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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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940063.tiff
RESOLUTION RE: APPROVE FOUR PURCHASE OF SERVICE AGREEMENTS BETWEEN FENWC AND VARIOUS LOCAL DENTISTS AND AUTHORIZE CHAIRMAN 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 four Purchase of Service Agreements between Family Educational Network of Weld County and the following local dentists: 1. Dwaine D. Kurtz, D.D.S. 2. William C. Bender, D.D.S. 3. Gilbert H. Sydney, D.D.S. 4. Robert Kron, D.D.S. WHEREAS, said agreements commenced January 1, 1994, and will end December 31, 1994, with further terms and conditions being as stated in said agreements, and 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 four Purchase of Service Agreements between Family Educational Network of Weld County and the abovementioned local dentists be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said agreements. 940063 ,U 4)(CC- 9-- PURCHASE SERVICE AGREEMENTS - DENTISTS PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of January, A.D. , 1994, nunc pro tunc January 1, 1994. (/J�J / / to "/  BOARD OF COUNTY COMMISSIONERS ATTEST: WELD COUNTY, COLORADO ���1 ..'ter i LUw r`� e �9 Weld County Clerk to the Board 7 / ' ,j; / It1 4.9 X.C` j � ebster, hairman BY: /..7�� ,$/ / 7' .4_-%'_ . _"- mac Deputy Clerk to the Board Dale K. Hall, Pro-Tem APPROV AS TO FORM: {�� eo. g . Baxter County Atto ney Constance L. Harbert ,, 7,4,4_44_ / .(-4Jyh.Gt c'L Barbara J. Kirkmeyer 940063 PURCHASE OF SERVICE AGREEMENT THIS AGREEMENT, made and entered into this /0 — day of January, 1994 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 Gilbert H. Sydney D.D.S. , hereinafter referred to as "Dentist." WITNESSETH That for and in consideration of the covenants herein 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 appointed dentist as needed. This will enable parents to be transported with their children to attend their child's scheduled appointment at the designated Dentist's office. 2. The Dentist shall provide prophylaxis therapy and application of topical fluoride for each Head Start child. The Dentist agrees to provide all restoration and/or extractions as deemed necessary on each referred child. 3. FENWC agrees to reimburse the Dentist $60.00 per child not to exceed $1,800.00 for these services up to thirty (30) Head Start eligible children. All bills submitted will be itemized according to child. 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 the Agreement is January 1, 1994 through December 31, 1994. 7. The Dentist assures that it carries adequate liability and malpractice insurance. 8. Assurances: a. The Dentist 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. 940063 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 offices 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. 940%3 IN WITNESS WHEREOF, the parties above hereunto placed their hands as of the date first written above. WELD COUNTY BOARD OF COMMISSIONERS Z*S;7:7DEN,22/caicyy/ �r/� d!✓'�- ESC G✓��''�i'�I�l� 'W. H. ester, Chairma Ol�taio H. S. ATTEST: ' ': //./ ' ..i {{{ L/ I v vl/a4 ;.✓!p WELD COUNTY CLERK TO HE BOARD BY ( 611 Deputy Cler to the..Bnar \ WEL COUNTY DIVISION OF HUMAN RESOURCES W er Speckman, Ex tive Director 940963 PURCHASE OF SERVICE AGREEMENT THIS AGREEMENT, made and entered into this )Q day of January, 1994 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 Dwaine D. Kurtz, D.D.S. , hereinafter referred to as "Dentist." WITNESSETH That for and in consideration of the covenants herein 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 appointed Dentist as needed. This will enable parents to be transported with their children to attend their child's scheduled appointment at the designated Dentist's office. 2. The Dentist shall provide prophylaxis therapy and application of topical fluoride for each Head Start child. The Dentist agrees to provide all restoration and/or extractions as deemed necessary on each referred child. 3. FENWC agrees to reimburse the Dentist $60.00 per child not to exceed $720.00 for these services up to twelve (12) Head Start eligible children. All bills submitted will be itemized according to child. 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 the Agreement is January 1, 1994, through December 31, 1994. 7. The Dentist assures that it carries adequate liability and malpractice insurance. 8. Assurances: a. The Dentist 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. 940063 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 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, or 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. 940063 IN WITNESS WHEREOF, the parties above hereunto place their hands as of the date first written above. WELD COUNTY BOARD OF COMMISSIONERS DENTIST f W.H. Web ter, Cha rman / O!/i;4q� i D. Kurtz D. 1 ,' ' ' / !/ / ATTEST: Co7«G,4 /12vqe, .. �/.�'� eputy Clerk to the Board WELD COUNTY D/VISION OF HUMAN RESOURCES r . Speckman, Executive Director 940063 PURCHASE OF SERVICE AGREEMENT THIS AGREEMENT, made and entered into this I()/Aday of January, 1994, 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 William C. Bender, 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 appointed dentist as needed. This will enable parents to be transported with their children to attend their child's scheduled appointment at the designated Dentist's office. 2. The Dentist shall provide prophylaxis therapy and application of topical fluoride for each Head Start child. The Dentist agrees to provide all restoration and/or extractions as deemed necessary on each referred child 3. FENWC agrees to reimburse the Dentist $60.00 per child not to exceed $3,000 for these services up to fifty (50) Head Start eligible children. All bills submitted will be itemized according to child. 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 January 1, 1994, through December 31, 1994. 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. 940063 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 out 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. 940063 IN WITNESS WHEREOF, of the parties above hereunto placed their hands as of the date first written above. WELD COUNTY BOARD OF COMMISSIONERS DENTIST W.H. bster, Cflairmapl o'li William C. Bender, D.D.S. ATTESTll , A /' a�G WELD COUNTY CLERK TO THE BOARD By: (it.1� / //tt _.A Deputy Cler to the Bo WELD COUNTY DIVISION OF HUMAN RESOURCES W er . Speckman, Executive Director 940063 PURCHASE OF SERVICE AGREEMENT THIS AGREEMENT, made and entered into this Oh day of January, 1994 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 Robert Kron, D.D.S. , hereinafter referred to as "Dentist." WITNESSETH That for and in consideration of the covenants herein 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 appointed Dentist as needed. This will enable parents to be transported with their children to attend their child's scheduled appointment at the designated Dentist's office. 2. The Dentist shall provide prophylaxis therapy and application of topical fluoride for each Head Start child. The Dentist agrees to provide all restoration and/or extractions as deemed necessary on each referred child. 3. FENWC agrees to reimburse the Dentist $60.00 per child not to exceed $360.00 for these services up to six (6) Head Start eligible children. All bills submitted will be itemized according to child. 4. FENWC will not be charged for those children covered by Medicaidor 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 January 1, 1994, through December 31, 1994. 7. The Dentist assures that it carries adequate liability and malpractice insurance. 8. Assurances: a. The Dentist 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. 94006 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 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, or 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 understand 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's funding should be reduced, this Agreement will be renegotiated immediately to reflect funding changes. 340063 IN WITNESS WHEREOF, the parties above hereunto place their hands as of the date first written above. WELD COUNTY BOARD OF COMMISSIONERS DEN / l � W.N. Web .r, flrlYfiapyi ©It/49 Robert Kron, D.D.S. r , ATTEST: L a..1;vi /v 1/ 1 ,- ✓7T By: eputy Cle to' the Board WELD COUNTY DIVISION OF HUMAN RESOURCES g // it J. S eckma Executive Director 940063 mEmoRAnDum Board of County Commissioners To W. N. Webster, Chairman Date January 10, 1994 9 COLORADO From Walter J. Speckman, Executive Director, Human Resources 1,�{JC.&-' Subject Purchase of Service Agreement between FENWC and Dr. Kurtz, Dr. Kron, Dr. Bender and Dr. Sydney Enclosed for Board approval are Purchase of Service Agreements between the Family Educational Network of Weld County (FENWC) and the following local Dentists: • Dr. Gilbert Sydney will provide services up to thirty (30) Head Start children at $60.00 per child not to exceed $1,800.00. • Dr. Dwaine Kurtz will provide services up to twelve (12) Head Start children at $60.00 per child not to exceed $720.00. • Dr. Robert Bender will provide services up to fifty (50) Head Start children at $60.00 per child not to exceed $3,000.00. • Dr. Robert Kron will provide services up to six (6) Head Start children at $60.00 per child not to exceed $360.00. The above Dentists agree to provide services which include: prophylaxis therapy, application of topical fluoride and restoration and/or extractions as deemed necessary on referred child. For services not reimbursed by FENWC, the amount will be designated as In-Kind Contribution to the FENWC Program on behalf of the Dentists. FENWC agrees to arrange transportation for Head Start children to the Dentist's Offices as needed. FENWC will not be charged for children covered by Public Assistance. Medicaid numbers will be provided at the time of the appointment and billing will be sent to the appropriate agency by the Dentists. All bills submitted will be itemized according to child. The term of these Agreements is January 1, 1994 through December 31, 1994. If you have any questions, please telephone Tere Keller-Amaya at 353-3800. 940U63
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