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HomeMy WebLinkAbout971706.tiffRESOLUTION RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES AND AUTHORIZE CHAIR TO SIGN - ISLAND GROVE REGIONAL TREATMENT CENTER, INC. 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 Child Protection Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Island Grove Regional Treatment Center, Inc., commencing June 1, 1997, and ending May 31, 1998, 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, ex -officio Board of Social Services, that the Child Protection Agreement for Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Island Grove Regional Treatment Center, Inc., be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair 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 6th day of August, A.D., 1997, nunc pro tunc June 1, 1997. ATTEST: Weld Coun BY' Deputy Cler APP FORM: CMG: 55) /G-2rc BOARD OF COUNTY COMMISSIONERS WEL COUNTY, CO RAADOO Geor Constance L. Harbert, Pro-Tem EXCUSED DATE OF SIGNING Dale K. Hall 971706 (AYE) SS0023 Contract No. FY97-3003 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND THE ISLAND GROVE REGIONAL TREATMENT CENTER, INC. This Agreement, made and entered into the 1p th day o 1997, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Social Services, hereinafter referred to as "Social Services," and the Island Grove Regional Treatment Center, Inc., hereinafter referred to as "Island Grove." WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Child Welfare Settlement Agreement requires, among other things, Social Services to obtain outpatient core services for eligible clients who are at imminent risk for out -of - home placement in the category of alcohol and drug services; and WHEREAS, the Colorado Department of Human Services has provided Family Issues Cash Fund resources to Social Services for outpatient core services for families, children, and adolescents; and WHEREAS, Social Services and Island Grove desire to enter into an agreement in providing outpatient services for families, children, and adolescents. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This Agreement shall become effective on June 1, 1997, upon proper execution of this Agreement and shall expire May 31, 1998. Scope of Services Services shall be provided by Island Grove to any person(s) eligible for child protection services in compliance with Exhibit A "Scope of Services," a copy of which is attached by reference. Page 1 of 17 971706 r Contract No. FY97-3003 3. Payment a. Payment shall be made on the basis of Exhibit B, "Payment Schedule," a copy of which is attached and incorporated by reference. "Payment Schedule" shall establish the maximum reimbursement which will be paid form Family Issues Cash Fund during the duration of this Agreement. b. Island Grove shall submit an itemized monthly bill to Social Services for all costs incurred and services provided pursuant to Exhibit A of this Agreement in accordance with criteria established by Social Services. The Contractor shall submit all itemized monthly billings to Social Services no later that the fifteenth (15)- day of the month following the month the cost was incurred. Failure to submit monthly billings in accordance with the terms of this agreement shall result in Island Grove's forfeiture of all rights to be reimbursed for such expenses. In the event of a forfeiture of reimbursement, Island Grove may appeal such circumstance to the Director of Social Services. The decision of the Director of Social Services shall be final. c. Payments of costs incurred pursuant to this Agreement is expressly contingent upon the availability of Family Issues Cash Fund funds to Social Services. Social Services shall not be billed for, and reimbursement shall not be made for time involved in activities outside of those defined in Exhibit A. Work performed prior to the execution of this Contract shall not be reimbursed or considered part of this Agreement. 4. Financial Management At all times from the effective date of this Contract until completion of this Contract, Island Grove shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under Family Issues Cash Fund must conform to the Single Audit Act of 1984 and OMB Circular A-128. 5. Payment Method Unless otherwise provided in the Scope of Services and Payment Schedule: a. Island Grove shall provide proper monthly invoices and verification of services performed for costs incurred in the performance of the agreement. Page 2 of 17 971706 Contract No. FY97-3003 b. Social Services may withhold any payment if Island Grove has failed to comply with the Financial Management Requirements, program objectives, contractual terms, or reporting requirements. In the event of a forfeiture of reimbursement, Island Grove may appeal such circumstance to the Director of Social Services. The decision of the Director of Social Services shall be final. 6. Assurances Island Grove shall abide by all assurances as set forth in the attached Exhibit C, which is attached hereto and incorporated herein by reference. 7. Compliance with Applicable Laws At all times during the performance of this contract, Island Grove shall strictly adhere to all applicable federal and state laws, orders, and all applicable standards, regulations, interpretations or guidelines issued pursuant thereto. This includes the protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to this Contract. Island Grove acknowledges that the following laws are included: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 aI, sgq, and its implementing regulation, 45 C.F.R. Part 80 t, seq.; and Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulation, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Sections 6101 et seq. and its implementation regulation, 45 C.F.R. Part 91; and Title VII of the Civil Rights Act of 1964; and the Age Discrimination in Employment Act of 1967; and the Equal Pay Act of 1963; and the Education Amendments of 1972; and Immigration Reform and Control Act of 1986, P.L. 99-603; and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, and, sex, religion and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions, covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. Included if 45 C.F.R. Part 74 Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any and all federal and/or state financial assistance. Page 3of17 971706 Contract No. FY97-3003 Any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the U.S. Department of Health and Human Services, Office for Civil Rights. Certifications Island Grove certifies that, at the time of entering into this Contract, it has currently in effect all necessary licenses, approvals, insurance, etc. required to properly provide the services and/or supplies covered by this contract. 9. Monitoring and Evaluation Island Grove and Social Services agree that monitoring and evaluation of the performance of this Agreement shall be conducted by Island Grove and Social Services. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners and the Island Grove Board. Island Grove shall permit Social Services, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with agreement work. 10. Modification of Agreement All modifications to this agreement shall be in writing and signed by both parties. 11. Remedies The Director of Social Services or designee may exercise the following remedial actions should s/he find Island Grove substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by Island Grove. These remedial actions are as follows: a. Withhold payment to Island Grove until the necessary services or corrections in performance are satisfactorily completed; Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by Island Grove cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; Page 4 of 17 971706 Contract No. FY97-3003 c. Incorrect payment to Island Grove due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between Social Services and Mental Health, or by Social Services as a debt due to Social Services or otherwise as provided by law. 12. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s): For Social Services: Dave Aldridge Resource Services Manager II Name Title For Island Grove: Robert Keenan CACIII Name Title 13. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent: To: Social Services To: Island Grove Judy A. Griego Director P.O. Box A Greeley CO 80632 14. Litigation B.J. Dean. Director P.O. Box 5100 Greeley. CO 80632 Island Grove shall promptly notify Social Services in the event that Island Grove learns of any actual litigation in which it is a party defendant in a case which involves services provided under this Agreement. Island Grove, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganization and/or foreclosure. Page 5 of 17 9717% Contract No. FY97-3003 15. Termination This Agreement may be terminated at any time by either party given thirty (30) days written notice and is subject to the availability of funding. 16. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as stated in Paragraph 10 herein. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. WELD COUNTY r EPARTMENT OF SOCIAL SERVICES By: Page 6 of 17 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO By: �GeT Baxter, Chair (08 4/41) ISLAND GROVE REGIONAL TREATMENT CENTER, INC. By: 97176 Contract No. FY97-3003 EXHIBIT A SCOPE OF SERVICES Target/Eligible Population The population to be served under this contract includes abused and neglected children who are at risk of out -of -home placement, who are clients of the Weld County Department of Social Services, and are in need of alcohol and drug services. The family members of these children and adolescents will also be eligible for services. In addition to meeting eligibility criteria through Social Services, the referred individuals or families must have an identified alcohol or drug use issue. 2. Types of Services to be Provided Services to be provided under the terms of this contract include the following: a. Assessments 1) Alcohol and Drug Differential Assessment (2 -Hours) Assessment will evaluate alcohol/drug involvement as well as mental health status, history of mental health issues, sexual history, legal history, and certain standard tests (ASAP, Drinking History Questionnaire, Family Environment Scale) may be given. Baseline Urinalysis Testing (7 Panel) is included. Summary of assessment with recommendations sent to referral agency. The 7 -Panel baseline urinalysis test for alcohol and drugs screens for the following: Tests determine what drugs are present in client. THC Amphetamines Cocaine Barbiturates Benzodiazepines Opiates PCP Cutoff Level: 20 ng/ml Cutoff Level: Cutoff Level: Cutoff Level: Cutoff Level: Cutoff Level: Cutoff Level: 2) Domestic Violence Assessment (3 -Hours) The following areas will be assessed: • Criminal History • Profile of Client's Violent Behaviors Page 7of17 1000 ng/ml 300 ng/ml 200 ng/ml 300 ng/ml 300 ng/ml 25 ng/ml 9717% Contract No. FY97-3003 • Mental Health Status • Client's Potential for Violence • Medical History • Substance Abuse History • Suicidal/Psychological/Cultural History Summary of assessment with recommendations sent to referring agency. b. Treatment Options 1) Domestic Violence Group Therapy (average length of treatment. 24 to 36 weeks) Group for both men and women are offered. The group addresses anger management, healthy relationships, male and female roles, and boundaries. 2) Family Therapy (Average length of treatment. 8 to 16 sessions) Involves two or more family members and provides therapeutic intervention to improve family communications functioning and relationships. Length of participation dependent on client's goals and progress toward meeting goals. 3) Individual Counseling (Average length of treatment 6 to 12 sessions) Primary client is seen on an individual basis. Length of participation dependent on client goals and progress toward goals. 4) Biofeedback Sessions (Average length of treatment. 4 to 8 sessions) The client will be monitored individually through sensitive computerized biofeedback instruments. The goal of biofeedback is self regulation --learning how to regulate both mental and physical processes for health and improved functioning. Biofeedback is used to reduce stress and to demonstrate control over mental and physical impulses and develop deep relaxation techniques. 5) Substance Abuse Therapy (Average length of treatment 12 to 20 sessions) A group to enhance positive coping skills by focusing on their lifestyle dealing with use and abuse of chemicals. 6) Adult Intensive Outpatient (Average length of treatment, 4 to 12 weeks An intensive outpatient group therapy track that offers groups every evening, Monday through Friday, and a family program on the weekends. This program will include medical aspects of addiction and adult relapse education components focusing on the understanding the relapse process as well as group process (focuses on individual issues relating to their abuse or alcohol). The program length and participation level will be individualized based on the presenting issues and other factors. Page 8of17 971706 Contract No. FY97-3003 7) Women's Group (Average length of treatment. 12 to 36 sessions A gender -specific group addressing issues affecting women and their relationships, such as family violence, co-dependency, self-esteem and stress management. c. Special Programs 1) Special Connection Services (Through pregnancy and up to one year postpartum A gender specific program that focuses on healthy babies, appropriate child care, prenatal care, birth control, developmental stages of the baby, parenting skills, relationship issues, and other issues as identified by the counselor. Services include group and individual therapy, case management and family health education. 2) Fast Track Adolescent Alcohol/Drug Assessment (Treatment is 5 -days inpatient) A residential alcohol and drug evaluation for adolescents that includes specific testing and family involvement. The Fast Track Adolescent Program was developed on a time frame of five (5) days of evaluation and education. The targeted population ranges from 13 to 18 years of age who demonstrate substance abuse problems. The goal is to have these adolescents discover positive alternatives to their current use behavior. Miscellaneous Services 1) Case Aide/Case Management Services This position will assist in family visits to determine how the family is functioning together while in the home, and to improve the family's ability to access resources in the community. The case aide can take direction from the primary therapist assigned to the family or the Social Services caseworker. Duties to be performed by the case aide include, but are not limited to providing transportation to therapy, doctors appointments and court, supervised visits, child care while family is in treatment, run errands such as filling prescriptions, shopping, and assisting in living skill development, assist the family in developing other service links and miscellaneous functions to facilitate the stabilization of the family. (Case Aide tasks will be mutually agreed upon between counselor and caseworker and identified in the `Services Plan'.) 2) Expert Testimony Island Grove will provide expert testimony as required by Social Services. Page 9of17 971706 Contract No. FY97-3003 3) Case Consultation Island Grove will provide case consultation through an interdisciplinary assessment process. 4) Millon Test A standardized psychological test which measures functioning level in 22 personality disorders and clinical syndromes for adults (8th grade reading level; > 18; available in Spanish). The program consists of a comprehensive differential assessment compiling personal and collateral information as well as data obtained from the Substance Abuse Subtle Screening Inventory (SASSI) and the Adolescent Self -Assessment Profile (ASAP) instruments. This data is utilized to develop an individualized treatment plan. Clients receive a minimum of three individual sessions with the focus on achieving their treatment goals and attend three groups per day with the primary focus on education and motivational topics. Family therapy is encouraged as a part of the client's treatment. On the fifth day, a discharge planning session will be implemented focusing on appropriate referrals addressing the needs and motivation of the adolescent and family. Service Objectives The objective is to reduce the family or individual problems that are related to their alcohol and drug use patterns in an attempt to preserve the family structure and keep the youth/child(ren) from out of home placement or to expedite the return home or move the youth/child(ren) to a less restrictive placement. 4. Service Time Frames Service time frames are in part determined individually by the Treatment Plan and service that is requests. Exhibit A, Item 2, provides estimates in regards to length of treatment. The `Services Plan' will further define agreed upon services and length of initial approval for services. 5. Measurable Outcomes The measurable outcomes will be based individually on the "Treatment Plan" for those cases in which ongoing services are recommended. Island Grove's individual treatment plan will determine the `Service Plan' which will be approved by Social Services. Assessments are limited; the completion of the service and a letter of results sent to the caseworker may be the immediate goal/desired outcome. In addition to the individualized treatment plan, each program has specific measurable outcomes. Program outcomes for the Special Connections program and the Domestic Violence Program are outlined in outcome objectives required by CARF. Additionally, domestic violence and outpatient services uses the treatment progress evaluation form to determine progress in several areas, the use of Pre and Post Tests are used in the following programs: Special Connections, Domestic Violence, DUI, and Fast Track Adolescent. Page 10 of 17 971706 Contract No. FY97-3003 EXHIBIT B PAYMENT SCHEDULE 1. Funding and Method of Payment Social Services agrees to reimburse to Island Grove in consideration for the work and services performed, a total amount not to exceed Sixty-one Thousand Eighteen dollars ($61,018) under Fund Code 1889 and Object Code 104. Expenses incurred by the Island Grove, in association with said project prior to the term of this agreement, are not eligible Social Services expenditures and shall not be reimbursed by Social Services. Payment pursuant to this Contract, if Family Issues Cash funds, whether in whole or in part, is subject to and contingent upon the continuing availability of Family Issues Cash funds for the purposed hereof. In the event that said funds, or any part thereof, become unavailable as determined by Social Services, Social Services may immediately terminate this Contract or amend it accordingly. 2. Fees for Services Social Services agrees to pay Island Grove for the costs of services as follows: a. Assessments 1) Alcohol and Drug Differential Assessment $ 135.00 (Included baseline Urinalysis Test) 2) Domestic Violence $ 135.00 3) Vocational Assessment $ 175.00 Treatment Options 1) Domestic Violence Group Therapy $ 25.00/session Co-Pay/Sliding Fee 2) Family Therapy $ 80.00/session Co-Pay/Sliding Fee 3) Intensive Family Therapy $ 90.00/session Co-Pay/Sliding Fee 3) Individual Counseling $ 60.00/session Page 11 of 17 971706 Contract No. FY97-3003 3) Individual Counseling $ 60.00/session Co-Pay/Sliding Fee 4) Biofeedback $ 60.00/session Co-Pay/Sliding Fee 5) Substance Abuse Group Therapy $ 25.00/session Co-Pay/Sliding Fee 6) Adult Intensive Outpatient $ 50.00/session Co-Pay/Sliding Fee 7) Women's Group $ 25.00/session Co-Pay/Sliding Fee c. Special Programs 1) Special Connections Services (For pregnant women and postpartum women who are Medicaid reimbursement eligible.) • Island Grove will bill Medicaid directly for services provided for clients who are Medicaid reimbursement eligible. • If Clients are not Medicaid reimbursement eligible, fees are as stated below: a) Differential Assessment $135.00 b) Individual Counseling $ 60.00/session c) Group Counseling $ 25.00/session d) Health Education Services $ 15.00/session 2) Fast Track Adolescent Alcohol/Drug Assessment a) Alcohol/Drug Differential Assessment $135.00 b) Family Counseling $80.00/session Co Pay/Sliding Fee c) Individual Counseling $60/session Co Pay/Sliding Fee Page 12 of 17 971716 Contract No. FY97-3003 d. Miscellaneous Services 1) Case Aide/Case Management Services $ 35.00/hour 2) Expert Testimony $150.00/day or any part of a day 3) Case Consultation $ 40.00/hour (Interdisciplinary Assessment Process) If funding available and State approves Service Adult Residential Services $115.00/day Urinalysis Testing (7 -Panel) $25.00/test Breathalyser Testing $ 2.00/test Monitored Antabuse $ 2.00/monitor (If client is not currently enrolled in weekly counseling program(s) of Island Grove Center) Social Service referrals will not be sent to collections by Island Group for default of co- pay/fees. Services will be performed regardless of client's refusal or inability to pay co -pay. The Sliding Fee Schedule will only be applied to those services as noted on the fee schedule, all other fees will be charged directly to Social Services. Island Grove will collect any applicable sliding scale co -pays and credit Social Services for any payments received on the monthly billing statements. Submittal of Vouchers Island Grove shall prepare and submit monthly the itemized voucher and certify that the services authorized were provided on the date indicated and the charges made were pursuant to the terms and conditions of Exhibit A. Page 13 of 17 971706 Contract No. FY97-3003 EXHIBIT C ASSURANCES Island Grove agrees it is an independent contractor and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees, as the result of the execution of this Agreement. 2. Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of Island Grove or its employees, volunteers, or agents while performing duties as described in this Agreement. Island Grove shall indemnify, defend, and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers, and agents. Island Grove shall provide adequate liability and worker's compensation insurance for all its employees, volunteers, and agents engaged in the performance of the Agreement upon request, Island Grove shall provide Social Services with the acceptable evidence that such coverage is in effect. 3. No portion of this Contract 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 treated a duty of care with respect to any persons not a party to this Agreement. No portion of this Contract shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year. 5. If any section, subsections, paragraph, sentence, clause, or phrase of this Contract is for any reason held or decided to be unconstitutional, such decision shall not effect the validity of the remaining portions. The parties hereto declare that they would have entered into this Contract and each and every section, subsection, 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. 6. 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 7. Island Grove assures that they will comply with the Title VI of the Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under this approved Contract. Page 14 of 17 9717)6 • Contract No. FY97-3003 8. Island Grove assures that sufficient, audit able, and otherwise adequate records that will provide accurate, current, separate, and complete disclosure of the status of the funds received under the Contract are maintained for three (3) years or the completion and resolution of an audit. Such records shall be sufficient to allow authorized local, Federal, and State auditors and representatives to audit and monitor Island Grove. 9. All such records, documents, communications, and other materials shall be the property of Social Services and shall be maintained by Island Grove, in a central location and custodian, in behalf of Social Services, for a period of three (3) years from the date of final payment under this Contract, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualification: If an audit by or on behalf of the federal and/or state government has begun but is not completed at the end of the three (3) year period, or if audit findings have not been resolved after a three (3) year period, the materials shall be retained until the resolution of the audit finding. 10. Island Grove assures that authorized local, federal and state auditors and representatives shall, during business hours, have access to inspect any copy records, and shall be allowed to monitor and review through on -site visits, all contract activities, supported with funds under this Contract to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. 11. This Contract shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. Island Grove or Social Services may not assign any of its rights or obligations hereunder without the prior written consent of both parties. 12. Island Grove certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Island Grove, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, loan, grant, or cooperative agreement. 13. Island Grove assures that it will fully comply with the Children's Code regulations promulgated, and all other applicable federal and state laws, rules and regulations. Island Grove understands that the source of funds to be used under this Contract is: Family Issues Cash Funds. 14. Island Grove assures and certifies that it and its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by a federal department of agency. Page 15 of 17 9717)6 Contract No. FY97-3003 b. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 11(b) of this certification; and d. Have not within a three-year period preceding this Contract, had one or more public transactions (federal, state, and local) terminated for cause or default. 15. The Appearance of Conflict of Interest applies to the relationship of a contractor with Social Services when Island Grove also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the contractor to gain from knowledge of these opposing interests. It is only necessary that the contractor know that the two relationships are in opposition. During the term of the Contract, Island Grove shall not enter any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Island Grove shall submit to Social Services, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for Social Services' termination, for cause, of its contract with Island Grove. 16. Island Grove shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Contract. Except for purposes directly connected the administration of the Child Protection, no information about or obtained from any applicant/recipient in possession of Island Grove shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian. Island Grove shall have written policies governing access to, duplication and dissemination of, all such information. Island Grove shall advise its employees, agents and subcontractors, if any, that they are subject to these confidentiality requirements. Island Grove shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. 17. Proprietary information for the purposes of this contract is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. 971726 Page 16 of 17 Contract No. FY97-3003 Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Contract. Any proprietary information removed from the State's site by Island Grove in the course of providing services under this Contract will be accorded at least the same precautions as are employed by Island Grove for similar information in the course of its own business. m wptia\adm\ishndmark Page 17 of 17 971ris Ant; Wilk COLORADO TO: George E. Baxter, Chair Board of County Commissioners FR: Judy A. Griego, Director, Social Services RE: 25 DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 Protective and Youth Services (970) 352-1923 MEMORANDUM Food Stamps (970) 356-3850 Fax (970) 353-5215 Date: August 1, 1997 a Child Protection Agreement for Services the Wehd County Department of Social Services and the Island Grove Regional Treatment Center, Inc. Enclosed for Board approval is a Child Protection Agreement between the Weld County Department of Social Services (Social Services) and the Island Grove Regional Treatment Center, Inc., (Island Grove). The major provisions of the agreement are as follows: 1. The term of the agreement is June 1, 1997 through May 31, 1998. 2. Social Services is purchasing alcohol and drug assessments, treatment options, special programs, and other services from Island Grove. 3. Social Services agrees to reimburse Island Grove a total of $61,018 for services provided. If you have any questions, please telephone me at extension 6200. 971706 Hello