HomeMy WebLinkAbout961176.tiff RESOLUTION
RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES WITH ISLAND
GROVE REGIONAL TREATMENT CENTER, INC., 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 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 the Island
Grove Regional Treatment Center, Inc., commencing June 1, 1996, and ending May 31, 1997,
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 the 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 8th day of July, A.D., 1996, nunc pro tunc June 1, 1996.
BOARD OF COUNTY COMMISSIONERS
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WELD COUNTY, COLO O
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Deputy Clerk tlhe Board
Dale K. Hall
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Constance L. Harbert
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961176
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Contract No. FY96-3003
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 `/ th day of July, 1996, 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."
WFINESSETH
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, 1996, upon proper execution of this
Agreement and shall expire May 31, 1997.
2. 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.
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Contract No. FY96-3003
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.
d. 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:
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a. Island Grove shall provide proper monthly invoices and verification of services
performed for costs incurred in the performance of the agreement.
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 I. seq. and its
implementing regulation, 45 C.F.R. Part 80 et. 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,
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Contract No. FY96-3003
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.
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.
8. 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;
b. 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.
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Contract No. FY96-3003
Denial of the amount of payment shall be reasonably related to the amount of work
or deliverables lost to Social Services;
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 Supervisor III
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 B.J. Dean, Director
P.O. Box A P.O. Box 5100
Greeley, CO 80632 Greeley, CO 80632
14. Litigation
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
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Contract No. FY96-3003
Services Director. The term "litigation" includes an assignment for the benefit of creditors,
and filings in bankruptcy, reorganization and/or foreclosure.
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 wriit�ttte�en.�n.
• T: gill/ a 4'AH
'86' flat e`' of D OUNTY BOARD OF COUNTY
°v ` jTO THE BOARD COMMISSIONERS WELD COUNTY,
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eputy Cle Ar TESTING TO BOARD OF COUNTY ' Barbara J. Kirkm yer, Cha g���
COMMISSIONER SIGNATURES ONLY v7�'' `
APP AS TOFORM:
Co
WELD COUNTY DEPARTMENT ISLAND GROVE REGIONAL
OF SOCIAL SERVICES TREATMENT CENTER, INC.
By: By: 0/11)
r ctor Dir for
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Contract No. FY96-3003
EXHIBIT A
SCOPE OF SERVICES
1. 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 Cutoff Level: 20 ng/ml
Amphetamines Cutoff Level: 1000 ng/ml
Cocaine Cutoff Level: 300 ng/ml
Barbiturates Cutoff Level: 200 ng/ml
Benzodiazepines Cutoff Level: 300 ng/ml
Opiates Cutoff Level: 300 ng/ml
PCP Cutoff Level: 25 ng/ml
2) Domestic Violence Assessment (3-Hours)
The following areas will be assessed:
• Criminal History
• Profile of Client's Violent Behaviors
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Contract No. FY96-3003
• 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.
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Contract No. FY96-3003
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.
d. 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.
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Contract No. FY96-3003
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.
3. 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.
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Contract No. FY96-3003
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 Forty-three Thousand and Seven Hundred
Dollars ($43,700) under Fund Code 1888 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 $ 85.00
(Included baseline Urinalysis Test)
2) Domestic Violence $ 75.00
b. Treatment Options
1) Domestic Violence Group Therapy $ 25.00/session
Co-Pay/Sliding Fee
2) Family Therapy $60.00/session
Co-Pay/Sliding Fee
3) Individual Counseling $ 60.00/session
Co-Pay/Sliding Fee
4) Biofeedback $ 60.00/session
Co-Pay/Sliding Fee
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Contract No. FY96-3003
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) Differentially Assessment $ 85.00
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 $ 85.00
b) Family Therapy $60.00/session
Co Pay/Sliding Fee
c) Up to three(3)Individual Counseling Session ($60.00/session, for a
maximum total charge of $300. The daily groups and discharge
planning session is included in the standard detox program.
d. Miscellaneous Services
1) Case Aide/Case Management Services $ 35.00/hour
2) Expert Testimony $150.00/day
or any part of a day
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Contract No. FY96-3003
3) Case Consultation $ 35.00/hour
(Interdisciplinary Assessment Process)
4) Millon Test $ 30.00
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.
3. 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.
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Contract No. FY96-3003
EXHIBIT C
ASSURANCES
1. 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.
4. 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.
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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.
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Contract No. FY96-3003
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. Mental
Health 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.
Page l6 of 17
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Contract No. FY96-3003
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.
Page 16 of 17 961176
Contract No. FY96-3003
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:\wpfiles\adm\islandw ack
Page l7 of 17 961176
rt „,.....
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
_ ( IEF'�'-, GREELEY, COLORADO 80632
Willie
I `--% ', Administration and Public Assistance (970) 352-1551
Child Support(970) 352-6933
Protecitve and Youth Services (970) 352-1923
Food Stamps (970) 356-3850
COLORADO Fax (970) 353-5215
July 1, 1996
MEMORANDUM
TO: Barbara J. Kirkmeyer, Chair, Board of Weld County Commissioners
FR: Judy A. Griego, Director, Social Services ) C. l
Cebo
RE: Child Protection Agreement for Services B ween the Weld 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 and the Island Grove Regional Treatment Center, Inc.
The major provisions of the Agreement are as follows:
1. The term of the Agreement is June 1, 1996 through May 31, 1997. The period of the Agreement
conforms to the regular Placement Alternatives Commission (PAC) Plan period of June 1, 1996
through May 31, 1997.
2. Funding under the Agreement is from the Family Issues Cash Fund and is specifically dedicated
by the State for alcohol and drug services for local Social Services clients.
3. Social Services agrees to reimburse Island Grove for services rendered for a total amount not to
exceed $43,700. These services will include alcohol and drug assessments, treatment, special
programs and other related services for Social Services clients.
If you have any questions, please telephone me at extension 6200.
961176
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