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Memorandum
TO: Bocc
FROM: Jason Chessher, Health Department
DATE: 02/25/2025
SUBJECT: Contract with Third Horizon FY25
For the Board's approval is a Contract between Third Horizon and the Board of County Commissioners of Weld
County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE).
The contract between the Weld County Department of Public Health & Environment and Third Horizon
Strategies is a component of the work plan for the contract between the Weld County Department of Public
Health & Environment and State of Colorado, Department of Public Health and Environment (CDPHE) for the
Preventive Block Grant (PBG) managed by the Office of Public Health Practice, Planning, and Local Partnership.
This contract will support WCDPHE's efforts to facilitate a collaborative with health -serving organizations in Weld
and Larimer Counties to reduce duplication of and increase effectiveness of health assessment activities. Funds
from the Preventive Block Grant with CDPHE will be used to cover the costs of the contract with Third Horizon.
The time period of this contract is from March 1, 2025 through August 2025.
The Board approved the contract with the Colorado Department of Public Health and Environment for the
Preventive Block Grant on October 14, 2024.
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PROFESSIONAL SERVICE AGREEMENT BETWEEN WELD COUNTY AND THIRD
HORIZON STRATEGIES - THS-Weld County Packet 2025
THIS AGREEMENT is made and entered into this APay of March p025, by
and between the Board of Weld County Commissioners, on behalf of WELD COUNTY
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, hereinafter referred to as
"County," and THIRD HORIZON STRATEGIES, hereinafter referred to as "Contractor".
WHEREAS, County desires to retain Contractor to perform services as required
by County and set forth in the attached Exhibits; and
WHEREAS, Contractor is willing and has the specific ability, qualifications, and time to
perform the required services according to the terms of this Agreement; and
WHEREAS, Contractor is authorized to do business in the State of Colorado
and has the time, skill, expertise, and experience necessary to provide the services as
set forth below.
NOW, THEREFORE, in consideration of the mutual promises and covenants
contained herein, the parties hereto agree as follows:
1. Introduction. The terms of this Agreement are contained in the terms recited in this
document and in the attached Exhibits, each of which forms an integral part of this
Agreement and are incorporated herein. The parties each acknowledge and agree
that this Agreement, including the attached Exhibits, define the performance
obligations of Contractor and Contractor's willingness and ability to meet those
requirements (the "Work"). If a conflict occurs between this Agreement and any
Exhibit or other attached document, the terms of this Agreement shall control, and
the remaining order of precedence shall be based upon order of attachment.
Exhibit A consists of County's Scope of work for Larimer/Weld Regional
Assessment Collaborative.
Exhibit B consists of Contractor's Response to County's Request.
2. Service or Work. Contractor agrees to procure the materials, equipment and/or
products necessary for the Work and agrees to diligently provide all services, labor,
personnel, and materials necessary to perform and complete the Work described in
the attached Exhibits. Contractor shall further be responsible for the timely
completion and acknowledges that a failure to comply with the standards and
requirements of Work within the time limits prescribed by County may result in
County's decision to withhold payment or to terminate this Agreement.
3. Term. The term of this Agreement begins upon the date of the mutual execution of
this Agreement and shall continue through and until Contractor's completion of the
responsibilities described in the attached Exhibits. Both of the parties to this
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Agreement understand and agree that the laws of the State of Colorado prohibit
County from entering into Agreements which bind County for periods longer than
one year. This Agreement may be extended upon mutual written agreement of the
Parties.
4. Termination; Breach; Cure. County may terminate this Agreement for its own
convenience upon thirty (30) days written notice to Contractor. Either Party may
immediately terminate this Agreement upon material breach of the other party,
however the breaching party shall have fifteen (15) days after receiving such notice
to cure such breach. Upon termination, County shall take possession of all
materials, equipment, tools and facilities owned by County which Contractor is
using, by whatever method it deems expedient; and, Contractor shall deliver to
County all drawings, drafts, or other documents it has completed or partially
completed under this Agreement, together with all other items, materials and
documents which have been paid for by County, and these items, materials and
documents shall be the property of County. Copies of work product that is
incomplete at the time of termination shall be marked "DRAFT -INCOMPLETE." If
this Agreement is terminated by County, Contractor shall be compensated for, and
such compensation shall be limited to, (1) the sum of the amounts contained in
invoices which it has submitted and which have been approved by the County; (2)
the reasonable value to County of the services which Contractor provided prior to
the date of the termination notice, but which had not yet been approved for
payment; and (3) the cost of any work which the County approves in writing which it
determines is needed to accomplish an orderly termination of the work. County
shall be entitled to the use of all material generated pursuant to this Agreement
upon termination. Upon termination of this Agreement by County, Contractor shall
have no claim of any kind whatsoever against the County by reason of such
termination or by reason of any act incidental thereto, except for compensation for
work satisfactorily performed and/or materials described herein properly delivered.
5. Extension or Amendment. Any amendments or modifications to this agreement
shall be in writing signed by both parties. No additional services or work performed
by Contractor shall be the basis for additional compensation unless and until
Contractor has obtained written authorization and acknowledgement by County for
such additional services. Accordingly, no claim that the County has been unjustly
enriched by any additional services, whether or not there is in fact any such unjust
enrichment, shall be the basis of any increase in the compensation payable
hereunder. In the event that written authorization and acknowledgment by the
County for such additional services is not timely executed and issued in strict
accordance with this Agreement, Contractor's rights with respect to such additional
services shall be deemed waived and such failure shall result in non-payment for
such additional services or work performed. In the event the County shall require
changes in the scope, character, or complexity of the work to be performed, and
said changes cause an increase or decrease in the time required or the costs to the
Contractor for performance, an equitable adjustment in fees and completion time
shall be negotiated between the parties, and this Agreement shall be modified
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accordingly by Change Order. Any claims by the Contractor for adjustment
hereunder must be made in writing prior to performance of any work covered in the
anticipated Change Order, unless approved and documented otherwise by the
County Representative. Any change in work made without such prior Change
Order shall be deemed covered in the compensation and time provisions of this
Agreement, unless approved and documented otherwise by the County
Representative.
6. Compensation. Upon Contractor's successful completion of the Work, and County's
acceptance of the same, County agrees to pay Contractor an amount not to exceed
$16,000 as set forth in the Exhibits. No payment in excess of that set forth in the
Exhibits will be made by County unless a Change Order authorizing such additional
payment has been specifically approved by Weld County as required pursuant to
the Weld County Code. If, at any time during the term or after termination or
expiration of this Agreement, County reasonably determines that any payment
made by County to Contractor was improper because the service for which
payment was made did not perform as set forth in this Agreement, then upon
written notice of such determination and request for reimbursement from County,
Contractor shall forthwith return such payment(s) to County. Upon termination or
expiration of this Agreement, unexpended funds advanced by County, if any, shall
forthwith be returned to County. County will not withhold any taxes from monies
paid to the Contractor hereunder and Contractor agrees to be solely responsible for
the accurate reporting and payment of any taxes related to payments made
pursuant to the terms of this Agreement. Unless expressly enumerated in the
attached Exhibits, Contractor shall not be entitled to be paid for any other expenses
(e.g. mileage). Notwithstanding anything to the contrary contained in this
Agreement, County shall have no obligations under this Agreement after, nor shall
any payments be made to Contractor in respect of any period after December 31 of
any year, without an appropriation therefore by County in accordance with a budget
adopted by the Board of County Commissioners in compliance with Article 25, Title
30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S.
29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X,
Sec. 20).
7. Independent Contractor. Contractor agrees that it is an independent contractor and
that Contractor's officers, agents or employees will not become employees or
agents of County, nor entitled to any employee benefits (including unemployment
insurance or workers' compensation benefits) from County as a result of the
execution of this Agreement. Contractor shall be solely responsible for its acts and
those of its agents and employees for all acts performed pursuant to this
Agreement Any provisions in this Contract that may appear to give the County the
right to direct contractor as to details of doing work or to exercise a measure of
control over the work mean that Contractor shall follow the direction of the County
as to end results of the work only. The Contractor is obligated to pay all federal and
state income tax on any moneys earned or paid pursuant to this contract.
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8. Subcontractors. Contractor acknowledges that County has entered into this
Agreement in reliance upon the particular reputation and expertise of Contractor.
Contractor shall not enter into any subcontractor agreements for the completion of
the Work without County's prior written consent, which may be withheld in County's
sole discretion. County shall have the right in its reasonable discretion to approve
all personnel assigned to the Work during the performance of this Agreement and
no personnel to whom County has an objection, in its reasonable discretion, shall
be assigned to the Work. Contractor shall require each subcontractor, as approved
by County and to the extent of the Work to be performed by the subcontractor, to be
bound to Contractor by the terms of this Agreement, and to assume toward
Contractor all the obligations and responsibilities which Contractor, by this
Agreement, assumes toward County. County shall have the right (but not the
obligation) to enforce the provisions of this Agreement against any subcontractor
hired by Contractor and Contractor shall cooperate in such process. The
Contractor shall be responsible for the acts and omissions of its agents, employees,
and subcontractors.
9. Ownership. All work and information obtained by Contractor under this Agreement or
individual work order shall become or remain (as applicable), the property of
County. In addition, all reports, documents, data, plans, drawings, records, and
computer files generated by Contractor in relation to this Agreement and all reports,
test results and all other tangible materials obtained and/or produced in connection
with the performance of this Agreement, whether or not such materials are in
completed form, shall at all times be considered the property of the County.
Contractor shall not make use of such material for purposes other than in
connection with this Agreement without prior written approval of County.
10. Confidentiality. Confidential information of the Contractor should be transmitted
separately from non -confidential information, clearly denoting in red on the relevant
document at the top the word, "CONFIDENTIAL." However, Contractor is advised
that as a public entity, Weld County must comply with the provisions of the Colorado
Open Records Act (CORA), C.R.S. 24-72-201, et seq., with regard to public records,
and cannot guarantee the confidentiality of all documents. Contractor agrees to keep
confidential all of County's confidential information. Contractor agrees not to sell,
assign, distribute, or disclose any such confidential information to any other person
or entity without seeking written permission from the County. Contractor agrees to
advise its employees, agents, and consultants, of the confidential and proprietary
nature of this confidential information and of the restrictions imposed by this
Agreement.
11. Warranty. Contractor warrants that the Work performed under this Agreement will be
performed in a manner consistent with the standards governing such services and
the provisions of this Agreement. Contractor further represents and warrants that all
Work shall be performed by qualified personnel in a professional manner, consistent
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with industry standards, and that all services will conform to applicable specifications.
For work in which Contractor produces a design to be used for construction purposes,
Contractor shall carefully check all unit quantities and quantity calculations and shall
submit them for County review. If the County experiences additional costs during
project construction which are directly associated with errors and omissions
(professional negligence) which require change orders to the construction contract
resulting in costs greater than the construction contract bid unit costs, Contractor
shall be financially liable for such increased costs.
12. Acceptance of Services Not a Waiver. Upon completion of the Work, Contractor
shall submit to County originals of all test results, reports, etc., generated during
completion of this work. Acceptance by County of reports and incidental material(s)
furnished under this Agreement shall not in any way relieve Contractor of
responsibility for the quality and accuracy of the project. In no event shall any action
by County hereunder constitute or be construed to be a waiver by County of any
breach of this Agreement or default which may then exist on the part of Contractor,
and County's action or inaction when any such breach or default exists shall not
impair or prejudice any right or remedy available to County with respect to such
breach or default. No assent expressed or implied, to any breach of any one or more
covenants, provisions or conditions of the Agreement shall be deemed or taken to be
a waiver of any other breach. Acceptance by the County of, or payment for, the Work
completed under this Agreement shall not be construed as a waiver of any of the
County's rights under this Agreement or under the law generally.
13. Insurance. Contractor must secure, before the commencement of the Work, the
following insurance covering all operations, goods, and services provided pursuant to
this Agreement, and shall keep the required insurance coverage in force at all times
during the term of the Agreement, or any extension thereof, and during any warranty
period. For all coverages, Contractor's insurer shall waive subrogation rights against
County. Contractor shall provide coverage with limits of liability no less than those
stated below. An excess liability policy or umbrella liability policy may be used to
meet the minimum liability requirements provided that the coverage is written on a
"following form" basis.
Acceptability of Insurers: Insurance is to be placed with insurers duly licensed or
authorized to do business in the state of Colorado and with an "A.M. Best" rating of
not less than A -VII. The County in no way warrants that the above -required
minimum insurer rating is sufficient to protect the Contractor from potential insurer
insolvency.
Required Types of Insurance
Workers' Compensation and Employer's Liability Insurance as required by
state statute, covering all of the Contractor's employees acting within the course
and scope of their employment. The policy shall contain a waiver of subrogation
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against the County. This requirement shall not apply when a Contractor or
subcontractor is exempt under Colorado Workers' Compensation Act, AND when
such Contractor or subcontractor executes the appropriate sole proprietor waiver
form.
Minimum Limits:
Coverage A (Workers' Compensation) Statutory
Coverage B (Employers Liability) $ 100,000
$ 100,000
$ 500,000
Commercial General Liability Insurance - Occurrence Form
Policy shall indude bodily injury, property damage, liability assumed under an Insured
Contract. The policy shall be endorsed to include the following additional insured
language: "Weld County, its subsidiary, parent, elected officials, trustees,
employees, associated and/or affiliated entities, successors, or assigns, agents,
and volunteers shall be named as additional insureds with respect to liability arising
out of the activities performed by, or on behalf of the Contractor."
Such policy shall indude Minimum Limits as follows:
General Aggregate $ 1,000,000
Products/Completed Operations Aggregate $ 1,000,000
Each Occurrence Limit $ 1,000,000
Personal/Advertising Injury $ 1,000,000
Automobile Liability Insurance
Bodily Injury and Property Damage for any owned, hired, and non -owned vehicles used
in the performance of this Contract.
Such policy shall maintain Minimum Limits as follows:
Bodily Injury/Property Damage (Each Accident) $ 1,000,000
Professional Liability (Errors and Omissions Liability)
The policy shall cover professional misconduct or lack of ordinary skill for those
positions defined in the Scope of Services of this contract. Contractor shall
maintain limits for all claims covering wrongful acts, errors and/or omissions,
including design errors, if applicable, for damage sustained by reason of or in the
course of operations under this Contract resulting from professional services. In the
event that the professional liability insurance required by this Contract is written on
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a claims -made basis, Contractor warrants that any retroactive date under the policy
shall precede the effective date of this Contract; and that either continuous
coverage will be maintained, or an extended discovery period will be exercised for a
period of two (2) years beginning at the time work under this Contract is completed.
Minimum Limits:
Per Loss
Aggregate
$ 1,000,000
$ 2,000,000
14. Proof of Insurance. Upon County's request, Contractor shall provide to County, for
examination, a policy, endorsement, or other proof of insurance as determined in
County's sole discretion. Provided information for examination shall be considered
confidential, and as such, shall be deemed not subject to Colorado Open Records
Act (CORA) disclosure.
All insurers must be licensed or approved to do business within the State of Colorado,
and unless otherwise specified, all policies must be written on a per occurrence basis.
The Contractor shall provide the County with a Certificate of Insurance evidencing all
required coverages, before commencing work or entering the County premises.
The Contractor shall furnish the County with certificates of insurance (ACCORD) form
or equivalent approved by the County as required by this Contract. The certificates
for each insurance policy are to be signed by a person authorized by that insurer to
bind coverage on its behalf. The Contractor shall name on the Certificate of
Insurance "Weld County, its successors or assigns; its elected officials, employees,
agents, affiliated entities, and volunteers as Additional Insureds" for work that is being
performed by the Contractor.
On insurance policies where Weld County is named as an additional insured, the
County shall be an additional insured to the full limits of liability purchased by the
Contractor even if those limits of liability are in excess of those required by this
Contract.
Each insurance policy required by this Agreement must be in effect at or prior to
commencement of work under this Agreement and remain in effect for the duration
of the project, and for a longer period of time if required by other provisions in this
Agreement. Failure to maintain the insurance policies as required by this
Agreement or to provide evidence of renewal is a material breach of contract.
All certificates and any required endorsement(s) shall be sent directly to the County
Department Representative's Name and Address. The project/contract number and
project description shall be noted on the Certificate of Insurance. The County
reserves the right to require complete, certified copies of all insurance policies
required by this Agreement at any time, and such shall also be deemed
confidential.
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Any modification or variation from the insurance requirements in this Agreement
shall be made by the County Attorney's Office, whose decision shall be final. Such
action will not require a formal contract amendment but may be made by
administrative action.
15. Additional Insurance Related Requirements. The County requires that all policies
of insurance be written on a primary basis, non-contributory with any other
insurance coverages and/or self-insurance carried by the County.
The Contractor shall advise the County in the event any general aggregate or other
aggregate limits are reduced below the required per occurrence limit. At their own
expense, the Contractor will reinstate the aggregate limits to comply with the
minimum requirements and shall furnish the County with a new certificate of
insurance showing such coverage is in force.
Commercial General Liability Completed Operations coverage must be kept in
effect for up to three (3) years after completion of the project. Contractors
Professional Liability (Errors and Omissions) policy must be kept in effect for up to
three (3) years after completion of the project.
Certificates of insurance shall state that on the policies that the County is required
to be named as an Additional Insured, the insurance carrier shall provide a
minimum of 30 days advance written notice to the County for cancellation, non -
renewal, suspension, voided, or material changes to policies required under this
Agreement. On all other policies, it is the Contractor's responsibility to give the
County 30 days' notice if policies are reduced in coverage or limits, cancelled or
non -renewed. However, in those situations where the insurance carrier refuses to
provide notice to County, the Contractor shall notify County of any cancellation, or
reduction in coverage or limits of any insurance within seven (7) days or receipt of
insurer's notification to that effect.
The Contractor agrees that the insurance requirements specified in this Agreement
do not reduce the liability Contractor has assumed in the indemnification/hold
harmless section of this Agreement.
Failure of the Contractor to fully comply with these requirements during the term of
this Agreement may be considered a material breach of contract and may be cause
for immediate termination of the Agreement at the option of the County. The
County reserves the right to negotiate additional specific insurance requirements at
the time of the contract award.
16. Subcontractor Insurance. Contractor hereby warrants that all subcontractors
providing services under this Agreement have or will have the above -described
insurance prior to their commencement of the Work, or otherwise that they are
covered by the Contractor's policies to the minimum limits as required herein.
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Contractor agrees to provide proof of insurance for all such subcontractors upon
request by the County.
17. No limitation of Liability. The insurance coverages specified in this Agreement are
the minimum requirements, and these requirements do not decrease or limit the
liability of Contractor. The County in no way warrants that the minimum limits
contained herein are sufficient to protect the Contractor from liabilities that might
arise out of the performance of the Work under by the Contractor, its agents,
representatives, employees, or subcontractors. The Contractor shall assess its
own risks and if it deems appropriate and/or prudent, maintain higher limits and/or
broader coverages. The Contractor is not relieved of any liability or other
obligations assumed or pursuant to the Contract by reason of its failure to obtain or
maintain insurance in sufficient amounts, duration, or types. The Contractor shall
maintain, at its own expense, any additional kinds or amounts of insurance that it
may deem necessary to cover its obligations and liabilities under this Agreement.
18. Certification of Compliance with Insurance Requirements. The Contractor
stipulates that it has met the insurance requirements identified herein. The
Contractor shall be responsible for the professional quality, technical accuracy, and
quantity of all services provided, the timely delivery of said services, and the
coordination of all services rendered by the Contractor and shall, without additional
compensation, promptly remedy and correct any errors, omissions, or other
deficiencies.
19. Mutual Cooperation. The County and Contractor shall cooperate with each other
in the collection of any insurance proceeds which may be payable in the event of
any loss, including the execution and delivery of any proof of loss or other actions
required to effect recovery.
20. Indemnity. The Contractor shall indemnify, hold harmless and, not excluding the
County's right to participate, defend the County, its officers, officials, agents, and
employees, from and against any and all liabilities, claims, actions, damages,
losses, and expenses including without limitation reasonable attorneys' fees and
costs, (hereinafter referred to collectively as "claims") for bodily injury or personal
injury including death, or loss or damage to tangible or intangible property caused,
or alleged to be caused in whole or in part by the negligent or willful acts or
omissions of Contractor or any of its owners, officers, directors, agents, employees
or subcontractors. This indemnity includes any claim or amount arising out of or
recovered under the Workers' Compensation Law or arising out of the failure of
such contractor to conform to any federal, state, or local law, statute, ordinance,
rule, regulation, or court decree. It is the specific intention of the parties that the
County shall, in all instances, except for claims arising solely from the negligent or
willful acts or omissions of the County, be indemnified by Contractor from and
against any and all claims. It is agreed that Contractor will be responsible for
primary loss investigation, defense, and judgment costs where this indemnification
is applicable. In consideration of award of this contract, the Contractor agrees to
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waive all rights of subrogation against the County, its officers, officials, agents, and
employees for losses arising from the work performed by the Contractor for the
County. The Contractor shall be fully responsible and liable for any and all injuries
or damage received or sustained by any person, persons, or property on account of
its performance under this Agreement or its failure to comply with the provisions of
the Agreement.
A failure of Contractor to comply with these indemnification provisions shall result in
County's right but not the obligation to terminate this Agreement or to pursue any
other lawful remedy.
21. Non -Assignment. Contractor may not assign or transfer this Agreement or any
interest therein or claim thereunder, without the prior written approval of County.
Any attempts by Contractor to assign or transfer its rights hereunder without such
prior approval by County shall, at the option of County, automatically terminate this
Agreement and all rights of Contractor hereunder. Such consent may be granted or
denied at the sole and absolute discretion of County.
22. Examination of Records. To the extent required by law, the Contractor agrees
that an duly authorized representative of County, including the County Auditor, shall
have access to and the right to examine and audit any books, documents, papers
and records of Contractor, involving all matters and/or transactions related to this
Agreement. Contractor agrees to maintain these documents for three years from
the date of the last payment received.
23. Interruptions. Neither party to this Agreement shall be liable to the other for
delays in delivery or failure to deliver or otherwise to perform any obligation under
this Agreement, where such failure is due to any cause beyond its reasonable
control, including but not limited to Acts of God, fires, strikes, war, flood,
earthquakes, or Governmental actions.
24. Notices. County may designate, prior to commencement of Work, its project
representative ("County Representative") who shall make, within the scope of his or
her authority, all necessary and proper decisions with reference to the project. All
requests for contract interpretations, change orders, and other clarification or
instruction shall be directed to County Representative. All notices or other
communications made by one party to the other concerning the terms and
conditions of this contract shall be deemed delivered under the following
circumstances:
a) personal service by a reputable courier service requiring signature for
receipt; or
b) five (5) days following delivery to the United States Postal Service, postage
prepaid addressed to a party at the address set forth in this contract; or
c) electronic transmission via email at the address set forth below, where a
receipt or acknowledgment is required and received by the sending party; or
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Either party may change its notice address(es) by written notice to the other. Notice
may be sent to:
TO CONTRACTOR:
Name: Mindy Klowden
Position: Managing Director for Behavioral Health
Address: 320 S. Canal Street, Suite 3030
Address: Chicago, IL 60606
E-mail: mindy@thirdhorizon.co
Phone: 303-884-2670
TO COUNTY:
Name: Olivia Egen
Position: Public Health Initiatives Manager
Address: 1555 North 17th Ave.
Address: Greeley, CO 80631
E-mail: oegen@weld.gov
Phone: 970-400-2387
25. Compliance with Law. Contractor shall strictly comply with all applicable federal
and State laws, rules and regulations in effect or hereafter established, including
without limitation, laws applicable to discrimination and unfair employment
practices.
26. Non -Exclusive Agreement. This Agreement is nonexclusive, and County may
engage or use other Contractors or persons to perform services of the same or
similar nature.
27. Entire Agreement/Modifications. This Agreement including the Exhibits attached
hereto and incorporated herein, contains the entire agreement between the parties
with respect to the subject matter contained in this Agreement. This instrument
supersedes all prior negotiations, representations, and understandings or
agreements with respect to the subject matter contained in this Agreement. This
Agreement may be changed or supplemented only by a written instrument signed
by both parties.
28. Fund Availability. Financial obligations of the County payable after the current
fiscal year are contingent upon funds for that purpose being appropriated, budgeted
and otherwise made available. Execution of this Agreement by County does not
create an obligation on the part of County to expend funds not otherwise
appropriated in each succeeding year.
29. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq.
and §24-50-507. The signatories to this Agreement state that to their knowledge,
no employee of Weld County has any personal or beneficial interest whatsoever in
the service or property which is the subject matter of this Agreement.
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30. Survival of Termination. The obligations of the parties under this Agreement that
by their nature would continue beyond expiration or termination of this Agreement
(including, without limitation, the warranties, indemnification obligations,
confidentiality and record keeping requirements) shall survive any such expiration
or termination.
31. Severability. If any term or condition of this Agreement shall be held to be invalid,
illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall
be construed and enforced without such provision, to the extent that this Agreement
is then capable of execution within the original intent of the parties.
32. Non -Waiver. The parties hereto understand and agree that the County is relying
on, and does not waive or intend to waive by any provision of this Contract, the
monetary limitations or any other immunities, rights, benefits, and protections,
provided by the Colorado Governmental Immunity Act §§24-10-101 et seq., as from
time to time amended, or otherwise available to the County, its subsidiary,
associated and/or affiliated entities, successors, or assigns; or its elected officials,
employees, agents, and volunteers.
33. No Third -Party Beneficiary. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties
and nothing in this Agreement shall give or allow any claim or right of action
whatsoever by any other person not included in this Agreement. It is the express
intention of the undersigned parties that any entity other than the undersigned
parties receiving services or benefits under this Agreement shall be an incidental
beneficiary only.
34. Board of County Commissioners of Weld County Approval. This Agreement
shall not be valid until it has been approved by the Board of County Commissioners
of Weld County, Colorado, or its designee.
35. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established
pursuant thereto, shall be applied in the interpretation, execution, and enforcement
of this Agreement. Any provision included or incorporated herein by reference
which conflicts with said laws, rules and/or regulations shall be null and void. In the
event of a legal dispute between the parties, Contractor agrees that the Weld
County District Court shall have exclusive jurisdiction to resolve said dispute.
36. No Employment of Unauthorized Aliens - Contractor certifies, warrants, and
agrees that it does not knowingly employ or contract with an unauthorized alien who
will perform work under this Agreement (see 8 U.S.C.A. §1324a and (h)(3)), nor
enter into a contract with a subcontractor that employs or contracts with an
unauthorized alien to perform work under this Agreement. Upon request, contractor
shall deliver to the County a written notarized affirmation that it has examined the
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legal work status of an employee and shall comply with all other requirements of
federal or state law, including employment verification requirements contained
within state or federal grants or awards funding public contracts.
Contractor agrees to comply with any reasonable request from the Colorado
Department of Labor and Employment in the course of any investigation.
If Contractor fails to comply with any requirement of this provision, County may
terminate this Agreement for breach, and if so terminated, Contractor shall be liable
for actual and consequential damages.
37. Attorney's Fees/Legal Costs. In the event of a dispute between County and
Contractor concerning this Agreement, the parties agree that each party shall be
responsible for the payment of attorney fees and/or legal costs incurred by or on its
own behalf.
38. Binding Arbitration Prohibited. Weld County does not agree to binding arbitration
by any extra judicial body or person. Any provision to the contrary in this Agreement
or incorporated herein by reference shall be null and void.
Acknowledgment. County and Contractor acknowledge that each has read this
Agreement, understands it and agrees to be bound by its terms. Both parties further
agree that this Agreement, with the attached Exhibits, is the complete and exclusive
statement of agreement between the parties and supersedes all proposals or prior
agreements, oral or written, and any other communications between the parties
relating to the subject matter of this Agreement.
CONTRACTOR:
Third Horizon Strategies, LLC
By:
Natt e: Jordana Choucair
Title: Chief Operating Officer
2.25.2025
Date of Signature
WELD COON : ,�,/
ATTEST: J j! ;J BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY COLORADO
iiI
Chair
BY:
Deputy Clerk to the Board
MAR 0 5 2025
Z0z -o(0l°i
Weld County
Department of Public Health and Environment
EXHIBIT A
Lead Agency: Weld County Department of Public Health and Environment (WCDPHE)
Olivia Egen, MPH DrPH, Public Health Initiatives Manager
1555 N. 17th Avenue, Greeley, CO 80631
(970) 400-2387 oegengweld.gov
Proposed Scope of Work:
• Coordinate and facilitate a series of small group meetings. The goal of these meetings is to
complete the objectives and corresponding activities related to the Health Assessment and
Behavioral Health Goals of the Larimer/Weld Regional Assessment Collaborative 2024-2028
Workplan (Behavioral Health objectives 2.1— Select common behavioral health metrics and 2.2 —
Develop data collection and reporting standards and Health Assessment objective 3.1— Develop a
research methodology to gather data specific to priority populations in Larimer/Weld). See the
Appendix for more information on objectives and their corresponding activities.
• Since January 2023 WCDPHE and regional healthcare and public health partners (Larimer
County Health Dept., Health District of Norther Larimer County, UCHealth, Banner, Sunrise, and
Salud) have begun to meet in order to identify and prioritize ways in which we can partner. This
strategic regional assessment collaborative in Weld and Larimer Counties is working to identify
how organizations can collaboratively collect, analyze, and disseminate data on health needs and
assets, health outcomes, and healthcare in the region. The creation of a regional collaborative
around community health assessment processes, not just for implementation of health
improvement activities, will be transformative, ensure better alignment and utilization of
resources on data -related activities, strengthen partnerships, and increase community buy -in.
• The overall purpose of the facilitated small group meetings is to assist workgroup members to
come to consensus and identify action steps in order to complete activities for the Health
Assessment and Behavioral Health objectives.
Vendor Requirements:
• Vendor will coordinate and facilitate a series of virtual small group meetings (60-90 minutes in
length), which build on one another. The number of meetings must be proposed in the request for
quote but should be between 5-10 meetings.
• Vendor will invite the Regional Assessment Collaborative (RAC) participants (and potentially
others identified by participants) to the virtual small group meetings (activities may include
drafting and/or sending invitation emails and conducting scheduling polls with participants).
Expectation is to meet monthly between February 2025 and August 2025 in order to complete
activities for the Health Assessment (3.1) and Behavioral Health (2.1 and 2.2) objectives.
• Vendor will determine all logistics for the small group meetings. Meeting materials including
agenda, presentation, and follow-up notes (to include a summary of decisions made, action
items/next steps, and key discussion themes).
1555 N. 17th Avenue
Greeley, CO 80631
Phone: (970) 304-6410
weldhealth.org
Public Health
U Ar
Weld County
Department of Public Health and Environment
• Vendor will develop small group meeting facilitation activities in conjunction with the RAC
Steering Committee and/or Workgroup leads (may include small breakout groups and use of
interactive tools such as Jamboard, in -meeting polling, and/or Mentimeter in order to move
towards consensus) .
• One or more 30 -minute planning meetings with the RAC Steering Committee and/or Workgroup
leads should be planned to review/confirm meeting approach and intended outcomes. Vendor must
make a proposal on the number of meetings needed based on best practice.
• Vendor will facilitate, record and/or take notes, and write summaries to provide Actionable Next
Steps that include the following:
o Summary of the meetings with overall focus on agreed -upon actionable next steps and
responsible party.
• Final requirements will be determined once the contractor and RAC Steering Committee initially
meet.
• Vendor must have a minimum of three years of experience facilitating meetings for community
groups around behavioral health or health assessment.
Weld County Department of Public Health and Environment (WCDPHE) Duties:
• Provide a list of partner organization contacts for vendor.
• Work with vendor to develop small group meeting facilitation activities.
• Provide additional information on the Weld Larimer Regional Assessment Collaborative group and
meetings which have been held to -date.
• Provide other materials such as minutes, notes, and workplans of Collaborative.
If you are interested in performing the work described in this Scope of Work, please submit your quote
and a document attesting that you meet each of our Vendor Requirements. In the document, please
explain how you will fulfill each requirement (or explain why you cannot fulfill a requirement).
Please send your quote and documentation to Olivia Egen, MPH, DrPH, Public Health Initiatives
Manager by email (oegen@weld.gov) by January 27, 2025 . Please include the words Larimer/ Weld
Regional Assessment Collaborative Meeting Facilitation Quote in the subject line of the email. You may
submit questions through January 22, 2025 at EOD to oegen@weld.gov.
1555 N. 17th Avenue
Greeley, CO 80631
Phone: (970) 304-6410
weldhealth.org
Public Health
Weld County
Department of Public Health and Environment
Appendix
BEHAVIORAL HEALTH
Goal 2: Weld and Larimer County health organizations will report on a common set of four to eight
behavioral health metrics as part of their Community Health Needs Assessments to provide a consistent
view of health outcomes in the region by 2028.
Obj. 1: Select common behavioral health metrics.
• Review the literature to determine any missing standardized and verified metrics.
• Prioritize the list of current behavioral health metrics.
• Select a common set of four to eight metrics based on literature review and currently collected
metrics.
Obj. 2: Develop data collection and reporting standards.
• Define each metric clearly to ensure consistency in data collection and reporting.
• Engage community partners to validate selected behavioral health metrics for applicability or to
provide suggestions for revisions.
• Develop guidelines for data collection methodologies.
• Identify data sources and determine data collection intervals.
• Implement standardized data collection tools and processes.
• Develop a centralized data repository for use by collaborating organizations.
• Conduct training sessions for data collectors and analysts.
Obj. 3: Implement data collection and reporting.
• Utilize the data collection process across all relevant health organizations in Weld and Larimer
counties.
• Monitor data collection to ensure adherence to standards.
• Develop a standardized reporting template.
• Produce regular reports presenting the common behavioral health metrics for use in CHNAs.
• Share reports with stakeholders, including, health care providers, policymakers, and the
community.
Obj. 4: Continuous improvement and evaluation.
• Review the relevance and effectiveness of the selected metrics.
• Adjust based on feedback and emerging health trends.
• Assess the impact of utilizing common behavioral health metrics on health outcomes and
implementation planning.
• Identify areas for improvement and implement changes as needed.
1555 N. 17th Avenue
Greeley, CO 80631
Phone: (970) 304-6410
weldhealth.org
Public Health
N., /1"
GoUNTY
Weld County
Department of Public Health and Environment
HEALTH ASSESSMENT
Goal 3: A subset of Weld and Larimer County organizations will collaboratively develop and implement a
research approach to obtain data on priority populations and define strategies to improve health by 2028.
Obj. 1: Develop a research methodology to gather data specific to priority populations in Larimer/Weld
counties.
• Perform background research and identify research questions to identify topics and guide the
work.
• Outreach to partner organizations that regularly work with priority populations to ensure
questions are appropriate.
• Identify data collection methods (surveys, focus groups, key informant interviews) that will be
utilized to gather information.
• Develop survey, focus group, or key informant interview questions that help the group to gather
the intended information.
• Develop culturally and linguistically appropriate mechanisms for participation based on individual
needs.
• Incorporate suggestions and finalize questions.
Obj. 2: Execute data collection to answer research questions.
• Identify organizations who will participate in the collaborative data collection.
• Develop partnerships with community -based organizations serving priority populations to gain
participation in surveys, focus groups, and key informant interviews.
• Develop safety standards to ensure access and comfortable participation for all.
• Perform community outreach to garner participation in surveys, focus groups and/or key informant
interviews.
• Facilitate focus groups and conduct key informant interviews.
Obj. 3: Define strategies to improve health across the region.
• Identify a data repository strategy to collect and aggregate the feedback received from the surveys,
focus groups, and/or key informant interviews.
• Compile survey question responses, focus group discussion, and key informant interview responses
and conduct statistical analyses to identify key trends and insights.
• Share the primary qualitative data gathered with all collaborating organizations.
• Ensure culturally relevant opportunities to share research findings.
• Define implementation strategies based on information gathered.
1555 N. 17th Avenue
Greeley, CO 80631
Phone: (970) 304-6410
weldhealth.org
Public Health
EXHIBIT B
THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative
Behavioral Health and Health Assessment Workgroups
Meeting Facilitation
Prepared for:
Olivia Egen, MPH, DrPH
Public Health Initiatives Supervisor
Weld County Department of Public
Health and Environment
Prepared by:
Lindsay Reeves, Director
Third Horizon
lndsay@thirdhorizon.co
719-252-9443
February 18, 2025
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
Background
The Weld County Department of Public Health and Environment (WCDPHE), in partnership with the
Larimer County Department of Health and Environment and other regional stakeholders, established the
Larimer/Weld Regional Assessment Collaborative (RAC) to address shared public health challenges
through a unified and equitable approach. Since January 2023, the RAC has focused on identifying and
prioritizing opportunities for collaboration among health care providers, public health agencies, and
community -based organizations. This partnership represents a transformative opportunity to align
efforts, optimize resources, and improve health outcomes for Weld and Larimer counties
From May to August 2024, the RAC engaged Third Horizon (TH), a strategic advisory firm, to facilitate
strategic discussions that helped identify priority areas for collaboration and establish the foundational
goals reflected in the 2024-2028 Regional Workplan. Through a series of collaborative meetings, TH
worked with RAC stakeholders to define a strategic framework and action steps to select standardized
behavioral health metrics and develop a culturally appropriate framework to address disparities affecting
priority populations. The deliverables included comprehensive action plans outlining objectives, timelines,
and governance recommendations for future implementation. This foundational planning phase
established a clear path forward, creating alignment among RAC members and providing a structure for
collaboration. The strategic plan serves as the basis for the RAC's transition into execution, aligning
regional efforts to improve public health outcomes.
The RAC's work is guided by the 2024-2028 Regional Workplan as developed by Third Horizon during its
first engagement, which prioritizes two overarching focus areas:
1. Behavioral Health: Developing a standardized approach to behavioral health metrics, including
selecting a core set of 4-8 metrics to be adopted regionally, defining consistent data collection
and reporting methodologies, and integrating these metrics into community health needs
assessments.
2. Health Assessment: Creating and implementing research methodologies to engage priority
populations, addressing barriers to health outcomes, and collaboratively defining strategies to
improve health across the region.
By standardizing metrics and fostering collaboration, the RAC seeks to:
• Improve the quality and consistency of data used to drive health planning and interventions.
• Ensure underserved and priority populations are meaningfully represented in data collection and
strategy development.
• Strengthen relationships and trust among regional stakeholders, paving the way for long-term
partnerships and collective impact.
• Increase community buy -in by aligning health improvement strategies with the unique needs and
attributes of the Weld and Larimer communities.
TH is a strategic, boutique advisory firm focused on shaping a future system that actualizes a sustainable
culture of health nationwide. The firm offers a 360° view of complex challenges across three horizons —
past, present, and future — to help industry leaders and policymakers interpret signals and trends; design
integrated systems; and enact changes so that all communities, families, and individuals can thrive. Learn
more at www.thirdhorizon.co.
THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
TH's mission and core values are highlighted below.
• Mission: We push against the status quo by designing integrated health and social systems so all
communities, families, and individuals can thrive.
• Core Values:
o Impact Driven: We relentlessly pursue transformation and reflect that commitment in
our daily work and interactions with clients and communities.
o Mission Obsessed: We strategically align ourselves with public and private entities to
advance our mission to create a sustainable culture of health and well-being.
o Equity -Centered: We strive for equity in all we do and advance equitable care delivery
systems so all individuals, families, and communities can thrive.
o Knowledge Powered: We bring subject matter expertise to strategically address market
and community needs while embracing and learning from different perspectives.
Collectively, the firm's team has decades of experience providing consultation and working in community -
based behavioral health systems. Team members have an in-depth knowledge of best practices for
collaboration efforts among partner agencies, community -led strategic planning, the collective impact
framework, data collection methodologies, and equity -centered design strategies, with far-reaching work
with federal, state, and local government agencies, state Medicaid agencies, Single State
Agencies/Mental Health authorities, federally qualified health centers, local public health entities,
community behavioral health providers, ana philanthropy. TH's work in mental health and substance use
disorder treatment is deeply personal, as several team members have direct and/or familial experience
engaging with behavioral health delivery systems.
The firm has developed a nuanced understanding of the region's unique challenges, opportunities, and
stakeholder dynamics through previous work with the RAC. This opportunity represents a natural
progression from that foundational work, transitioning the RAC from planning to execution. TH is uniquely
positioned to lead this implementation effort with a deep understanding of the RAC's goals, partner
organizations, and the strategic priorities established in the first phase. The firm's experience facilitating
multi -stakeholder collaborations and operationalizing strategic plans ensures that the RAC's vision can be
translated into tangible outcomes. By building on the momentum of the action plan, TH will help the RAC
develop standardized metrics, establish sustainable data -sharing practices, and advance initiatives. This
enables TH to step into this project seamlessly, leveraging existing knowledge and relationships to ensure
a smooth process and impactful results.
This prior engagement provides TH with a deep understanding of the RAC's goals and regional landscape,
uniquely positioning the firm to lead this next phase of work. Our ability to combine strategic facilitation
with actionable planning and research methodologies ensures that the outcomes of this engagement will
have both immediate and lasting impact.
Project Overview
TH proposes to serve as a small group facilitator to support the RAC in achieving its goals of standardizing
behavioral health metrics and developing health assessment methodologies. These efforts will:
• Create a shared framework for understanding and addressing health challenges.
• Strengthen the region's ability to collaboratively analyze and disseminate health data.
• Lay the groundwork for long-term partnerships and resource optimization.
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THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
• Contribute to the health and well-being of all residents in Weld and Larimer counties.
Through the following activities, TH will fulfill the engagement objectives.
Kick -Off (Upon Execution of Contract)
TH will meet with the RAC Steering Committee to better understand what has happened in the
community since completing the work plan development in August 2024. This meeting will also be an
o pportunity to review and confirm the project approach and intended outcomes. TH will work with the
Steering Committee to develop the meeting schedule, identify a workgroup structure, review the scope
of work, and establish clear roles and responsibilities for the engagement. This will ensure that TH can
gather input on specific priorities or considerations that will need to be addressed as part of the
workgroup meetings and that all participants are fully engaged in the collaborative process from the
o utset.
Regular Check -Ins with RAC Steering Committee (Bi-Weekly February 2025 -August 2025)
TH will meet with the RAC Steering Committee and/or Workgroup leaders bi-weekly throughout the
e ngagement to gauge progress towards the identified outcomes and plan for the upcoming Workgroup
meetings.
Workgroup Meetings Facilitation (February 2025 — August 2025)
TH will provide facilitation support to the Weld/LarimerRAC Behavioral Health and Health Assessment
Workgroups in a series of nine virtual meetings focused on a structured facilitation process to achieve the
Health Assessment objective 3.1 and Behavioral Health objectives 2.1 and 2.2.
Health Assessment Objective 1: Develop a Research Methodology for Priority Populations
The Health Assessment workgroup meetings will focus on creating a culturally appropriate research
methodology that reflects the unique needs of priority populations in Larimer and Weld counties. TH will
facilitate the following steps:
Meeting 1: Define Priorities and Research Questions (March 2025)
• Review the priority populations identified in the previous engagement.
• Facilitate a discussion to confirm whether these populations remain relevant or if additional
groups (e.g., underserved racial/ethnic groups, low-income communities) should be included
based on recent data or emerging trends.
• Facilitate a group discussion to identify and prioritize the most pressing health challenges
affecting the confirmed priority populations. This ensures the work remains aligned with the
RAC's shared goals and addresses critical disparities.
• Collaboratively refine or develop research questions that will guide data collection efforts. These
questions will be designed to address the identified challenges, ensuring they are specific,
actionable, and culturally relevant to the priority populations.
Meeting 2: Identify and Refine Data Collection Methods (May 2025)
• Introduce potential data collection methods, such as surveys, focus groups, and key informant
interviews, and evaluate their appropriateness for engaging diverse populations.
• Facilitate breakout groups to refine data collection tools, ensuring questions are culturally and
linguistically appropriate.
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THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
• Engage stakeholders in identifying trusted community partners who can support outreach and
participation.
Meeting 3: Finalize Methodology and Participation Plan (July 2025)
• Facilitate consensus on the final research methodology, incorporating stakeholder feedback.
• Develop an outreach and participation strategy that prioritizes access and representation and
addresses language, technology, and trust barriers.
• Identify community -based organizations and other trusted entities to assist in data collection and
outreach efforts.
Behavioral Health Objective 1: Select Common Behavioral Health Metrics
Through facilitated Behavioral Health workgroup meetings, TH will guide stakeholders in identifying a
core set of standardized behavioral health metrics aligned with regional priorities and national best
practices.
Meeting 1: Review Current Metrics (March 2025)
• Revisit and present the behavioral health metrics identified during the RAC's previous strategic
planning engagement. Highlight the progress made in defining these metrics and identify any
updates or refinements needed to align with current priorities.
• Provide an updated analysis of the behavioral health metrics currently used by RAC partners,
focusing on overlaps, gaps, and areas where further alignment is needed. Emphasize how this
builds on the established groundwork, positioning TH to continue the RAC's progress seamlessly
without starting from scratch.
• Facilitate a discussion with workgroup members to confirm the critical behavioral health
outcomes they aim to measure and improve, such as access to services, mental health
prevalence, or treatment outcomes. Incorporate lessons learned and insights gained from the
previous engagement to focus efforts on metrics that are both impactful and achievable.
Meeting 2: Prioritize and Evaluate Metrics (April 2025)
• Facilitate breakout groups to evaluate potential metrics against criteria such as relevance,
feasibility, and consistency with national standards.
• Collaboratively prioritize a short list of metrics based on stakeholder input and alignment with
regional goals.
Meeting 3: Finalize Metrics (May 2025)
• Facilitate consensus on the final set of 4-8 behavioral health metrics to be adopted regionally.
• Discuss how these metrics will be integrated into Community Health Needs Assessments and
other regional reporting frameworks.
Behavioral Health Objective 2: Develop Data Collection and Reporting Standards
Once the metrics are selected, the workgroup meetings will focus on establishing consistent data
collection and reporting practices to ensure alignment and comparability across regional partners.
Meeting 4: Define Data Collection Standards (June 2025)
• Facilitate a discussion on best practices for data collection, including data sources, intervals, and
methodologies.
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THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
• Develop standardized definitions for each metric to ensure consistent interpretation and
measurement.
Meeting 5: Establish Reporting Frameworks (July 2025)
• Work collaboratively to design a standardized reporting template that RAC partners can use to
present data.
• Explore options for a centralized data repository to streamline data sharing and storage.
Meeting 6: Build Partner Capacity (August 2025)
• Facilitate discussions on the training needs of data collectors and analysts to ensure consistent
application of the agreed -upon standards.
• Develop a timeline for phased implementation of the new data collection and reporting
processes.
To maximize efficiency and stakeholder engagement, TH will:
• Use workgroup meetings to guide high-level discussions, build consensus, and secure alignment
on key decisions.
• Convene smaller workgroups as needed to address technical or detailed components of the
objectives, such as refining tools or piloting data collection methods.
Deliverables:
• Summary of the meetings with an overall focus on agreed -upon actionable next steps, timelines,
and responsible party.
Timeline and Pricing
TH proposes a total project fee of $16,000 to complete the proposed scope of work over the
anticipated six-month timeline (March 1- August 29, 2025). TH will submit monthly invoices to Weld
County Department of Health and draw down the fee in 1/6 installments.
To determine project cost, TH leveraged a fee schedule and the estimated hours to fulfill the scope of
work. TH reduced project fees by 20 percent across the board, recognizing Weld County Department
of Health's standing as a public, mission -driven organization.
Estimated
Hours
Hourly
Rate
Cost
Total
Total
Project
Discounted
Fee
72
$275
$20,000
$16,000
TH does not anticipate any hard costs/operating costs for this engagement.
Relevant Experience
TH has extensive experience nationally and within Colorado, managing system -level planning efforts to
address complex community issues, and the firm's consultants have expert facilitation and data analytic
skills. A few examples include:
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THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
• Weld County Department of Public Health and Environment Regional Assessment
Collaborative: TH was competitively selected to facilitate a collaborative process to identify and
advance the Weld/Larimer Regional Assessment Coordination group's goals related to
collaborative data collection and reporting focused on public health equity and behavioral health.
Through structured small group meetings, TH worked to identify actionable steps for
standardizing health data collection, enhancing reporting processes, and improving the alignment
of regional health resources. The engagement culminated in a comprehensive Actionable Next
Steps report outlining short- and long-term objectives, governance structures, and strategies for
implementing standardized health metrics and equity -focused methodologies.
• Lee County, Florida: Following Hurricane Ian's devastation, Lee County, Florida, recognized the
need for enhancements to its local behavioral health system. Lee County issued a Request for
Proposal (RFP) to find a vendor capable of creating a strategic framework, engaging community
stakeholders, and developing a long-term financial sustainability plan. Third Horizon was selected
to lead the project, which commenced in September 2024 and is set to last 18 months. The final
deliverable will be a comprehensive roadmap to significantly enhance the county's behavioral
health services infrastructure, ensuring it is comprehensive enough to meet current and future
needs. The plan will be an essential component of the county's larger disaster recovery and
resilience framework.
• Spark the Change Colorado Mental Wellness Program: Third Horizon has partnered with Spark
the Change Colorado to provide strategic planning support for its Mental Wellness Program. The
work focuses on enhancing accessibility and equity in mental health services statewide. Third
Horizon is collaborating with Spark to develop a three-year strategic plan, including SMART goals
tailored to the program's core components, such as free counseling services, AmeriCorps-based
student mental health support, workforce development, and continuing education for mental
health professionals. By employing is expertise in behavioral health and community -based
initiatives, Third Horizon is helping Spark align its efforts to maximize program impact and achieve
its mission.
• Denver Health Behavioral Health Services: Third Horizon has been a critical partner to Denver
Health's Behavioral Health Services (BHS) leadership team over the past three years, supporting a
range of strategic initiatives aimed at improving the city's behavioral health landscape. In 2022
and 2023, TH provided expert guidance to Denver Health in securing a Certified Community
Behavioral Health Clinics (CCBHC) Planning, Development, and Implementation Grant from the
Substance Abuse and Mental Health Services Administration (SAMHSA). More recently, Denver
Health BHS engaged TH for strategiz consultation to assess opportunities and set priorities for
meeting the behavioral health needs of Denver residents. TH conducted a comprehensive review
of behavioral health planning documents from the City and County of Denver and gathered
qualitative insights through key informant interviews with Denver Health leaders. Additionally, TH
surveyed over 700 Denver Health staff members to capture their perspectives on aligning BHS
initiatives with the broader strategic goals of the organization. TH convened a strategic planning
retreat for Denver Health's behavioral health leaders, presenting research findings and facilitating
a SWOT analysis to prioritize strategies and goals. The resulting strategic plan, developed in close
collaboration with the Denver Health BHS leadership team, is aligned with Denver Health's
broader organizational objectives.
• Colorado Certified Community Behavioral Health Clinics (CCBHC) Learning Collaborative:
Under the auspices of CBHC, the state association, TH served as facilitator and consultant to the
CCBHC) learning collaborative for two years. The collaborative included North Range of Weld
County and Summitstone from Larimer County. TH provided SAMHSA CCBHC-E grantees with
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THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
individualized coaching and technical assistance to ensure the successful implementation of the
model. TH conducted organizational assessments to determine each grantee's level of readiness
and assist them in making necessary clinical, operational, or strategic changes to meet the
attestation requirements. TH also coordinated monthly learning sessions for grantees consisting
of didactic presentations from guest presenters and "round robin" facilitated dialogue to share
best practices and lessons learned.
• San Luis Valley Behavioral Health Group: TH has facilitated a strategic planning process and
supported team building for the organization's evolving leadership structure over the past two
years. TH has conducted an environmental scan of pertinent behavioral health issues,
interviewed board members and senior management team members, and facilitated a series of
planning retreats.
• Signal Behavioral Health: Signal has engaged TH as a strategic advisor for the last three years. As
the Managed Service Organization (MSO) for 36 counties in Colorado and a state -authorized
Crisis Administrative Services Organization (ASO), Signal strives to foster a high -quality, equitable,
and affordable network of services for Coloradans struggling with SUD or a mental health crisis.
TH provides strategic guidance as Signal seeks to sustain or expand programming and navigate
the changing health care landscape.
• Solvista Health: TH conducted a four -county behavioral health needs assessment for this client in
south-central Colorado. TH used a mixed methods approach, including a) secondary quantitative
data collection from existing, publicly available state and local data and reports and Solvista
Health's clinic/EHR data, and b) qualitative data collection through a series of four community
focus groups facilitated by TH which engaged people from each county in Solvista Health's service
area, including partner/referral organizations, public health departments, consumers/family
members, advocates, and staff.
• The Margolis Center for Health Policy at Duke University: With funding awarded through a
competitive grant from the Elevance Health Foundation, TH is collaborating with the Margolis
Center for Health Policy at Duke University to create a series of toolkits and playbooks for
policymakers to maximize the use of opioid settlement funds in local communities. As part of this
work, TH was instrumental in developing the Opioid Abatement Needs and Investment Tool, an
interactive data tool designed to assist local, municipal, and state -level leaders in addressing the
opioid epidemic (see https://healthpolicy.duke.edu/opioidtools)
• Indiana Division of Mental Health and Addiction (DMHA) Mobile Integrated Response System
Evaluation: The State of Indiana's Division of Mental Health and Addiction competitively chose
TH to evaluate the State Opioid Response -funded Mobile Integrated Response System (MIRS)
statewide program. This multi -year engagement includes the development of a complete
program evaluation, strategic pathway, and sustainability plan for the MIRS currently federally
grant -funded sites. In 2023, TH collected in-depth qualitative information from site visits to each
MIRS-funded program, analyzed required statewide and individual site Government Performance
Results Act (GPRA) data, and conducted ongoing strategic consultation with DMHA. The
evaluation report can be found here.
• New York State Office of Addiction Services and Supports (OASAS) "Restructure Addiction
Services Financing": New York OASAS competitively selected TH in 2023 to provide consulting
services with the aim to seek alternative funding approaches that will provide greater equity in
the funding of addiction services (including SUD and problem gambling) while maintaining
compliance with state and federal rules. TH will review the current system of net deficit financing
for OASAS-covered services, assess the applicability of new payment methodologies to service
modalities, engage key stakeholders, and assist with implementing strategic recommendations.
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THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
• Montgomery County, PA, Department of Health and Human Services, Division of Mental
Health: Montgomery County, PA, competitively selected TH to evaluate its local behavioral health
crisis system and make strategic, data -informed recommendations to improve the system. TH
collaborates closely with the county to engage stakeholders through a community advisory
group, key informant interviews, focus groups, and work planning sessions. Areas of focus to date
have included local implementation and coordination of 9-8-8, developing case studies to help
inform the advancement of a potential new crisis resource center, and identifying opportunities
to enhance outpatient behavioral health treatment. This work culminated in developing a
"Behavioral Health Crisis System Enhancement Plan" by April 2023. TH facilitated a Crisis Services
Advisory Group, which met virtually or in person monthly with diverse members such as people
with lived experience, advocates, providers, law enforcement, and county officials.
Engagement Team
Please see below for project team member aiographies. Additionally, TH has a deep bench of behavioral
health and health care policy experts that may offer guidance as needed; see
https://thirdhorizon.co/meet-the-team/
Lindsay Reeves, Director— Project Lead
Lindsay manages key behavioral health client relationships and provides customer -focused services to a
diverse clientele. She produces high -quality work products and deliverables and assists clients with policy
analysis, facilitation, and other services to improve behavioral health systems.
Lindsay has over ten years of experience building community collaboratives, developing and
implementing strategic plans, facilitating equity -centered community design projects, developing
measurement systems, and promoting outcomes -based learning. She believes in the value of collective
impact, the notion that we are stronger together than any of us can be strong alone. Lindsay has worked
across sectors, among professionals and thcse with lived experience, to create and implement
community action plans to make systems responsive to those they are intended to serve. Lindsay has
former experience in state Medicaid operations, early childhood development programming, youth and
young adult community behavioral health systems of care, and community -based population health
reform. She is a Certified Quality Improvement Advisor through the Institute for Healthcare Improvement
and is a Certified Bridges Out of Poverty Fac litator.
Lindsay holds a master's degree in nonprofit management from Regis University and a Bachelor of
Science degree in integrated communications from Colorado State University -Pueblo.
Mindy Klowden, Managing Director for Behavioral Health — Project Advisor
Mindy Klowden, MNM, is a national consultant, leader, and strategist in behavioral health and integrated
care. As the managing director for behavioral health, she provides overall stewardship over TH's
behavioral health and community health consulting practice areas and strategy. Mindy also manages
client relationships and deliverables, conducts research and policy analysis, and provides strategic
consulting and expert facilitation services to state and local government agencies, health systems,
behavioral health and safety net providers, payers, and associations. Mindy is a skilled facilitator with
expertise in all aspects of strategic planning, including stakeholder engagement, facilitation, landscape
reviews, and writing actionable, impactful plans. Mindy also supports clients with organizational change
management and communications.
9
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THIRD HORIZON
Larimer/Weld Regional Assessment Collaborative Meeting Facilitation
Mindy has over 25 years of experience in community behavioral health and health care policy, working at
the national, state, and local levels. Previously, Mindy held leadership positions with the Colorado
Behavioral Healthcare Council, the National Council for Mental Well -Being (previously known as the
National Council for Behavioral Health), the Jefferson Center for Mental Health, and the Colorado
Community Health Network.
Mindy also served as chair of the Colorado State Innovation Model (SIM) Practice Transformation
Committee, a volunteer appointment she held under the auspices of (former) Colorado Governor John
Hickenlooper. SIM aimed to use all available levers to transform the health care payment and delivery
system through multi -payer reform. The Colorado SIM strategy primarily focused on integrating
behavioral health services with primary care and public health. Mindy managed and facilitated a diverse
committee of behavioral health providers, primary care providers, practice transformation specialists,
state agencies, and payers, including Health First Colorado (Medicaid) and the Colorado Department of
Human Services.
Mindy earned a master's degree in Nonprofit Management from Regis University and a Bachelor of Arts
in Sociology from The Colorado College.
Jessica Casebolt, Manager- Project Manager
Jessica supports the firm's client engagements by conducting research, gathering and analyzing data,
preparing client deliverables, and managing projects. She also manages several of the firm's
communication initiatives, including the daily Tea Leaves newsletter and weekly Health Care Council of
Chicago (HC3) newsletter.
Jessica first joined Third Horizon as the executive assistant to David Smith, founder, and CEO, and later
served as both an operations specialist and senior analyst. Prior to joining the firm, Jessica managed
executive -level events and assisted with special projects and client -related research as an analyst and
administrative coordinator at Leavitt Partners. She was also a Community Impact Coordinator at the
United Way of Northern Utah, helping to deploy programs to provide assistance to disparate
communities, and an outreach intern at The Huntsman Cancer Institute where she provided information
on cancer prevention and screenings to corporations and schools and facilitated a smoking cessation
class.
Jessica holds a bachelor's degree in public health from Brigham Young University.
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THIRD HORIZON
10
Contract Form
Entity Information
Entity Name *
THIRD HORIZON STRATEGIES
Entity ID*
g-00048616
Contract Name*
THIRD HORIZON STRATEGIES - WELD COUNTY
PACKET 2025
Contract Status
CTB REVIEW
Q New Entity?
Contract ID
9158
Contract Lead *
BFRITZ
Contract Lead Email
bfritz@weld.gov;Health-
Contracts@weld.gov
Contract Description *
THIRD HORIZON STRATEGIES - WELD COUNTY PACKET 2025
Contract Description 2
Contract Type *
AGREEMENT
Amount *
$16,000.00
Renewable *
NO
Automatic Renewal
Grant
IGA
Department
HEALTH
Department Email
CM-Health@weld.gov
Department Head Email
CM-Health-
DeptHead@weld.gov
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY @WEL
D.GOV
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date *
02/10/2025
Parent Contract ID
Requires Board Approval
YES
Department Project #
Due Date
02/06/2025
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
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
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
JASON CHESSHER
DH Approved Date
02/27/2025
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
03/05/2025
Review Date *
08/31 /2025
Committed Delivery Date
Contact Type
Contact Email
Finance Approver
CHERYL PATTELLI
Renewal Date
Expiration Date*
08/31 /2025
Contact Phone 1
Purchasing Approved Date
Finance Approved Date
02/27/2025
Tyler Ref #
AG 030525
Originator
BFRITZ
Legal Counsel
BYRON HOWELL
Contact Phone 2
Legal Counsel Approved Date
02/27/2025
Hello