HomeMy WebLinkAbout20011734.tiff RESOLUTION
RE: APPROVE 11 CONSULTANT AGREEMENTS WITH VARIOUS PROVIDERS FOR
MIGRANT HEAD START PROGRAM AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with 11 Consultant Agreements for the
Migrant Head Start Program between the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Human
Services, Family Educational Network of Weld County, and the following providers with terms
and conditions being as stated in said agreements
1) Sunrise Community Health Center
2) Plan de Salud del Valle
3) St. Mary's Family Practice Residency
4) Montrose Memorial Hospital, Olathe, dba Olathe Medical Clinic
5) Lyle Yost, D.D.S.
6) Dr. Mike Ho, M.D.T., Skyline Dental
7) Walker Pharmacy
8) Gibson Pharmacy of Delta Store
9) Dacono Drug Store
10) The Bridge Assisted Living Care Center of Longmont
11) Hilltop Community Resources, Inc.
WHEREAS, after review, the Board deems it advisable to approve said agreements,
copies of which are attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the 11 Purchase of Services Agreements for the Migrant Head
Start Program between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Department of Human Services,
Family Educational Network of Weld County, and the above listed providers be, and hereby are,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreements.
2001-1734
6• /il)e HR0072
RE: 11 CONSULTANT AGREEMENT WITH VARIOUS PROVIDERS FOR MIGRANT HEAD
START PROGRAM
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 27th day of June, A.D., 2001.
BOARD OF COUNTY COMMISSIONERS
_ A WELD COUNTY, COLORADO
ATTEST: ���" Df /_ ....� ' IE EXCUSED DATE OF SIGNING
C .t.a M. J. eile, Chair
Weld County Clerk to th o- (/®
11861
✓. ,��I Glenn Vaad, Pro-Tert5
BY: ' ice ' ' �1 . i4w `•
Deputy Clerk to the l!'+�� � \�'"- , `� '
William H. Jerke
PR• 'EDA O dRM: EXCUSED
s . David E. Long
N
run �tt9rney EXCUSED DATE F IGNING (AYE)
Robert D. Masden
2001-1734
HR0072
rectikiii, MEMORANDUM
TO: Weld County Board of County Commissioners
Wage FROM: Walter J. Speckman, Executive Director DHS
'`DATE: June 27, 2001
COLORADO
SUBJECT: Multiple Purchase of Service Agreements for the Family
Educational Network of Weld County, Migrant Head
Start Program
Presented before the Weld County Board of Commissioners,for consideration are Purchase of Service
Agreements between FENWC and the following:
(1. Sunrise Community Health Center, medical, dental, pharmaceuticals and supplies to children in
Greeley.
2. Plan de Salud del Valle Community Health Center,medical,dental,pharmaceuticals and supplies
to children in Frederick.
<`3. St, Mary's Family Practice Residency, for health services to children in Grand Junction.
4. Montrose Memorial Hospital, to provide health services to children at the Olathe site.
5. Dr. Lyle Yost, D.D.S., for dental screenings for Migrant Head Start children in Olathe.
6. Skyline Dental, for dental screenings/examinations for Migrant Head Start children in Grand
Junction.
7. Mike Johnson, for nursing services in Grand Junction.
s
a� 8. Carrie Fairchild, for nursing services in Olathe.
9. Virginia Stevenson, Early Childhood Special Education services for children at the Olathe and
Cr Clifton sites.
.� 10. Chris Tuthill,speech/language pathologist for speech/language services for children at the Olathe
3 and Grand Junction sites.
- 11. Brenda McDonald for Early Childhood Special Education services for children at the Greeley and
Frederick sites.
o
12. Sarah Lusk, occupational therapy for children at the Greeley and Frederick sites.
01
- 13. Becky Miller, speech/language pathologist for speech/language services for children at the
Greeley and Frederick sites.
1 3 14. Lisa Guzman, audiologist for hearing services for children at the Greeley, Frederick, Grand
Junction and Olathe sites.
15. Walker Pharmacy, for pharmaceuticals and supplies for Grand Junction.
16. Gibson Pharmacy, of Delta, for pharmaceuticals and supplies for Olathe.
17. Dacono Drug Store for pharmaceuticals and supplies for Frederick.
18. The Bridge Assisted Living Care Center of Longmont to provide meals to the Frederick site.
(breakfast, lunch, supper, and snacks).
19. Hilltop Community Resources, Inc.to provide meals for the Grand Junction site(breakfast,lunch,
supper, and snacks).
For further information please contact Tere Keller-Amaya at extension 3342.
2001: 173
PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this day of May, 2001 by and between
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Weld County Division of Human Resources' Family Educational
Network of Weld County, Migrant Head Start Program hereinafter referred to as "FENWC" and
the Sunrise Community Health Center herein after referred to as "Health Center."
WITNESSETH
WHEREAS,FENWC is required to provide medical/dental services according to the Head
Start Performance Standards 45CFR 1304-1, 3,4, &5.
NOW THEREFORE, in consideration of the premises, the parties hereto covenant and
agree as follows:
1. The Health Center shall provide the health/dental services for the Migrant Head Start
Centers located in the Greeley/Evans area. Services and appropriate documentation will
be complete by the end of the program year.
a. The Health Center will schedule appointments for referred children.
b. The Health Center will go to the FENWC Center daily to observe and assess
children who may be in need of medical services.
c. FENWC will provide transportation for children and families to make appointments
if necessary.
2. The Health Center agrees to provide all physical examinations and update immunizations,
hematocrit, blood pressure, hearing ,vision ,and height and weight and acute care for any
Migrant Head Start child.
3. FENWC agrees to reimburse the Health Center, for the aforementioned services, a total
of $25,000.00, to cover the following personnel costs: the Nursing Services Coordinator,
Physicians Assistant, and Medical Assistant for the Greeley Centers. Personnel costs
include salary, benefits, and mileage.
4. FENWC agrees to reimburse the Health Center $6,000.00 for dental services to include
screenings, prophylaxis therapy and application of topical fluoride for each Migrant Head
Start child. The Health Center agrees to provide all restoration and/or extractions as
deemed necessary on each referred child.
5. The Sunrise Pharmacy will fill all prescriptions prescribed by a Medical provider licensed
in the State of Colorado, and over the counter medications brought to said pharmacy for
families/children enrolled in a FENWC Migrant Head Start Center, not to exceed
$1,000.00.
6. The pharmacy will use generic drugs whenever possible, whether prescribed or over the
counter medications.
7. The pharmacy will write directions in both English and Spanish.
8. The Health Center will provide PK)testing for any FENWC staff at a cost of$10.00 per test.
9. Aforementioned costs are based on a Migrant Head Start enrollment of one hundred eight
(108) children, and will be adjusted should the enrollment level decrease.
10. The Health Center will submit bills to:
Family Educational Network of Weld County
Migrant Head Start Program
attn: Julie Mallory
PO Box 1805
Greeley, CO 80632
11. This Agreement may be modified upon the written consent of both parties.
12. Services provided by the Health Center that are not reimbursed by FENWC will be
designated as a non-federal match/in-Kind contribution to the FENWC Program on behalf
of the Health Center. Non-Federal Match/In-Kind Contributions must be submitted with the
bills.
13. The Health Center and FENWC mutually agree that this Agreement may be canceled or
amended by either party after a thirty (30) day written notice. This Agreement will be
terminated immediately in the event funding for the Head Start Program is stopped.
14. The term of this Agreement is from June 11, 2001 through September 21, 2001.
15. The Health Center assures that it carries adequate liability and malpractice insurance.
16. Assurances:
a. The Health Center agrees that It is an independent contractor and that its officers,
employees, and clients do not become employees of Weld County, and therefore
are not entitled to any employee benefits as Weld County employees, as a result
of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and employees.
shall not be held liable for injuries or damages caused by any negligent acts or
omissions of the Health Center, its employees, volunteers, or agents while
performing this Agreement. The Health Center, its officers and employees, shall
not be held liable for injuries or damages caused by any negligent acts or
omissions of FENWC, its employees, volunteers, or agents while performing
functions as described in this Agreement. The Health Center shall provide
adequate liability and worker's compensation insurance for all of its employees,
volunteers agents engaged in the performance of this Agreement, as required by
the Colorado Worker's Compensation Act. Likewise, FENWC, by and through the
Board of Weld County Commissioners,shall provide adequate liability and workers'
compensation insurance for all employees of FENWC engaged in the performance
of this Agreement.
c. No officer, member, or employee of Weld County and no member of their
governing bodies shall have any pecuniary interest, direct or indirect, in the
approved Agreement or the proceeds thereof.
d. The Health Center understands that monitoring and evaluation of the performance
of this Agreement shall be conducted by the Weld County Division of Human
Resources and the results provided to the Weld County Board of Commissioners.
e. The Health Center and FENWC assure compliance with Title VI of the Civil Rights
Act of 1986, and that no person shall, on the grounds of race, creed, color, sex,
handicap, or national origin be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination under the approved
Agreement.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly
executed as of the day and year first herein above set forth.
WELD COUNTY BOARD OF SUNRIOMMUNITY HEALTH
COUNTY OMMISSIONERS ? ?!k€P Ri•
Geiie, Chairperson Mike Bloom, Executive Direct
(pta a-7l l)
ATTEST: ILA/,(�'�� a%% WELD COU DIVISION OF HUMAN
fl SERVI
1861 O 1/4P
By:
Clerk to the Bo\o `"'° 7 Wa J. peckman, Executive Director
PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this L277 day of June, 2001 by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Division of Human
Resources' Family Educational Network of Weld County hereinafter referred to as
"FENWC" and the Plan de Salud del Valle, hereinafter referred to as "Health Center."
WITNtSSt T H
WHEREAS, FENWC is required to provide medical/dental services according to the
Head Start Performance Standards 45CFR 1304-1, 3,4, & 5.
NOW THEREFORE, in consideration of the premises, the parties hereto covenant
and agree as follows:
1. The Health Center shall provide the health/dental services for the Migrant Head
Start Centers located at 340 Maple, Frederick and the Fort Morgan Plan de Salud
Health Clinic located at 909 E. Railroad. The Fort Morgan children will receive
services in Fort Morgan and the Frederick children will receive the services in
Frederick. Services and appropriate documentation will be complete by the end of
the program year.
a. The Health Center will schedule appointments for referred children.
b. The Health Center will go to the FENWC Center daily to observe and assess
children who may be in need of medical services.
b. FENWC will provide transportation for children and families to make
appointments as necessary.
2. The Health Center agrees to provide all physical examinations and update
immunizations, hematocrit, blood pressure, hearing, vision, and height and weight
necessary for any Migrant Head Start child.
3. FENWC agrees to reimburse the Health Center, for the aforementioned services,
a total of$9,000, to cover the following personnel costs: a Physicians Assistant and
Medical Assistant at the Frederick Center.
4. FENWC agrees to reimburse the Health Center for services provided to families in
Fort Morgan who do not qualify for financial assistance through Salud.
5. The Health Center shall provide prophylaxis therapy and application of topical
fluoride for each Head Start child. The Health Center agrees to provide all
restoration and/or extractions as deemed necessary on each referred child,
6. FENWC agrees to reimburse the Health Center $5.00 per child for dental
screenings and other dental services as needed, and will be reimbursed for
additional services according to the attached fee schedule, not to exceed$5000.00.
7. The Health Center will submit bills for service monthly to:
Family Educational Network of Weld County
Migrant Head Start Program
attn: Julie Mallory
PO Box 1805
Greeley, CO 80632
8. This Agreement may be modified upon the written consent of both parties.
9. Services provided by the Health Center that are not reimbursed by FENWC will be
designated as a non-federal match/in-Kind contribution to the FENWC Program on
behalf of the Health Center. Non-Federal Match/In-Kind Contributions must be
submitted with the bills.
10. The Health Center and FENWC mutually agree that this Agreement may be
canceled by either party after a thirty (30) day written notice. This Agreement will
be terminated immediately in the event funding for the Head Start Program is
stopped.
11. The term of this Agreement is from June 18, 2001 through September 21 , 2001 .
12. The Health Center assures that it carries adequate liability and malpractice
insurance.
13. Assurances:
a. The Health Center agrees that it is an independent contractor and that its
officers, employees, and clients do not become employees of Weld County,
and therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of the Health Center, its employees, volunteers,
or agents while performing this Agreement. The Health Center, its officers
and employees, shall not be held liable for injuries or damages caused by
any negligent acts or omissions of FENWC, its employees, volunteers, or
agents while performing functions as described in this Agreement. The
Health Center shall provide adequate liability and worker's compensation
insurance for all of its employees, volunteers agents engaged in the
performance of this Agreement, as required by the Colorado Worker's
Compensation Act. Likewise, FENWC, by and through the Board of Weld
County Commissioners, shall provide adequate liability and workers'
compensation insurance for all employees of FENWC engaged in the
performance of this Agreement.
c. No officer, member, or employee of Weld County and no member of their
governing bodies shall have any pecuniary interest, direct or indirect, in the
approved Agreement or the proceeds thereof.
• d. The Health Center understands that monitoring and evaluation of the
performance of this Agreement shall be conducted by the Weld County
Division of Human Resources and the results provided to the Weld County
Board of Commissioners.
e. The Health Center and FENWC assure compliance with Title VI of the Civil
Rights Act of 1986, and that no person shall, on the grounds of race, creed,
color, sex, handicap, or national origin be excluded from participation in, be
denied the benefits of, or be otherwise subjected to discrimination under the
approved Agreement.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be
duly executed as of the day and year first hereinabove set forth.
WELD COUNTY BOARD OF COMMISSIONERS PLAN DE SALUD DEL VALLE
i�l rJ
M. J. eile Cotcl 27A3060 Stanley J. sher, Executive
Director
WELD COUNTY DIVISION
OF HJJ RVICES
W . peckman, Executive Director
Attest: /Ley>, �f •\' E Le\
1861 gCI
.'
By: �E_1
Deputy Clerk to the ��)\ ,. „�
//pi., �� u.
PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this .36t*- day of May, 2001 by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Division of Human
Resources' Family Educational Network of Weld County hereinafter referred to as
"FENWC" and St. Mary's Family Practice Residency, hereinafter referred to as "Health
Center."
WITNESSETH
WHEREAS, FENWC is required to provide medical/dental services according to the
Head Start Performance Standards 45CFR 1304-1, 3,4, & 5.
NOW THEREFORE, in consideration of the premises, the parties hereto covenant
and agree as follows:
1 . The Health Center shall provide the health services for the Migrant Head Start
eligible children. Services and appropriate documentation will be complete by the
end of the program year.
a. The Health Center will schedule appointments for referred children, for
preventive health care, i.e., physical examinations and immunizations.
b. The Health Center will see ill children at the clinic, as needed and assess
children who may be in need of medical services.
b. FENWC will provide transportation for children and families to make
appointments as necessary.
2. The Health Center agrees to provide all physical examinations and update
immunizations, hematocrit, blood pressure, hearing , vision, and height and weight
necessary for any Migrant Head Start child.
3. FENWC agrees to reimburse the Health Center at the rate of$30.00 per encounter,
for health services not to exceed 200. for a total reimbursement not to exceed
$6,000.00. Children must have a written referral to receive services above and
beyond Physical Examinations. Prescriptions will not be covered in the above cited
rate.
4. FENWC will not be charged for those children covered by Medicaid or private
insurance. Medicaid numbers shall be provided at the time of the appointment and
the Health Center shall send the billing to the appropriate agency.
5. The Health Center will submit itemized bills according to child and service to:
Family Educational Network of Weld County
Migrant Head Start Program
attn: Julie Mallory
PO Box 1805
Greeley, CO 80632
6. This Agreement may be modified upon the written consent of both parties.
7. Services provided by the Health Center that are not reimbursed by FENWC will be
designated as a non-federal match/in-Kind contribution to the FENWC Program on
behalf of the Health Center. Non-Federal Match/In-Kind Contributions must be
submitted with the bills.
8. The Health Center and FENWC mutually agree that this Agreement may be
canceled by either party after a thirty (30) day written notice. This Agreement will
be terminated immediately in the event funding for the Head Start Program is
stopped.
9. The term of this Agreement is from June 18, 2001 through September 28, 2001.
10. The Health Center assures that it carries adequate liability and malpractice
insurance.
11. Assurances:
a. The Health Center agrees that it is an independent contractor and that its
officers, employees, and clients do not become employees of Weld County,
and therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of the Health Center, its employees, volunteers,
or agents while performing this Agreement. The Health Center, its officers
and employees, shall not be held liable for injuries or damages caused by
any negligent acts or omissions of FENWC, its employees, volunteers, or
agents while performing functions as described in this Agreement. The
Health Center shall provide adequate liability and worker's compensation
insurance for all of its employees, volunteers agents engaged in the
performance of this Agreement, as required by the Colorado Worker's
Compensation Act. Likewise, FENWC, by and through the Board of Weld
County Commissioners, shall provide adequate liability and workers'
compensation insurance for all employees of FENWC engaged in the
performance of this Agreement.
c. No officer, member, or employee of Weld County and no member of their
governing bodies shall have any pecuniary interest, direct or indirect, in the
approved Agreement or the proceeds thereof.
d. The Health Center understands that monitoring and evaluation of the
performance of this Agreement shall be conducted by the Weld County
Division of Human Resources and the results provided to the Weld County
Board of Commissioners.
e. The Health Center and FENWC assure compliance with Title VI of the Civil
Rights Act of 1986, and that no person shall, on the grounds of race, creed,
color, sex, handicap, or national origin be excluded from participation in, be
denied the benefits of, or be otherwise subjected to discrimination under the
approved Agreement.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be
duly executed as of the day and year first herein above set forth.
WELD COUNTY BOARD OF ST. MARY'S FAMILY PRACTICE
COUNTY OMMISSIONERS R IDENCY
.pfd
M.J. eile, Chairperson (od21/acx)i) Robert Ladenburger, CEO
WELD COUNTY DIVISION
OF HUMANS' r► ICES
W. e .peckman, Executive Director
ATTEST: �'/ ! �v ���`
By:
g
Deputy Clerk to the B
PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this 3O day of May, 2001 by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Division of Human
Resources' Family Educational Network of Weld County hereinafter referred to as
"FENWC" and the Montrose Memorial Hospital, Olathe d.b.a., Olathe Medical Clinic
hereinafter referred to as "Health Center."
WITNESSETH
WHEREAS, FENWC is required to provide medical/dental services according to the
Head Start Performance Standards 45CFR 1304-1, 3,4, & 5.
NOW THEREFORE, in consideration of the premises, the parties hereto covenant
and agree as follows:
1 . The Health Center shall provide the health services for the Migrant Head Start
Centers located at 290 Hap Court, Olathe. Services and appropriate
documentation will be complete by the end of the program year.
a. The Health Center will schedule appointments for referred children.
b. The Health Center will see ill children at the clinic, as needed and assess
children who may be in need of medical services.
b. FENWC will provide transportation for children and families to make
appointments as necessary.
2. The Health Center agrees to provide all physical examinations and update
immunizations, hematocrit, blood pressure, hearing, vision, and height and weight
necessary for any Migrant Head Start child.
3. FENWC agrees to reimburse the Health Center at the rate of $25.00 per child, for
health services not to exceed 200, physical examinations for $20.00 per child not
to exceed 50, and immunizations at$5.00 per shot not to exceed 40 shots for a total
reimbursement not to exceed $6,200.00. Children must have a written referral to
receive services above and beyond Physical Examinations. Prescriptions will not
be covered in the above cited rate.
4. FENWC will not be charged for those children covered by Medicaid or private
insurance. Medicaid numbers shall be provided at the time of the appointment and
the Health Center shall send the billing to the appropriate agency.
5. The Health Center will submit itemized bills according to child and service to:
Family Educational Network of Weld County
Migrant Head Start Program
attn: Julie Mallory
PO Box 1805
Greeley, CO 80632
6. This Agreement may be modified upon the written consent of both parties.
7. Services provided by the Health Center that are not reimbursed by FENWC will be
designated as a non-federal match/in-Kind contribution to the FENWC Program on
behalf of the Health Center. Non-Federal Match/In-Kind Contributions must be
submitted with the bills.
8. The Health Center and FENWC mutually agree that this Agreement may be
canceled by either party after a thirty (30) day written notice. This Agreement will
be terminated immediately in the event funding for the Head Start Program is
stopped.
9. The term of this Agreement is from June 18, 2001 through September 28, 2001.
10. The Health Center assures that it carries adequate liability and malpractice
insurance.
11. Assurances:
a. The Health Center agrees that it is an independent contractor and that its
officers, employees, and clients do not become employees of Weld County,
and therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of the Health Center, its employees, volunteers,
or agents while performing this Agreement. The Health Center, its officers
and employees, shall not be held liable for injuries or damages caused by
any negligent acts or omissions of FENWC, its employees, volunteers, or
agents while performing functions as described in this Agreement. The
Health Center shall provide adequate liability and worker's compensation
insurance for all of its employees, volunteers agents engaged in the
performance of this Agreement, as required by the Colorado Worker's
Compensation Act. Likewise, FENWC, by and through the Board of Weld
County Commissioners, shall provide adequate liability and workers'
compensation insurance for all employees of FENWC engaged in the
performance of this Agreement.
c. No officer, member, or employee of Weld County and no member of their
governing bodies shall have any pecuniary interest, direct or indirect, in the
approved Agreement or the proceeds thereof.
d. The Health Center understands that monitoring and evaluation of the
performance of this Agreement shall be conducted by the Weld County
Division of Human Resources and the results provided to the Weld County
Board of Commissioners.
e. The Health Center and FENWC assure compliance with Title VI of the Civil
Rights Act of 1986, and that no person shall, on the grounds of race, creed,
color, sex, handicap, or national origin be excluded from participation in, be
denied the benefits of, or be otherwise subjected to discrimination under the
approved Agreement.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be
duly executed as of the day and year first herein above set forth.
WELD COUNTY BOARD OF OLATHE MEDICAL CLINIC
COUN COMMISSIONERS
4-112
M. . Geile, Chairperson ((Idol In)) Richard Rivera, P.A.
WE C IVISION OF HUMAN SERVICES
3/4 n 2 bar
W t J. peckman, Executive irector
ATTEST: %!�/ Ae,� V�j�` 01 Aimfriietl ,14-*il7
/i s4
r i 181 � 9„„.'
By:
Deputy Clerk to the Bi v Rs A
PURCHASE OF SERVICE AGREEMENT
THIS AGREEMENT, made and entered into this 2-7—day of May, 2001, by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County,on behalf of the Weld County Division of Human Services'
Family Educational Network of Weld County, Migrant Head Start Program, hereinafter
referred to as "FENWC" and Lyle Yost, D.D.S., hereinafter referred to as "Dentist."
WITNESSETH •
THAT FOR and in consideration of the covenants here in agreed to be kept and
performed, the Dentist hereby agrees to provide to FENWC the following described
services based upon the following terms and conditions:
1. FENWC agrees to arrange transportation for Head Start children to the dentist as
needed. This will enable parents to be transported with their children to attend their
child's scheduled appointment at the Dentist's office.
2. FENWC agrees to reimburse the Dentist $5.00 per child per screening not to
exceed $200.00 for up to forty (40) Head Start eligible children. All bills submitted
will be itemized according to child and service to:
Family Educational Network of Weld County
Migrant Head Start Program
attn: Julie Mallory
PO Box 1805
Greeley, CO 80632
4. FENWC will not be charged for those children covered by Medicaid or private
insurance. Medicaid numbers shall be provided at the time of the appointment and
billing will be sent to the appropriate agency by the Dentist. Head Start is a payer
of last resort.
5. For services not reimbursed by FENWC, the amount will be designated as In-Kind
Contribution to the FENWC Program on behalf of the Dentist and will be
documented on the bill.
6. The term of this Agreement is June 18, 2001 through September 28, 2001.
7. The Dentist assures that it carries adequate liability and malpractice insurance.
8. Assurances:
a. The Dentist agrees that he is an independent contractor and that his officers,
employees, and clients do not become employees of Weld County, and
therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by'any
negligent acts or omissions of the Dentist, its employees, volunteers or
agents while performing this Agreement. The Dentist, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of FENWC, the Weld County Board of
Commissioners, its officers and employees. The respective contracting
parties shall provide such liability insurance and worker's compensation
coverage as each deems appropriate, and as required by the Colorado
Worker's Compensation Act.
c. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall
any portion of this Agreement be deemed to have created a duty of care with
respect to any persons not a party to this Agreement.
d. No portion of this Agreement shall be deemed to create an obligation on the
part of the County of Weld, State of Colorado, to expend funds not otherwise
appropriate in each succeeding year.
e. No officer, member, or employee of Weld County, and no member of their
governing bodies shall have any pecuniary interest, direct, or indirect in the
approved Agreement or the proceeds thereof.
f. The Dentist understands that monitoring and evaluation of the performance
of this Agreement shall be conducted by the Weld County Division of Human
Resources and the results provided to the Weld County Board of
Commissioners.
g. The Dentist and FENWC assure compliance with Title VI of the Civil Rights
Act of 1986, and that no person shall on the grounds of race, creed, color,
sex, handicap or national origin be excluded from participation in, be denied
the benefits of, or be otherwise subjected to discrimination under the
approved Agreement.
9. All modifications to this Agreement shall be in writing and signed by both parties.
10. This Agreement may be terminated by either party giving a thirty (30) days written
notice to the other party. If funding to FENWC should cease, this Agreement will
terminate immediately. If FENWC funding should be reduced, this Agreement will
be renegotiated immediately to reflect funding changes.
IN WITNESS WHEREOF, of the parties above hereunto placed their hands as of
the date first written above.
WELD COU BOARD OF COMMISSIONERS DENTIST
n
M.J. G e, Chairperson (WallaoDi) Lyle 'Jo t, D.D.S.
ATTEST: �� 'fltta
WELD COUNTY CLERK TT : er`s` '
i 1861 ft • . ��
By: _•��;_ �,,' r •a;�- �I
mew-
Deputy Clerk to the Boar'►
asennisle
WELD CO TY DIVISION OF HUMAN SERVICES
W J. Speckman, Executive Director
PURCHASE OF SERVICE AGREEMENT
THIS AGREEMENT, made and entered into this I day of May, 2001, by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Division of Human Services'
Family Educational Network of Weld County, Migrant Head Start Program, hereinafter
referred to as "FENWC" and Dr. Mike Ho, D.D:S:, Skyline Dental hereinafter referred to
as "Dentist." Me4?'
WITNESSETH
THAT FOR and in consideration of the covenants here in agreed to be kept and
performed, the Dentist hereby agrees to provide to FENWC the following described
services based upon the following terms and conditions:
1. FENWC agrees to arrange transportation for Head Start children to the dentist as
needed. This will enable parents to be transported with their children to attend their
child's scheduled appointment at the Dentist's office.
2. FENWC agrees to reimburse the Dentist $15.00 per child per
screening/examination not to exceed $600.00 for up to forty (40) Head Start
eligible children. Other dental services will be reimbursed according to the
attached fee schedule, not to exceed $5000.00. All bills submitted will be itemized
according to child and service to:
Family Educational Network of Weld County
Migrant Head Start Program
attn: Julie Mallory
PO Box 1805
Greeley, CO 80632
4. FENWC will not be charged for those children covered by Medicaid or private
insurance. Medicaid numbers shall be provided at the time of the appointment and
billing will be sent to the appropriate agency by the Dentist. Head Start is a payer
of last resort.
5. For services not reimbursed by FENWC, the amount will be designated as In-Kind
Contribution to the FENWC Program on behalf of the Dentist and will be
documented on the bill.
6. The term of this Agreement is June 18, 2001 through September 28, 2001 .
7. The Dentist assures that it carries adequate liability and malpractice insurance.
8. Assurances:
a. The Dentist agrees that he is an independent contractor and that his officers,
employees, and clients do not become employees of Weld County, and
therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of the Dentist, its employees, volunteers or
agents while performing this Agreement. The Dentist, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of FENWC, the Weld County Board of
Commissioners, its officers and employees. The respective contracting
parties shall provide such liability insurance and worker's compensation
coverage as each deems appropriate, and as required by the Colorado
Worker's Compensation Act.
c. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall
any portion of this Agreement be deemed to have created a duty of care with
respect to any persons not a party to this Agreement.
d. No portion of this Agreement shall be deemed to create an obligation on the
part of the County of Weld, State of Colorado, to expend funds not otherwise
appropriate in each succeeding year.
e. No officer, member, or employee of Weld County, and no member of their
governing bodies shall have any pecuniary interest, direct, or indirect in the
approved Agreement or the proceeds thereof.
f. The Dentist understands that monitoring and evaluation of the performance
of this Agreement shall be conducted by the Weld County Division of Human
Resources and the results provided to the Weld County Board of
Commissioners.
g. The Dentist and FENWC assure compliance with Title VI of the Civil Rights
Act of 1986, and that no person shall on the grounds of race, creed, color,
sex, handicap or national origin be excluded from participation in, be denied
the benefits of, or be otherwise subjected to discrimination under the
approved Agreement.
9. All modifications to this Agreement shall be in writing and signed by both parties.
10. This Agreement may be terminated by either party giving a thirty(30) days written
notice to the other party. If funding to FENWC should cease, this Agreement will
terminate immediately. If FENWC funding should be reduced, this Agreement will
be renegotiated immediately to reflect funding changes.
IN WITNESS WHEREOF, of the parties above hereunto placed their hands as of
the date first written above.
WELD COUNTY BOARD OF DENTIST
COUNTY COMMISSIONERS
JUZA/ 1/47/4
M.J. , hairperson (diknla oO Dr. Mike Ho D.D.S., Skyline Dental
Sitar
ATTEST: a Iiif`! 11,.0
WELD COUNTY LER f 0 it 4„ •
r 1861 5Visv=i
„,
By:
Deputy Clerk to the Bo Le >,
WELD COUNTY DIVISION OF
HUMAN SE ICES
Wa er J. Speckman, Executive Director
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY/MIGRANT HEAD START
DENTAL FEE SCHEDULE
PROCEDURE.CODE PROCEDURE DESRIPTION LICENSED DENTIST DENTAL GRADUATE STUDENT
0120 PERIODIC ORAL EXAMINATION 14.00 7.00
•
0140 LIMITED ORAL EVALUATION/SCREENING 22.00 '11.00
0210 FULL SERIES XR 36.00 18.00
0220 PERIAPICAL XR 10.00 5.00
0230 ADDITIONAL PERIAPICAL XR 6.00 3.00
0240 OCCLUSAL FILM 10.00 5.00
0272 TWO BITEWING XR 14.00 7.00
0274 FOUR BITEWING XR 18.00 9.00
0330 PANORAMIC FILM 38.00 19.00
1110 ADULT PROPHYLAXIS 31.00 15.50
In
1120 CHILD PROPHYLAXIS 22.00 11.00
1201 CHILD FLOURIDE W/PROPHY 30.00 15.00
1203 CHILD FLOURIDE W/O PROPHY 11.00 5.50
1204 ADULT FLOURIDE W/O PROPHY 12.00 6.00
1205 ADULT FLOURIDE W/PROPHY 30.00 15.00
1330 OHI 18.00 ..9.00
1351 SEALANT-PER TOOTH 18.00 9.00
1510 UNILATERAL SPACE MAINTAINER-FIXED 81.00
1515 BILATERAL SPACE MAITAINER-FIXED 137.00 .
1520 SPACEMAINT-REMOVABLE-CNILATERAL 31.00
1525 SPACE MAINT-BILATERAL REMOVABLE 87.00
2110 ONE SURFACE AMALGAM,PRIM 31.00 15.50
2120 TWO SURFACE AMALGAM,PRIM 44.00 22.00
2130 THREE SURFACE AMALGAM,PRIM 56.00 28.00
2131 FOUR SURFACE AMALGAM,PRIM 69.00 34.50
2140 ONE SURF AMALGAM,PERMANENT 38.00 19.00
•2150 TWO SURF AMALGAM,PERMANENT 50.00 25.00
2160 THREE SURF AMALGAM,PERMANENT 63.00 31.50
2161 FOUR SURF AMALGAM,PERMANENT 76.00 38.00
2330 ONE SURFACE RESIN 45.00 22.50
2331 TWO SURFACE RESIN 58.00 29.00
2332 THREE SURFACE RESIN 73.00 36.50
2335 FOUR SURFACE RESIN 80.00 40.00
2710 CROWN-RESIN(LABORATORY) 249.00 124.50
2751 PFM CROWN.BASE METAL 320.00 160.00
2791 CAST CROWN,BASE METAL 254.00 127.00
2920 RECEMENT CROWN 50.00 25.00
2930 SSC,PRIMARY 73.00 36.50
2931 SSC,PERMANENT 102.00 51.00
2940 SEDATIVE FILLING 32.00 16.00
2950 CORE BUILDUP(INCLUDING ANY PINS) 86.00 1 43.00
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY/MIGRANT HEAD START
DENTAL FEE SCHEDULE
I'RI)''1:I' IRE CODE PROCEDURE DESRtI'l'ION LICENSED DENTIST DENTAL GRAM_A'I'ESTUDEN'1'
2980 CROWN REPAIR BY REPORT 60.00 30.00
3110 DIRECT PULP CAP 19.00 9.50
3220 PULPOTOMY ! 41.00 20.50
3310 RCT,SINGLE CANAL . 190.00 95.00
I
3320 RCT,TWO CANALS , 255.00 127.50
3330 RCT,THREE CANALS ; 337.00 168.50
3990 EMERGENCY ROOT CANAL 1 50.00 25.00
4241 ROOT PLANING,ONE QUADRANT 68.00 f 34.00
4355 GROSS DEBRIMENT 80.00 140.00
4910 PERIO MAINTENANCE 50.00 25.00
4999 PERIO PROCEDURES BY REPORT By Report
5110 COMPLETE MAXILLARY DENTURE By Report
5120 COMPLETE MANDIBULAR DENTURE By Report t ::
5211 UPPER PARTIAL-RESIN BASE I By Report 1 • '•;r,• r., r
5212 LOWER PARTIAL-RESIN BASE By Report
5610 REPAIR RESIN DENTURE BASE By Report ::::.:"^ ..
5620 REPAIR CAST FRAMEWORK By Report
5630 REPAIR OR REPLACE BROKEN CLASP By Report
5640 REPLACE BROKEN TEETH By Report ,
5710 REBASE MAXILLARY DENTURE By Report
-
5711 REBASE MANDIBULAR DENTURE By Report
5740 OFFICE RELINE,UPPER DENTURE By Report
5741 OFFICE RELINE,LOWER DENTURE By Report
7110 EXTRACTION,FIRST TOOTH 48.00 24.00
7130 REMOVAL OF EXPOSED ROOTS 66.00 33.00
7210 SURGICAL EXTRACTION-ERUPTED TEETH 91.00 45.50
7220 SOFT TISSUE EXTRACTION 80.00 40.00
7230 PARTIAL BONY EXTRACTION 109.00 5430
7240 COMPLETE BONY EXTRACTION 109.00 54.50
•
7285 HARD TISSUE BIOPSY 87.00 43.50
7286 SOFT TISSUE BIOPSY 65.00 32.50
9110 EMERGENCY PALLIATIVE TREATMENT 22.00 11.00
9230 ANALGESIA(N2 O2) Up To 20.00 10.00
9240 I.V.SEDATION By Report
9310 CONSULTATION/HOME VISIT 22.00
9630 DRUGS AND MEDICAMENTS By Report
9920 BEHAVIOR MANAGEMENT Up To$30.00
9997 FAILED APPOINTMENT Up To$20.00 •
9999 UNSPECIFIED DENTAL PROCEDURE By Report
PURCHASE OF SERVICES
THIS AGREEMENT, made and entered into this 44.- day of May, 2001, by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Division of Human
Resources, Family Educational Network of Weld County's Summer Migrant Head Start
Program, hereinafter referred to as "FENWC" and the Walker Pharmacy hereinafter
referred to as " Pharmacy."
WITNESSETH
THAT for and in consideration of the covenants herein agreed to be kept and performed,
the pharmacy hereby agrees to provide to FENWC, the following described services based
upon the following terms.
1. The pharmacy will fill all prescriptions prescribed by a Medical provider licensed in
the State of Colorado brought to the said pharmacy for families/children enrolled in
a FENWC Migrant Head Start Center.
2. The pharmacy will use generic drugs whenever possible. Whether prescribed or
over the counter medications.
3. The pharmacy will write directions in both English and Spanish.
4. FENWC will supply prescription pads.
5. The pharmacy will submit a itemized bill, for children not covered by Medicaid or
private insurance, monthly for services to:
Family Educational Network of Weld County
Attention: Julie Mallory
P.O. Box 1805
Greeley, CO 80632
FENWC will provide the Pharmacy with necessary insurance/Medicaid information.
6. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall any
portion of this Agreement be deemed to have created a duty of care with respect
to any persons not a party to this Agreement.
7. No portion of this Agreement shall be deemed to create an obligation on the part
of the County of Weld, State of Colorado, or Pharmacy to expend funds not
otherwise appropriated in each succeeding year.
8. The term of this Agreement shall be from June 18, 2001 through September 28,
2001.
9. This Agreement may be amended at any time with the written mutual consent of
both parties
10. Assurances:
a. The Pharmacy agrees that it is an independent contractor and that its
officers, employees, and clients do not become employees of Weld County,
and therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of the Pharmacy, its employees or agents while
performing this Agreement. The Pharmacy, employees, shall not be held
liable for injuries or damage caused by any negligent acts or omissions of
FENWC, the Weld County Board of Commissioners, its officers and
employees. The respecting contracting parties shall provide such liability
insurance and worker's compensation coverage as each deems appropriate,
and as required by the Colorado Worker's Compensation Act.
c. No officer, member, or employee of Weld County and no member of their
governing bodies shall have any pecuniary interest, direct or indirect, in the
approved Agreement or proceeds thereof.
d. The Pharmacy and FENWC assure compliance with Title VI of the Civil
Rights.
e. Act of 1986, and that no person shall, on the grounds of race, creed, color,
sex, handicap, or national origin be excluded from participation in, or denied
the benefits of, or be otherwise subjected to discrimination under the
approved Agreements.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly
expected as of the day, month, and year first herein above set forth.
WELD COUNTY BOARD OF WALKER PHARMACY
COUNTY OMMISSIONERS
tLde-teado-1'14
M.J. eile, Chairperson (o( ia 11au [
ga Ell,
WELD COUNTY CLERK T` `!%i5 WELD COU TY DEPARTMENT
OF HUMA ERVICES
1861 t0 V
���i Vim•
By: i_ •
Deputy Clerk to the Bo uwe W r J. Speckman, Executive
���� ctor
PURCHASE OF SERVICES
THIS AGREEMENT, made and entered into this o2/ 5r. day of May, 2001, by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Division of Human
Resources, Family Educational Network of Weld County's Summer Migrant Head Start
Program, hereinafter referred to as "FENWC" and the Gibson Pharmacy of Delta Store
hereinafter referred to as " Pharmacy."
WITNESSETH
THAT for and in consideration of the covenants herein agreed to be kept and performed,
the pharmacy hereby agrees to provide to FENWC,the following described services based
upon the following terms.
1. The pharmacy will fill all prescriptions prescribed by a Medical provider licensed in
the State of Colorado brought to the said pharmacy for families/children enrolled in
a FENWC Migrant Head Start Center.
2. The pharmacy will use generic drugs whenever possible. Whether prescribed or
over the counter medications.
3. The pharmacy will write directions in both English and Spanish.
4. FENWC will supply prescription pads.
5. The pharmacy will submit a itemized bill, for children not covered by Medicaid or
private insurance, monthly for services to:
Family Educational Network of Weld County
Attention: Julie Mallory
P.O. Box 1805
Greeley, CO 80632
FENWC will provide the Pharmacy with necessary insurance/Medicaid information.
6. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall any
portion of this Agreement be deemed to have created a duty of care with respect
to any persons not a party to this Agreement.
7. No portion of this Agreement shall be deemed to create an obligation on the part
of the County of Weld, State of Colorado, or Pharmacy to expend funds not
otherwise appropriated in each succeeding year.
8. The term of this Agreement shall be from June 18, 2001 through September 28,
2001.
9. This Agreement may be amended at any time with the written mutual consent of
both parties
10. Assurances:
a. The Pharmacy agrees that it is an independent contractor and that its
officers, employees, and clients do not become employees of Weld County,
and therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of the Pharmacy, its employees or agents while
performing this Agreement. The Pharmacy, employees, shall not be held
liable for injuries or damage caused by any negligent acts or omissions of
FENWC, the Weld County Board of Commissioners, its officers and
employees. The respecting contracting parties shall provide such liability
insurance and worker's compensation coverage as each deems appropriate,
and as required by the Colorado Worker's Compensation Act.
c. No officer, member, or employee of Weld County and no member of their
governing bodies shall have any pecuniary interest, direct or indirect, in the
approved Agreement or proceeds thereof.
d. The Pharmacy and FENWC assure compliance with Title VI of the Civil
Rights.
e. Act of 1986, and that no person shall, on the grounds of race, creed, color,
sex, handicap, or national origin be excluded from participation in, or denied
the benefits of, or be otherwise subjected to discrimination under the
approved Agreements.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly
expected as of the day, month, and year first herein above set forth.
WELD COUNTY BOARD OF GIBSON PHARMACY OF DELTA
COUNTY MMISSIONERS fav �Q
M.J eile, Chairperson (06127/aoq
agent
I "`
?4 �r `S
Jr
WELD COUNTY CLER 10 ' - aAA- .,
���;I�;,„� v ' WELD COON Y DEPARTMENT
1861 ( ',iv: � , OFHU RVICES
By: %.1i Aik I ,re, RI_ •
B ,�
Deputy Clerk to the Bar �e W er J. Speckman, Executive
ector
PURCHASE OF SERVICES
THIS AGREEMENT, made and entered into th•is 2A -day of May, 2001, by and
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Division of Human
Resources, Family Educational Network of Weld County's Summer Migrant Head Start
Program, hereinafter referred to as "FENWC" and the Dacono Drug Store hereinafter
referred to as " Pharmacy."
WITNESSETH
THAT for and in consideration of the covenants herein agreed to be kept and performed,
the pharmacy hereby agrees to provide to FENWC,the following described services based
upon the following terms.
1. The pharmacy will fill all prescriptions prescribed by a Medical provider licensed in
the State of Colorado brought to the said pharmacy for families/children enrolled in
a FENWC Migrant Head Start Center.
2. The pharmacy will use generic drugs whenever possible. Whether prescribed or
over the counter medications.
3. The pharmacy will write directions in both English and Spanish.
4. FENWC will supply prescription pads.
5. The pharmacy will submit a itemized bill, for children not covered by Medicaid or
private insurance, monthly for services to:
Family Educational Network of Weld County
Attention: Julie Mallory
P.O. Box 1805
Greeley, CO 80632
FENWC will provide the Pharmacy with necessary insurance/Medicaid information.
6. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall any
portion of this Agreement be deemed to have created a duty of care with respect
to any persons not a party to this Agreement.
7. No portion of this Agreement shall be deemed to create an obligation on the part
of the County of Weld, State of Colorado, or Pharmacy to expend funds not
otherwise appropriated in each succeeding year.
8. The term of this Agreement shall be from June 18, 2001 through September 28,
2001.
9. This Agreement may be amended at any time with the written mutual consent of
both parties
10. Assurances:
a. The Pharmacy agrees that it is an independent contractor and that its
officers, employees, and clients do not become employees of Weld County,
and therefore are not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of the Pharmacy, its employees or agents while
performing this Agreement. The Pharmacy, employees, shall not be held
liable for injuries or damage caused by any negligent acts or omissions of
FENWC, the Weld County Board of Commissioners, its officers and
employees. The respecting contracting parties shall provide such liability
insurance and worker's compensation coverage as each deems appropriate,
and as required by the Colorado Worker's Compensation Act.
c. No officer, member, or employee of Weld County and no member of their
governing bodies shall have any pecuniary interest, direct or indirect, in the
approved Agreement or proceeds thereof.
d. The Pharmacy and FENWC assure compliance with Title VI of the Civil
Rights.
e. Act of 1986, and that no person shall, on the grounds of race, creed, color,
sex, handicap, or national origin be excluded from participation in, or denied
the benefits of, or be otherwise subjected to discrimination under the
approved Agreements.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly
expected as of the day, month, and year first herein above set forth.
WELD C NTY BOARD OF Dacono Drug Store
COUN COMMISSIONERS
M.J.W'Geile, Chairperson
(o�la�l3030
WELD COUNTY DEPARTMENT
WELD 0� L R T
OF HUM VICES
•
MI
By: :�� _ �� •m
*
Deputy Clerk to the Bowl �, x ,, Speckman, Executive
j��,i,., i ctor
PURCHASE OF SERVICES
THIS AGREEMENT, made and entered into this 'l day of May,2001, by and between
the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County Division of Human Resources, Family Educational
Network of Weld County's Migrant Head Start Program, hereinafter referred to as
"FENWC" and The Bridge Assisted Living Care Center of Longmont hereinafter referred
to as "Food Center."
WITNESSETH
THAT, for and in consideration of the covenants herein agreed to be kept and performed,
the Food Center hereby agrees to provide to FENWC, the following described services
based upon the following terms and conditions.
1. The Food Center will provide Breakfast for approximately thirty (30) Migrant Head
Start children and approximately fifteen (15) Head Start children and fourteen (14)
adults at a cost of two dollars ($2.00) per meal. Price may be subject to increase
pursuant to board action.
2. The Food Center will provide lunch for approximately thirty (30) Migrant Head Start
children and approximately fifteen (15) Head Start children and fourteen (14)adults
at a cost of three dollars ($3.00) per meal. Price may be subject to increase
pursuant to board action.
3. The Food Center will provide two (2) snacks daily with 100% juice, or milk for
approximately thirty (30) Migrant Head Start children and approximately fifteen (15)
Head Start children and fourteen (14) adults at a cost of one dollar ($1.00) per
snack. Price may be subject to increase pursuant to board action.
4. The Food Center will provide supper for approximately thirty (30) Migrant Head
Start children and twelve (12) adults at a cost of three dollars ($3.00) per meal.
Price may be subject to increase pursuant to the board action.
5. FENWC will transport meals from the Food Center to the Head Start Center.
6. The Food Center will submit a bill for services by the 10`h of the month for services
provided the preceding month. The Food Center agrees to provide information on
the cost of the quantity of meals served to enable FENWC to comply with USDA
reimbursement requirements. The bill should be submitted to:
The Family Educational Network of Weld County
Attn: Julie Mallory
PO Box 1805
Greeley, Colorado 80632
7. FENWC will apply directly to USDA for reimbursement for each child's meal type
(full paid, free, or reduced) each month. The Food Center will not receive USDA
reimbursement for these meals.
8. FENWC agrees to pay the Food Center for all meals served and ala carte to the
Migrant Head Start children, Head Start children and staff. Such reimbursement
will be made within three (3) weeks of the receipt of a statement of such changes
from the Food Center. The rate will be as described in paragraphs 1, 2, and 3,
above.
9. The Food Center agrees to provide meals in accordance with the regulations of
the United States Department of Agriculture's Child Care Food Program as
shown in attachment A hereto, which is hereby incorporated into this Agreement.
10. The Food Center will maintain the following records for FENWC:
a. Menu/Production Records, including number of meals prepared, menu,
portion sizes of menu items and amounts of food used to prepare menu
items. This is required at the preparation kitchen for all meals served.
b. The records will be made available upon request to FENWC for audit and
review purposes. The Food Center will maintain the records within the
record retention guidelines mandated by USDA.
11. FENWC will maintain a daily record of the number of meals served by type.
12. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall any
portion of this Agreement be deemed to have created a duty of care with respect
to any persons not a party to this Agreement.
13. No portion of this Agreement shall be deemed to create an obligation on the
party of the County of Weld, State of Colorado, or Food Center to expend funds
not otherwise appropriated in each succeeding year.
14. If any section, subsection, paragraph, sentence, clause, or phrase of this
Agreement is for any reason held or decided to be unconstitutional, such
decision shall not effect the validity of the remaining options. The parties hereto
declare that they would have entered into this Agreement and each and every
section, subsections, paragraph, sentence, clause, and phrase thereof
irrespective of the fact that any one or more sections, subsections, paragraphs,
sentences, clauses, or phrases might be declared to be unconstitutional or
invalid.
15. The term of this Agreement shall be from June 11 , 2001 through September 21 ,
2001.
16. This Agreement may be amended at any time with the written mutual consent of
both parties.
17. The Food Center and FENWC mutually agree to accept that this agreement may
be terminated by either party upon a thirty (30) day written notice being provided
to the other party. However, this agreement will be terminated immediately if
Migrant Head Start funding is stopped.
18. Assurances:
1. The Food Center agrees that it is an independent contractor and that it's
officers, employees, and clients do not become employees of Weld
County, and therefore are not entitled to any employee benefits as Weld
County employees, as a result of the execution of this agreement.
2. FENWC the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of Food Center, the Board of action, its
employees, volunteers or agents while performing this Agreement. The
Food Center, its officers and employees, shall not be held liable for
injuries or damages caused by any negligent acts or omissions of
FENWC, the Weld County Board of Commissioners, its officers and
employees. The respective contracting parties shall provide such liability
insurance and worker's compensation coverage as each deems
appropriate, and as required by the Colorado Worker's Compensation
Act.
3. No officer, member, or employee of the Weld County and no member of
their governing bodies shall have any pecuniary interest, direct or
indirect, in the approved Agreement or proceeds thereof.
4. The Food Center understands that monitoring and evaluating of the
performance of this Agreement shall be conducted by the Weld County
Division of Human Resources and the results provided to the Weld
County Board of Commissioners.
5. The Food Center and FENWC assure compliance with the Title VI of the
Civil rights Act of 1986, and no person shall, on the grounds of race,
creed, color, sex, handicap, or national origin be excluded from
participation in, be denied the benefits of, or be otherwise subjected to
discrimination under the approved Agreements.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly
executed as of the day, month, and year first herein above set forth.
WELD
CO Y BOARD OF COMMISSIONERS
M. J. ei e, Chairperson (otolai lapel)
THE BRIDGE ASSISTED LIVING CENTER
Ira`
. /_. . r s�. 1 . I �.
WELD COUNTO THE it t Alt ••••A
- g
By: d,12 Y.-AS `C '\
Deputy Clerk to the Board �.
WE D C DIVISION OF HUMAN RESOURCES
Wa J. Speckman, Executive Director
FOOD CHART
AGE AGE AGE
1
Child & Adult Care Food Program gupto3 3upto6 6upro12
BREAKFAST Fluid Milk 1/2 cup 3/4 cup 1 cup
Juice or Fruit or Vegetable 1/4 cup 1/2 cup 1/2 cup
Bread or Bread Alternate ` 1/2 slice 1/2 slice 1 slice
SNACK Fluid Milk '/2 cup 1/2 cup 1 cup
(Serve 2)* Juice or Fruit or Vegetable '/2 cup 1/2 cup 3/4 cup
Meat or Meat Alternate*** `/2 ounce '/2 ounce 1 ounce
Bread or Bread Alternate 1/2 slice 1/2 slice 1 slice
LUNCH/ Fluid Milk 1/2 cup 3/4 cup 1 cup
SUPPER Meat or Poultry or Fish or 1 ounce 1 1/2 ounces 2 ounces
Cheese or 1 ounce 1 1/2 ounces 2 ounces
Egg or 1 1 1
Cooked Dry Beans and Peas or 1/4 cup 3/8 cup 1/2 cup
Peanut Butter 2 tblsp. 3 tblsp. 4 tblsp.
Yogurt, plain or flavored 4 ounces (or'/,cup) 6 ounces (or 3/4 cup) 8 ounces (or 1 cup)
Vegetables and/or Fruits 1/4 cup 1/2 cup 3/4 cup
(Must serve at least 2 different varieties**) total total total
Bread or Bread Alternate '/2 slice 1/2 slice 1 slice
.4 snack_; * Juice may not be served if milk is the only other component at
r
���t ** A minimum of 1/8 cup each must be served.
;( • ' • -? .1 ;_"i�r' l— ti *** Yogurt may also be served for SNACK as a m/ma as follows:
/ '•' 1-6 yr.old ''/ounce m/ma= 2 ounces or 1/4 cup yogurt
MILK1: t' •% .. _- 6-12 yr.old 1 ounce m/ma= 4 ounces or Y:cup yogurt
• (Colorado Department of Public Health&Env-CACFP(WP6 c:'Forms`.Foodl-12.94ss,Rev.9/17/97)Also available in Spanish.
PURCHASE OF SERVICES
THIS AGREEMENT, made and entered into this a7 day of May,2001, by and between
the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County Division of Human Resources, Family Educational
Network of Weld County's Migrant Head Start Program, hereinafter referred to as
"FENWC"and Hilltop Community Resources, Inc. hereinafter referred to as"Food Center."
WITNESSETH
THAT, for and in consideration of the covenants herein agreed to be kept and performed,
the Food Center hereby agrees to provide to FENWC, the following described services
based upon the following terms and conditions.
1. The Food Center will provide Breakfast for approximately thirty-four (34) Migrant
Head Start children and approximately fifteen (15) adults at a cost of one dollar and
twelve ($1.12) per meal. Price may be subject to increase pursuant to board action.
2. The Food Center will provide lunch for approximately thirty-four (34) Migrant Head
Start children and approximately fifteen (15) adults at a cost of two dollars and
seventeen cents ($2.17) per meal. Price may be subject to increase pursuant to
board action.
3. The Food Center will provide two (2) snacks daily with 100% juice, or milk for
approximately thirty-four(34) Migrant Head Start children and approximately fifteen
(15) adults at a cost of fifty-five cents ($.55) per snack. Price may be subject to
increase pursuant to board action.
4. The Food Center will provide supper for approximately thirty-four(34) Migrant Head
Start children and fifteen (15) adults at a cost of two dollars and seventeen cents
($2.17) per meal. Price may be subject to increase pursuant to the board action.
5. FENWC agrees to pay $9.60/hour for up to 40 hours/week for a cook.
6 FENWC will transport meals from the Food Center to the Head Start Center.
7. The Food Center will submit a bill for services by the 10'h of the month for services
provided the preceding month. The Food Center agrees to provide information on
the cost of the quantity of meals served to enable FENWC to comply with USDA
reimbursement requirements. The bill should be submitted to:
The Family Educational Network of Weld County
Attn: Julie Mallory
PO Box 1805
Greeley, Colorado 80632
8. FENWC will apply directly to USDA for reimbursement for each child's meal type
(full paid, free, or reduced) each month. The Food Center will not receive USDA
reimbursement for these meals.
9. FENWC agrees to pay the Food Center for all meals served and ala carte to the
Migrant Head Start children, Head Start children and staff. Such reimbursement
will be made within three (3) weeks of the receipt of a statement of such changes
from the Food Center. The rate will be as described in paragraphs 1, 2, 3 and 4,
above.
10. The Food Center agrees to provide meals in accordance with the regulations of
the United States Department of Agriculture's Child Care Food Program as
shown in attachment A hereto, which is hereby incorporated into this Agreement.
11. The Food Center will maintain the following records for FENWC:
a. Menu/Production Records, including number of meals prepared, menu,
portion sizes of menu items and amounts of food used to prepare menu
items. This is required at the preparation kitchen for all meals served.
b. The records will be made available upon request to FENWC for audit and
review purposes. The Food Center will maintain the records within the
record retention guidelines mandated by USDA.
12. FENWC will maintain a daily record of the number of meals served by type.
13. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall any
portion of this Agreement be deemed to have created a duty of care with respect
to any persons not a party to this Agreement.
14. No portion of this Agreement shall be deemed to create an obligation on the
party of the County of Weld, State of Colorado, or Food Center to expend funds
not otherwise appropriated in each succeeding year.
15. If any section, subsection, paragraph, sentence, clause, or phrase of this
Agreement is for any reason held or decided to be unconstitutional, such
decision shall not effect the validity of the remaining options. The parties hereto
declare that they would have entered into this Agreement and each and every
section, subsections, paragraph, sentence, clause, and phrase thereof
irrespective of the fact that any one or more sections, subsections, paragraphs,
sentences, clauses, or phrases might be declared to be unconstitutional or
invalid.
16. The term of this Agreement shall be from June 18, 2001 through September 28,
2001.
17. This Agreement may be amended at any time with the written mutual consent of
both parties.
18. The Food Center and FENWC mutually agree to accept that this agreement may
be terminated by either party upon a thirty (30) day written notice being provided
to the other party. However, this agreement will be terminated immediately if
Migrant Head Start funding is stopped.
19. Assurances:
1. The Food Center agrees that it is an independent contractor and that it's
officers, employees, and clients do not become employees of Weld
County, and therefore are not entitled to any employee benefits as Weld
County employees, as a result of the execution of this agreement.
2. FENWC the Weld County Board of Commissioners, its officers and
employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of Food Center, the Board of action, its
employees, volunteers or agents while performing this Agreement. The
Food Center, its officers and employees, shall not be held liable for
injuries or damages caused by any negligent acts or omissions of
FENWC, the Weld County Board of Commissioners, its officers and
employees. The respective contracting parties shall provide such liability
insurance and worker's compensation coverage as each deems
appropriate, and as required by the Colorado Worker's Compensation
Act.
3. No officer, member, or employee of the Weld County and no member of
their governing bodies shall have any pecuniary interest, direct or
indirect, in the approved Agreement or proceeds thereof.
4. The Food Center understands that monitoring and evaluating of the
performance of this Agreement shall be conducted by the Weld County
Division of Human Resources and the results provided to the Weld
County Board of Commissioners.
5. The Food Center and FENWC assure compliance with the Title VI of the
Civil rights Act of 1986, and no person shall, on the grounds of race,
creed, color, sex, handicap, or national origin be excluded from
participation in, be denied the benefits of, or be otherwise subjected to
discrimination under the approved Agreements.
IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly
executed as of the day, month, and year first herein above set forth.
WELD CO TY BOARD OF COMMISSIONERS
M. J. eile, Chairperson (OLPlx aW')
Hilltop Community Resources, Inc.
_
WELD N • "1861 ��� ��j
By: tit'
Deputy Clerk to the Bo t,
W L C DIVISION OF RESOURCES
man, Executive Director
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