax (970) 266-1799 • www.lfsco.org
.- * ACCREDITED S`�,y." l "
=a. �//( 0 United Way Helps x.r.
Hc:URD --__
_-,_- - - ONLY AND
_ ._ - - 03/13/2003
vR�DUtER erta S A
TE
MARSH ADVANTAGE AMERICA CONFERS NO RIGHTSDOES UPON THE EXTEND OR
HOLDER. THIS CERTIFICATE NOT AMEND, EXTEND OR
160 SPEAR STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
SAN FRANCISCO,CA 94105 - -- -• — — — -- — — — — ..._. _. ._
CDMPANY GUIDEONE SPECIALTY MUTUAL NSURANCE
A
INSURED COMPANY GUIDEONE MUTUAL INSURANCE COMPANY
B
LUTHERAN FAMILY SERVICES OF COLORADO -..-._. - _ _. ..__ _ _ ._. .- _- __ - .-_. _ _- _ -
363 SOUTH HARLAN, SUITE 200 COMPANY
C
DENVER,CO 80226
COMPANY
D
I EIFHTPISFI NCE L HA E E 8 E HEN AB V 0 P I PE I
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 8 Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTA TYPE OF INSURANCE POLICY NUMBER DATE IMMICINTY) FATE(MMO0IW)
GENERAL LIABILITY 1213-263 7/1/02 7/1/03 GENERAL AGGREGATE 3 3,000,000
A X-COMMERCIAL GENERAL LIABILITY DUCTS•COMPIOP a I -3701103100-
j CLAIMS MADE LXl OCCUR PERSONAL l AOV INJURY 3 T'UUU:DDDD-
--OWNER'S E CONTRACTOR'S PROT EACH OCCURRENCE 3 1;ODO:O00-
(r SOCIAL WORKERS& (PER FORM PCG7550) FIRE DOMOE wymlfn) 1_COO OW
..� t OF EL(SRSTA-I' MED LX? MY«I•o.lFar r -•CM-
AU POMOB1LE LABILE
COMBINED SINGLE LIMIT I
— ANY AUTO __-,---_ --_,- -
ALL OWN WOLT INJURY I
SCHEDULED AUTOS ^W w n) -, - -. ,_,- - _
HIRED AUTOS r:01LY INJURY S
NON-OWNED AUTOS - PR-EmGIBaFF-gym))-„-,- - - --,--
._._ --- -- .-_. _- PROPERTY DAMAGE I
GARAGE LIABILITY AUTO ONLY.EA ACCIDENT S - - - -
1 ANY AUTO OTHER THAN AUTO ONLY' _ - - _-
--EACH ACCIDENT 3
--- AGGREGATE I -. -- - -
EX1 ED LABILITY 7/1/02 7/1/03 EACH OCCURRENCE 3 4,1300,000
B ' EGATE BUMBRCLIAFORM AGGR .--.— _T,OOO .
OTHER THAN UMBRELLA FORM 3
WORKER'S COMPENSATION AND IZOOMtA_I r' - _ -. -
EMPLOYERS'DASILITY EL EACH ACOI-ENT S
THEPROARIITON —IINCL EIDISEASE.POLICYIIMIT 3 — — -- --—
FAATNERBRXECUTNt • 111 -- —.— _
wisest APE: ExCL EL DISFABE•EA EMPLOYEE S
OTHER
IiiP IRJK LIP DPETQIIURsIC AOWflIQ RE IM Ilea.
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED (CG 2026)AS RESPECTS GENERAL LIABILITY ONLY IN CONNEZTION
WITH CONTRACT SERVICES PROVIDED BY THE INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B! CANCELLED BEFORE THE
WELD COUNTY SOCIAL SERVICES EXPIRATION DATE THEREOF. TIE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN:JUDY A.GREIGO, DIRECTOR 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PO BOX A BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
GREELEY,CO 80832 OF ANY KIND UPON TEE COMPANY, ITS AGENTS OR REPRESENTATIVE•
1/I� N ALNe I
SBSr _.
PROGRAM BUDGETS
COMPUTERIZED BUDGET
` PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentoring FP Consult
i TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 48 17 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X 8) 2,496 663 1,924 150 720 1,120 1,044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $12.50 $8.75 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $31,191 $5,802 $50,413 $3,789 $15,154 $21,641 $22,995 $1,136
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION B OVERHEAD COSTS(E+F+G) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,496 663 1,924 150 720 1.120 1,044 48
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $42.14 $62.07 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
• DIRECT SERVICE COSTS mrnru rcaaeD BUDGET
Minimum Budget Average Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY - %OF TIME SALARY X OF TIME SALARY %OF TIME SALARY
DOOM /q SalarylBen Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or CPO FTEI ®1.0 FTE BenellMOther ALLOCATED PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM TransoOrlNbn VisSallonA
Visitation B MepMlbn HBT parent Coadi Mortaring • FP Comu5 .
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 38 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 36 28 29 12
C TOTAL HOURS OR OATS PER PROGRAM FOR YEAR 2406.00 6850 1924.00 15000 720.00 1120.00 1044 00 48.00
DIRECT LABOR FACE.TO.FACF POSITION 110 E OR O5 FUNCTION
Bums,JW MS 045 $40,151 $18,08145 YES 0.004 50.00 0.00% $0.00 100.00% 518081.45 $0.00 5000 $0.00 $000 $000
Fbres.SUS BA 015 $33,700 $15.16500 YES 0.00% $0.00 0.00% 50.00 0.00% 50.00 30.00 30.00 $0.00 100.00% $18,08145 $0.00
Bealds,TOI BA 0.45 $42,851 $19.28205 YES 0.00% $0.00 000% $0.00 100.03% $18,081.45 $0.00 $0.00 $0.00 $0.00 $0.00
Boatman.Sharma 145 0.45 $31,947 $17,526.15 YES 30.00 $0.00
Md4S.Hob BA 0.50 $37170 $18, $000 20.00% $].03000 75.00% $11,373 75 $000 $0.00 5,00% $758.25
5$0.00 YES 10.050, 518,5$0.00 0.00% $000 0.00% $0.00 $003 $0.00 $0.00 $0.00 $0.00
OeS1aMe,Shen BA 50.00 NO $0.00
Thomas Shawn $0.00 $0.00 $000 $0.0 $O00 $000 $000
50 00 NO $000 $000 $0.00 $0.00 $0.00 50.0 $000 $0.00
HetledeG Cabe 5000 NO $0.00 $00
Ultleswmd Courtney $000 $000 $000 $000 $000 $000
Luce Kitty $000 NO $000000 $00 $0.40 $00 $000 $000 $0.40 $0.00
§000 NO SOHO I S000 $0.00 $000 $0.00 $0.00 $0.00 $000
Hitcher. $0.00 NO $0.00 i II $000 $0.00 000% $0.00 0.00% $000 $000 $000 S000
Vacant
ARM 50,00 NO 30,0 I '4 -7 $000 $000 $000 $00 0.00% $0.00 .000% $0.0 $0.00
Vacant BA :'015 $37,170 $18,505.50 YES r 10,00% Eo0 SO 00 SO 00 $00 0.00% $00 30.0 50.0
Vet art BA 0.50 $31,1)0 $18565.0 YES 10.00% f,. 50.0
Vacnl BA 045 $3),170 $16,726.50 YES 0.00% SO OD 0.00%' $00 0.004 $00 300 $0.0 10,00% $18,72850 SO 00 $0.0
TOTAL DIRECT LABOR PER PROGRAM $140,87855 $7.45 $18,585.0 500 $16.0 $38,16200 $20.22 $3,033,0 $15.50 $11,373.75 $1.0I $16.728.50 $1001 $18,0145 $150 $758.25
OTHER OIRFITCOSTS PER PROGRAM FAPF.T¢FAr,F
VBWbn Home $9,60000 YES 25% $2400 25% $2400 50% $4,60.0 $00 $00 $00 $00 $0.0
Cao PMnn ':. $4.200.0 YES ..27% $11340 9%.. $3780 25%' $1,000 2%: $840 10% $420.0 13%'. $548.0 13% $5460 1% $42.0
Mileage $33.00.0 YES "27% $90)20 '0%: $30240 25% $8400 2% $6720 ::10% 53,]80.0 13% $8980.0 13% $43660 1% $330.0
$00
NO 5000 SOW $D0 Soo $006 $000 $00 $000
NO $00 500 SO0 .. $006 $00 $0,00 $000 $000
•
TOTAL OTHER DIRECT COSTS PER PROGRAM $47,400.0 $50 $12,805.0 $6.75 $5,802.0 $14,250.00 §Sp §7580 5325 $3,)80.0 14.39 $4, 0 0$7.41 914 $4.71 $4,914. $] 088 $378.
E GRAND TOTAL DIRECT SERVICE COSTS $18807855 $12.50 $31,19100 1875 $5.80200 $25.20 $501120 $25.28 $3,789.0 $21.05 $15,15]75 $19.32 $2f&O50 $22.03 $22,99545 $23.87 $1,136.25
ADMIN COST NON-FACE-TO-FACE COMPUTERIZED BUDGET
Minimum Budget Average Total X OF TIME SALARY %OF TIME SALARY COP TIME SALARY X OF TIME SALARY X OF TIME SALARY %OF TIME SALARY - 'A OF TIME SALARY %OF TIME SALARY
I Degree 601 Salary/Bon Salaries, 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or C<n FTES @1.0 FTE BeneetsiOther ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Transportation visitation A VM1oon B Medullon HBT Parent Coach MCNomq FP Consult
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 36 28 29 12
C TOTAL MOORS OR OATS PER PROGRAM FOR YEAR 2406.00 663,00 192400 150,00 72000 1120.00 1044.00 48.00
40POT I AMOR NOT FACE-TO{ACF
Bonns$•JYYB.CJNGW MS 041 $40,181 $16,47421 YES 25.00% $1.11655 15,00% $2.471.13 60.00% $9,884.53 $000 $00 5000 50.00 $000
Flores,Jests,Tleamsm Coordinator BA 0.55 $33,70 $18,5350 YES 0.00% 00 080% $0.0 0.00% 5000 0.00% $0.00 SO 0 $0.0 100.00% 516535.0 000% $0.0 Edwards,TM,Treatment Coordinator BA 0.55 $42,851 $23,588.0 YES 25.00% $5,802,01 15.004 $3,535.21 60.00% $14,140.83 $0.00 $00 $0.00 $0.00 $0.0 Boatman.Shasta•Cenida MS 0.55 .$38047 $21420.85 YES $0.0 $00 $0.00 16.00% 53,42]34 70.00% $16,922.47 $0.00 $0.00 5.005 $1071.04
McNeil,Holy.TBamai C'016M91M BA 055 $37,170 $2044350 YES 2560% $5110.88 15,0% $3,066.53 80,00%. $12,268.10 $0.0 $00 $0.00 50,0 $00
man,,Sheer. BA 1.00 $46,681 $46,646103 YES 25.00% $11,66525 16.00% $6,908.15 0.0% $27,098.0 $00 $0.0 $0.00 $00 $00 Thomas.511am,Pr°9ram DIRrelf LCSW 0.34 $63,30 521.54444 YES 15.00% $3231.87 000% 11,939.0 34.00% $7,325.11 3.0% $846.33 16.00% $3,878.0 10.00% $2,154.44 10.00% $2,154.4 1.00% $21544
HNdecka,Cow,Supall Staff HS 0.34 534,868 $11,85444 YES 1500% $1,778.17 9.00% $1,00.0 34.00% $4,030.51 30% $95583 18.00% $2,133.60 10.00% $1,18544 10.00% $1,16544 100% $111354
UMMW00d,Courtney.Support Stoll HS 0.34 $27,530 $9,360.20 YES . 15.00% $1,404.0 060$ $84242 34.00% $3,182.47 3.00% $20.81 18.00% $1,664.64 10.00%. $936.02 10.00% $936.02 1.00% 593.0 Lucas.Kate%,Support Staff HS. 0.09 $30,382 $2,582.47 YES 15.00% $38737 0.00% $232.42 34.00% 5078.0 3.006 $77.47 18.00% $464.64 1060% 5258,25 10,00% $20.25 1.00% $25.82
Boa,Jule,PnuRam Manager LCSW 0,50 $44,873 $22438.50 YES $00 $000 500 14.00% $3141.11 8000% $17,949.20 $0.0 00 6.00% $1,346.19
Swanson,JWe,VPo&Progran Seruirm MA 0.12 $7670 59,204,0 YES 15,00% $130.0 9.0% 5628.38 34.00%: $312938 30% $276 12 18.00% $1,65672 10.00% 1920,40 10,00% $92040 1.00% $92.04
Hatlor,AMT.Pavan Manage, MSW 040 :$43305 $17,356.0 YES .:00016 50.0 $0.0 $00 500 1000 5000% $6879.0 5000% $8,079.0 $00
Va:ml BA 0.55 :.$37,170 52043.0 YES $0.0 10.0% $17,358.0 Vacant BA 0,55 ..$37,170 $20430 YES 25.0% $511088 15,00% $306.53 000%: $1226610 $00 50.0 ... $00 500 50.0
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $202,320.0 $160 $40,07840 E36.Z] $2401]& $19.43 $95,068.81 04>0 $6,201.641 5O0) $44.689 67 52812 $31,481.0 3918 $32,060 561.)2 $2.00289
OTHER DIRECT POSTS PFR PROGRAM NOT FArF-TO.FAr.F
Direct Pm9rem CmM
Pmlaslw ar... .50.0 NO 00 0 50.0 Soo $00 tom 00 ) Soo -a $0.0
52,0 1.00 YES 27,00% 5)23 0 9.0%% $24129 2560% $6)025 2.00%: $5382 100% $206.10 13.0% $48853 13.00% $38853 1.00% 526.81
' $28$09.0 YES .27,00%: $723661 900% $21132] :.2560%. 58]075 ':200%'. 5531300 .10.006 52.80.0 590%' 53.16138 :., 13.00%' $155069 :..1.00%. $20.0
T�IAm E> 511.025,0 YES 270%: 59220.58 6.0% 51,0)353 25.00%- 529820 2.00%. $238.58 10.0091 51,1020 13.OD%: f1,504 '.13606 51,50.81 1.00%.: 5110.28
$5,08/,0 YES 2700% 5160828 .0,00% $455.]8 .„ 25.00%: 512660 "20%' 5$5128 ;1000% $25880 19.00% $33618 1300% $336321.00%'. $50.641
MernBsrsh�OPa SIMn '� "-0 .$2508.00 VES 2700%: $89822 $232.]! $51,72 . ...10.00% $20.0 13.00% 533818 '43.00%' 539018 ...1.00% $2566
M%wsanps Ea9Msu �. $9,321.0 YES 42760$ $8966) 1:0.00% 029868 , 25606': $83025 2.00%:
.�.;+ " 5062 10.00% 535000 = 1J 0%' $4$000 tf 1300%; 48$000 $33.21
,
$00 $0.0 $0.0 $0,0 13.00% $000 1360% $0.0 LOOK 50.0
NO 500 fOm " " 000 500 :1 000 1$6.08 $Om 1$6.52. 500 50.0 TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM 552,303.0 $567 5111411 5).11 $4,]1447 081 513,005,75 0.0 $147.0 $728 $5,238.30 $608 56,800]9 $8,52 58,00.79 510.91 $52389
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $334,712.0 $21.72 $54,222.81 $4336 $26,76211 50.23 $10,195.39 581.0 $9,252.47
50.31 $19,928.1] $3420 $364.301.95 $]1.81 $38.06.35 $72.64 0,4052
•
OVERHEAD COSTS AND PROFITS COMPUTERIZED BUDGET
09QRABA % ALLOCATED I % ALLOCATED 1 % ALLOCATED I % ALLOCATED I ALLOCATED I ALLOCATED I ALLOCATED ALLOCATED I
0 190% ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COSTS 51 ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COST%ALLOCATED VERHEAD COSTS
DESCRIPTION COSTS 0 TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM
PROGRAM T2mpoNliO V%naton A Visitation B Mediation HBT Parent LoathMGM0Iay •
PFP Connut
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 40 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 38 28 23 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2490.00 883.00 182400 15000 720,00 1120 00 92000 48.00
OVERHEAD
TOM 098.MA6(14%et expenses) $73,191.00 YES 27001E $1076157 9.00% $6.517.19 25.00% S18,2WJ5 2.00% 51463.82 10.00% $7,318.10 13.00% $9,51483 13.00% 59,514.63 1.00% $731.01
NO SO00 $000 SO 00
NO SOTO $O00 $0.00 $0.00 $0.00 $000
NO5000 $000 $000 SO.TO 5000 5000 $000
50.00 $0.00 $D.00
NO 50.00 SOTO 5000 50.00 5000 S000 SO.OS
NO $000 $0.00 $0,00 $0.00 5000 $000 $SO 000
NO $000 $000 $000
ao.oa soro so.00 SO Soto $om som so.00
NO $000 $000 $0.00 $0.00 MI 00 $0,00 $000
NO $O.00 $0.00 $0.00 $0.00 $000 $000 $000
NO $0.00 $000 $000 WOO SOTO WOO $000
NO $009 $000 $000 $000 $0.00
5000 - Sow SD SD,DD 50.00 SOW
NO $000 $0.00 $0.00 $0.00 $0.00
NO SOHO $0.00 $000 $0.00 $0.00 $0.00 50.00
5000 SO CO $0.00 -
NO $000 S000 $0.00 $000 $000 $0.00 - $000
NO $000 5000 50.00 $000 $000 $0.00 $000
NO $000 $000 $000 $000 $0.00
SO 03 So ao 50 CO
$000 $000 SD.00 som $0.00 50.00 50.00
NO $O.00 so a0 MOO som som som soao 50 00
G TOTAL OVERHEAD COSTS $73,191.00 518,761.57 56,58718
51829715 51.183.@ 5],319.10 58.51%83 59,50.03 5]31.81
I TOTAL ANTICIPATED PROFITS $0.00 I YES 15%. $003 9%.... $000 34% $000 3% 50.00 101E SO°° 20% $000 20% $000 1% SO.BO
TOTAL OVERHEAD ANC ANTICIPATED PROFITS $73,19100 $19,76157 $8,587.19
$16.297 75 $1,18382 5],319.10 58,514.03 59,51093 $731.91
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 PY 03-CORE-0021
Revision (RFP-FYC-03005)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2003 and Lutheran Family Services
Ending 05/31/2004 Lifeskills-Mentoring
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Computation of Awards Description
Unit of Service
This program serves at-risk youth ages 6 to 18 The issuance of the Notification of Financial
who are currently in one of the following Assistance Award is based upon your Request for
situations; (1)at risk of being placed within the Proposal (RFP). The RFP specifies the scope of
custody of DSS, (2) at risk of losing his/her services and conditions of award. Except where it is
current placement, (3)recently reunified. This in conflict with this NOFAA in which case the
program is meant to be a source of positive, NOFAA governs,the RFP upon which this award is
adult support for youth. Capacity to serve a total based is an integral part of the action.
of 29 individual clients,monthly average Special conditions
capacity is 7, average stay in the program is 12 1) Reimbursement for the Unit of Services will be based
weeks, average number of hours per week is 3. on an hourly rate per child or per family.
Bilingual/bicultural and South County services 2) The hourly rate will be paid for only direct face-to-
are available. face contact with the child and/or family, as
evidenced by client-signed verification form, and as
Cost Per Unit of Service specified in the unit of cost computation.
3) Unit of service costs cannot exceed the hourly and
Hourly Rate Per $ 60.54 yearly cost per child and/or family.
Unit of Service Based on Approved Plan 4) Payment will only be remitted on cases open with,
Enclosures: and referrals made by the Weld County Department
X Signed RFP: Exhibit A of Social Services.
X Supplemental Narrative to RFP: 5) Requests for payment must be an original submitted to
Recommendation(s) the Weld County Department of Social Services by
X Conditions of Approval the end of the 25th calendar day following the end of
the month of service. The provider must submit reque
sts for payment on forms approved by Weld County
Department of Social Services.
Approv s: Program Official:
By By
David E. Long, Chair Judy . Gri gc Directo
Board of Weld County Commis oners Wel offuntty epartmen of Social Services
Date: 41-30 Date: L/// y/03
0,2003-/00?
EXHIBIT "A"
•
INVITATION TO BID
OFF-SYSTEM BID 02-03 RFP-FYC 03005
DATE:February 19, 2003 BID NO: RFP-FYC-03005
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-03005) for:Colorado Family Preservation Act--Life Skills Program
Emergency Assistance Program
Deadline: March 14, 2003, 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, 2003, through May 31, 2004, 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
(After receipt of order) BID MUST BE SIGNED IN INK
Jamew'D Barelpy
TYP R PRINTED SIGNA
VENDOR Lutheran Family Services
(Name) dwritten Si ture By uthorized
Offi er or Ag of V er
ADDRESS 3800 Automation Way, #200 TITLE President/CEO
Ft. Collins, CO 80525
DATE /
PHONE # 970.266. 1788
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-03005 Attached A
LIFE SKILLS 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 2003-2004
OFF-SYSTEM BID 02-03 RFP-FYC-03005
NAME OF AGENCY: Lutheran Family Services
ADDRESS: 3800 Automation Way, #200 Ft. Collins, CO 80525
PHONE: 970.266. 1788 970.356.6080
CONTACT PERSON: Amy Hatcher TITLE: Program Manager
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 1,2003 Start
End May 31, 2004 End
TITLE OF PROJECT: Mentoring Program
AMOUNT REQUESTED:
Aivlc4L' . Nafclur /4/U.
�� �C°—�i(e� 3 10) -63
Name and Signature of Person Preparing Document Date
Judy A. Griego,Director
Name and 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 2002-
2003 to Program Fund year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004
x Project Description
X Target/Eligibility Populations
X Types of services Provided
X Measurable Outcomes
X Service Objectives
X Workload Standards
X Staff Qualifications
X Unit of Service Rate Computation
Program Capacity per Month
x Certificate of Insurance
y Assurance Statement
Page 26 of 32
Core Services Proposal
Life Skills
FY 03-04
Lutheran Family Services of Colorado
Mentoring Program
I. PROJECT DESCRIPTION
Lutheran Family Services (LFS)of Colorado is a community-based agency with an experienced
staff that offers a wide range of services to children, families and adults. It is a non-profit agency,
which has provided human services to Colorado since 1948. Although the agency was
established as an affiliate of the Lutheran Church, it is an equal opportunity agency that provides
services to all individuals without consideration of religious beliefs, race, ethnicity, sex or
economic status.
Mentoring Program
Lutheran Family Services' Mentoring Program is part of a comprehensive array of family
preservation services offered by LFS. The program's mission is to decrease at-risk behaviors in
youth and to preserve family stability (with birth, adoptive, or foster families). The program is
designed to build developmental assets, social skills, and basic life-skills in a child's life by
providing a supportive mentoring service for a limited length of time using flexible service
modalities that are determined by the youth's strengths and needs. Mentoring services provided
focus on not only being a positive role model and advocate, but also assisting youth in building
developmental assets in his/her life.
Research conducted by The Search Institute of Minneapolis, Minnesota, has found that there are
essentially 40 factors, developmental assets, which are essential to a youth's success in life.
These assets include skills, relationships, values, and self-perceptions. There are 20 external
(things that other people provide)and 20 internal (things that develop within)assets. Search
Institute research indicates that young people with more assets tend to posses positive attitudes
and behaviors that protect them from making harmful, unhealthy choices. "Youth with more
assets are less likely than youth with fewer assets to engage in 24 risky behaviors, such as
tobacco use, gambling, violence, and shoplifting (Search Institute, 1999)."
Research conducted further indicates that approximately 62% of youth possess fewer than 20
developmental assets. The Mentoring program is designed to assess and then to enhance and
increase assets (a minimum of three per child), both internal and external, in the following areas:
Support(i.e., positive adult relationships, family support, school support, etc.)
Empowerment(i.e., service to others, volunteering, safety, etc.)
Boundaries and expectations (i.e., positive peer influences, rules, role models, etc.)
Constructive use of time (i.e., creative activities, youth programs, etc.)
Commitment To learning (i.e., study time, reading for pleasure, study skills, etc.)
Positive values (i.e., responsibility, restraint, honesty, integrity, etc.)
Social competencies (i.e., conflict resolution, decision-making, interpersonal skills, etc.)
Positive identity(i.e., cultural identification, self-esteem, positive view of future, etc.)
Together, the Mentor, DSS Caseworker, family, and the youth will assess and develop an
individualized plan to increase at least three assets the youth feel are most important. The needs
Lutheran Family Services'Mentoring/Asset-Building Program
of the child are addressed, rather than focusing on one problem. Our Mentors will further focus on
building a relationship with youth, providing support to youth, and having fun!
II. TARGET/ELIGIBILITY POPULATIONS:
The program is intended to serve at-risk youth ages 6 to 18 who are currently in one of the
following situations: 1) at risk of being placed within the custody of DSS, 2) at risk of losing his/her
current placement, 3) recently reunified. This is not a program intended to treat physical health or
mental health issues. It is meant to be a source of positive, adult support for youth in all of Weld
County.
A. Total number of clients served: 29
We have budgeted one professional staff person to this program. We currently have 16
professional staff that could provide services in this program, if needed. The number of clients
served represents the caseload of the person budgeted.
B. Total individual clients and the children's ages: 29
We estimate that each family will have three family members. Children's ages can be from six to
18 years.
C. Total family units: 29
This number reflects the caseload of one professional staff person. As outlined above, we can
have other staff provide these services if we receive the referrals. This number is predicated on
one child per family being served.
D. Sub-total of individuals who will receive bicultural/bilingual services: 7
We have had two bilingual workers on staff since late last summer and we have not experienced a
significant increase in referrals of families who are monolingual and speak Spanish. This number
reflects approximately one quarter of our budgeted clients.
E. Sub-total of individuals who will receive services in South Weld County: 7
We do not limit our services geographically. This number is reflective of an estimated one quarter
of the referrals being from South County.
F. The monthly maximum program capacity: 5
This number is based on the budgeted number of clients per year(29). We will provide an
average of 3 hours of direct service per week for twelve weeks to the youth in the program. As
outlined above, we can assign as many staff to this program as the referrals warrant, so our
maximum capacity can be much larger.
G. The monthly average capacity: 7
This number is based on our budgeted capacity.
H. Average stay in the program (weeks): 12
I. Average hours per week in the program: 3
Together the DSS caseworker, the family, the Mentor, and the child will determine the number of
weekly direct service hours per individual (minimum of one and a maximum of five).
2
Lutheran Family Services'Mentoring/Asset-Building Program
III. TYPES OF SERVICES TO BE PROVIDED
Assessment of Assets:
Together, utilizing the Asset Checklist developed by the Search Institute, youth and Mentor will
assess the eight categories of developmental assets(40 total)that youth feel they experience
upon both intake and case closure. The assessment is helpful in the development of goals for the
youth. It is also a means of measuring progress. This tool can further be utilized to assess the
strengths and needs of a particular youth in each of the following areas: support, empowerment,
boundaries and expectations, constructive use of time, commitment to learning, positive values,
social competencies, and positive identity.
Mentoring/Asset Building (Teaching, Modeling, Demonstrating,and Building Basic Life and Social Skills):
After youth and Mentor together assess his/her developmental assets upon intake, they will work
together as a team to devise goals. The purpose of these goals will be to work together to build
more positive assets in the youth's life (the youth and Mentor will focus on increasing at least
three assets). Through fun, a positive relationship, new experiences, modeling, demonstration,
and education, Mentors will provide youth with the support they need to build developmental
assets and adaptive strategies in the above-mentioned areas (i.e., support, commitment to
learning, social competencies, etc.). The following are examples of skills and support a Mentor
can provide: reading together, playing a new sport, doing homework, teaching study skills,
teaching emancipation skills, going to a play, teaching social skills, volunteering,joining a club,
listening to concerns, teaching and demonstrating organizational skills, etc.
Advocacy and Linkage to Sources of Support in the Community:
The Mentor will assist youth in accessing and utilizing community resources available to youth.
The effective use of community resources is an imperative goal of this program. The youth will
know where to locate support through community connections in the future when needs arise.
Access to community resources and activities reduces isolation and builds developmental assets.
Cost Containment(Step down services)
This program is not based on the provision of introspective therapy services, which are typically
provided for a longer duration of time with more complex goals. This program provides more
'applied'or'hands on'services. The goals of this program link youth to the community, in
potentially low or no cost activities that can be maintained by the family after the termination of
services.
IV. MEASURABLE OUTCOMES
The overall outcome objectives of the Mentoring Program are to reduce at-risk behaviors in youth,
to preserve placements/reunifications, to providing positive adult support, to build assets or
adaptive strategies, and to link youth to community connections. The number of assets a youth
possesses will be measured both at intake and case closure through self-assessment utilizing the
Asset Checklist developed by the Search Institute. As previously mentioned, there are a total of
40 assets (20 internal and 20 external),which fall into eight categories including: support,
empowerment, boundaries and expectations, constructive use of time, commitment to learning,
positive values, social competencies, and positive identity. Together, youth and Mentor will
devise goals to build developmental assets (a minimum of three) in a youth's life based on the
individual strengths and needs of the youth. Progress on goals will be assessed throughout the
service period through client self-report and Mentor observations. This progress, or lack there of,
3
Lutheran Family Services'Mentoring/Asset-Building Program
will be documented in monthly reports. Upon discharge, the pre and post assessment scores will
be included in a discharge report. Youth will report that they experience more assets at case
closure in comparison to the date of case opening.
V. SERVICE OBJECTIVES
WCDSS has identified both improved goal setting and pro-social values, and improved ability to
access community connections as service objectives. Both of these objectives are included in the
services provided through the Mentoring Program. Youth will develop their own goals, based on
their own needs and agendas, with the assistance of a Mentor. They will also build pro-social
values through new experiences, positive adult relationships, community involvement, education,
volunteering, etc. Progress and goal attainment will be measured both through self-assessment
utilizing the Asset Checklist and through Mentor observation.
VI. WORKLOAD STANDARDS
A. Number of hours per day,week, or month: 18 per week
Each child/youth is budgeted to receive 3 hours of direct service per week for 12 weeks. We are
budgeted to provide services to 6 children/youth per week for a total of 18 hours of direct service
per week. These numbers are based on the budgeted number of cases and one professional
staff person. We can provide services to more children/youth, if referred.
B. Number of individuals providing the services: 1
The budget submitted shows one professional staff member providing services in this program.
As mentioned in an earlier section, we have 16 staff members who could provide services in this
program.
C. Maximum caseload per worker: 6
In our structure, a full time professional staff person can provide 16-20 hours per week of direct
service so the caseload will be 6 cases per worker if they are providing 3 hours of direct service
per case.
D. Modality of treatment:
We utilize education, modeling, and demonstration to build on individual strengths and to teach
skills that will empower and stabilize youth.
E. Total number of hours per day/week/month: 18 per week
Each child/youth is budgeted to receive 3 hours of direct service per week for 12 weeks. We are
budgeted to provide services to 6 children/youth per week for a total of 18 hours of direct service
per week. These numbers are based on the budgeted number of cases and one professional
staff person. We can provide services to more children/youth, if referred.
F. Total number of individuals providing these services: 1
We currently have one staff member budgeted to this program. Our structure has been
established to allow us maximum clinical flexibility. We currently have 16 staff that can offer
services in this program, not including the program supervisors.
4
Lutheran Family Services'Mentoring/Asset-Building Program
G. The maximum caseload per supervisor: 1:7
H. Insurance
Our proof of insurance, naming Weld County Department of Social Services as co-insured, is
attached.
Our Mentors work flexible hours, typically 9:00 a.m. to 8:00 p.m., Monday through Friday.
Weekends are taken into consideration if the family is unable to meet during the week.
VII. STAFF QUALIFICATIONS
Professional staff assigned to this program are qualified by one of the following:
• A master's degree in social work or another human service field; and/or
• A bachelor's degree in social work or another human service field and at least one years post-
degree experience in family and children's services.
We currently employ three Licensed Clinical Social Workers, one Licensed Professional
Counselor, seven clinicians with their Master's in Social Work, one clinician with a Master's of Art,
one recruiter with a Master's in Education, one clinician with a Masters in Human Development
and Family studies, eight employees with Bachelor's Degrees.
All staff has experience in child and family services. All staff in this program is required to secure
thirty-two hours per year of continuing education training. All staff will receive weekly supervision
from a supervisor experienced in child welfare work. The supervisors are also required to secure
thirty-two hours per year of continuing education training.
VIII. UNIT OF SERVICE RATE COMPUTATION
The budget spreadsheets are attached to this proposal.
5
RFP-FYC-03005 Attached A •
Date of Meeting(s)with Social Services Division Supervisor: o7-95-03
Comments by SSD Supervisor:
OS?5"-- 3
Name and Signature of SSD Supervisor Date
• �FAMILY
r�
W � 0.4
F f .+
of Colorado
"Services that heat strengthen,and provide hope"
Assurance Statement
RE: Life Skills Program - Mentoring
The actual direct face to face rate that Lutheran Family Services charges to Weld
County Department of Social Services will not be more then what is charged to
the general p is or billed to insurance a envies.
79
Ja e D. arclay Dat
President/CEO
3800 Automation Way, Suite 200 • Fort Collins, CO 80525-3433 • (970) 266-1788 • Fax (970) 266-1799 • www.lfsco.org
Mk /Krim �,T"f��'{�"—'`w
3l.'ll/(' )) imam
way
xnw x.r.
Hc:URD
-- - -- „. .- _ . 03/13/2003
PR•D E- Oa # A - �. 1 • - • •• `F • •
MARSH ADVANTAGE AMERICA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
160 SPEAR STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
SAN FRANCISCO,CA 94105
COMPANv GUIDEONE SPECIALTY MUTUAL NSURANCE
A
IN5UReo COMPANY GUIDEONE MUTUAL INSURANCE COMPANY
LUTHERAN FAMILY SERVICES OF COLORADO •_-D,-. • , _. ..__ _ _ ._. - __ __ _ ._. _ _. _ ._. _
363 SOUTH HARLAN,SUITE 200 COMPANY
DENVER,CO 80228 _ C __ — -_, __—_—. _ —_— ,_„_ — _,— _ ,—
COMPANY
Co
I IF T I F INSURANCE L NA E S E MN AB P I PE 1
INDICATED.NQ1WTHSTANOING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN I6 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS.
CO
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MMIDDIVO DATE IMMIDIYM
GENERAL LIABILITY 1213-263 7/1/02 7/1/03 GENERAL AGGREGATE f 4,000,000
A X-COMMERCIAL GENERAL UAS'UTY MODUCTB.COMPL;al 3 000;00c
--O 1 CLAIMS MADE OCCUR PERSONAL I ADV INJURY f T.OW 3R1O-
WNJ LER'SECONTRACTORSPROT EACHOCCUPRfNCE f t,0DUObU '
• L- SOCIAL__WORKERS& (PER FORM PCG7550) AWE DM,A0E (A„2,,,;)I 1'D O DI�r'
�OUTJS It5i S LIAR MEUEXP(Myon•Pr•en) 1 5.000
-
- AU FOMOBIL!LIABILITY
COMBINED SINGLE LIMIT 1
ANY AUTO
ALL OWNED AUTOS SP? ^
SCHEDULED AUTOS gig IN,UPY /
HIRED AUTOS B0
NON-OWNED AUTOS IP.GIEtt. t /I RY t
_.. ._. .__. ._ - - --.-_
PROPERTY DAMAGE t
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 3
- ANY AUTO OTHER THIN AUTO ONLY--- _. - _.- -
EACH ACCIDENT 3- - - - ---
__ _.--. _,__ ._ - __ --- - - - --.
AGGREGATE S . .
EX.'.EBB LIABILITY 7/1/02 7/1/03 EACH OCCURRENCE S 4,4300,000
B UMBRELLA FORM AGGREGATE - f- 'rooD oo -'
OTHER THAN UMIRELLA FORM S
WORKER'S COMPENSATION AND I Tarvuwm 1 NI;
EMPLOYERS'LIABILITY EL EACH ACCIDENT I
THE MIO•RIETOW INCL El DISEASE•POLICY LIMIT f - _._- ._--
0MMER1FAECUTNE _. -.
M'FIfM AM- EXCL EL DISEASE-EA EMPLOYEE t
OTHER
1I
DIiar WWI OP UPEPM NONEM1UI.AIUJRMYLNIE.Lt&DPeUAL ILEX. '
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED (CG 2026)AS RESPECTS GENERAL LIABILITY ONLY IN CONNECTION
WITH CONTRACT SERVICES PROVIDED BY THE INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES S!CANCELLED BEFORE THE
WELD COUNTY SOCIAL SERVICES EXPIRITON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN:JUDY A.GREIGO, DIRECTOR 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO TIE LEFT,
PO BOX A BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
GREELEY,CO 80832 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVEA
A y ���(�ercurrvL
PROGRAM BUDGETS COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentoring FP Consult
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 48 17 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,496 663 1,924 150 720 1,120 1,044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $12.50 $8.75 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $31,191 $5,802 $50,413 $3,789 $15,154 $21,641 $22,995 $1,136
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION B OVERHEAD COSTS(E+F+G) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,496 663 1,924 150 720 1,120 1,044 48
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $42.14 $62.07 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
DIRECT SERVICE COSTS
COMYGTERRCD BUDGET
•
Minimum Budget Avenge Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Degree 00$ SalarylBen Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Cart FTEe @ 1.0 FTE Benefls/Other ALLOCATED PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Transmttatlml Manikin A Visitation B Medudbn HBT Parent Coach Mentorlg FP Consul
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 30 52 5 20 40 38 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 38 28 29 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2496.00 863.00 102400 150.00 72000 1120,00 104400 4000
DIRECT LABOR FACE-TOFA(.F POSITION TITLE OR JOB FUNCTION
Benn,JIM MS 045 $40,101 518,081.45 YES 000% $0.00 080% S000 100.00% $18.081.45 $0.00 5000 $0.00 $0.00 $0.00
Floras.Jesus BA 0.4S $33,700 $15,185.00 YES 000% $0.00 0.00% $0.00 0,00% $0.00 $000 5000 50.0 100.00% $16,381.45 $0.00
Edwat,TM BA 0.45 $42,851 $10,282.95 YES 000% $0,00 0.00% $0.00 100.00% $18,081.45 $0.00 $0.00 $0,00 $000 $0.00
Boatman.Shama MS 0.45 $38,047 511.526.15 YES $0.00 $000 SO DO 2000% 530330 75.00% $11,37375 $0.0 $0.00 5.00% $758.25
MU4M,HOM BA 0,50 $37.170 $18,585.0 YES 10.00% $19,58500 0.00% $00 0.00% $0.00 $0.00 $0.0 $0.0 S00 $00
DeManclle,ShMro BA $0.00 NO $0.0 $0.0 100 S00 $0.0 500 $0.0 $000
Tomas.Sharon $0.00 NO $0.0 $0.00 $000 $00 $0.0 $0.0 $00 500
Heilecker,Colleen $0.0 MO 500 $0.0 $0.0 500 $0.0 $0.00 $0.0 $0.0
Underwood,000Mey. $0.0 NO SO 03 $0.00 $0.0 $00 $0.00 $0.00 $00 $00
tom,Kathy $00 NO $00 $0.0 $0.00 $0.0 $0.00 $0.00 $0.00 $0.0
BOA Ju8e $0.00 NO $0.0 $00 500 000%. $0.0 0.00% $0.0 $0.0 $00 $00
Hatcher,Amy $000 NO $0.0 $00 $0.0 $0.0 $0.0 000% $0.0 . 0.00% $0.0 $0.0
Vacant BA 045 $37,170 $10726.50 YES - 10.00% $00 $00 $0.0 10.0 -0.0% $0.0 $0.0 $0.0
Vaunt BA 0.50 :$37,170 $16,58500 YES 1000% Soo
Vaunt BA 0.45 337.170 $16,726.50 YES 0.00% $0.0 .0.00% 500 00% $00 $00 500 1000% $16,728.50 $00 $0.0
TOTAL DIRECT LABOR PER PROGRAM $140,676.55 $7.45 $18,585.00 $0.0 $18.0 $38,16280 $2022 $3,0330 $1580 $11,373.75 $1.0I 516,726.50 $1.0I $18.01.45 $1580 $756.25
EITHER DIRECT COSTS PER PROGRAM FACF-TOFACF
V%Nalbn llMre 50,60000 YES 26% $2400 25% $2400 :50% $4.80.0 $00 $0.0 $00 $00 $0.0
CeI Pines $4,203.00 YES 27% $11340 0% $3780 25% $10500 2% 504 DO 10% $4200 13% $548.0 13% $546.0 1% $420 Mdcege $33,60.0 YES 27% $90720 0%. $3,0240 25% $8400 2% $6720 10% $3,30.0 13% $4.388.0 13% 543600 1% $336.0
> NO $000 FOOD $00 $000 :, $0.00 $0.00 - $000 $0.00
NO $00 $00 $00 $00 $00 $00 $00 $0.0
... NO $000 5330 SON $0 0 .. $033 SOM SDW _ $0 CO
TOTAL OTHER DIRECT COSTS PER PROGRAM $47,40.0 $5.N $12,606.00 $6.75 $5,60200 $741 $14,250.0 $5.04 $756.00 $5.25 $3.780.0 $4.30 $4,914.0 $4.71 $4,914.0 $7.68 $378 00
E GRAND TOTAL DIRECT SERVICE COSTS $188.078.55 $1250 $31,19100 $8.75 15,8000 12620 $50,412.0 $2528 $3,760.0 $2105 $15,153.75 $10.32 $21,640.50 $22.03 $2200545 $23.67 $113025
ADMIN COST NON-FACE-TO-FACE COMPUTERIZED BUDGET
Minimum Budget Average Total % TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Degree 401 Salary/Ben Salaries, 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Can FTEs @1,0 FTE Beneete/OtIar ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Trans9ONtion Visitation A Vilalon B Mediation HBT Parent Coach MCMorvq FP Consult
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 36 4
a TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 38 20 29 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2498.00 863.00 1924.00 15000 72000 112000 1044.00 46.00
DIRFrT I ABOR NOT FArF-TO-FAOF
Bonnet Jiie,Cheden MS 041 $40,181 $16,47421 YES 25.00% $4,11855 15.00% $2.471.13 60.00% $9,884.53 $0.00 $0.00 $0.00 $0.00 $000
Finn,Je3IR.Treatment Coordinator BA 0.55 $33,700 $1853500 YES 0.00% $0,00 0.00% 5000 0.00% 5000 0.00% 50,00 5000 $0.00 100.00% 518.535.00 000% $0.00
Edward%Td,Treatment CaoNosor BA 0.55 $42,851 $23,568.05 YES 25.00% $5,89201 15.00% $3.535.21 60,00% $14,140.83 $0.00 $0.00 $0.00 $000 $000
Boatman.Sawa.Clinician MS 0.55 .$38,647 121,42085 YES $0.00 50,00 5000 18.00% 53,427.34 79.00% $18,922.47 $000 $0.00 500% 51071.04
Md4$,Wily,Tlwlmenl Coordinator BA 0.55 537.170 $20.443.50 YES 2500% 55.11088 15.00% 53066.53 6000% $12,266.10 $0.00 $0.00 $0.00 $000 $000
DeMaMM,Share BA 1.00 $4%081 $48,00100 YES 25.00% $11,665.25 16.00% $6,909.15 60,00% $27,908.60 $0.00 $000 $000 $0.00 $000
Thomas,Sharon,Pmelatll DIne LCSW 0.34 $89,386 $21,54444 YES 15,00% 13.23107 9.00% $1,939.00 34,00% $7,325.11 3,00% 5648.33 18.00% $3,878.00 10.00% $2,154.44 10.00% 52,154.44 1.00% $21544
Heldedn.Callen.Support Stag HS 0.34 $64,886 $11,854,44 YES 1500% 11.778.17 9,00% 51.06690 34.00% $4,030,51 3.00%' $355,03 18.00% 52,13380 10.00% $1,185,44 10.00% 51,18544 -1,00% $118.54
UIMewood,Courtney,Sown Staff MS .034 $27,530 $9,30020 YES 1500% 51,404.03 800% 564242 34.00%. $3,18247 3.00% $280.81 18,00% $1,884.04 10.00% $936.02 10005 5930.02 1.00% $93.80
La Kathy,SMI?rt Staff MS 0,09 $30,302 52,502.47 YES 15.00% $387.37 0.00% $232.42 34.00% $078.04 3.00% $77.47 18005 $464,64 1000% 125825 10.00% 5250.25 1.00% $2582
Box.Jib,Program Manager LCSW 0.50 $44,873 $22,43650 YES 50,00 5000 $0.00 14.00% $3,141.11 8000% $17,949.20 $0.00 50.00 0.00% 11.346.19
Swanson,Julie,VP of Pmgam Services MA 0.12 $76,700 $9,204.00 YES 15.00% $1,30060 9.00% $82038 34,00% $3,12936 3.00% $276.12 18.00% 51,850.72 10.00% $92040 .1000% $924.40 1.00% $9204
Hatcher.Any.Program Manager MSW 0.40 :..$43385 $17,35800 YES 0,00% $000 $0.00 5000 5000 50.00 5000% $8679.00 5000% $6870.00 $0.00
VaraM BA 055 $37,170 $2044350 YES $000 100.00% $17,358.00
Vacant BA 0.55 $37,170 $20.44350 YES 25.00% 55110 B8 15.00% $3006.53 8000% $1228610 $000 $000 50.00 5000 5000
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $282,329.696 51400 $40,07040 $36.27 52404704 $4943 $95,099.64 $54,70 $8204.01 $62.07 544,689.87 $28,12 $31491.56 $3129 $32,86356 $81.72 $2,962.69
OTHER DIRFCT COSTS PFR PmMRAM NOT FACE-TO-FAr F
DIreO Progam Coins $0.00 NO $000 $000 $000 $000 50.00 50.00 5000 $0.00
Pmfaebllat Fein $2,661.00 YES 27.00% $72387 9.00%. $24119 , 25,00% 567025 200$ $5382 " 1000% $200.10 13.00% $348$3 1300% 531659 1.0094 $2881
Ow4sancy $26.803.00 YES 2700% $723881 9.00% $2,41227 25,00% 1070075 2.0016 35]806 ..10.00%. $2.680.30 19.005. $348138 -19.00%' $346430 1.00% $280,0
TO Ernpo�� $11.92600 YES 27.00%' 5322050 59.00% $107352 2500% $298200 2.00% 32]056 J/1000% $1.182.80 00.00%' $1.55064 13.00% $155064 1.00% $119.28
.$5,064.00 YES 2700% 5136728 900% $455.76 25,00%. 5128600 >200%' $10130 r10.00%I 5500.40 1300%! $858]2 19:00%. $65832 T 100% 550.64
Msr ersIep Fen vtl Dues. .53.588.00 YES .27.00%' $09022 8,00% 5292.74 25.00%'. 564850 2.00% $5172 .10,00% $258.80 1300%; $33018 13.00%. $33018 1.00% $25.88
MI6WWIeola Eaponsn . ' $3,]2100 YES 27.00% 500887 `0004 528889 25.00%: $63035 c4.00% $0042 <10.00% $332.10 1100% $431/3 • 1300% 543173 / 1.004 13321
. NO 2700% $000 $000 25.00%. SOW 200% 5000 10.00% 50.00 13.005 1000 13.00% $000 "-: 1.00% $000
' : NO $000 5000 $000 SOW 10.00%' SOW 1300% $OW 1300% SOW $000
•
TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM $52,38]03 5567 514.14341 $7.11 $4.714.47 $8.81 313,095.75 w;$8.98 $1,047.60 $7.28 55.238.30 5600 58,000.79 1052 1680979 $1091 $523.03
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO•FACE $334,712.80 521.72 $54,222.81 $43,38 $28,762.11 $5823 1108,195.39 $8168 $9,252.47 569.34 $49,926.17 $34.20 538,301,35 $37.01 339.47835 17284 53,486.52
OVERHEAD COSTS AND PROFITS
COMPUTERIZED BUDGET
•
\l OR O§ ALA % ALLOCATED I % ALLOCATED ' % ALLOCATED % ALLOCATED I ALLOCATED I ALLOCATED I ALLOCATED ALLOCATED I
0 100% ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COST%ALLOCATED VERHEAD COSTS
DESCRIPTION COSTS O TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM
PROGRAM Transportation Vislalion A Visitation B Mediation HET Parent Coach Menlpnp FP COn5uf
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 38 52 5 20 40 40 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 40 17 37 30 38 28 23 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2496.00 863CO 1924.00 150.00 720 00 1120.00 920.00 4800
OVERHFAQ
Total Overhead(14%of evenly) $73,191.00 YES 2780% $19,781.57 9.00% $8,587.19 25.00% $1429775 2.00% $1403.02 10.00% $7.310.10 13.00% $9,514.03 13.00% $9,514.83 1.00% $731.91
NO $000 SO CO SOW $000 $0.Op
NO $000 $000 $0.00 $0.00 SO 00 $0.00 $0.00 $000
$0.00 $0.00 $000
NO $0.00 SO 00 $0.00 $0.00 SOW SO 00
$0.00 $0.00
NO SOW $0.00 SO 130 $0.00 $0.00 $0.00 $0.00 SO.00
NO $0.00 $0.00 $0.00 $0.00 $0.00 §000 5000 5000
NO $0.00 5000 $OW $0.00 $0.00 $0.00 $000 $0.00
NO $0.00 S000 $0 CO SOW $0.00
$0.00 50.00 $0 00
NO $000 $000 500 $0.00 $0.00 $080 _ EOM $0.00
NO SOTO$000 5.$000 $000 $0DO $0.00 $O.00 SOW $000
NO $000 $000O CO $000 50 DO $000 SOTO $0.00 $0.00
NO $000 $000 KID $0.00 $000
NO §000 5000 MOO 50 OD SO.W 50.00 $0.00
NO $000 $000 SOW SO.W $0.00 $0.00 $0.00 50.00NO $0.00 SOW SO DO $000 $0,00 $ $
0.00 0.00 $0.00
50.00 $0 $0 00
00
NO $000 SOW 5000 $000 $000
NO §000 §000 SOW $000 5000 50,00 10.00 SO 00
.. .. 5000 SOW SO.W
G TOTAL OVERHEAD COSTS §73,191.00 $19,78157 $6,587.10 $14297.75 $1483.82 $7,319.10 $9,514.83 50,514.03 $731.91
I TOTAL ANTICIPATED PROFITS $0.00 IVES 15% $000 9% $000 91% SOW 3%. $0.00 1B% $0.00 20% $0.00 20% $0.00 1% $000
TOTAL OVERHEAD AND ANTICIPATED PROFITS $73,191.00 $19,70157 56,587.19 $18,297.75 $1,463.82 $7,319.10 $9,58483 $9,51483 $731.91
EXHIBIT "B"
Conditions of Approval
44, FAM
(.2
_so
4,.1
te;„ Cr
of Colorado .Q
1
"Services that heal,strengthen,and provide hope"
April 15, 2003
Weld County Department of Social Services
ATT: Gloria Romansik
P.O. Box A
Greeley, CO 80632
RE: RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program Area
RFP 03010: Option B, Home Based
RFP 03005: Lifeskills: Home Based Parenting Coach
RFP 03005: Lifeskills: Mentoring
RFP 03005: Lifeskills: Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Ms. Romansik:
This letter is in response to your letter dated 4/9/03 regarding the FYC
Commission's recommendations and/or conditions for the above core service
proposals.
1. RFP 03010 — Option B. There were no recommendations or conditions.
2. RFP 03008 — Mediation. We accept the commission's recommendation.
Only staff certified to provide mediation will perform this service.
3, 4, 5: RFP 03005 - (Home Based Parenting Coach, Mentoring, Visitation).
LFS contacted John Kruse on 4/14/03. We also made the specified
corrections on the spreadsheet and sent that corrected spreadsheet to Mr.
Kruse via email.
6. RFP 006-00 — Foster Parent Consultation. We accept the commission's
condition.
Thank you for consideration of our proposals. Please don't hesitate to let me
know if you need further information.
Respe • � /
s I. Barclay
•resi• -nt/C E•
363 South Harlan, Suite 200 • 4enver, CO 80226-355t5r2 • (303) 922-3433 • Fax (303) 922-7335 • www.lfsco.org
a
DEPARTMENT OF SOCIAL SERVICES
4 P.O.BOX A
GREELEY,CO. 80632
I Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
O
• April 9, 200
COLORADO 3
James Barclay President/CEO
Lutheran Family Services
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Re: RFP 03008: Mediation and Facilitation under the Intensive Family Therapy
Program Area
RFP 03010: Option B,Home Based
RFP 03005: Lifeskills,Home Based Parenting Coach
RFP 03005: Lifeskills,Mentoring
RFP 03005: Lifeskills, Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Mr. Barclay:
The purposes of this letter are to outline the results of the Core Services Bid process for
PY 2003-2004 and to request written information or confirmation from you by
Wednesday, April 16, 2003.
A. Results of the Core Services Bid Process for PY 2003-2004
The Families, Youth, and Children (FYC) Commission has reviewed the bids
according to the criteria established in the bids and provides recommendation(s)
and/or condition(s) as follows:
1. RFP 03010- Option B: The FYC Commission has no recommendations or
conditions.
2. RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program area. The FYC Commission has a recommendation as
follows: The provider shall make efforts to train staff in using a professional
interpretation standard when interpreting during mediations.
3. RFP 03005—Lifeskills,Home Based Parenting Coach. The FYC
Commission has a condition as follows: The provider shall submit the dollars
allocated for vacant positions on the budget page as required in the RFP
process, and, if necessary,work with John Kruse, Business Office Manager,
Social Services, to resolve any requirements of the budget pages of the bid.
4. RFP 03005—Lifeskills,Mentoring. The FYC Commission has a condition
as follows: The provider shall submit the dollars allocated for vacant positions
on the budget page as required in the RFP process, and, if necessary, work
with John Kruse, Business Office Manager, Social Services,to resolve any
requirements of the budget pages of the bid.
Page 3
Lutheran Family Services/Resu
Its of RFP Process for PY 2003-2004
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 16,2003.
S' cerely,a
J y A. ego, irect
cc: Dick Palmisano, Chair,FYC Commission
Gloria Romansik, Social Services Administrator
PROGRAM BUDGETS
COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentoring FP Consult
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 55 23 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,860 897 1,924 150 720 1,120 1,044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $17.40 $25.12 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $49,776 $22,529 $50,413 ,_#3,789 $15,154 $21,641 $22,995 $1,136
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION B OVERHEAD COSTS(E+F+G) $123,760 $57,878 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $123,760 $57,878 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,860 897 1,924 150 720 1,120 1,044 48
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $43.27 $64.52 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
1/1/6/0
Sow simy 0
Cleo. Sent,- esa,
Unit of
APR
1 5 2003
Weld$ounty 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 03-CORE-LS-0007
Revision (RFP-FYC-03005)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2003 and Lutheran Family Services
Ending 05/31/2004 Lifeskills-Visitation
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Computation of Awards Description
Unit of Service
The goal of this program is to expedite The issuance of the Notification of Financial
reunification of a family, if appropriate, or to Assistance Award is based upon your Request for
provide the County Department with an Proposal (RFP). The RFP specifies the scope of
assessment which will move the child(ren) services and conditions of award. Except where it is
toward an alternate permanent plan through in conflict with this NOFAA in which case the
three levels of services; (1)transportation, (2) NOFAA governs,the RFP upon which this award is
monitored visitation,and(3) interactional based is an integral part of the action.
visiting. Capacity to serve a total of 54 family Special conditions
units, monthly average capacity is 27,average 1) Reimbursement for the Unit of Services will be based
stay in the program is 6 months, average number on an hourly rate per child or per family.
of hours per week is 2. Bilingual-bicultural and 2) The hourly rate will be paid for only direct face-to-
South County services are available. face contact with the child and/or family, as
evidenced by client-signed verification form, and as
Cost Per Unit of Service specified in the unit of cost computation.
3) Unit of service costs cannot exceed the hourly and
Hourly Rate Per yearly cost per child and/or family.
Transportation $43.27 4) Payment will only be remitted on cases open with,
Visitation $ 64.52 and referrals made by the Weld County Department
Interactional Visitation $ 91.95 of Social Services.
Unit of Service Based on Approved Plan 5) Requests for payment must be an original submitted to
the Weld County Department of Social Services by
Enclosures: the end of the 25th calendar day following the end of
X Signed RFP: Exhibit A the month of service.The provider must submit
X Supplemental Narrative to RFP: requests for payment on forms approved by Weld
Recommendation(s) County Department of Social Services.
X Conditions of Approval
Appr Is: Program Official:
By o r f By C iJ
David E. Long, Chair Judy Gri$?c Direc r
Board of Weld County Col/imissioners Weld ulntty epartm nt of Social Services
Date: 9-3O-atx).3 Date: ` �Li/l13
u;3-/O(c$
EXHIBIT "A"
1
INVITATION TO BID
OFF-SYSTEM BID 02-03 RFP-FYC 03005
DATE:February 19, 2003 BID NO: RFP-FYC-03005
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-03005)for:Colorado Family Preservation Act--Life Skills Program
Emergency Assistance Program
Deadline: March 14, 2003, 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 I, 2003, through May 31, 2004, 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
(After receipt of order) BID MUST BE SIGNED IN INK
James D. Barcla _
TYPED TED SIGNATURE 7
VENDOR Lutheran Family Services
(Name) andwntten Signa y Au orized
Officer or Agent o ende
ADDRESS 3800 Automation Way, #200 TITL sident/CEO
Ft. Collins, CO 80525
DATE
PHONE # 970.266. 1788
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-03005 Attached A
LIFE SKILLS 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 2003-2004
OFF-SYSTEM BID 02-03 RFP-FYC-03005
NAME OF AGENCY: Lutheran Family Services
ADDRESS: 3800 Automation Way, #200 Ft. Collins, CO 80525
PHONE: 970.266. 1788 970.356.6080
CONTACT PERSON: Sherre DeManche TITLE: Program Manager
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, 2003 Start
End Mali 31, 2004 End
TITLE OF PROJECT: Visitation
AMOUNT REQUESTED:
Sbr,rre �(/Gahe_ke / C� `f��?�� 3 /a- O3
Name and Signature of Person Preparing Document Date
Judy A. Griego,Director
Name and Signature Chief Administrative Officer Applicant 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 2002-
2003 to Program Fund year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004
X Project Description
X Target/Eligibility Populations
x Types of services Provided
Measurable Outcomes
_x_ Service Objectives
x Workload Standards
X Staff Qualifications
X Unit of Service Rate Computation
X Program Capacity per Month
X Certificate of Insurance
x Assurance Statement
Page 26 of 32
Core Services Proposal
Life Skills
FY 03-04
Lutheran Family Services of Colorado
Visitation Services
I. PROJECT DESCRIPTION
Lutheran Family Services of Colorado is a community-based agency with an experienced staff
that offers a wide range of services to children, families and adults. It is a non-profit agency that
has provided human services to Colorado since 1948. Although the agency was established as
an affiliate of the Lutheran Church, it is an equal opportunity agency that provides services to all
individuals without consideration of religious beliefs, race, ethnicity, sex or economic status.
This project is intended to serve children in out-of-home care, who are the subjects of
dependency and neglect actions, and who have a court order which requires supervision of the
"parenting time" between the children and members of their families of origin, or who the county
Department determines to be in need of supervised visitation. In some cases, this parenting
time, whether with birth parents or other extended family members, could be safely provided in
the home of the birth parent/extended family or in another community location which would be
less formal, and more normalizing than alternatives in the County Department of Social Services
or other agency buildings. LFS has rented a home to be used as a visitation home. This is a fully
functioning home with a full kitchen and bath so that more normal family activities can occur
during parenting time.
The goal for this visitation program is to expedite reunification of a family, if appropriate, or to
provide the county Department with an assessment which will move the child(ren)toward an
alternate permanent plan. The visits may occur in the birth family home, in the Lutheran Family
Services'Visitation Home or in another community setting. After an initial assessment period of a
maximum of three visits, one of two levels of services will be determined appropriate by
consultation between the county caseworker and the Visitation Supervisor, with assistance from
the Program Coordinator and Clinical Supervisor, as needed. The least restrictive service on the
continuum would be monitoring of the visitation for the physical health and welfare of the
child(ren). More intensive services would be provided through educational visitation where we
evaluate the visits for appropriateness of interactions, assess the parent-child relationship,
evaluate parenting capability and actively intervene, role model, support and educate the family
members during the visit. This level of supervision could also include time spent separately with
adult family members prior to, and/or following the visitation to discuss parent-child interaction
during the visit time. Transportation to and from the visitation site would be provided in both of
the above-described levels and the transportation hourly rate would be used.
II. TARGET/ELIGIBILITY POPULATIONS
The target population would include any children who are the subject of dependency and neglect
actions requiring supervised "parenting time" by the court or the county Department of Social
Services. Children who have met any of the conditions of Criterion #1 for out-of-home placement
could be appropriate service recipients, including infants or young children with teen parents also
in placement. We will serve children ages birth to 18 and their families.
A. Total number of clients served: 162
We have three service levels within the visitation program. Our Transportation program is
budgeted to provide services for 48 clients, our Monitored Visiting program is budgeted to provide
Lutheran Family Services Visitation Program
services to 17 clients and our Interactional Visiting program is budgeted to provide services to 37
clients. The clients receiving transportation services will be receiving services in one of the
visitation levels and is not counted for the purposes of this number. This number assumes 3
family members in each family. There are four staff members budgeted in this program and we
have a total of 16 direct service staff available and can serve more families if we have the
referrals.
B. Total individual clients and the children's ages: 162
We estimate that each family will have three family members. The Transportation clients are
counted in one of the visitation levels for the purpose of this number, as they will be receiving one
of the visitation services. The two visitation services are budgeted to provide services to 43
families. Children's ages can be from birth to 18.
C. Total family units: 54
The Transportation clients are counted in one of the visitation levels for the purpose of this
number as they will be receiving one of the visitation services. The two visitation services are
budgeted to provide services to 43 families.
D. Sub-total of individuals who will receive bicultural/bilingual services: 41
We have had two bilingual workers on staff since late last summer and we have not experienced
a significant increase in referrals of families who are monolingual and speak Spanish. This
number reflects one quarter of our budgeted clients.
E. Sub-total of individuals who will receive services in South Weld County: 41
We do not limit our services geographically. This number is reflective of an estimated one quarter
of the referrals being from South County.
F. The monthly maximum program capacity: 27 families
The maximum number of cases per month served through this program would be 27 families and
could include children from birth through eighteen (18), with family members of any ages. The
number of contact hours budgeted for our three services is 39-52 and each case is budgeted for
6 months (based on EPP time frames), so the average weekly direct service per client is 2 hours.
The actual number of client contact hours with the children will depend on the total number of
hours of visitation ordered by the court, or requested by the county Caseworker, e.g., one case
may require one hour per week of visitation with a child and another may require two hours, two
times per week. We can assign as many staff to this program as the referrals warrant, so our
maximum capacity can be much larger.
G. The monthly average capacity: 27 families
This number is based on our budgeted capacity.
H. Average stay in the program (weeks): 6 months
The average stay in the program, as well as the average hours per week,would be dependent
upon the conditions of the court order and/or the request of the county Department of Social
Services. The budget is based on two hours of direct service per family for six months.
I. Average hours per week in the program: 2
III. TYPE OF SERVICES TO BE PROVIDED
Visitation services will be offered by LFS at two different levels (excluding Travel). Initial referrals
will all be made for Level B. After an initial assessment period of no more than three visitations,
Life Skills- Visitation 2
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services Visitation Program
the ongoing level of services will be decided by consultation with the county caseworker and the
Visitation Supervisor, with supervisory input from either agency, as needed. Transportation for
both levels may be provided, if needed, and the transportation time will be billed at a lower rate
than the cost for either of the two visitation levels. The total cases receiving services may be
divided between the two visitation levels.
The two levels are:
Level A: Monitored Visitation—In some situations, children in out-of-home care need only
transportation to visitations with birth family members, a reasonable and safe visitation location
and a supervisor to assure that the family members are providing for the safety of the child(ren)
during the visit. In these situations, the visit supervisor would be expected to arrange for and
document the location, time and attendance of participants of the visit, and provide a brief written
observation of the appropriateness; timeliness and interaction of visit participants. The supervisor
would not be expected to stay within hearing distance of the child(ren)and other visit participants
in order to monitor the content of conversations. Transportation for the children in care to and
from the site may be provided by the contracting agency.
Level B: Interactional Visitation—The focus of this visitation level is to actively monitor,
assess and assist in the overall adult/child interaction with the intent to improve the quality of the
relationship. This visitation level would require.that the supervisor monitor not only the physical
behavior and activities of the visit, but remain within a distance reasonable to monitor
communication with the children during the visit. The purpose of the interactional visit would be
to assess the level of future intervention needed for continuing visitation, to provide information to
the court and the Department regarding the interaction of the children and other visit participants,
and to provide protection, physically and emotionally,for children in out-of-home placement
during birth family visitation. To accomplish this, intervention and role modeling by the visitation
supervisor will occur to ensure appropriate communication and/or safe activities for the well-being
of the child(ren). Education, role modeling and coaching, if appropriate, will be included at this
level of visitation. Tools such as videos of child development and parent/child interaction, books
regarding specific parenting or child development tasks, structured activities during visitation and
assignments for ongoing visit preparation may be used. (Specific parenting educational needs,
such as bonding and attachment work or adolescent anger management may be identified and
requested by the caseworker.) In order to accomplish parenting instruction without lowering the
self-esteem of the parent in front of their children, some of the education may occur at a time
outside of the scheduled visitation, usually just prior to, or immediately following, a visit. If
possible, and with the approval of the caseworker, this level of visitation could occur within the
family home. Whether in the family home, in the Lutheran Family Services' Visitation Home or in
the community, arrangements for the visit location will be made by LFS, with the caseworker's
approval, and transportation of the child(ren)to and from the site may be provided by LFS.
Cost Containment(step down services)
This program is not based on the provision of introspective therapy services, which are typically
provided for a longer duration of time with more complex goals. This program provides more
'applied' or'hands on' services. Families are taught concrete skills through education, modeling
and practice. Skill building includes development of the skills necessary to access community
resources.
IV. MEASURABLE OUTCOMES
1. Children will be safe, physically and emotionally, during visitation with birth family
members. This outcome will be measured by tracking the number of incidents of
suspected child abuse that is reported due to behavior at a visit.
Life Skills— Visitation 3
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services Visitation Program
2. Visits ordered or requested for children will occur in compliance with the time frame and
duration required. This outcome will be measured through review of monthly reports by
LFS.
3. Assessment of child/adult interactions at visits will help move the children toward either
reunification with birth family or other permanency plans. This outcome will be measured
through review of monthly reports by LFS.
4. Parenting support and education by visitation supervisors will move the children toward
visitations in their family homes, with the goal of eventual unsupervised visitation and
then reunification. This outcome will be measured through review of monthly reports by
LFS.
5. If children cannot be returned home, visitation supervision and efforts to assist parents
will result in information for the county Department and courts that will allow for
alternative permanency plans to be considered. This outcome will be measured through
review of monthly reports by LFS.
6. The county Caseworker will receive written documentation pursuant to whichever level of
visitation supervision is being required. This outcome will be measured through review of
monthly reports by LFS.
7. LFS visitation supervisors will be available for court testimony, if subpoenaed. This
outcome will be measured through review of monthly reports by LFS.
8. Department of Social Services monthly verification, reimbursement requests and program
project reports will be submitted as required. This outcome will be monitored through
tracking of billing by the Weld County internal accounts receivable department.
V. SERVICE OBJECTIVES
Level A: Monitored Visitation—At this level the objective is safe transportation of the children
to and from a visit site, physical safety of the children during the visitation and a positive visitation
experience for the children in care with birth family members. "Birth family members" could
include only siblings who are also in out-of-home care in another placement location. A visitation
case does not necessitate the involvement of adults in the birth family. The visit supervisor will
provide a monthly summary to the county caseworker detailing the date, time and duration of the
visitation, the participants in the visitation, a brief summary of activities, notice of any critical
incidents (including early termination of visit for any reason), and children's attitudes or comments
during the visit and during the transportation to and from the visit. The length of service would be
dependent upon court order or county caseworker request, until permanency plans for the
children in out-of-care are accomplished.
Level B: Interactional Visitation—Initially, this level of visitation would require information
sharing, managed by the visitation supervisor, between the children and visiting family members
concerning the purpose of the visits, possible visit locations and the safety arrangements. In
addition to the children's physical safety at the visitation, this level of supervision would require a
physical proximity to visit participants allowing for monitoring of verbal communication with the
children. The supervisor would be prepared to intervene for either the emotional or physical
safety of the children, would terminate the visit if the children were at risk emotionally or
physically and will provide parent coaching, support, education and assistance with setting goals
aimed at independent parenting of their child(ren). A monthly summary of conversations,
activities and interactions would be provided to the caseworker, and/or the court, in order to
assess the effect of the visits on the children and the possible need for adjustment, either limiting
or extending visitation arrangements. The objective of these visits would be to protect the
children, to help the family work toward unsupervised visitation and/or reunification or to provide
Life Skills— Visitation 4
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services Visitation Program
information regarding parent/child interaction to allow for other permanency planning
arrangements. The visit supervisor would be both qualified and available to testify in court, if
subpoenaed.
VI. WORKLOAD STANDARDS
A. Number of hours per day,week, or month: 232 per month
We have budgeted 232 hours of direct service per month for this program.
B. Number of individuals providing the services: 5
We have budgeted four full time staff members in this program. We have 16 direct service staff
available throughout our entire program. More staff can provide services in this program if
needed.
C. Maximum caseload per worker: 8
In our structure, a full time professional staff person can provide 16 hours per week of direct
service so the caseload will be dependent on the number of weekly direct service hours needed
for each case. This number is predicated on the provision of 2 hours of direct service per case.
D. Modality of Treatment:
The modality of treatment varies, the priority at both levels is provision for the health and well-
being of the child(ren) client. In our Interaction Visitation program, the focus is on child/adult
interaction, bonding, reciprocity in relationship and development of overall parenting skills. We
will use assessment, education, modeling and assistance with application of the skills learned.
E. Total number of hours per day/week/month: 232
F. Total number of individuals providing these services: 5
We have budgeted four full time staff members in this program. We have 16 direct service staff
available throughout our entire program. More staff can provide services in this program if
needed.
G. The maximum caseload per supervisor: 1:7 ratio
H. Insurance
Our proof of insurance, naming Weld County Department of Social Services as co-insured, is
attached.
LFS will provide transportation to and from the visit site for the children in out-of home care,
visitation supervision at one of the two levels previously described, clinical supervision within the
contracting agency for the visitation supervisors, documentation as requested by the County for
verification and billing purposes and documentation and assessment as needed by the
caseworker for case planning and court presentation.
Our Visitation Supervisors work flexible hours, typically between 9:00 a.m. and 8:00 p.m.,
Monday through Friday. Weekends are taken into consideration if the family is unable to meet
during the week. The total number of hours provided would be dependent upon the court or
Department's request(e.g., a unit might be a single two hour visit per week or it might be a one
hour visit, three times per week).
Life Skills— Visitation 5
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services Visitation Program
VII. STAFF QUALIFICATIONS
Project Coordinator—This position will be responsible for accepting referrals from the county
Department Caseworker, assigning the case to the appropriate Visitation Supervisor and
assisting the Visitation Supervisor in assessing the referral for the appropriate intervention level
after the initial assessment period. Supervision of the ongoing caseloads with the Visitation
Supervisors will occur at least every-other-week, and immediate supervision will be available
upon request. In addition, documentation of visits will be monitored through this position and all
monthly reimbursement requests, verifications and program project reports will be completed by
this position. This position requires a Master's degree or a Bachelor's degree with at least five
(5)years of experience in a human services related field.
Clinical Supervisor—This position will provide additional supervision for the determination of the
appropriate level of services after the initial assessment period and will provide ongoing
supervision for any cases in level B, meeting with the visitation supervisor at least every-other-
week, with immediate supervision available as needed. A licensed therapist with experience in
human services and child welfare will be required to fill this position.
Level A: Supervised Visitation---This position will provide transportation for children in out-of-
home care to the visit location and monitor the physical safety of the children while they visit with
birth family members. Arrangements for ongoing visit locations and any contact with the birth
family necessary to make a change in, or cancel due to illness, a visitation will be the supervisor's
responsibility. In addition, the Supervisor will provide a monthly account to the county
caseworker with a brief description of visit activities, children's attitudes or comments prior to,
during and following the visits and notice of any critical incidents requiring early termination of the
visits. This position requires a Bachelor's degree with at least one year of experience in a human
services related field.
Level B/Therapeutic Visitation—This position will require a knowledge of families and children
and the ability to intervene in, or even terminate, a visit if a child becomes acutely distressed, is at
risk either emotionally or physically or if a visitation birth family member acts inappropriately
toward a child. In addition to safety of the child(ren), this position will provide role modeling,
education, coaching and support to the parent(s)to maintain appropriate parenting skills during
the visit. One-on-one time outside the visit with the parent to process the visitation experience,
provide education and discuss parenting techniques and skills may be included. This position
requires a Master's degree or a Bachelor's degree with at least two (2)years of experience in a
human services related field.
We currently have four staff budgeted to this program. We have 16 staff who are qualified to
provide services in this program and can provide visitation services if warranted by the volume of
referrals received.
VIII. COMPUTATION OF DIRECT SERVICE RATE
See attached spreadsheet.
Life Skills— Visitation 6
Weld County
Off System Bid 02-03 RFP-FYC 03005
RFP-FYC-03005 Attached A
LIFE SKILLS 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 2003-2004
OFF-SYSTEM BID 02-03 RFP-FYC-03005
NAME OF AGENCY:
ADDRESS:
PHONE:
CONTACT PERSON: TITLE:
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 1,2003 Start
End Mav 31, 2004 End
TITLE OF PROJECT:
AMOUNT REQUESTED:
Name and Signature of Person Preparing Document Date
Judy A. Griego, Director
Name and 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 2002-
2003 to Program Fund year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004
Project Description
Target/Eligibility Populations
Types of services Provided
Measurable Outcomes
_ Service Objectives
Workload Standards
Staff Qualifications
Unit of Service Rate Computation
Program Capacity per Month
Certificate of Insurance
Assurance Statement
Page 26 of 32
•
RFP-FYC-03005 Attached A
Date of Meeting(s)with Social Services Division Supervisor: O. 02 5 . D 3 Y `
Comments by SSD Supervisor:
rrn-
7c?
Name and Signature of SSD Supervisor Date
Page 27 of 32
• gF ILy
s�
Ex� 11�
n
of Colorado
"Services that heaL strengthen,and provide hope"
Assurance Statement
RE: Life Skills Program - Visitation
The actual direct face to face rate that Lutheran Family Services charges to Weld
County Department of Social Services will not be more then what is charged to
the gener c or billed to insurance agencies.
e D. Barclay Dat
Pres' ent/CEO
3800 Automation Way, Suite 200 • Fort Collins, CO 80525-3433 • (970) 266-1788 • Fax (970) 266-1799 • www.lfsco.org
ACCREDITED ,t'' �`"`
•
si CURD ,
__ _„__ .,,, 03/13/2003
PR•D E- etla N A -
•
MARSH ADVANTAGE AMERICA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
160 SPEAR STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
SAN FRANCISCO,CA 94105 _.._._. ._ ._..,..... _. ._ ___. _. ...._.._. _ _. ._
COMPANv GUIDEONE SPECIALTY MUTUAL NSURANCE
A
INSURED COMPANY GUIDEONE MUTUAL INSURANCE COMPANY
B
LUTHERAN FAMILY SERVICES OF COLORADO _ _ _. ..__ ._ _ _. - __ __ _ .._. _ _. _ ._. _
383 SOUTH HARLAN,SUITE 200 COMPANY
DENVER,CO 80228 _ C
COMPANY
D
1 E IF T I FI EL HA ESE PIN AB V PI PEI
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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 OP SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
CO POLICY lPFlCTIVE POLICY EXPIRATION
LTfi ;PE OF INSURANCE POLICY NUMBER DATE IMMIDOPTTI DATE IMMIDDIYYI LIMITS
GENERAL LIABILITY 1213-263 7/1/02 7/1/03 GENERAL AGGREGATE t 3,000,000
A X-COMMERCIAL GENERAL LIABIUTT PRODUCTS.COMPIOP AGO / ."iDDD.ODO-
__�1WTIJ CLAIMSMADE usOCCUR PERSONAL{ADV INJURY S T000.000
�c-�O ER{A CONTRACTOR'S PROT EACH OCCURRE {NCE 1;000,(101T
-IL �SOC�-I�AL WORKERS& (PER FORM PCG7550) FIRE DFAMOE WienMI TODO;D17�
t•VVIN8EL�SlA� — I MED EPP INN one Prow) I .---5'00D—'
AU i OMOSB.E LAABILITY
COMBINED SINGLE LIMIT
ANY AUTO
^
ALL OWNED AUTOS � 0 AV {
(PM Mile
SCHEDULED AUTOS __`___ _ _ _ _ _ _ _
HIRED AUTOS B�ODILY,NJ�Rv
- NON-OWNED AUTOS re
eeUeuY) i
—+I I PROPERTY DAMAGE s— — --..—
OARAGELIASILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHETH R AN AUTO ONLY
_. EACH ACCIDENT a- - - _- _
_.. _.__. _,__ ._ .. --- _. — _ _ —
AGGREGATE S .
E%CEBB LIABILITY 7/1/02 7/1/03 EACH OCCURRENCE 1 4,000,000
B UMBRELLA FORM `A—Tory AGGREGATE _____ —_tom V
1
UO1
OTHER THAN UMERELLA FORM I
WORKER'S COMPENSATION AND , 4YR 1_rE_ _ — —_.--
EMPLOYERS'LIABILITY EL EACH ACCIDENT 1
TIE PROPM2TOW INCL EL OIBEABE•POLICY LIMIT 1 — — -- --—
,MTNERAn2ECUTNE — -- — — --
OFNCde APE EICL EL DISEASE•EA EMPLOYEE 1
- OTHER 1
J
4tiCknne'Jn or GFRRI1IIGni1LU411WNSIY HIcLtveRLN1LIlBNB
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED (CC 2026)AS RESPECTS GENERAL LIABILITY ONLY IN CONNECTION
WITH CONTRACT SERVICES PROVIDED BY THE INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE
WELD COUNTY SOCIAL SERVICES ENPIMION DATE THEREOF. THE PEEVING COMPANY MILL ENDEAVOR TO MAIL
ATTN:JUDY A.GREIGO, DIRECTOR 30 DAYS WRITTEN NOnCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PO BOX A PUT FAILURE TO MAIL SUCH NOncE SHALL IMPOSE NO OBLIGATION OR LABILITY
GREELEY,CO 80832 OF ANY KIND UPON TN! COMPANY, ITS AGENTS OR REPRESENTATIVES.
TA
O
IIIIIIIMIlliMillINNISSIIIIIIIIIMIS
PROGRAM BUDGETS
•
COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HST Parent Coach Mentoring FP Consult
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 48 17 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,496 663 1,924 150 720 1,120 1,044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $12.50 $8.75 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $31,191 $5,802 $50,413 $3,789 $15,154 $21,641 $22,995 $1,136
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION B OVERHEAD COSTS(E+F+G) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,496 663 1,924 150 720 1,120 1,044 48
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $42.14 $62.07 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
DIRECT SERVICE COSTS COMPUTLRIZED BUDGET
Minimum Butloet Averse.. Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Degree N 01 Salary/Ben Salr.al 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Can FTEs 01.0 FTE Benefits/Other ALLOCATED PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Transportation Visitation A Visitation B Metlialbn HBT Parent Coach Manion% FP Consul '
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 36 4
8 TOTAL CLIENTS TO BE SERVED PER PROGRAM 46 17 37 50 98 28 29 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2496.03 683.0 1924.00 150.00 720.00 1120.00 1044.00 45.00
DIRECT LABOR FACE-TO-FACE PORITION TGI F OR LOB FUNCTI B
Sonnet.kite MS 0.45 $40,151 518,0145 YES 0,00% $000 0.00% 10.00 100.00% $18,081.45 50.00 $0.00 50.00 50.00 $0,00
Ebro,Jests BA 0.45 $33,700 $15.185.00 YES 0.00% $0.00 0.00% $000 0.00% 50,00 5000 5000 $0.00 100.00% 518.081 45 50.00
Edests,Td BA 0,45 $42,851 $19,28295 YES 000% 5000 0.00% $000 100.00% $18,081.45 $000 5000 50.00 50.00 $0.00
Scams%SlNBna MS 0.45 $38,947 $17,528.15 YES $0.00 5000 $0.00 20.00% $3,033.00 75.00% 511,373.75 $0.00 $000 5.00% $758.25
Md4.Holy BA 0.50 $37,170 518,565.00 YES 100.00% $18,585.00 000% $000 0.0%. $0.00 $0"00 $000 $0.00 $000 $000
OSMBIaM,Siena BA $0.00 NO $0.00 $0.00 $000 $080 $0.0 $000 $0.00 $000
T0omes,55Bon 5000 NO $0.00 $000 $000 $0"00 $0.00 $0.00 $0.00 5000
Hebe4ar.00999 SO CO NO $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $000 $0.00
IAVYM990 Co1FNMY $0.00 NO $0.00 $000
$0.00 $0.00 5000 $0.00 5000 $0.00
Boa.
oa.JNe $0.0 NO $0.0 $0.00 $0.03 $080 $0.00 - $0.00 $0.00 $0.00
Hatcher,
$000 NO $000 $000 $0"00 O.OD% $000 050% $000 $0.00 saw $0.00 MBdar,Amy 2050 SO0 $000 $0.0 $000 $0"0 000% $0.0 0.0095 $000 $0.00
VavO BA 0.50 $37,170 $1658600 YES 10000% 600 53.0 .. $00 $0.0 00% $0.0 100 50.0 Vat9l BA 0.50 .$37,170 $18.685.0 YES 110.00%. - $0 CO
Vassal BA 0.45 537,170 $16,728.50 YES 0.00% 5000 000% 5000 0.00% $0.00 $00 _.. 0.0 10410% $10.728.50 $000 $000
TOTAL DIRECT LABOR PER PROGRAM $140,676.55 $7.45 $16585.00 50.00 51880 $38,182.90 $20.22 $3,000 $15.80 $11,37375 5100 I $16,72850 $1.00 I $18,081.45 $15.80 $75825
OTHER DIRECT COOTR PER PROGRAM FAFF-TM1FArF
VlMalbn!lone , $080040 YES 25% $2,400.00 25% 52,40000 $0%" 548000 $000 . $0.00 $000 $000 $050
$4,200:00 YES 27% $11340 .9%: $37800 25% $105000 2% $840 10% $420.00 , 13% $516.00 13% $54600 1%. $42.00
.: •�. ,,: $33,60.0 YES 27% $9020 e% 5].0240 25%: $6400 :. "3%- $6720 "'10% $3.30.0 13% $43080 '..:13% $438600 1% $338.0
NO $0•
0 $00 $00 $00 $0.0 $00 $00 $0.0
NO Sono $000 $00 $000 $00 $000 $00
$ 0
NO $00 $00 $00 $00 $0.0 00
500 500 r 50.
TOTAL OTHER DIRECT COSTS PER PROGRAM $40 0 06 0 7,4 $5.05 $12,8 $5.75 55,802"0 $7.41 $14,250.0 $5.04 5758.0 $5.25 $3,70.0 $4.39 $4.914.0 $471" 54,914.0 $7.88 $3780
E GRANO TOTAL DIRECT SERVICE COSTS 3158,07855 $12.0 $3119100 $8.75 $5,02.0 528.20 $50,412.90 $25.28 53,789.0 $21.05 515,153.75 $19.32 $21,84050 $22.03 $22,995.45 $25.07 11,138.25
ADMIN COST NON-FACE-TO-FACE
COMPUTERIZED BUDGET
•
Minimum Budget Average Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY X OF TIME SALARY %OF TIME SALARY %OF TIME SALARY X OF TIME SALARY
Degree $0 Salaiy/Ben Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Carl FTEe @ 1.0 FTE Benefits/Other ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Transportation VInIIa00n A V6eation B Mediation HBT PareN Coach MMIann2 FP Consult
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 38 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 38 28 29 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2496.00 663.0 1924.00 150.00 72000 1120.00 104400 48.00
E MELT LABOR NAT FAr.F-TO.FAGF
flannel.JIM,C%MJan MS 0.41 $40,151 $16,474.21 YES 25.00% $4,118.55 15.00% $2,471.13 60.00% $9,884.53 58.0 $0.00 $000 50.00 $000
Fora,JON.TmaNneilConOWW BA 0.65 $33,700 $18,53500 YES 0.00% 50.00 0.00% 1000 0.00% 10.00 0.00% 5000 $0.00 5000 100.00% $18,53500 0.00% 5000
Edwina,Tot,TreatmN$Ca0NYIiv BA 0.55 $42,861 $23,568.05 YES 25.00% 55892.01 15.00% $3,53521 60.00% 514.140.83 $0.00 $0.00 $0.00 $0.00 $0.00
Botta ShmoM CHOW MS 0,55 $38.947 521.420.85 YES $0.00 $0.00 $0.00 16.00% 53.427.34 70.00% $18922.47 $000 $0.00 500% 11.07104
McNeil,Holy.Treatment Cofliator BA 0.55 $37,170 120.443.550 YES 25.00% $511088 1500% $336653 60.00% $12266.10 $0.0 $0.00 $000 $000 5000
OeMandM,Slane BA 1.00 146,881 $48681.00 YES 26.00% $11,66525 15.00% $8,990.15 00.00% $27,996.60 $0.00 $0.00 50.00 $0.00 $0.0
TBM9va.Sharon,Program Dreamt LCSW 0.34 $83,386 $21,544.44 YES 15.00% $3231.67 0004 51,939.0 34.00%: $7,325.11 3.00% 5048.33 15.00% $3878.00 10.00% $2,15444 10.00% $2.15444 1.00% $21544
HBUadar.Coles%SUOWrl Staff HS 0.34 $34,566 $11,854.44 YES : 15.00% $1778.17 900% $1.066.90 34.00% $4,03051 300% $35563 18.00% $2133.80 10.0%. $1.185.44 10.004 51,185.44 1.00% $110.4
IAdNAWd,C0ubl7,Sepat Slay HS 0.34 527,530 $9,360.20 YES 15.00% $1.404.03 9.03% $842.42 34.00% $3,182.47 350% $20.81 18.00% 51,884.84 10.0% $936.02 10.00% 6938.02 1.00% $930
Lori,RAW,,SMMMt Staff HS 0.09 1,0,382 12582.47 YES 1500% $38737 9.00% $232.42 34.0% $878.04 ' 3.00% 17797 18.00% 5464.54 10.0% $25825 1000% $25625 1.0% $25.82
BOS Aile.PlogrMn Mena$r LCSW 0.60 $4,873 $22.430.50 YES $0.0 $0.0 $00 14.00% $3,141.11 80.00% $17949.20 $0.0 - $0.0 800% $1,346.19
Swanson,Julie,VP of Pogmm&WIEN MA . 0.13 $78700 1920400 YES 15.00% $138060 DOO% 582536 34.00% $3,129.36 3.00% $278.12 18.00% 11,856.72 1000% $920,40 10.00% 592040 1.00% $92.04
HaoM,Amy,Pmgran Mangltt M5W 040 $43,305 $17,358.0 YES 0.004 $00 $0.0 $0.0 30.0 $00 .5000%.. 58570.0 : 50.00% $8,6790 50.0
VacaN BA 05$ $37,170 $2043.50 YES $000 - 10:00% $17,358.0
Vacant ' BA 0.55 $37,170 $20,4350 YES 25.00% $5,110.88 .15.00% 13068.53 6000% $1226810 $0,0 $00 100 580 $0.0
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $282,32956 $18.0 $40,07540 $3827 $24,04784 $49.43 $51,099.4 154.70 $8204.81 $62.07 $44,88987 528.12 $31,49156 $3129 $32,68655 $81.72 $2,962.09
OTMFR DIRECT COSTS PERPROARAM HOT FM7F.TO-FACF
OYM RoOwm Cnsb i< $0.0 NO 100 5000 300 50.0 5000 58.0
500 500
PmlesebilYFw 82081:00 YES 27.00% 572387 EGO% $24129 L 25.00% $57025 2.00% 551.82 10.00% $288.10 13.00% $34653 1300% 134853 .100%- $28.81
Orapttlep .,v $26,80.0 YES ` 2700%. $723881 . 900%: $201227 2600% $87075 200% $530.06 110.00% 12.65030 13.00% $34430 ', 1J.OD%: $34430 .1 D6% $288.0
Tra*TinMpalaon :_':'" $11,928.00 YES 2700% $322056 9.00% $1,07.52 < 25004, $299200 .200% $238.56 ' . 10.09% $118280 1300% $155084 , 1300 $15504 1.00%--. $11928
Office GONGS `. ' ,'' - y r ' .65.004.00 YES 27.40% $136726 9.00% 4X.76 2$:00%`" $12860 .-2004: $10128 . 10.00% $50810 130OX' $856 J2 1300%` 585832 51.00%: $504
M 11t619lJpFw and des «+- " :, x$258800 YES 2]50% $80822 D.004 12]2.14 '25.40% 14850 < - .200%' 551.72 11050% 1258.0 : 1300% $33618 .1350%' $3X18 1.00% 125.86
McNarlXtu Eapan$a " . .... 13.321:0 YES ? 21.00%' 18960! 000% 5288.80 35.00%: 183025 .. ..240%. 300.42 :10,00% $332.10 '. 1300%' $431/3 r:- 1300% 431 73 5L 1.09% $3321
SO.Oo 2100%j $000 200% $0u9 " 1000% $000 1J OD%: $00 1J OD%" 1000 - '.100%, $0.00
0 i, i NO Soo $0.0 $00 1' $0.00 °10.00% 50.0 " 1350% $000 19.00% $000 - < 100
TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM $523810 5587 $1414341 17.11 $4,714.47 $6.81 $13,095.75 3898 $1,04756 17.28 $5,238.30 8608 $6,80.79 $6.52 18,00)9 $1091 $523.83
F GRAND TOTAL DIRECT SERVICE COSTS NOTFACE-TOFACE $334.712.68 $21.72 $54222.61 43.38 $28,782.11 156.23 $10,19539 $81.88 19252.47 189.34 149,928.17 $34.20 $38,301.35 137.61 $30,478.35 $724 $3,450.52
OVERHEAD COSTS AND PROFITS
COMPUTERIZED BUDGET
O90 ALA % ALLOCATED I % ALLOCATED % ALLOCATED % ALLOCATED I ALLOCATED I ALLOCATED I ALLOCATED ALLOCATED
D 100% ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COST%ALLOCATED VERHEAD COSTS
DESCRIPTION COSTS D TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM
PROGRAM TMOs0onati0n VS3albn A Visitation B Mediation HOT Parent Coach McMoon9 FP Consult
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 40 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 38 28 23 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2499 00 063.00 182400 150.00 72000 1120.00 920.00 4800
DVFRHFAD
Total Owhea0(14%of M0Fna9L) $13.191.00 YES 27.00% 11078157 900% $8,587.19 25.00% $18397.75 2.00% 51,483.82 10.03% $7319.10 13.00% $9,514.83 1300% 59,51483 1.00% $731.91
NO $0.00 $0.00 $0.00 SO 00 $0.00 5000 $0.00 $000
NO $0.00 $0.03 $0.00 $000 $0.00 5000 $0.00 $0.00
NO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 S000
NO $0.00 SO CO $000 $0.00 $0.00 $0.00 S000 $000
NO $0 CO $0.00 $0.00 3000 $0.00 $0.00 $000 $000
NO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 SO 00 $0.00
NO $0.00 $0.00 $0.00 $0.00 $0.00 SO CO SO 00 $000
NO $003 $0.00 $0.00 $0.00 $000 $0.00 5090 $0.00
NO $0.03 $0.00 $000 $0.00 $0.00 $0.00 $0.00 $0.00
NO $0.00 $000 $000 $0,00 $0.00 $000 $000 SO 00
NO $000 $000 $000 MOO SO 00 $000 $0.00 $000
NO $000 $003 S000 $000 $000 $0.00 $0.00 $0.00
NO $000 $000 $0OD $0,00 SO D3 $0.00 $0.00 $0.00
NO $000 $000 $000 $000 $0.00 $000 $0.00 $0.00
. NO $000 $000 $000 $000 $000 $000 $000 $000
NO $O00 $000 $000 $0.00 $0.00 $0.00 $0.00 $000
G TOTAL OVERHEAD COSTS $73,191.00 $19,781.57 $6,587.19 $18,297.75 $1,48382 $7,319.10 $9,51483 $9,514.83 $73191
I TOTAL ANTICIPATED PROFITS $000 I YES 15% _ SO 00 9% $000 34% $000 $% $000 18% _, 3000 20% $000 20% $0.00 1% $0.00
TOTAL OVERHEAD AND ANTICIPATED PROFITS $73,19100 $19,781.57 $6,587.19 $18,297.75 $1,483.82 $7,319.10 $9,51183 19,514.83 $731.91
EXHIBIT "B"
Conditions of Approval
�• ,Aolp
f�9
\,.• A\ 4/ 6
of Colorado 24
Services that heal,strengthen, and provide hope"
April 15, 2003
Weld County Department of Social Services
ATT: Gloria Romansik
P.O. Box A
Greeley, CO 80632--
RE: RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program Area
RFP 03010: Option B, Home Based
RFP 03005: Lifeskills: Home Based Parenting Coach
RFP 03005: Lifeskills: Mentoring
RFP 03005: Lifeskills: Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Ms. Romansik:
This letter is in response to your letter dated 4/9/03 regarding the FYC
Commission's recommendations and/or conditions for the above core service
proposals.
1. RFP 03010 — Option B. There were no recommendations or conditions.
2. RFP 03008 — Mediation. We accept the commission's recommendation.
Only staff certified to provide mediation will perform this service.
3, 4, 5: RFP 03005 - (Home Based Parenting Coach, Mentoring, Visitation).
LFS contacted John Kruse on 4/14/03. We also made the specified
corrections on the spreadsheet and sent that corrected spreadsheet to Mr.
Kruse via email.
6. RFP 006-00 — Foster Parent Consultation. We accept the commission's
condition.
Thank you for consideration of our proposals. Please don't hesitate to let me
know if you need further information.
Respe • � /
s . Barclay
resi• -nt/CE•
363 South Harlan, Suite 200 • aenver, CO 80226-3552 • (303) 922-3433 • Fax (303) 922-7335 • www.lfsco.org
esACCREDITED fan vas moss Kee
PROGRAM BUDGETS
COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentoring FP Consult
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 55 23 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) Z860 _ 897 1,924 _ 150 720 1,120 1.044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) _ $17.40 $25.12 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE - $49,776 $22,529 _ $50,413 . --_$3,789 $15,154 $21,641 $22,995 $1,136 -
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9.252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION&OVERHEAD COSTS(E+F+G) $123,760 $57,878 _ $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
1 TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $123,760 $57,878 $176,906 $14,505 $72,401 $69.457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2.860 897 1,924 150 720 1,120 1.044 48
_ RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $43.27 $64.52 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
Weld 0,O
aaUnty Da
O/er;CSer�/ce t of
nice/ a
q or) , t
A 2''i.?
Arit DEPARTMENT OF SOCIAL SERVICES
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
C
COLORADO April 9, 2003
James Barclay President/CEO
Lutheran Family Services
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Re: RFP 03008: Mediation and Facilitation under the Intensive Family Therapy
Program Area
RFP 03010: Option B, Home Based
RFP 03005: Lifeskills,Home Based Parenting Coach
RFP 03005: Lifeskills,Mentoring
RFP 03005: Lifeskills, Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Mr. Barclay:
The purposes of this letter are to outline the results of the Core Services Bid process for
PY 2003-2004 and to request written information or confirmation from you by
Wednesday, April 16, 2003.
A. Results of the Core Services Bid Process for PY 2003-2004
The Families, Youth, and Children(FYC) Commission has reviewed the bids
according to the criteria established in the bids and provides recommendation(s)
and/or condition(s) as follows:
1. RFP 03010-Option B: The FYC Commission has no recommendations or
conditions.
2. RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program area. The FYC Commission has a recommendation as
follows: The provider shall make efforts to train staff in using a professional
interpretation standard when interpreting during mediations.
3. RFP 03005—Lifeskills,Home Based Parenting Coach. The FYC
Commission has a condition as follows: The provider shall submit the dollars
allocated for vacant positions on the budget page as required in the RFP
process,and, if necessary,work with John Kruse, Business Office Manager,
Social Services, to resolve any requirements of the budget pages of the bid.
4. RFP 03005—Lifeskills,Mentoring. The FYC Commission has a condition
as follows: The provider shall submit the dollars allocated for vacant positions
on the budget page as required in the RFP process, and,if necessary, work
with John Kruse, Business Office Manager, Social Services,to resolve any
requirements of the budget pages of the bid.
Page 2
Lutheran Family Services/Results of RFP Process for PY 2003-2004
5. RFP 03005- Lifeskills,Visitation: The FYC Commission has a condition as
follows: The provider shall submit the dollars allocated for vacant positions
on the budget page as required in the RFP process, and, if necessary,work
with John Kruse, Business Office Manager, Social Services,to resolve any
requirements of the budget pages of the bid.
6. RFP 006-00—Foster Parent Consultation. The FYC Commission has a
condition as follows: All individual consultation referrals will be referred to
other qualified bidders because of the higher cost of individual consultation
through Lutheran Family Services.
B. Required Response by FYC Bidders Concerning FYC Commission
Recommendations and Conditions
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 16, 2003,close
of business.
1. 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. Your responses that are accepted by the FYC
Commission and the Weld County Department of Social Services will be
incorporated as part of your bid and Notification of Financial Assistance
Award(NOFAA.)
2. FYC Commission Conditions:
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 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 bid and Notification of Financial Assistance Award
(NOFAA.)
Page 3
Lutheran Family Services/Resu
Its of RFP Process for PY 2003-2004
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 16,2003.
cerely,�
7 y A. ego, irect
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 (FYC) Funds
Type of Action Contract Award No.
X Initial Award 03-CORE-LS-0006
Revision (RFP-FYC-00007)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2003 and Lutheran Family Services
Ending 05/31/2004 Lifeskills-Home Based Parent Coach Program
3800 Automation Way,#200
Fort Collins, CO 80525
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial
Program is designed to serve families at risk of having Assistance Award is based upon your Request for
children placed in foster care or have recently been Proposal (RFP). The RFP specifies the scope of
reunified with their family. The program provides services and conditions of award. Except where it is
services that strengthens and preserves families by in conflict with this NOFAA in which case the
providing a home-based service for a limited length of NOFAA governs,the RFP upon which this award is
time using flexible service modalities that are determined based is an integral part of the action.
by the family's strength's and needs. Service to 28 family
units, with a monthly maximum capacity of 5 families, Special conditions
with an average stay of 8 weeks. Bilingual-bicultural and
South County services. 1) Reimbursement for the Unit of Services will be based
on an hourly rate per child or per family.
Unit of Service 2) The hourly rate will be paid for only direct face to face
Hourly Rate Per $ 62.01 contact with the child and/or family, as evidenced by
Unit of Service Based on Approved Plan client-signed verification form, and as specified in the
unit of cost computation.
Enclosures: 3) Unit of service costs cannot exceed the hourly and
X Signed RFP:Exhibit A yearly cost per child and/or family.
X Supplemental Narrative to RFP: Exhibit B 4) Payment will only be remitted on cases open with, and
Recommendation(s) referrals made by the Weld County Department of
X Conditions of Approval Social Services.
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 /V V, /
Judy Gri Director f
David E. Long, Chai Wel oIu_n'ty Department of Social Services
'-Board of Weld Co Commissioners Date: 1 130 30/03
Date: 9-33-r)OZ3
3- /0(08
EXHIBIT "A"
INVITATION TO BID
• OFF-SYSTEM BID 02-03 RFP-FYC 03005
DATE:February 19, 2003 BID NO: RFP-FYC-03005
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-03005) for:Colorado Family Preservation Act--Life Skills Program
Emergency Assistance Program
Deadline: March 14, 2003, 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, 2003, through May 31, 2004, 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
(After receipt of order) BID MUST BE SIGNED IN INK
arcla
TYPED TED SIGNA
VENDOR Lutheran Family Services
(Name) tten Sigma e y uthorized
Offi or Agent Vender
ADDRESS 3800 Automation Way, #200 TITLE President/CEO
Ft. Collins, CO 80525
DATE
PHONE# 970.266. 1788
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-03005
Attached A
LIFE SKILLS 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 2003-2004
OFF-SYSTEM BID 02-03 RFP-FYC-03005
NAME OF AGENCY: Lutheran Family Services
ADDRESS: 3800 Automation Way, #200 Ft. Collins, CO - 80525
PHONE: 970.266. 1788 970.356.6080
CONTACT PERSON: Amy Hatcher TITLE: Program Manager
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, 2003 Start
End May 31, 2004 End
TITLE OF PROJECT: Home Based Parent Coach Program
AMOUNT REQUESTED:
AIn C. lia#cher Atikt. "
& / ��' 3-/a-c3
Name and Signature of Person Preparing Documen Date
Judy A. Griego, Director
Name and 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 2002-
2003 to Program Fund year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004
x Project Description
X Target/Eligibility Populations
X Types of services Provided
X Measurable Outcomes
X Service Objectives _
X Workload Standards
X Staff Qualifications
X Unit of Service Rate Computation
Program Capacity per Month
y Certificate of Insurance
x Assurance Statement
Page 26 of 32
Core Services Proposal
Life Skills
FY 03-04
Lutheran Family Services of Colorado
Home-Based Parenting Coach Program
1. PROJECT DESCRIPTION
Lutheran Family Services of Colorado is a community-based agency with an experienced staff
that offers a wide range of services to children, families and adults. It is a non-profit agency,
which has provided human services to Colorado since 1948. Although the agency was
established as an affiliate of the Lutheran Church, it is an equal opportunity agency that provides
services to all individuals without consideration of religious beliefs, race, ethnicity, sex or
economic status.
Home-Based Parenting Coach
Lutheran Family Services' Home-Based Parenting Coach Program is a part of a comprehensive
array of family preservation services offered by LFS. The program is intended to serve families
who are either at risk of having children placed in foster care or have recently been reunified with
their family. This program is designed to strengthen and preserve families by providing a home-
based service for a limited length of time using flexible service modalities that are determined by
the family's strengths and needs. Skills taught and modeled in the home are designed to do the
following: create a safe, stable, and nurturing family environment; promote the safety and well-
being of children and families; maintain and build upon family connections and support; reduce
isolation; assist parents in developing appropriate parenting techniques; improve individual and
family functioning; improve family interactions; prevent, reduce, or eliminate behaviors that may
place a child or family at risk; and prevent unnecessary out-of-home care. Practitioners in the
program will serve as Parenting Coaches and facilitators of change, helping the family meet jointly
defined goals.
The Home-Based Parenting Coach Program combines all of the following elements:
• Short Term (six to eight weeks)
• Intensive(up to 10 hours in the home each week, average of 5 hours per week)
• Home-Based (treatment provided in the family's natural environment)
• Individualized (treatment focuses on the family's specific strengths and needs)
• Skill-Based (teach skills that work to resolve many problems)
• Crisis-Oriented (no or short waiting list; initial response to family within 24 hours)
• Competency-Based (length of intervention determined by family's achieved level of
competency in using skills that keep the family safe)
• Strength-Oriented (intervention builds on behavioral strengths of family members)
• Family and Coach as partners (relationship emphasized between family and Coach;
treatment based on family's expertise)
This program promotes the belief that in order for families to begin behavioral change, it is
important that Parenting Coaches are available to strengthen techniques the family already uses.
Many problem behaviors stem from families having never learned to consistently apply their
strengths across a broad spectrum of situations and settings such as home, work, school, etc.
Lutheran Family Services'Home-Based Parenting Coach Program
The Home-Based Parenting Coach Program emphasizes skill-building, modeling and application
of appropriate parenting techniques.
II. TARGET/ELIGIBILITY POPULATION
Families considered appropriate for these services are those in which family members are facing
problems that have affected their well-being, safety, psychosocial growth and development, and
family stability. Families that could benefit from basic life-skills training and parent coaching are
appropriate. The program is intended to serve families who are either currently at risk of having
children placed within the custody of DSS or have recently been reunified. Families with children
ages birth through 12 are appropriate. Families mandated or referred by the courts will be
considered contingent upon their willingness to participate in and ability to profit from participation
in such services. Primary caregivers must demonstrate a desire to maintain family relationships
and must possess the mental stability to utilize home-based services. Clients will not be eligible if
they can be successfully treated with less intensive service programs. This is not a program
intended to treat marital problems or mental health issues. The program is intended to build basic
life and parenting skills in the family in order to maintain family stability or to increase the success
of reunification. It should be noted that we do have one bilingual worker budgeted at .5 FTE in the
Home-Based Parenting Coach Program.
A. Total number of clients served: 84
We have budgeted one professional staff person to this program. We currently have 16
professional staff that could provide services in this program, if needed. The number of clients
served represents the caseload of the person budgeted. We estimate that there will be an
average of 3 family members per family served.
B. Total individual clients and the children's ages: 84
We estimate that each family will have three family members. Children's ages can be from birth to
18.
C. Total family units: 28
This number reflects the caseload of a half time professional staff person. As outlined above, we
can have other staff provide these services if we receive the referrals.
D. Sub-total of individuals who will receive bicultural/bilingual services: 21
We have had two bilingual workers on staff since late last summer and we have not experienced a
significant increase in referrals of families who are monolingual and speak Spanish. This number
reflects approximately one quarter of our budgeted clients.
E. Sub-total of individuals who will receive services in South Weld County: 21
We do not limit our services geographically. This number is reflective of an estimated one quarter
of the referrals being from South County.
F. The monthly maximum program capacity: 5 families
This number is based on the budgeted number of families per year(28). We will provide an
average of 5 hours of direct service per week for eight weeks to the families in the program. As
outlined above, we can assign as many staff to this program as the referrals warrant, so our
maximum capacity can be much larger.
Life Skills—Parent Coach 2
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services'Home-Based Parenting Coach Program
G. The monthly average capacity: 5 families
This number is based on our budgeted capacity.
H. Average stay in the program (weeks): 8
I. Average hours per week in the program: 5
III. TYPES OF SERVICES TO BE PROVIDED
Assessment of Family Risks
All families receiving home-based serves are assessed utilizing the Family Risk Scales upon
intake and case closure. The assessment is helpful in the development of treatment goals for
each individual family. It is also a means of measuring progress. The Family Risk Scales (FRS)
was designed as a standardized measure to assess a particular kind of risk-a child's need for
out-of-home placement. The risk variables measured are those that contribute to, or precipitate,
the need for out-of-home placement (i.e. habitability of residence, financial problems, family social
support, etc). The FRS consists of 26 individual rating scales, each with four to six levels that
range from adequacy (1)to increasing degrees of inadequacy (5-6)on the variable being
measured. The first two initial visits with a family are spent assessing these risk variables and
talking with the family members about their agenda and concerns. This assessment period is
further utilized to gather information in regard to the family system and the family's strengths. The
DSS Caseworker will also be asked to complete a shortened version of the FRS.
The Adult-Adolescent Parenting Inventory can be utilized to assess parenting attitudes and
behaviors both upon intake and case closure. The Adult-Adolescent Parenting Inventory (AAPI) is
a tool utilized to assess high-risk parenting attitudes and behaviors. Responses to the inventory
provide an index of risk for practicing behaviors correlated to child abuse and neglect(i.e.
inappropriate expectations of children, parental lack of empathy toward children's needs, belief in
corporal punishment, reverse of parent-child role responsibilities, and oppression of children's
power and independence). Low scores indicate agreement in the aforementioned parenting
behaviors and a high risk for abuse and neglect.
Teaching, Modeling, Demonstrating, and Building Basic Life-Skills
Individuals and families directly served will develop beneficial life-skills,thereby reducing factors
associated with abuse, neglect, domestic violence, substance abuse, unemployment, poverty, etc.
We will teach the family basic life-skills including: budgeting, bill paying, dealing with rental
agreements, debt management, cleaning, household maintenance, personal hygiene, shopping,
menu planning, meal preparation, etc. The skills taught will be determined by results of the FRS
in conjunction with the agenda of the family and the agenda of the DSS Caseworker. Variables
that are deemed as areas of high risk will be viewed as priority, and skills will be taught
accordingly. We also focus on starting with skills where family strengths already exist in order to
encourage family cooperation and motivation.
Teaching, Modeling, Demonstrating, and Building Appropriate Parenting Skills
Through the use of home-based education, parents are introduced to appropriate, healthy,
creative, and effective parenting techniques and values. The Parenting Coach will provide
families with training in child development, limit setting, discipline, esteem-building, providing
structure, nurturing, attachment, etc. We will assist families in implementing and integrating the
information we teach through modeling, demonstrating and coaching. At times parents may
Life Skills—Parent Coach 3
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services'Home-Based Parenting Coach Program
benefit from skills taught through specific curricula, which may include: the Nurturing Parent
Program, Parenting with Love and Logic, and the Terrific Infant Program. These curricula focus
on reducing inappropriate parental response to children's behavior while increasing age-
appropriate parental expectations of children.
Advocacy and Linkage to Sources of Support in the Community
The Parenting Coach will assist the family in accessing and utilizing community resources to deal
with particular risk areas identified (ex: access to health care, housing, employment). The family's
effective use of community resources is an imperative goal within this program, as accessing
resources is generally a core issue for families who have achieved a level of stress that would
indicate a need for family preservation services. Furthermore, access to community resources
reduces isolation and increases support for the family.
IV MEASURABLE OUTCOMES
The Home-Based Parenting Coach Program will utilize the Family Risk Scales and the Adult
Adolescent Parenting Inventory to assess the family's pre and post service functioning. The
Family Risk Scales were designed as a standardized measure of a child's risk of entering foster
care. The risk variables measured by the scales are those believed to contribute to or precipitate
the need for out of home placement. Changes in a family's risk status may be determined by
rating the scales two or more times (pre and post tests). Changes in parenting behaviors and
values may be determined by using the Adult Adolescent Parenting Inventory providing both a pre
and post-test score.
there are 26 risk factors included in the Family Risk Scales. There are 16 of these scales that we
have identified as being appropriate for skill building in the Home-Based Parenting Coach
Program. The 16 scales that we have identified as being "non-mental health issues;" and
therefore, appropriate for this program are bolded.
1. Habitability of Family Residence
2. Suitability of Living Conditions
3. Financial Problems
4. Adult Relationships in Household
5. Family's Social Support
6. Parent's Physical Health
7. Parent's Mental Health
8. Knowledge of Child Care and Development
9. Parent's Substance Abuse
10. Parent's Motivation for Problem Solving
11. Parent's Attitude to Preventing Placement
12. Client's Cooperation with Agency
13. Preparation for Parenthood
14. Supervision of Child Under Age 10
15. Parenting of Child Age 10 and Over
16. Physical Punishment of Child
17. Verbal Discipline of Child
18. Emotional Care and Stimulation of Infant(Under 2 Years)
19. Emotional Care and Stimulation of child Age 2 and Older
20. Physical Needs of Child
21. Sexual Abuse of Child
22. Child's Physical Health and Disabilities
23. Child's Mental Health
Life Skills—Parent Coach 4
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services'Home-Based Parenting Coach Program
24. Child's School Adjustment
25. Child's Delinquent Behavior
26. Child's Home-Related Behavior.
A. Improvement of household management competency: measured by components of the
Family Risk Scales.
B. Improvement of parental competency: measured by components of the Family Risk Scales
and the Adult-Adolescent Parenting Inventory.
C. Parents can work independently with other resources in the community and within the
local, state and federal governments: measured by case documentation
D. Families will remain intact for six months after discharged: measured by Weld County
DSS family tracking.
E. Families will have improved competencies and/or reduced risk of need for placement:
measured by the Family Risk Scales and Adult-Adolescent Parenting Inventory.
V. SERVICE OBJECTIVES
Improved household management competency will be achieved through family and individual
skill-building, modeling and application of appropriate household management techniques. We
will offer instruction on household management issues, such as: budgeting, cleaning, household
furnishing, chore structure, etc. We will also link families to community organizations that can
assist them on an ongoing basis.
Improved parental competency will be achieved through family and individual skill-building,
modeling and application of appropriate parenting techniques. We will use education on child
development, hygiene, safety, discipline, and relationship building strategies to build the base for
the application of specific parenting techniques or strategies. The focus of this area will be
enhancement of the parent/child relationship.
Improved ability to access resources will be achieved through information and referral services.
The Parent Coach may accompany families to community resources to coach them through the
process, including teaching families how to appropriately advocate for themselves, how to
complete the necessary applications for services, scheduling appointments, etc.
As outlined in Section IV, the achievement of these objectives will be measured using the Family
Risk Scales and the Adult-Adolescent Parenting Inventory as well as case documentation.
All families involved in the program are assessed utilizing the FRS upon intake and case closure,
or at the end of service. The assessment is helpful in the development of treatment goals for
each individual family. It is also a means of measuring progress. Clients served will demonstrate
improved parental competency, improved household management, and an improved ability to
access resources as indicated by decreased FRS scores. These scores will be documented in
monthly progress reports and treatment plans.
Parents will be assessed utilizing the AAPI upon both intake and case closure. Clients involved in
the above services will demonstrate improved parental competency as evidenced by improved
scores on the AAPI from pre to post. These scores will be documented in monthly reports and
treatment plans.
Life Skills—Parent Coach 5
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services'Home-Based Parenting Coach Program
VI. WORKLOAD STANDARDS
A. Number of hours per day,week,or month: 25 per week
Each family is budgeted to receive 5 hours of direct service per week for 8 weeks. We are
budgeted to provide services to 3 families per week for a total of 15 hours of direct service per
week. These numbers are based on the budgeted number of cases. We can provide services to
more families, if referred.
B. Number of individuals providing the services: 1
The budget submitted shows one professional staff member providing services in this program.
As mentioned in an earlier section, we have 16 staff members who could provide services in this
program.
C. Maximum caseload per worker: 3 families
In our structure, a full time professional staff person can provide 16 hours per week of direct
service so the caseload will be 3 cases per worker if they are providing 5 hours of direct service
per case.
D. Modality of treatment:
The modality of treatment is based on the Boy's Town Family Preservation Model, which includes
the following elements: short term, intensive, home-based, individualized, skill-based,
crisis-oriented, competency-based, strength-oriented, and family and Parenting Coach as
partners in the treatment process. We utilize education, modeling, and demonstration to build on
family strengths and to teach skills that will empower and stabilize families.
E. Total number of hours per day/week/month: 15 per week
Each family is budgeted to receive 5 hours of direct service per week for 8 weeks. We are
budgeted to provide services to 3 families per week for a total of 15 hours of direct service per
week. These numbers are based on the budgeted number of cases. We can provide services to
more families, if referred.
F. Total number of individuals providing these services: 1
We currently have part of one staff members time budgeted to this program. Our structure has
been established to allow us maximum clinical flexibility. We currently have 16 staff who can offer
services in this program, not including the program supervisors.
G. The maximum caseload per supervisor: 1:7
H. Insurance
Our proof of insurance, naming Weld County Department of Social Services as co-insured, is
attached.
Our Parenting Coaches work flexible hours, typically between 9:00 a.m. and 8:00 p.m., Monday
through Friday. Weekends are taken into consideration if the family is unable to meet during the
week.
Life Skills—Parent Coach 6
Weld County
Off System Bid 02-03 RFP-FYC 03005
Lutheran Family Services'Home-Based Parenting Coach Program
VII. STAFF QUALIFICATIONS
Professional staff assigned to this program are qualified by one of the following:
• A master's degree in social work or another human service field; and/or
• A bachelor's degree in social work or another human service field and at least one years post-
degree experience in family and children's services.
We currently employ three Licensed Clinical Social Workers, one Licensed Professional
Counselor, seven clinicians with their Master's in Social Work, one clinician with a Master's of Art,
one recruiter with a Master's in Education, one clinician with a Masters in Human Development
and Family studies, eight employees with Bachelor's Degrees.
All staff has experience in child and family services. All staff in this program is required to secure
thirty-two hours per year of continuing education training. All staff will receive weekly supervision
from a supervisor experienced in child welfare work. The supervisors are also required to secure
thirty-two hours per year of continuing education training.
VIII. UNIT OF SERVICE RATE COMPUTATION
The budget spreadsheets are attached to this proposal.
Life Skills—Parent Coach 7
Weld County
Off System Bid 02-03 RFP-FYC 03005
RFP-FYC-03005 Attached A
Date of Meeting(s)with Social Services Division Supervisor: 0)-c 5- O,-?
Commentsby SSD Supervisor:\ /
—7-1(1,7
Name and Signature of SSD Supervisor Date
e: %
of Colorado
"Services that heal, strengthen, and provide hope"
Assurance Statement
RE: Life Skills Program — Home Based Parent Coach
The actual direct face to face rate that Lutheran Family Services charges to Weld
County Department of Social Services will not be more then what is charged to
the gen ublic or billed to insura ce agencies.
i jj)
J es D. Barclay Dat
President/CEO
3800 Automation Way, Suite 200 • Fort Collins, CO 80525-3433 • (970) 266-1788 • Fax (970) 266-1799 • www.lfsco.org
ACCREDITED er H..K.._w
....,.v...t t UMW Way Helps Ham
-- -� __-_------- - '-_-- --+--- - - 03/13/2003
PROD .- aria +B A • - - - - - - :E . - ••• •n -
MARSH ADVANTAGE AMERICA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
160 SPEAR STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANTE5 AFFORDING COVERAGE •
SAN FRANCISCO,CA 94105
COMPANY GUIDEONE SPECIALTY MUTUAL NSURANCE
A
maORED -- -` COMPANY GUIDEONE MUTUAL INSURANCE COMPANY
LUTHERAN FAMILY SERVICES OF COLORADO B
- _. ___ .- _ ._. _ _. __ _ ._. ._. ._. ._
383 SOUTH HARLAN, SUITE 200 COMPANY
DENVER,CO 80228 C _ _ __, _____, _ — _ ,_..— _ _,.__ _
COMPANY
D
I E IF T PI S FI N EL HA E E B E HEN AB VE P PE I
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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS.
CO
TYPE OF INSURANCE POLICY NUMBER Polley EPRCTVE POLICY EXWMTION1 LIMITS
LTR DATE(MMIDIWT) DATE IMMTGW)
GENERALLIASILITY 1213-263 7/1/02 7/1/03 GENERAL AGGREGATE S 3,000,000
A X-COMMERCIAL GENERAL LIABILITY MODUCTB•COMP/OP Mg S 0II0,DDQ-"
1 CLANS MADE [29 OCCUR PERBOMLEAOVINJURY f 9-,OW,6OC
OWNER'S A CONTRACTOR'S PROT EACH OCCURRENCE S 1,ODO;001J-
� SOCIAL WORKERS 6 (PER FORM PCG7550) FIRE(Wage (My y,•�j j CCMU:C r-
._ C— LTAUNSEtSS LIAR- MEDEXP (Alry on*p.PRn) i --5:000—
- AU OVA OBILE LIABILITY —
COMBINED SINGLE LIMIT I
—ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS gqgqDRY INJURY S
PN P• n)
HIRED AUTOS $QI u>RY E
NON-OWNED AUTOS (PSS I
r. PROPERTY['WADE S —_
-
GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S
—.I ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT 1_ — __ ——-- AGGREGATE S _..- "--- -
• --EX-LESS LIABILITY 7/1/02 7/1/03 EACH OCCURRENCE S 4,000,000
B 11 UMBRELLA FORM AGGREGATE _ S _4 o .DOCK
OTHER THAN UMBRELLA FORM E
WORKER'S COMPENSATION AND ITwIiMTt s rE_
Wallin'EMPLOYERSWallin' it.EACH ACCIDENT Till. — — — _.
THE nowTo V /NCI EL DISEASE•POLICY LNMT E —
MRTHDI ARE:
ECUTIV[ I—
Swan
_.—
awanARE: EXCL ELDIBEABETEA EMPLOYEE I
ma- -
I
UtlYAREE NUN UP UPAHA IRE14/LtRa IIUNYvCThI.Ifll,PEUAL I I bird
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED (CG 2026)AS RESPECTS GENERAL LIABILITY ONLY IN CONNECTION
WITH CONTRACT SERVICES PROVIDED BY THE INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE
WELD COUNTY SOCIAL SERVICES EXPIRATION OAT!THEREOF, THE ISSUING COMPANY VALI ENDEAVOR TO MAIL
ATTN:JUDY A.GREIGO, DIRECTOR 30 DAYS WRITTEN NOTICE TO Olt CERTIFICATE HOLDER NAMED TO THE LEFT,
PG BOX A BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 05LIGA7ION OR LIABILITY
GREELEY,CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATNES
A REWN HIATNE
1
L / -_.
PROGRAM BUDGETS COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentoring FP Consult
TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED 48 17 37 30 36 28 29 12
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,496 663 1,924 150 720 1,120 1,044 48
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $12.50 $8.75 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $31,191 $5,802 $50,413 $3,789 $15,154 $21,641 $22,995 $1,136
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
H TOTAL DIRECT,ADMINISTRATION B OVERHEAD COSTS(E+F+G) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $105,175 $41,151 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,496 663 1,924 150 720 1,120 1,044 48
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $42.14 $62.07 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
DIRECT SERVICE COSTS COMPUTERIZED BUDGET
Minimum Budget Average Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Degrw N DI Salary/Ben Salarinl 100% SPENT ON MID SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Con FTEs C 1.0 FTE BsnentsiOiher ALLOCATED PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COST PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Transportation Visitation A Visitation B Mediation HST Parent Coact Mentorey FP Consul '
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 90
B TOTAL CLIENTS TO BE SERVED PER PROGRAM as 17 37 30 36 28 29 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 249600 663.00 192400 15000 720.03 112000 1044,00 4800
OIRFC.T I ABOR FACE-TO-FAC.F POSITION TITI F OR JOB FUNCTION
BMRNA,Me MS 045 $40,151 518,081,45 YES 0.00% 50.00 0.00% 5000 100.00% $10,00145 $000 50.00 SO 00 SD DO 10.00
Flores,Jests BA 0.45 $33.)00 $15,165 OD YES 000% S000 0.00% 50.00 0.00% $0.00 50.00 5000 $0.00 100.00% $10081.45 $0.00
EJMMds,TM BA OAS $42,851 519,28295 YES 0.00% $000 0.00% $0.00 190.96% 518,081.45 5000 SOW $000 5000 50.00
Boatman Shama MS 0.45 530,947 117.526.15 YES $0.03 10.00 5DW 20.00% $3033.00 75.00% $11,373.75 $0.00 5000 5.00% $750.25
MCIeI,Holy BA 0.50 337,170 $18,565.00 YES 100.00% $18,585 OD 0.00% $0.00 0.00% 5000 5003 50.03 5000 5003 5003
[Manche.Sham BA 5000 NO $0.00 $000 50.00 5000 $0.03 10.03 5003 50.03
Thomas,Sharon 10.00 NO 5000 SO 03 50.00 1000 $000 30.00 10.00 50.00
HeCeder.Cohen 50.03 NO 50.00 50 DO 10,00 $000 50.00 $0.00 $000 50.00
Ur erxwd,COunney $0.03 NO 1000 10.00 $0m SOW SOW 50.00 5000 $000
Lucas,KaMY $000 NO S000 50.00 1000 50.00 SO 00 $000 5000 50.00
Box.Jule $000 NO $0.00 50.00 $000 000% $0.96 0.00% 10.00 10.00 50.00 $003
Hatcher,Amy $0.00 NO SOW SOW $0.00 $000 $000 000% 50.00 0.00% $000 $000
Vacat BA 045 $37,170 116,726.50 YES 103,00% $000 $000 1003 $0.0 0.00% $0.03 $0.00 $000
VaaH BA 050 $37,170 518,585.00 YES 100.00% 1000
Val l BA 0.45 537.170 $16,726.50 YES 0.00%. 5000 0.00%. 5000 000%1 $OW ... $0.00 50DO 103.00% 116,726.50 5003 $000
TOTAL DIRECT LABOR PER PROGRAM 5140,67655 $745 $18,505.00 $0,00 $1B BD $35,162.00 52022 $3,033.00 $15.80 $11,373.15 S1.00 I 116,726,50 $100 I $18,08145 $15.80 $758.25
OTHER DIRECT COATS PER PROGRAM FACE-TO.FArF
Notation Ablate $9600.00 YEs 25% $219603 25% $1.49696 50%'. $4800.00 $000 E0.00 50.03 1o.W so 96
CN Phone[ 34300.40 YES _ 27%. $113196 9%' $3)096 25X- $1,050.03 T% 58103 10% $42000 13% $548.00 13% $546CO 1% 54200
%Menge - $33,000,96 YES 27% $907203 9%. $3,02400 25% 38,400.03 2% $6739 10% $3,360 OD 13% 54,368.00 : 13% 5436803 1% 533600
( '. NO $000 SOW y SOW $DW 30.00 $000 5000 $000
NO So96 So96 1096 so96 1096 fo96 $096 SO 00
', NO SOW 3000 3000 5003 ,., $0.96 SOW 3096 $0.00
TOTAL OTHER DIRECT COSTS PER PROGRAM $47,40.96 $503 112,006.03 $8.75 $5,802.00 5741 $14,250.00 5504 $756.00 $5.25 $3,780.00 $439 14,984.96 $4,71 54,814,00 $788 $378.00
E GRAND TOTAL DIRECT SERVICE COSTS 1188,07855 $12.50 $31,191.00 $8.75 55.80200 526.20 550,41203 $25.26 $3,789.00 $21.05 115,153.75 519.32 521,640.50 $2203 522.99545 $23.67 $1,136.25
ADMIN COST NON-FACE-TO-FACE
COMPUTERIZED BUDGET
Minimum Budget Average Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY Y.OF TIME SALARY %OF TIME SALARY %' F TIME SALARY %OF TIME SALARY %OF TIME SALARY
I Degree 901 SalarylBen Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Cart FTEs @1.0 FTE Benefits/Other ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM Trans00natron Visitation A Vis4algn 6 MediNgn HBT Parent Coach M¢Monng FP Consul
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 36 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 45 17 37 30 36 28 29 12
C TOTAL HOURS OR OATS PER PROGRAM FOR YEAR 2496,00 66300 192400 15000 720.00 112000 1044.00 d0.00
nlRFCT I AMOR NOT FACE TO-FACE
Bernal,. 6.Clinician MS 041 140,181 $16,47421 YES 25.00% $4,11855 15.00% $2,471,13 60.00% $9,88453 $000 $0.00 $000 $0.00 $0.00
Flares,Jesus.Treatmaa COwaMabr BA 055 $33,700 $18,535,00 YES 0.00% 5000 0.00% $000 0.00% $000 0.00% $0.00 $000 $080 100.00% $18,535.00 0.00% $000
Edwards,TN.Treatment Cooelamr BA 0.55 $42,851 $23,568.05 YES 25.00% $5,89201 15.00% $3,535.21 60.00%. $14,140.83 $0.00 $0.00 $000 $0.00 $000
Batsman,$NaMe,CHdan MS 0.55 $38,947 $21,420.85 YES $000 $0.00 $0.00 16.0% $3,427.34 79.00% $16,922.4] $0.00 $000 5.00% $1,071,04
McNeil.Ho9y,TrednwtCooanMGr BA 0.55 $37,170 $20,443.50 YES 25.00% $0,110,88 15.00% $3066.53 60.00% $12,2666.10 $0.00 $0.00 $0 OS $000 $0.00
DeMance,Slam BA 1.00 $40,661 $46,.661.00 YES 25.00% $11,865.25 15.00% $6,999.15 8000% $27,996.00 $0.00 $000 $0.00 $0.00 $0.00
Themes,SNmn,Program Director LCSW 034 $83,3856 $21,544.44 YES 15.00% $3,231,67 9.005 $1,939.00 34,00% $7,325.11 3.00% $84833 18.00% $3,876.00 10.00% $2,1544 1000% $2,154.44 1.00% $21544
Heioetla.Cohen,Supped Staff HS 034 $34,886 $11,85444 YES 15.00% $1,778,17 9.00% $1,06680 3400% $4,030.51 3.00% $355.83 18.00% $2,139.80 10.00% $1.1854 10.00% $1,115.44 1.00% $11854
UlMenced,Courtney,Suleo651317 HS 034 $27,530 $9,36020 YES 1500% $1,404.03 9.00% 084242 34.00% $3,18247 3.00% $28081 18.00% $189486 1000% $938.02 10.00% $93602 1.00% $9360
Luca,Kathy,Supped Staff HS 0.00 $30,382 $2,582.47 YES 1500% $38737 9,00% $23242 34.00% $878.04 3.00% $7747 1080% $464.84 10.00% $258.25 10.00% $250.25 1.00% $2582
Box,Julie,Program Malaga ,. LCSW 0.50 $µ,873 $22.436.50 YES $0.00 $000 $0.00 14.00% $3,141.11 80.00% $17,µ9,2D $000 $0,00 6.00% $1,341.19
Swanson,Julie VP of Pmgran Services MA 0.12 $76700 $9,20400 YES 15.00% $1,38060 900% 5628.36 34.00% $3129.35 300%. $278.12 1800 $1,658.72 - 10.00% $920.40 10.005 $920.40 1.00% $92.04
Hatcher,Amy,Program Manager MSW 040 ,..$43,396 $17,358.00 YES 0.00% $0.00 $0.00 $0.00 $0.00 $000 50.00% $8,679.00 50.00% $8,079.00 $0.00
Vacant BA 055 $37,170 $20443.50 YES $0.00 100.00% $1735800
Vacant BA 055 $37,170 $2044350 YES - 25.00% $511058 15.00% $306653 6000% $12,266.10 $0.00 $000 $0.00 $000 $0.00
TOTAL DIRECT LABOR PER PROGRAM NOTFACETOFACE $202,32866 $1506 $40,07940 $36.27 $24,047.64 $4843 $95,099,64 $54.70 $8,20481 $6207 $44699.87 $28.12 $31491.56 $31.29 $32888.56 $61.72 $2,98269
OTHER DIRECT COSTS PFR PRO:RAM NOT FACF-TOFACE
Drecl Proprem Cab $0.00 NO $0.00 $D.W $0.00 $000 $000 - $0.00 $000 $000
Pmfeselon lFees $2,681,00 YES 21.00% $72387 9.00%: 624129 25.00%: $67025 -200% 15362 10,00% $260.10 19005 $348.53 13.00% $34859 1.00% $2681
Obsparry , 1$20,80.00 YES 27,00%. $723681 9.00% $2412.27 25.00% $670075 -:200% 5534.05 [.1080%! $2660.30 1300% $348439 1300% 5348439 1005 526803
TraveVlanporlalbn $11.928,00 YES 2700% $322050 9.00% $1,013.52 2500% $298200 2.00% $238.55 10.006 $1,19280 13.00% $155064 ..13.00% $1.550.64 1.00% $11928
ORm E>:Pr%ee ,,, $5,061.00 VES 2700% $196728 19.00%. $455]B 25.00$ $1,2660 Y2.00%' NOt2B 10.00% $50.40 :' 1900%. $65632 ,.1500% $65832 1.00%: $50.64
MemM45ItC Fen vtl Urea .. _ ".$2,508.00 YES "27.00% $69022 ; : 9.00%' $23274 .25.00%: 584850 2.005 551.72 ..10.00%: $256.00 ,13005. $33618 1300%. $33818 1.00% $25.86
MbcManeOIS Exwen • $9;321.00 YES :27 CO% $896.87 9.00% $288.89 25.00% $830 25 -. 2.00% $6642 -10:00% $33.10 1300%' $431.73 y 1300% $491]] ".:1.004 $3321
NO ;27.00% $000 $0.00 25:x0%; 0000 2.00% $096 10.00% $0.00 13.00% $0.00 13.00% $000 ;'1.00% $000
S. NO c: $000 $0.00 $000 $0.00 10.09%" 50.0 13.00% $000 13.00%. 5000 $0.00
TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM $52,383.00 $5.67 $1414341 $711 $4,71447 $8.81 $1]0¢575 $699 $1,0].66 $7.28 $5,238.30 $6.08 $6,809]9 $6.52 $8809]9 $1091 $52383
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $334,71266 $2172 $54,222.81 563.38 $28.762.11 $56.23 $108,195,39 $6180 $9,252.47 $69,34 148,928.17 $34.20 $38,30135 $3781 $39478.35 $7286 $3,48652
OVERHEAD COSTS AND PROFITS COMPUTERIZED BUDGET
ofGRREA % ALLOCATED % ALLOCATED % ALLOCATED I % ALLOCATED I ALLOCATED I ALLOCATED I ALLOCATED ALLOCATED
• D 100% ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COSTS %ALLOCATED VERHEAD COSTS X ALLOCATED VERHEAD COST X ALLOCATED VERHEAD COSTS
DESCRIPTION COSTS D TO PROGRAM TOPROGRAM TO PROGRAM TOPROGRAM TO PROGRAM TOPROGRAM TO PROGRAM TOPROGRAM TO PROGRAM TOPROGRAM TO PROGRAM TOPROGRAM I TO PROGRAM TOPROGRAM TOPROGRAM TO PROGRAM
PROGRAM Transportation Visitation A Visitation 8 Mediation HBT Parent Coach MenlgsI FP Consult
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 52 39 52 5 20 40 40 4
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 48 17 37 30 38 28 23 12
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 2496.00 683.00 192400 15000 720.00 1120.00 920.00 48.00
OVERHEAR
Tale,°wheal(14%of expanse) $73.191.00 YES 27.00% $19,781.57 9.00% $8,587.19 25.00% $18,297.75 2.00% $1,463.82 10.00% $].319.10 13.00% $9,514.83 13.00% $9,51483 1.00% $731.91
NO S000 $0.00 $0.00 $0.D0 SO OD $0.00 $0.00 $0.00
NO $0.00 $000 $0.00 $0.00 SO 00
NO $000 SO Da $0.00 $0.00 $0.00 $000 $0.00 $0.00
NO $0.o0 $0.00 50 DD $0.00 $0.00 $0,40 $0m 5000
NO $0.00 $0.00 5000 50.00 10.00 $000 $0.00 $000
NO $0.00 $0.00 $0.00 $000 $0.00 $0.00 $0.00 $0.00
NO $0.00 $0.00 $0.00 $000 $0.00 $0.00 $0.00 $0.00
NO $0.00 $000 5000 $0.00 $0.0D $0.00 $0.00 $0.00
NO $0.00 $000 $0.00 $0.00 $000 5000 $0.00 $0.00
.. NO $000 $000 S000 $000 $0.00 $0 0 $0.00 KW
NO $000 SO DO $000 $0.00 $0A0 $0.00 MOO $0.00
NO $000 $0.00 $000 $0.00 $0.00 SD CO $0.00 - SO 00
NO $000 $000 $000 $0.00 $0.00
NO $000 $000 $0.00 $0.00 S000 $ $
0.00 000
$000
NO $000 $000 $000 $0.OO $000 $0,00 $000 - $000
NO 5000 $000 $000 $000 $000
SO OD 50.00 SO DO
G TOTAL OVERHEAD COSTS $73.191.00 $19,781.57 58,507.19 $18,29775 $1,48]82 $7,319.10 $9,514.83 $9,514.89 $731.91
I TOTAL ANTICIPATED PROFITS $0.00 : IYE5 15%,.,. . , $003 9% $000 31% SDW 5% $000 18% $0.00 29% $0.D3 20% $0.001% SO.00
TOTAL OVERHEAD AND ANTICIPATED PROFITS $73,19100 $19,78157 $8,587.19 $18,297.75 $1,483,82 $7,319.10 $9,51483 $9,514.83 $731.01
EXHIBIT "B"
Conditions of Approval
�FAMILY
s
v.te,
cy
of Colorado ?O
"Services that heat strengthen,and provide hope"
April 15, 2003
Weld County Department of Social Services
ATT: Gloria Romansik
P.O. Box A
Greeley, CO 80632 -
RE: RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program Area
RFP 03010: Option B, Home Based
RFP 03005: Lifeskills: Home Based Parenting Coach
RFP 03005: Lifeskills: Mentoring
RFP 03005: Lifeskills: Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Ms. Romansik:
This letter is in response to your letter dated 4/9/03 regarding the FYC
Commission's recommendations and/or conditions for the above core service
proposals.
1. RFP 03010 — Option B. There were no recommendations or conditions.
2. RFP 03008 — Mediation. We accept the commission's recommendation.
Only staff certified to provide mediation will perform this service.
3, 4, 5: RFP 03005 - (Home Based Parenting Coach, Mentoring, Visitation).
LFS contacted John Kruse on 4/14/03. We also made the specified
corrections on the spreadsheet and sent that corrected spreadsheet to Mr.
Kruse via email.
6. RFP 006-00 — Foster Parent Consultation. We accept the commission's
condition.
Thank you for consideration of our proposals. Please don't hesitate to let me
know if you need further information.
Respe • • /
s P. Barclay
resi. -nt/CE•
363 South Harlan, Suite 200 • /cover, CO 80226-3552 •�y(303) 922-3433 • Fax (303) 922-7335 • www.l£sco.org
tliS AC�EDITED
ter,---" b
.•Y,1 tt•I.MM IMn
- _- - COMPUTERIZED BUDGET
PROGRAM Transportation Visitation A Visitation B Mediation HBT Parent Coach Mentodng FP Consult
TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 52 39 52 5 20 40 36 4
TOTAL CLIENTS TO BE SERVED 55 23 37 30 36 28 29 12
TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,860 897 1,924 150 720 1,120 1,044 48
COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $17.40 $25.12 $26.20 $25.26 $21.05 $19.32 $22.03 $23.67
TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $49,776 $22,529 $50,413 .. $3,789 $15,154 $21,641 $22,995 $1,136
ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $54,223 $28,762 $108,195 $9,252 $49,928 $38,301 $39,478 $3,487
OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,762 $6,587 $18,298 $1,464 $7,319 $9,515 $732 $732
TOTAL DIRECT,ADMINISTRATION&OVERHEAD COSTS(E+F+G) $123,760 $57,878 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $0 $0 $0 $0 $0 $0 $0 $0
TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $123,760 $57,878 $176,906 $14,505 $72,401 $69,457 $63,206 $5,355
TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,860 897 1,924 150 720 1,120 1.044 48
RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $43.27 $64.52 $91.95 $96.70 $100.56 $62.01 $60.54 $111.56
we/a C
S°ci al my Oe
Cie:eerSeo .C/n/t of
rat
DEPARTMENT OF SOCIAL SERVICES
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
C
COLORADO April 9, 2003
James Barclay President/CEO
Lutheran Family Services
3800 Automation Way, Suite 200
Fort Collins, CO 80525
Re: RFP 03008: Mediation and Facilitation under the Intensive Family Therapy
Program Area
RFP 03010: Option B, Home Based
RFP 03005: Lifeskills,Home Based Parenting Coach
RFP 03005: Lifeskills,Mentoring
RFP 03005: Lifeskills,Visitation
RFP 03-04 006-00: Foster Parent Consultation
Dear Mr. Barclay:
The purposes of this letter are to outline the results of the Core Services Bid process for
PY 2003-2004 and to request written information or confirmation from you by
Wednesday, April 16, 2003.
A. Results of the Core Services Bid Process for PY 2003-2004
The Families, Youth, and Children(FYC) Commission has reviewed the bids
according to the criteria established in the bids and provides recommendation(s)
and/or condition(s) as follows:
1. RFP 03010- Option B: The FYC Commission has no recommendations or
conditions.
2. RFP 03008: Mediation and Facilitation under the Intensive Family
Therapy Program area. The FYC Commission has a recommendation as
follows: The provider shall make efforts to train staff in using a professional
interpretation standard when interpreting during mediations.
3. RFP 03005—Lifeskills,Home Based Parenting Coach. The FYC
Commission has a condition as follows: The provider shall submit the dollars
allocated for vacant positions on the budget page as required in the RFP
process, and, if necessary,work with John Kruse, Business Office Manager,
Social Services, to resolve any requirements of the budget pages of the bid.
4. RFP 03005—Lifeskills,Mentoring. The FYC Commission has a condition
as follows: The provider shall submit the dollars allocated for vacant positions
on the budget page as required in the RFP process, and, if necessary,work
with John Kruse,Business Office Manager, Social Services, to resolve any
requirements of the budget pages of the bid.
Page 3
Lutheran Family Services/Resu
Its of RFP Process for PY 2003-2004
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 16,2003.
cerely,
J y A. ego, irect
cc: Dick Palmisano,Chair,FYC Commission
Gloria Romansik, Social Services Administrator
a
ft
DEPARTMENT OF SOCIAL SERVICES
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
WI I II O
• MEMORANDUM
COLORADO
TO: David E. Long, Chair Date: April 28, 2003
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services hit,
t ft,(h C0 C C
RE: Notification of Financial Assistance Awar (NOFAAA undbr Core
o.S�l )
Services Funds-Lutheran Family Services
Enclosed for Board approval are Notification of Financial Assistance Awards (NOFAA) for Core
Services Funds with Lutheran Family Services. The Families, Youth and Children Commission
(FYC) has reviewed these proposals under a Request for Proposal process and is recommending
approval of these bids.
The major provisions of the NOFAAs are as follows:
1. The period of each NOFAA is June 1, 2003,through May 31, 2004.
2. The source of funding is Core Services, which is comprised of 80%Federal/State and
20% County resources and 100% State resources. The total budget for Core Services is
projected to be $929,822.
3. Lutheran Family Services agrees to provide services to those children and families who
are in imminent risk of placement under child welfare and as referred by the Department.
The services to be provided through Lutheran Family Services are as follows:
A. Under Mediation and Facilitation under the Intensive Family Therapy Program
Area, services are solution-focused using conflict management therapy, goal
specific and time limited to five hours of therapy per referral. Services are
therapy services only and do not include treatment services. The total number of
family units is 30 per funding year, the monthly average capacity is two families,
the average stay in the program is 2.5 weeks, and the average hours per week is
two. The South County area will be served. Currently, there are no Bilingual staff
trained in mediation, however, upon the Department's request, Bilingual staff
may be trained in mediation. The hourly rate is $96.70.
2003-1068
MEMORANDUM Page 2
David E. Long, Chair, Board of County Commissioners
NOFAAs - Lutheran Family Services
B. Under Option B, this program is designed to promote the safety and well being of
children and their family members. Services will build on primary family
connections and help parents improve parenting abilities, identify parental
strengths and support their efforts to care for their children. The program will
expedite the return of children to their family and assist in creating a stable and
nurturing family environment. The program serves families where children are
ages 0-18. The number to be served is 36 families per funding year, monthly
average capacity is 12 hours of service per family, with service to 4 families per
month. The average stay in the program is 6 weeks. Bilingual-bicultural and
South County services available. The hourly rate is $100.56.
C. Under Lifeskills-Mentoring, this program serves at-risk youth ages 6 to 18 who
are currently in one of the following situations; (1) at risk of being placed within
the custody of DSS, (2) at risk of losing his/her current placement, and/or(3)
recently reunified. This program is meant to be a source of positive, adult support
for youth. The program year capacity serves a total of 29 individual clients. The
monthly average capacity is seven, average stay in the program is 12 weeks, and
the average number of hours per week is three. Bilingual-bicultural and South
County services are available. The hourly rate is $60.54.
D. Under Lifeskills—Visitation, the goal of this program is to expedite reunification
of a family, if appropriate,or to provide the County Department with an
assessment which will move the child(ren)toward an alternate permanent plan
through three levels of services; (1) transportation, (2)monitored visitation, and
(3) interactional visiting. The capacity through the program year is to serve a
total of 54 family units. The monthly average capacity is 27, the average stay in
the program is six months, and the average number of hours per week per family
is two. Bilingual-bicultural and South County services are available. The hourly
rate for Transportation is $43.27, for Visitation is $64.52, and for Interactional
Visitation the hourly rate is $91.95.
E. Under Lifeskills -Home Based Parent Coach this program is designed to serve
families at risk of having children placed in foster care or who have recently been
reunified with their family. The program provides services that strengthens and
preserves families by providing a home-based service for a limited length of time
using flexible service modalities that are determined by the family's strengths
and needs. The service capacity is 28 family units for the program year, with a
monthly maximum capacity of five families, with an average stay of eight weeks.
Bilingual-bicultural and South County services are available. The hourly rate is
$62.01.
If you have any questions,please telephone me at extension 6510.
Hello