HomeMy WebLinkAbout20240259.tiffRESOLUTION
RE: APPROVE MEMORANDUM OF UNDERSTANDING FOR REALIZING APTITUDES
PROGRAM AND AUTHORIZE CHAIR TO SIGN - FORWARD STEPS
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 Memorandum of Understanding for the
Realizing Aptitudes Program 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 Human Services,
Employment Services of Weld County, and Forward Steps, commencing upon full execution of
signatures, with further terms and conditions being as stated in said memorandum of
understanding, and
WHEREAS, after review, the Board deems it advisable to approve said memorandum of
understanding, 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 Memorandum of Understanding for the Realizing Aptitudes
Program 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 Human Services, Employment
Services of Weld County, and Forward Steps, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said memorandum of understanding.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 31st day of January, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, CO
ATTEST: dadmi w
Weld County Clerk to the Board
BY: (�l1tUa1C1._
Deputy Clerk to the Board
.. iaVED. : •
County Attorney
Z
Date of signature:
KeviRoss, Chair
Perry L. Bugle, Pro-Tem
Mike Vreeman
Scott K. James
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02/2.3/2N
2024-0259
HR0096
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BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Memorandum of Understanding between Employment Services of Weld County
and Forward Steps
DEPARTMENT: Human Services DATE: January 23, 2024
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the problem/issue: Employment Services of Weld County (ESWC) is requesting to enter
into a Memorandum of Understanding (MOU) with Forward Steps to implement the Realizing Aptitudes (RA)
Program. This program will provide readiness coaching to youth and young adults facing adversity and help
build a vision of what's possible for their future. Services provided by RA are robust and span the spectrum of
career exposure/exploration to decision making, helping individuals identify career pathways that are a good fit
and aligned with high demand industries in CO. Forward Steps will provide all services, materials, and supplies
at no cost.
The term of this MOU shall be in effect beginning upon execution and for the duration of the partnership between
the RA program of Forward Steps and ESWC.
What options exist for the Board?
Approval of the MOU between ESWC and Forward Steps.
Deny approval of the MOU between ESWC and Forward Steps.
Consequences: The MOU between ESWC and Forward Steps will not be implemented.
Impacts: ESWC will not have this additional resource to broaden and strengthen its services to Weld
County residents.
Costs (Current Fiscal Year t Ongoing or Subsequent Fiscal Years):
Total cost = This is a non -financial Memorandum of Understanding.
Recommendation:
• Approval of the Memorandum of Understanding and authorize the Chair to sign.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro-Tem
Mike Freeman
Scott K. James
Kevin D. Ross, Chair
Lori Seine
Pass -Around Memorandum; January 23, 2024 - CMS ID 7769
2024-0259
1/31
oe.(01(1)
Memorandum of Understanding
This Memorandum of Understanding is made on s)Gnit,y 3I , 2024, by and between Forward Steps,
PO Box 3484, Boulder, Colorado, 80307, and the Weld Couy Board of County Commissioners, on
behalf of Employment Services of Weld County, 315 N. 11th Avenue, Building B, Greeley, CO 80631.
The parties hereby bind themselves to undertake a Memorandum of Understanding ("Agreement") under
the following terms and conditions:
TERM. The term of this Agreement shall be in effect beginning upon execution and for the duration of
the partnership between the Realizing Aptitudes (RA) program of Forward Steps and Employment
Services of Weld County (ESWC).
PURPOSE. The Realizing Aptitudes (RA) program of Forward Steps and Employment Services of Weld
County are partnering to provide career development workshops and an opportunity for career coaching to
youth and young adults served by ESWC.
ROLES AND RESPONSIBILITIES.
Forward Steps shall perform the following obligations:
Provide career and stress management workshops.
Provide unlimited individual or small group career coaching services to interested students.
Provide all necessary career coaching and workshop assessments, supplies, and materials.
RA coach will document staff meetings, gather feedback about services provided, and prepare a debrief
report at the conclusion of services for consideration by Employment Services of Weld County.
Employment Services of Weld County shall perform the following obligations:
Liaison with RA coach to provide workshops to students.
Liaison with RA coach to identify meeting space for workshops and any career coaching sessions.
Liaison with RA coach to provide 1-3 photograph(s) of services provided by RA to be used by The
Weld Trust in accordance with the terms of "Communications" section below.
OUTCOMES AND EVALUATION. RA evaluates career coaching services using mixed methods including
a quantitative pre -post evaluation of the Career State Inventory (CSI) and qualitative inquiry. The CSI is a
measure of career decision -making readiness and assesses three dimensions of the career decision state.
RA will also provide a customized debrief report to Employment Services of Weld County detailing the
program activities, program outcomes, and recommendations.
GOVERNANCE AND LEADERSHIP. The RA Program Manager and Employment Services of Weld
County (ESWC) Youth Life Skills Navigators ("Staff') will be the primary points of contact for the
partnership. Staff will meet as needed to plan and execute activities included in the Agreement. The
Forward Steps executive director and ESWC Youth Employment & Training Supervisor will be available
to Staff as needed to provide program direction and any necessary authorizations.
DATA USE AND CONFIDENTIALITY.
The Realizing Aptitudes program is being supported, in part, by federal award number SLFRF0l26 ! a � ,� 7 g
awarded to the State of Colorado by the U.S. Department of the Treasury. This includes funding ow �f -
appropriated to the Colorado Workforce Development Council through HB21-1264. As such, RA
employees are required to gather demographic information and eligibility documentation from each
individual served including name, date of birth, gender, ethnicity, education level, address, documentation
of eligibility or a self -attestation form (Appendix B).
Forward Steps wil not externally release any identifying information or specific career -related
information of any individual served under this Agreement, beyond entry into Connecting Colorado for
grant purposes, unless the individual(s) provide expressed consent. RA coach(es) will release career -
related data and reports to ESWC staff as requested.
ETHICS AND CONFIDENTIALITY. Forward Steps adheres to the National Career Development
Association Code of Ethics. Forward Steps will not release any identifying information or specific career
related informatioi of any student served under this Agreement. RA coach may release career related
information and reports to the Employment Services of Weld County staff at their discretion.
TERMINATION. Either party may terminate this agreement at any time.
FINANCIAL RELATIONSHIP. Forward Steps will provide all services, materials, and supplies at no
cost. No provision of this Memorandum of Understanding shall require Weld County to incur any financial
liability in the performance of its duties.
COMMUNICATIONS. Per the grant agreement between Forward Steps and The Weld Trust, Forward
Steps must obtain one photograph of services provided and photographic release form. (Appendix A).
ASSIGNMENT. Neither party may assign or transfer this Agreement without prior written consent of the
other party, which consent shall not be unreasonably withheld.
ENTIRE AGREEMENT. This Agreement contains the entire agreement of the parties regarding the subject
matter of this Agreement.
AMENDMENT. This Agreement may be modified or amended if the amendment is made in writing and
signed by both parties.
GOVERNING LAW. This Agreement shall be governed by and construed in accordance with the laws of
Colorado.
BY:
SIGNATORIES. This Agreement shall be signed on behalf of Forward Steps by Jennifer Falkoski,
Executive Director, and the Weld County Board of County Commissioners, on behalf of Employment
Services of Weld County.
Forward Steps:
By: Jennifer Falkoski (Jan 17, 2024 16:41 MST)
By: Jennifer Falkoski, Executive Director
Date: Jan 17, 2024
iL11 4;‘1 WELD COUNTY, COLORADO
BOARD OF COUNTY COMMISSIONERS
ATTEST: ,-®'
lirk to the Board
- � � �~ Kevin D. Ross, Chair , A „ 3 ,
Deputy Cle ' to t - Boa 2024
Appendix A
(2/2021)
yap THE
WELD
W TRUST
AUTHORIZATION TO USE OR DISCLOSE PROTECTED HEALTH
INFORMATION TO PUBLISH OR PHOTOGRAPH RELEASE
❑ EMPLOYEE
❑ MODEL
o OTHER
Name (print):
Purpose:
Address:
City/State/Zip:
Phone:
Email:
REQUESTOR:
The Weld Trust
815 8th Avenue
Greeley, CO 80631
970-350-6052
in one:
o I am the Identified Individual listed above and I am providing this authorization on my own behalf, OR
o I am the legally authorized personal representative of the Identified Individual listed above and make this authorization on the Identified
Individual's behalf.
The Undersigned hereby authorizes The Weld Trust: (Initial all provisions that apply)
1. Use the Identified Individual's name in connection with any electronic or print publications (including but not Iimited to
newspapers, television and/or radio broadcasts, books, brochures, magazines, video recordings, and web and/or social media sites) for
publicity, scientific or educational purposes in such manner and at such times and in such places as The Weld Trust or the person
authorized by The Weld Trust shall determine.
2. Use any quotation and comment made verbally or recorded by The Weld Trust noted above concerning the Identified Individual
and such Individual's medical case or personal story.
3. Take and reproduce in photographic or digital form pictures, slides, and audio/video recordings of the Identified Individual in
connection with the diagnosis, care, and treatment (including surgical procedures) or employment/departmental functions. The Weld Trust
shall own unrestricted rights to all materials produced.
4. Use such pictures, slides and audio/video recordings in any electronic or print publication (including but not limited to
newspapers, television and/ or radio broadcasts, books, brochures, magazines, video recordings, and web and/or social media sites) for
publicity, scientific or educational purposes in such manner and at such times and in such places as The Weld Trust or the person
authorized by The Weld Trust shall determine.
I understand that if information is disclosed to a third person, the information can no longer be protected by state and federal regulations,
and may be redisclosed by the person or organization that receives the information.
I understand that I may revoke this authorization at any time, except to the extent that action based on this authorization has already been
taken. Requests must be in writing.
Unless I revoke this authorization earlier, it will expire two years from signature date or as specified:
I fully release The Weld Trust, its employees and agents, and business associates from any legal responsibility or liability for disclosure of
the above images and information to the extent indicated and authorized herein.
Signature of Patient, Employee or Model Date
Signature of Legal Representative or Parent (If under 18 years) Relationship to Patient/Model or description of Authority to Act for
Individual
Eligibility Criteria — Disproportionately impacted by the Covid-19 pandemic
• Resides within a qualified census tract
• Household iruome below 185% of the federal poverty guidelines
• Receives or qualifies for one of the following federal assistance programs:
o CHIT - Children's Health Insurance Program
o CCE - Child Care and Development Fund
o Medicaid - The federal health insurance program for low-income residents
o HTF- Housing Trust Fund
o TAIFF' - Temporary Assistance for Needy Families
o SNAP- Supplemental Nutrition Assistance Program
o NSLP - National School Lunch Program
o SBP - Survivor Benefit Plan
o Medicare Part D - The component of Medicare responsible for covering prescription drugs
o SSI -Supplemental Security Income
o Head Start - A federal program to support the children of low-income families prior to school
o WIC - Special Supplemental Nutrition Program for Women, Infants, and Children
o Section 8 - A voucher program designed to help low-income residents access housing
o LIHEAP - Low Income Home Energy Assistance Program
o Pell Grants - Tuition assistance for low-income students
Individuals/families who do not meet the above requirements could sign a self -attestation form shown below.
SLFRF Eligibility Self -attestation form
This document must be retained for 5 years from date of signature:
"I attest that I have experienced an economic loss due to the COVID-19 pandemic, such as lost or adverse changes
in employment, increased food or housing insecurity, was formerly incarcerated, had to withdraw from college
after March 13, 2024 or suffered another form of economic loss."
"I certify under penclty of perjury that the above information is complete and correct to the best of my
knowledge. I also understand the information provided is subject to verification, and falsification of any of the
information provided above is grounds for termination from the State and Local Fiscal Recovery Fund Act
(SLFRF) program and may result in action to recover expenditure of SLFRF funds made on my behalf."
Describe Circumstances
Name:
Signature Date _
SIGNATURE REQUESTED: Weld/Forward
Steps draft M O U
Final Audit Report
2024-01-17
Created: 2024-01-17
By: Windy Luna (wluna@co.weld.co.us)
Status: Signed
Transaction ID: CBJCHBCAABAA1h2I6gxFcFeuZABycAHomDhZDzK-0xaO
"SIGNATURE REQUESTED: Weld/Forward Steps draft MOU" H
istory
,t Document created by Windy Luna (wluna@co.weld.co.us)
2024-01-17 - 11:29:11 PM GMT
P4 Document emailed to jfalkoski@forwardsteps.org for signature
2024-01-17 - 11:30:08 PM GMT
n Email viewed by jfalkoski@forwardsteps.org
2024-01-17 - 11:36:08 PM GMT
4 Signerjfalkoski@forwardsteps.org entered name at signing as Jennifer Falkoski
2024-01-17 - 11:41:52 PM GMT
ere Document e -signed by Jennifer Falkoski (jfalkoski@forwardsteps.org)
Signature Date: 2024-01-17 - 11:41:54 PM GMT - Time Source: server
0 Agreement completed.
2024-01-17 - 11:41:54 PM GMT
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Acrobat Sign
Contract Form
Entity Information
Entity Name *
FORWARD STEPS
Contract Name *
FORWARD STEPS (NEW MOU)
Contract Status
CTB REVIEW
Entity ID*
@00047997
Contract ID
7769
Contract Lead *
WLUNA
Q New Entity?
Parent Contract ID
Requires Board Approval
YES
Contract Lead Email Department Project #
wluna@weldgov.com;cob
bxxlk@weldgov.com
Contract Description *
FORWARD STEPS MEMORANDUM OF UNDERSTANDING WITH EMPLOYMENT SERVICES OF WELD COUNTY. NON
FINANCIAL MOU. TERM: BEGINNING UPON EXECUTION FOR THE DURATION OF THE PARTNERSHIP.
Contract Description 2
PA WILL ARRIVE TO CTB WITH THIS CMS ENTRY: ESTIMATED: 01/26/2024.
Contract Type * Department
AGREEMENT HUMAN SERVICES
Amount *
$0.00
Renewable
YES
Automatic Renewal
Grant
IGA
Department Email
CM-
HumanServices@weldgov.
com
Department Head Email
CM-HumanServices-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
DGOV.COM
Requested BOCC Agenda
Date *
02/07/2024
Due Date
02/03/2024
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Review Date *
12/06/2024
Renewal Date *
02/07/2025
Committed Delivery Date Expiration Date
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JAMIE ULRICH CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
01/24/2024 01/25/2024 01/25/2024
Final Approval
BOCC Approved Tyler Ref*
AG 013124
BOCC Signed Date Originator
WLUNA
BOCC Agenda Date
01/31/2024
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