HomeMy WebLinkAbout950845.tiffRESOLUTION
EN RE: DEPARTMENT AND MONFORT, INC. AND AUTHORIZE CHAIRMAHEALTH
APPROVE PURCHASE OF SERVICES AGREEMENT 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 a Purchase of Services Agreement
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 Health Department, and Monfort,
Inc., commencing April 1, 1995, and ending March 31, 1996, with further terms and conditions
being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Purchase of Services Agreement 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 Health Department, and Monfort, Inc. be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 19th day of April, A.D., 1995, nunc pro tunc April 1, 1995.
BOARD OF COUNTY COMMISSIONERS
LD COUNTY, COORAQO
ATTEST:
Weld County Clerk to the Board
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Deputy Cler o the Board
APPROVED A
ounty Att (iey
L?C /fLyMan{brl-
Dale K. Hall, Chairman
«j r-
/ Baxter
Constance L. Harbert
F l ISFP
W. H. Webster
950845
HL0021
PURCHASE OF SERVICES AGREEMENT
•
THIS AGREEMENT is made and entered into this / 3 —
day of �.,�!�� , 1995 by
d"
and between the County of Weld, State of Colorado, by and through e Board of County
Commissioners of Weld County, hereinafter referred to as "Weld County," on behalf of the Weld
County Health Department, hereinafter referred to as "Health Department," and Monfort, Inc.,
hereinafter referred to as "Contractor."
WITNESSETH
WHEREAS, Contractor desires to offer prenatal, family planning, well child and well woman
health care and other servicesasmutually agreed upon,to Monfort, Inc. employees and dependents
covered under Monfort's comprehensive health plan; and
WHEREAS, Contractor desires to purchase such services from Health Department; and
WHEREAS, Health Department desires to provide such services; and
WHEREAS, the parties desire to reduce the terms of their agreement to writing.
NOW, THEREFORE, for and in consideration of the covenants, conditions, agreements, and
stipulations hereinafter expressed, the parties do hereby agree as follows:
1. Term of Agreement
This agreement shall be effective from the date of its signing, nunc pro tuns April 1,
1995, through March 31, 1996 and may be renewed each year thereafter by written
agreement between the parties, subject to the provisions of Paragraph 8 of this
Agreement.
2. Compensation
In consideration of the services to be provided by Health Department, Contractor
agrees to pay Health Department an annual amount of $185,732 payable at the rate
of $15,477 per month for the first eleven months and $15,485 for the twelfth month.
Said payments will be made to cover the costs of administering the program,
including, but not limited to, personnel and operating costs. Expenses incurred for
Page 1 of 7 Pages
950845
supplies and services such as birth control, in-house lab, and medical consultation,
the total of which is expected to be approximately $53,800 during the term of this
Agreement, will be billed monthly s these expenses are incurred. (See Attachment
A) If it becomes apparent to Health Department that costs for said expenses or
services may exceed the agreed upon amount, Health Department will notify Monfort
pursuant to paragraph 14.
Health Department will submit an invoice, on a form as set forth in attachment B, to
Contractor at the end of each month services are provided and the expenses incurred.
Contractor agrees to reimburse Health Department within 30 days after submission
of this invoice.
3. Services
A. Staff Qualifications
The nurses and nurse practitioner provided by Health Department shall meet
or exceed all of the qualifications and requirements of Colorado law. The
health care services will be provided pursuant to this Agreement by a nurse
practitioner in consultation with a physician. Health Department will
compensate the consultant physician as outlined in Attachment A. Contractor
will then reimburse Health Department upon receipt of a billing statement
pursuant to the provisions of paragraph 2 of this agreement.
B. Services To Be Provided
During the term of this Agreement, Health Department agrees to provide
prenatal and postpartum care to no more than 100 women and family
planning services to no more than 500 women, including education and
counseling, in accordance with the "Prenatal Care Guidelines" provided by
the Colorado Department of Health. Well child care, home visits, well
woman physicals to provide pap smears and breast exams, and other services
as mutually agreed upon will be provided as scheduling allows with current
staffing patterns. This program does not include the cost of the following:
off -site laboratory testing; non -stress tests; ultrasounds; or other evaluation
or testing done by an agency other than the Health Department; emergency
room visits; hospitalization; delivery costs; referral for consultation or
complications; abnormal pap follow-up; or sick child care to the newborn.
Page 2 of 7 Pages
9508 5
These items as well as any other care provided to the client outside the Health
Department will be billed by that agency to the client's insurance.
Health Department will coordinate care between medical providers and the
local health agency, including assistance in securing delivery services and
referrals and assistance in seeking infant and child health care.
Health Department will provide appropriate equipment and materials in order
to adequately provide the above set forth services. Health Department will
make some services available in the evening hours to be set at the
convenience of Health Department and will provide Spanish speaking staff
during normal clinic hours.
4. To Whom Services Are to be Provided
Health Department and Contractor assure compliance with Title VI of the Civil
Rights Act of 1964, that no person shall, on the grounds of race, color, sex, religion,
age, national origin, or individual handicap, be excluded from participation in, be
denied the benefits of, or be subject to discrimination under any provision of this
Agreement.
Health Department will not charge a fee to the qualified program participants for any
of the covered services.
Health Department agrees to provide services to all program participants and
employees in a smoke -free environment. Smoking may not be permitted in waiting
areas, examination rooms, formal education sessions, therapy, or similar services.
Designated smoking areas may be established for staff, program participants, family
members, and visitors.
5. Parties' Relationship
The parties to this Agreement intend that the relationship between them contemplated
by this Agreement is that of independent entities working in mutual cooperation. No
employee, agent, or servant of one party shall be or shall be deemed to be an
employee, agent, or servant of another party to this Agreement.
6. Limitations - Liabilities - Indemnification
Page 3 of 7 Pages
950845
Each party shall not be responsible or liable for acts or omissions or failure to act by
the other party. Accordingly, Health Department agrees to indemnify and hold
Contractor harmless from any and all liability incurred by acts or omissions or
failures to act by Health Department and, likewise, Contractor agrees to indemnify
and hold Health Department harmless from any and all liability incurred by acts or
omissions or failures to act by Contractor. Because Health Department is a
department of Weld County Government, Contractor acknowledges that its
agreement to indemnify and hold harmless Health Department extends to Weld
County, its employees, agents, subcontractors, and assignees. The term "liability"
includes, but is not limited to, any and all claims, damages, and court awards
including costs, expenses, and attorney fees incurred as a result of any act or
omission by the applicable party who acted or failed to act.
7. Non -Assignment
This Agreement shall not be assignable without prior written consent of Health
Department or Contractor, whichever is the non -assigning party.
8. Termination
Either party may terminate this Agreement for cause upon ten (10) days written
notice and for any reason so long as thirty (30) days written notice of its intent to so
terminate is given to the other party. If this Agreement is so terminated, Health
Department shall receive that compensation which duly reflects the actual number
of hours not previously reimbursed during which Health Department provided
services pursuant to this Agreement.
9. Notices
Any notice provided for in this Agreement shall be in writing and shall be served by
personal delivery or by certified mail, return receipt requested, postage prepaid, at the
addresses set forth in this Agreement, until such time as written notice of any change
is received from the party wishing to make a change of address. Any notice so
mailed and any notice served by personal delivery shall be deemed delivered and
effective upon receipt or upon attempted delivery. This method of notification will
be used in all instances, except for emergency situations when immediate notification
to the parties is required.
Page 4 of 7 Pages
950845
HEALTH DEPARTMENT:
Weld County Department of Health
c/o Judy Nero
1517 16th Avenue Court
Greeley, CO 80631
MONFORT, INC.
Monfort, Inc.
Department of Risk Management
Lucille Gallagher, Vice President
P.O. Box G
Greeley, CO 80632
10. Modification
This Agreement contains the entire agreement and understanding between the parties
to this Agreement and supersedes any other agreements concerning the subject matter
or this transaction, whether oral or written. No modification, amendment, novation,
renewal, or other alteration of or to this Agreement and the attached exhibits shall be
deemed valid or of any force or effect whatsoever, unless mutually agreed upon in
writing by the undersigned parties. No breach of any term, provision, or clause of
this Agreement shall be deemed waived or excused, unless such waiver or consent
shall be in writing and signed by the party claimed to have waived or consented.
Any consent by any party hereto, or waiver of, a breach by any other party, whether
express or implied, shall not constitute a consent to, waiver or, or excuse for any
other different or subsequent breach.
11. Other Laws and Regulations Incorporated
This Agreement is expressly made subject to all laws and regulations of the United
States and the State of Colorado. Contractual provisions required by such laws and
regulations but not having been set out herein are hereby incorporated by this
reference as though expressly set out in full. All parties to this Agreement are hereby
put on notice and charged with the responsibility of compliance with such contract
provisions as required by law.
Page 5 of 7 Pages
95087!;5
12. Severability
If any term or condition of this Agreement shall be held to be invalid, illegal, or
unenforceable, this Agreement shall be construed and enforced without such a
provision, to the extent this Agreement is then capable of execution within the
original intent of the parties.
13. Funding
No portion of this Agreement shall be deemed to create an obligation on the part of
the County of Weld, State of Colorado, or Health Department to expend funds not
otherwise appropriated during the term of this Agreement. No portion of this
Agreement shall be deemed to create an obligation on Contractor to expend funds not
otherwise appropriated during the term of this Agreement.
Dollar amounts and numbers of program participants for the contract year are subject
to change based on differences between estimated and actual amounts. When a
modification of the dollar amount or the number of program participants or both is
necessary, Health Department will so notify Contractor. Contractor will confirm the
modification in accordance with the form attached hereto as Attachment C.
14. Records
Each party agrees to keep any and all records and information confidential, in
compliance with all laws and regulations concerning the confidentiality of such
records.
Health Department shall be responsible for maintaining program participant records.
Information concerning eligibility and participation for any program participants who
may be participating under this Agreement shall be released to Contractor only after
a signed release has been obtained from the participant and presented to Health
Department. Information regarding care received will be released only on a need -to -
know basis and only after a signed release from the relevant participant has been
presented to the Health Department.
15. Inurement
This Agreement shall inure to the benefit of the heirs, assigns, and successors in
interest of the parties hereto.
Page 6 of 7 Pages
9J08°x:J
16. No Third Party Beneficiary Enforcement
It is expressly understood and agreed that enforcement of the terms and conditions
of this Agreement, and all rights of action relating to such enforcement, shall be
strictly reserved to the undersigned parties and nothing contained in this Agreement
shall give or allow any claim or right of action whatsoever by any other person not
included in this Agreement. It is the express intention of the undersigned parties that
any entity, other than the undersigned parties, receiving services or benefits under
this Agreement, shall be deemed an incidental beneficiary only.
WE
IN WISS WHEREOF, the parties have hereunto set their hands and seals this / 3 day
, 1995, nunc pro tune March 1, 1995.
COUNTY HEALTH DEPARTMENT MONFORT, INC.
?C, )_ z1c. LL
Lucille Gallagher
Vice President
John S. Pickle, M.S.E.H.
Director
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Date
ATTEST:
CLERK TO THE BOARD
Qt J_/YifiQ�
M:\W PFILES\AGREE\MONFORT.DB
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Date
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Date
Page 7 of 7 Pages
35!03^5
Nurse Practitioner
12 hrs/week (0.3 FTE) to see 100 prenatal clients per year
8 hrs/week (0.2 FTE) to see 500 birth control clients per year
4 hrs/week desk time
Community Health Nurse
Client contact, client follow-up, referrals, chart reviews, well child physicals and home visits
as time allows
Office Technician
Client receptionist/health aide, translations, data entry, word processing, filing, scheduling
appointments
Supervisor
Program review and evaluation
950845
REVISED 03/12/95 Attachment A
BUDGET
Personnel & Administration
Nurse Practioner (0.6 FTE) $ 27,360
Community Health Nurse (1.0 FTE) 31,488
Office Technician III (1.0 FTE) 19,320
Office Technician III (0.5 FTE) 9,660
Supervisor (1.0 FTE) 34.728 $122,556
17 % Benefits
Total Personnel
Admin/Indirect (18.37%)
Operating Supplies
20.835
$143,391
26,341
16.000
Total to be Billed at a Monthly Rate $185,732
11 payments of $15,477
1 payment of $15,485
Other Services (Estimated to be billed as used)
Medical Consultant - $65/hr, 4 hrs/wk
Birth Control Supplies
In-house Lab Services
$170,247
15.485
$185,732
$ 13,000
31,800
9.000
Other Total $ 53.800
TOTAL ESTIMATED COST $239,532
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9508/t5
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Attachment B
CONTRACT REIMBURSEMENT STATEMENT
MONFORT, INC.
To: Monfort, Inc.
P.O. Box G
Greeley, CO 80632
From: Weld County Health Department
1517 16th Avenue Court
Greeley, CO 80631
Administrative Fee (Personnel and Operating Costs)
Number of
Services
Type
Date:
Expenditures from
to
sate of Service Thal
GC culture $5.00
Chlamidia $7.50
Urine culture $10.50
Urine micro $5.50
MD consult $65/hour
BCP $6.00 each
Norplant ins $400.00
IUD $150.00
Depo Provera injection $40.00
Diaphragm $10.00
Gel/cream $6.00
Foam $6.00
Condoms, 10/pkg $3.00
Vitamins $3.50
Iron $2.00
Glucose screening $1.00
Cardiac profile $10.00
Cholesterol screen $5.00
Blood sugar $5.00
Other
Total for services
Total charges
This is to certify that the above expenses were incurred per contract and we are requesting
reimbursement for same.
SIGNATURE DATE
9508411
Otr,am
�,
COLORADO
mEmoRAnuum
Dale Hall, Chairman
To Board of County Commissioners
From
Subject:
Date
April 17, 1995
CI r
John Pickle, Director, Health Department
3
Renewal of Purchase of Services Agreement with Monfort, Inc.
Enclosed for Board approval is a purchase of services agreement between the Weld County
Health Department (WCHD) and Monfort Inc. for the time period April 1, 1995 through
March 31, 1996.
Under the conditions of last year's agreement, WCHD provided certain pre -natal, post-partum,
and family planning health services for Monfort, Inc. employees and dependents covered under
the company's comprehensive health plan. This year's agreement is basically the same, except
services provided will include well child exams, case management, education and adult health
screenings as scheduling allows with current staffing patterns for clinic slots already reserved for
Monfort clients.
For these services, WCHD will receive up to $239, 532 which is $1,000 more than last year's
contract. I recommend approval of this agreement.
Enclosure
950845
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