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w6O To Jackie Johnson. Chairman Date (lctnhPr 15, 1985 t�
Board of County Commissioners
cOtORADO From Walter J. Speckman, Fxecutive Director Human Resources
subiect: Speech Therapy Services for South County Head Start
Enclosed for Board approval is a Purchase of Service Agreement between the
Head Start Program and Mr. Frank J. Perez.
Mr. Perez will provide the diagnostic and therapeutic services for the
speech and hearing disorders of the south county Head Start Center (lo-
cated in Firestone).
Head Start will pay Mr. Perez $15.00 per hour for all services provided,
not to exceed four (4) hours per week.
This agreement is effective from October 1, 1985, to May 31, 1986.
If you have any questions, please contact me.
850912
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PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this 14th day of October,
1985, by and between the Weld County Division of Human Resources' Head
Start Program, hereinafter referred to as "Head Start" and Mr. Frank J.
Perez, MA, CCC, hereinafter referred to as "Provider".
WITNESSETH:
WHEREAS, Head Start is required to provide diagnostic and therapeu-
tic services addressing speech and hearing disorders of Head Start
children; and
WHEREAS, Head Start must provide those services to Head Start
children who live in southern Weld County and attend the Head Start
center located at 478 First Street, Firestone, Colorado; and
WHEREAS, the Provider has the qualifications and certifications
required to deliver said services; and
NOW THEREFORE, in accordance with the mutual benefits, responsibil-
ities and considerations set forth herein, the parties hereto covenant
and agree as follows:
1. The Provider will provide speech and language therapy to
children with a specific speech or language need that might
impair communication or learning. This therapy will be, when
possible, in the dominant language of the child. The follow
tasks will be completed:
A. Observe those children in the classroom before initiating
therapy.
B. Set up therapy schedule.
C. Develop for each child in therapy a written, individualized
plan stating goals and objectives for speech-language
therapy.
D. Consult with the teacher of the child receiving therapy and
establish an Individualized Education Plan (IEP) and
provide a copy of the IEP to the teacher and the Special
Needs Technician.
E. Conduct evaluations of speech communication.
F. Conduct one to one therapy for those children with the most
severe needs.
G. Conduct group therapy sessions for those children not seen
individually.
Purchase of Service
Page Two
2. This agreement will be effective from October 1, 1985, through
May 31, 1986.
3. Head Start will reimburse the Provider for services only after
receipt of documentation from the Provider specifying the number
and kinds of services delivered. The billing should be made on
a monthly basis and reimbursement will be made within two weeks
of the billing.
4. Head Start will not reimburse the Provider for mileage.
5. The Provider will bill Head Start at the rate of $15.00 per
hour for all treatment services provided (preparation time and
actual time) , not to exceed four (4) hours per week.
6. This agreement may be amended at any time with the written
consent of both parties and upon receipt of a thirty day
written notice to amend the agreement.
7. This agreement may be terminated upon thirty days written
notice by either party, however the agreement will be
terminated immediately if there is a loss of funding to Head
Start.
IN WITNESS WHEREOF, the parties hereto have executed this agreement
on the day first written above.
WELD COUNTY BOARD OF COMMISSIONERS FRANK J. PEREZ, MA, CCC
cque e,�John , ' airman 1- nk J. Perez, LSCCC—/"Cl
2760 29th Street, Suite 101
Boulder, Colorado 80301
WELD COUNTY DIVISION OF HUMAN
RESOURCES iaf
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J.
ATTEST: 7 wii/
J. Speckman
Exe tive Director WELD COUNTY CLERK AND RECORDER
AND CLERK TO THE ' ARD
By:
Deputy - rFty E
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