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Home My WebLink About20251678.tiffCunA-1,10,c+ II* a53 PROFESSIONAL SERVICE AGREEMENT BETWEEN WELD COUNTY AND JUSTICEWORKS COLORADO, LLC THIS AGREEMENT is made and entered into this ( Vhday of t),kno. , 2025, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as "County," and JusticeWorks Colorado, LLC, 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; and WHEREAS, the Colorado Department of Human Services has provided Core and Non -Core Services funding to the Department. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 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 the HIPAA Business Associates Agreement. Exhibit B consists of the Scope of Services. Exhibit C consists of the Rate Schedule. Exhibit D consists of County's Invitation for Bid (IFB) as set forth in Bid Package No. 82500040 which is incorporated into this agreement by reference and will be provided upon request to the Department. Exhibit E consists of Contractor's Bid Response to County's Invitation. 2. Service or Work. Contractor agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the Work described in the attached con,m+Ft9e,ricioL WItof2s 1 CC Dinba5-e (D�) LoAlo 125 2025-1678 o rzo09 1 Exhibits. Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibits B, Scope of Services, and Exhibit E, Contractor's Bid Response to County's Invitation. 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 shall be from June 1, 2025, through April 30, 2028, unless sooner terminated as provided herein, and is subject to continued budget appropriations. 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. 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. Any claims by the Contractor for adjustment hereunder must be made in writing prior to performance of any work covered in the anticipated Amendment, unless approved and documented otherwise by the County Representative. Any change in work made without such prior Amendment shall be deemed not covered in the compensation and time provisions of this Agreement, unless approved and documented otherwise by the County Representative. 6. Compensation. County agrees to pay Contractor through an invoice process during the course of this Agreement in accordance with the Rate Schedule as described as Exhibit C. Contractor agrees to submit invoices which detail the work completed by Contractor. 2 The County will review each invoice and if it agrees Contractor has completed the invoiced items to the County's satisfaction, it will remit payment to the Contractor. No payment in excess of that set forth in the Exhibits will be made by County unless an Amendment 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 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. 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 3 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 with industry standards, and that all services will conform to applicable specifications. 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 pursuantto this Agreement, and shall keep the required insurance coverage in force at all times during the 4 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 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) Coverage B (Employers Liability) Commercial General Liability Insurance - Occurrence Form. Statutory $ 100,000 $ 100,000 $ 500,000 Policy shall include 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 elected officials, 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 include Minimum Limits as follows: General Aggregate Products/Completed Operations Aggregate Each Occurrence Limit Personal/Advertising Injury Automobile Liability insurance $ 1,000,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 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 5 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 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 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 6 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. 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 of 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 7 policies to the minimum limits as required herein. 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 Workers' Compensation Law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, judicial decision, or other law 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 the Contractor will be responsible for primary loss investigation, defense, and judgment costs where this indemnification is applicable. In consideration of the award of this contract, the Contractor agrees to 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 8 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 a 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 9 Either party may change its notice address(es) by written notice to the other. Notice may be sent to: TO CONTRACTOR: Name: Dawn Goodman Position: Program Director Address: 201 Jackson Street Address: Denver, Colorado 80206 E-mail: dgoodman(a tusticeworksco.com Phone: (303) 854-7989 TO COUNTY: Name: Jamie Ulrich Position: Director Address: P.O. Box A Address: Greeley, Colorado 80632 E-mail: ulrichiita'�.weld.gov Phone: (970) 400-6510 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. Health Insurance Portability & Accountability Act of 1996 ("HIPAA"). Federal law governing the privacy of certain health information requires a "Business Associate" agreement between Contractor and the County. 45 CFR Section 164.504(e). Attached and incorporated herein by reference as Exhibit A is a HIPAA Business Associate Agreement for HIPAA compliance. 27. 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. 28. 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. 29. 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. 30. 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 10 which is the subject matter of this Agreement. Contractor agrees that if Contractor was a former employee of the Department of Human Services, or employs a former employee of the Department of Human Services, that Contractor will also abide by applicable requirements under C.R.S. 24-18-201 et seq. 31. 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. 32. 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. 33. 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 rights, immunities, 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, assigns; or its elected officials, employees, agents, and volunteers. 34. Force Majeure. Neither the Contractor nor the County shall be liable for any delay in, or failure of performance of, any covenant or promise contained in this Agreement, nor shall any delay or failure constitute default or give rise to any liability for damages if, and only to extent that, such delay or failure is caused by or results from acts beyond the impacted Party's reasonable control, including without limitation, the following "force majeure" events that frustrate the purpose of this Agreement: As used in this Agreement, "force majeure" means acts of God, acts of the public enemy, unusually severe weather, fires, floods, epidemics, quarantines, strikes, labor disputes and freight embargoes, government order or law, action by any governmental authority, and other similar events beyond the reasonable control of the impacted party, to the extent such events were not the result of, or were not aggravated by, the acts or omissions of the non -performing or delayed party. However, if force majeure occurs after the party delays performance, the party shall not be exempted from liability. The Party affected by the force majeure shall make reasonable efforts to reduce the consequences caused by the force majeure. If the force majeure affects the performance of the contract, the party that is subject to force majeure shall promptly notify the other party and submit to the other party a sufficient and valid proof of force majeure within a reasonable period of time. Otherwise, the corresponding liability shall not be waived. 35. 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 11 any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 36. 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. 37. 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. 38. 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 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. 39. 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. 40. 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. 41. 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. 12 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: W.str-ifeA) o. %erk Clerk to the Board BY: Deputy Clerk BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO i e3Aee11- Ck,-Ci'air JUN 1 6 2025 Works Colorado, LLC 0 West Coal Mine Avenue Littleton, Colorado 80123 (970) 580-6639 By41 % Ca Campbell, FO Date: g2Djr. 13 Zo n -1 ko1$ Exhibit A HIPAA BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement ("BAA") is entered into by and between the County and the Contractor, referred to as "Business Associate", to set forth the terms and conditions under which protected health information ("PHI"), as defined by the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, Regulations enacted hereunder (HIPAA) , created or received by Business Associate on behalf of County may be used or disclosed. This BAA shall commence on the effective date outlined in Paragraph 3 of the Professional Services Agreement and the obligations herein shall continue in effect so long as Business Associate uses, discloses, creates or otherwise possesses or maintains any PHI created, or received, maintained or transmitted on behalf of County and until all PHI created, received, maintained or transmitted by Business Associate on behalf of County is destroyed or returned to County pursuant to Paragraph 16 herein. 1. The following terms, if and when used in this BAA, shall have the same meaning as those terms in the HIPAA Rules: Breach, Data Aggregation, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices, Protected Health Information, Required by Law, Secretary, Security Incident, Subcontractor, Unsecured Protected Health Information, and Use. a. Business Associate. "Business Associate" shall generally have the same meaning as the term "business associate" at 45 CFR 160.103. b. Covered Entity. "Covered Entity" shall generally have the same meaning as the term "covered entity" at 45 CFR 160.103. c. HIPAA Rules. "HIPAA Rules" shall mean the Privacy, Security, Breach Notification, and Enforcement rules at 45 CFR Part 160 and Part 164. 2. County and Business Associate hereby agree that Business Associate shall be permitted to use and/or disclose PHI created, received, maintained or transmitted on behalf of County in accordance with this BAA. The permitted uses and disclosures, as may be outlined in a contract or Memorandum of Understanding, must be within the scope of, and necessary to achieve, the obligations and responsibilities of the Business Associate in performing on behalf of, or providing services to, County, or as Required by Law. Business Associate may not use or disclose PHI in a manner that would violate Subpart E of 45 CFR Part 164 if done by County except for the specific uses and disclosures set forth herein. 3. Business Associate acknowledges Business Associate is required by law to comply with the HIPAA Security Rule (45 CFR 164.302 through 164.318), the use and disclosure provisions of the HIPAA Privacy Rule and the Health Information Technology for Economic and Clinical Health Act (HITECH). To the extent Business Associate is to carry out one or more of County's obligations under Subpart E of 45 CFR Part 164, Business Associate hereby agrees to comply with the requirements of Subpart E that apply to County in the performance of such obligations. 14 4. Business Associate may use and disclose PHI created or received by Business Associate on behalf of County if necessary for the proper management and administration of Business Associate or to carry out Business Associate's legal responsibilities, provided that: a. Any disclosure is required by law; or b. Business Associate obtains reasonable assurances from the person to whom the PHI is disclosed that (i) the PHI will be held confidentially and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person; and (ii) the Business Associate will be notified of any instances of which the person is aware in which the confidentiality of the information is breached. 5. Business Associate hereby agrees to maintain the security and privacy of all PHI in a manner consistent with state and federal laws and regulations, including HIPAA, HITECH, 42 CFR Pt. 2 if applicable, and all other applicable laws. 6. Business Associate shall ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of the Business Associate agree to the same restrictions, conditions, and requirements that apply to the Business Associate with respect to such information. Business Associate shall not disclose PHI created or received by Business Associate on behalf of County to a person, including any agent or subcontractor of Business Associate but not including a member of Business Associate's own workforce, until such person agrees in writing to be bound by provisions not less restrictive than this BAA and applicable state or federal law. 7. Business Associate shall not disclose PHI to any member of its workforce unless Business Associate has advised such person of Business Associate's privacy and security obligations under this Agreement, including the consequences for violation of such obligations. Business Associate shall take appropriate disciplinary action against any member of its workforce who uses or discloses PHI in violations of this Agreement and applicable law, in addition to meeting its reporting obligations owed to County hereunder. 8. Business Associate represents and warrants that it will use and disclose PHI in accordance with the Privacy Rule's "minimum necessary" standards by taking reasonable steps to limit uses and disclosures to the minimum amount of PHI required in accomplishing the intended purpose and consistent with the County's minimum necessary policies and procedures. Business Associate agrees to use appropriate safeguards to prevent use or disclosure of PHI not permitted by this Agreement or applicable law. 9. Business Associate agrees to maintain a record of its disclosures of PHI, including disclosures not made for the purposes of this Agreement. Such record shall include the date of the disclosure, the name and, if known, the address of the recipient of the PHI, the name of the individual who is the subject of the PHI, a brief description of the PHI disclosed, and the purpose of the disclosure consistent with enabling County to meet its 15 accounting of disclosure obligations under the HIPAA Rules. Business Associate shall make such record available to County within thirty (30) days of a request and shall include disclosures made on or after the date which is six (6) years prior to the request. Business Associate shall not be required to maintain a record of disclosures of PHI made for the following purposes, unless such disclosures become mandatory for accounting of disclosure purposes under HIPAA: a. For the purpose of treatment, payment or health care operations (as those terms are defined under HIPAA); b. To an individual who is the subject of the PHI; and c. Pursuant to an Authorization which is valid under HIPAA. 10. Business Associate agrees to report to County any unauthorized use or disclosure of PHI by Business Associate or its workforce or subcontractors within ten (10) days and the remedial/mitigating action taken or proposed to be taken with respect to such use or disclosure and account for such disclosure. 11. In the event of a or Security Incident involving the County's PHI, Business Associate shall provide County a report including patient name, contact information, nature/cause of the breach, PHI breached and the date or period of time during which the breach occurred. Business Associate understands that such a report must be provided to County within ten (10) days from the date of the breach or the date the breach should have been known to have occurred, or as soon as possible upon discovery (not to exceed 10 days from the date of the breach/breach discovery). Business Associate is responsible for any actual and direct costs related to notification of individuals or next of kin (if the individual is deceased) of any successful Security Incident or Breach reported or caused by Business Associate to County. 12. Business Associates agrees to make its internal practices, books, and records relating to the use and disclosure of PHI received from County or created or received by Business Associate on behalf of County, available to the Secretary of the United States Department of Health and Human Services, for purposes of determining the County's and/or Business Associate's compliance with HIPAA. 13. Within ten (10) days of a written request by County, Business Associate shall allow a person who is the subject of PHI, such person's legal representative, or County to have access to and to copy such person's PHI maintained by Business Associate. Business Associate shall provide PHI in the format requested by such person, legal representative, or County unless it is not readily producible in such format, in which case it shall be produced in standard hard copy format. Business Associate shall forward any request for access to PHI by an individual to County promptly upon receipt thereof. 14. Business Associate agrees to amend, pursuant to a request by County, PHI maintained and created or received by Business Associate on behalf of County. Business Associate further agrees to complete such amendment within ten (10) days 16 of a written request by County, and to make such amendment as directed by County. Business Associate shall forward any request for amendment by an individual to County promptly upon receipt thereof. 15. County shall notify Business Associate of any changes in, or revocation of, the permission by an individual to use or disclose his or her PHI, to the extent that such changes may affect Business Associate's use or disclosure of PHI. 16. In the event Business Associate fails to perform its obligations under this Agreement, County may, at its option: a. Require Business Associate to submit to a plan of compliance, including monitoring by County and reporting by Business Associate, as County, in its sole discretion, determines necessary to maintain compliance with this Agreement and applicable law. Such plan shall be incorporated into this Agreement by amendment hereto; b. Require Business Associate to mitigate any loss occasioned by the unauthorized disclosure or use of PHI; and c. Immediately discontinuing providing PHI to Business Associate with or without written notice to Business Associate. 17. County may immediately terminate this and related agreements if County determines that Business Associate has breached a material term of this Agreement. Alternatively, County may choose to: (i) provide Business Associate with ten (10) days written notice of the existence of an alleged material breach and (ii) afford Business Associate an opportunity to cure said alleged material breach to the satisfaction of County within ten (10) days of receipt of notice. Business Associate's failure to cure shall be grounds for immediate termination of this BAA. County's remedies under this BAA are cumulative and the exercise of any remedy shall not preclude the exercise of any other. 18. After termination or expiration of the Underlying Agreement for any reason, Business Associate with respect to PHI received created or maintained from or on behalf County, shall: (i) retain only that PHI which is necessary for Business Associate to continue its proper management and administration or to carry out its legal responsibilities; (ii) destroy (subject to the Underlying Agreement) the remaining PHI that the Business Associate still maintains in any form; and (iii) not use or disclose the PHI retained by Business Associate other than for the purposes for which such PHI was retained and subject to the same conditions set out in this BAA which applied before termination. If the destruction of the PHI is not feasible, in Business Associate's discretion, Business Associate shall notify County of the reasons destruction is not feasible and Business Associate shall continue to for as long as Business Associate retains the PHI. This section shall survive termination of this BAA. 19. Upon termination of this BAA for any reason, Business Associate, with respect to PHI received from County, or created, maintained, transmitted, or received by Business Associate on behalf of County, shall: a. Retain only that PHI which is necessary for Business Associate to continue its 17 proper management and administration or to carry out its legal responsibilities. b. Return to County the remaining PHI that the Business Associate still maintains in any form or destroy said PHI. c. Continue to use appropriate safeguards and comply with Subpart C of 45 CFR part 164 with respect to electronic protected health information to prevent use or disclosure of the PHI, other than as provided for in this Section, for as long as Business Associate retains the PHI. d. Not use or disclose the PHI retained by Business Associate other than for the purposes for which such PHI was retained and subject to the same conditions which applied prior to termination. e. Return to County or destroy the PHI retained by Business Associate when it is no longer needed by Business Associate for its proper management and administration or to carry out its legal responsibilities. The provisions of this section shall survive the BAA's termination. 20. The parties agree to amend this Agreement in order to maintain compliance with State or Federal law. County shall provide ten (10) days prior written notice to Business Associate of a need to amend the BAA and propose such amendments for Business Associate's consideration. Upon written agreement between the parties, such amendment shall be binding upon the parties. Either party may elect to terminate the BAA and any underlying service agreement(s) if an amendment is not able to be agreed upon within a reasonable timeframe from an amendment's commencement. All duties hereunder to maintain the security and privacy of PHI shall survive such termination. County and Business Associate may otherwise amend this Agreement by mutual written consent. 21. To the fullest extent permitted by law, each party (the "Indemnifying Party") shall indemnify the other party, and its officers, directors, employees and agents (collectively the "Indemnified Parties"), against any and all claims brought by or directly resulting from third parties, including reasonable attorneys' fees (the "Third Party Losses"), to the extent Third Party Losses are proximately caused by a breach of this BAA by the Indemnifying Party, each by the Indemnifying Party or its employees, directors, officers, subcontractors, and agents. The Indemnifying Party shall have the right to control the defense or settlement of such third -party claim, subject to the reasonable participation of, and approval by, the Indemnified Parties of any such settlement or defense strategy. The foregoing indemnification shall not apply to the extent such claims arise out of (i) the Indemnified Party's negligence or willful misconduct, or (ii) the negligence or willful misconduct of any subcontractor or agent other than Business Associate under the Indemnified Party's control. 18 EXHIBIT B SCOPE OF SERVICES Contractor will provide Home -Based and Life Skills Services, as referred by the County. Home -Based Services 1. Short -Term Outreach to Prevent Placement (STOPP) a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Assessment of Strengths and Stressors Tool (SSTD). ii. Manual for STOPP program. iii. Trauma -Informed Approach. iv. Safety and Crisis Plans. v. Community Resource Mapping. vi. Strengths -based Interviewing. vii. Solution -focused Goals. viii. Family Systems Approach. b: Anticipated Frequency of Services: i. Four (4) to six (6) hours per week. c. Anticipated Duration of Services: i. On average two (2) months. d. Goals of Services: i. Stabilize Family Crisis' to prevent out -of -home placement. ii. Address and resolve the issues related to the referral. iii. Connect with community support and resources for sustainability. e. Outcomes of Services: i. Family Preservation and Stability. ii. Improved Family Functioning iii. Enhanced Family and Community Engagement. f. Target Population: i. Families with children from birth to eighteen (18) years. ii. All genders. g. Language: i. English. ii. Interpreter services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. 2. JustCare a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Assessment - Strengths and Stressors Tool (SSTD). ii. Strengths -based Interviewing. iii. Trauma -informed Approach. iv. Manual and incorporation of the JusticeWorks Practice Model. v. Community Resource Mapping. vi. Service Management. b. Anticipated Frequency of Services: i. Two (2) to four (4) hours per week. c. Anticipated Duration of Services: i. Three (3) to six (6) months. d. Goals of Services: i. Identify and address issues related to the referral. ii. Solution -focused goals with anticipated dates of completion. iii. Community Support and Resource Connections. e. Outcomes of Services: i. Strengthen Family Dynamics. ii. Increase self-sufficiency (autonomy). iii. Increase protective factors - decreasing risk. f. Target Population: i. Families with children from birth to eighteen (18) years. ii. All genders. g• Language: i. English. ii. Interpreter services available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. 3. Violation Initiative Program (VIP) a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Assessment: Strengths and Stressors Tool to identify strengths and risks. ii. Cognitive Behavioral intervention techniques. iii. Strengths -based Interviewing. iv. Service management. v. Balance and Restorative Justice practices. vi. Collaboration with Juvenile Probation and the courts. vii. Community Resource Mapping. viii. VIP Manual. ix. Personal Accountability modules. x. Trauma -informed approach. b. Anticipated Frequency of Services: i. Two (2) to four (4) hours per week. c. Anticipated Duration of Services: i. Six (6) to nine (9) months. d. Goals of Services: i. Enhance Life skills and Resilience. ii. Promote Accountability. iii. Address areas of need. iv. Decrease risky behaviors. v. Connection to community support and resources. vi. Enhance academic and/or job skills. e. Outcomes of Services: i. Reduce recidivism. ii. Develop life and independent skills and resiliency. iii. Completion of court -ordered obligations. f. Target Population: i. Youth ages ten (10) to eighteen (18) years. ii. All genders. 9. Language: i. English. ii. Interpreter services available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. Life Skills 1. Visit Coaching a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Assessment: Basic Empathy Assessment Tool (BES). ii. Attachment -based practices. iii. Strengths -based approach. iv. Trauma -informed approach. v. Strengths -based interviewing. vi. Parent Coaching and modeling. vii. Visit Coaching manual using Marty Beyer model. viii. Emotional Regulation Skills. ix. Reunification Readiness. b. Anticipated Frequency of Services: i. Varies. ii. Based on Individual need. c. Anticipated Duration of Services: i. Three (3) to six (6) months. d. Goals of Services: i. Strengthen parent -child bond. ii. Improve Parenting skills. iii. Promote reunification readiness. iv. Child/Parent Attachment. e. Outcomes of Services: i. Enhanced parenting competencies. ii. Safe and sustainable reunification. iii. Increased child well-being. iv. Effective use of resources f. Target Population: i. Families with children from birth to seventeen (17) years. ii. All genders. g• Language: i. English. ii. Interpreter services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. 2. Supervised Family Time a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Visit Logs and Visit Documentation. ii. Clearly defined Safety protocols. iii. Supervision checklists. iv. Parent -child activity suggestions. v. Observation and Monitoring. vi. Trauma -informed approach. b. Anticipated Frequency of Services: i. Two (2) to six (6) hours per week. c. Anticipated Duration of Services: i. Three (3) to six (6) months. d. Goals of Services: i. Provide a safe visitation experience. ii. Monitor the interaction between parent(s) and child. iii. Behavioral Management. iv. Child safety and well-being. e. Outcomes of Services: i. Safety and stability during visits. ii. Improved child/parent engagement. iii. Progress toward reunification or custody determinations. f. Target Population: i. Families with children from birth to seventeen (17) years. ii. All genders. g. Language: i. English. ii. Interpreter services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. I n-OfFiceNideo. ii. In -Home or Community AND with Transportation. 3. Triple P (Positive Parenting Program - Level 4) a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Triple P Parenting Skills Assessment. ii. Triple P Child Behavior Checklist. iii. Parenting Stress Index. iv. Session Feedback Forms. v. Trauma -informed Approach. vi. Positive Parenting Strategies. vii. Behavioral Management techniques based on cognitive behavioral therapy. viii. Family communication skills. ix. Child Development Education. x. Problem Solving and Goal Setting. b. Anticipated Frequency of Services: i. One (1) to two (2) hours per week. c. Anticipated Duration of Services: i. Ten (10) to twelve (12) weeks. d. Goals of Services: i. Enhance parenting skills and confidence. ii. Improve child behavior. iii. Promote stronger parent/child relationships. e. Outcomes of Services: i. Reduction in child behavioral problems. ii. Increased Parent well-being and satisfaction. iii. Improved Family Dynamics and communication. f. Target Population: i. Triple P Level four (4) Standard is for all genders from birth to twelve (12) years. ii. Triple P Level four (4) Standard Teen if for all genders from twelve (12) to sixteen (16) years. g. Language: i. English. ii. Interpreter services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. Service Access and Transportation: i. In-Office/Video. ii. In -Home or Community AND with Transportation. 4. Nurturing Parenting a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Assessment using the Adult -Adolescent Parenting Inventory (AAPI). ii. Individualized Family Sessions. iii. Observation of parent/child interaction. iv. Trauma -informed approach. v. Strengths -based. vi. Positive Discipline Strategies. vii. Parenting skills for healthy attachment. viii. Child Development Education. ix. Nurturing Parenting Practices. b. Anticipated Frequency of Services: i. Two (2) to four (4) hours per week. c. Anticipated Duration of Services: i. Three (3) to six (6) months. d. Goals of Services: i. Enhance Positive Parenting Skills. ii. Improve Parent/Child Relationships. iii. Promote healthy child development. iv. Develop appropriate child discipline measures. e. Outcomes of Services: i. Reduction in negative parenting behaviors. ii. Improved Emotional Regulation in children. iii. Increased parental confidence and satisfaction. f. Target Population: i. Families with children from birth through age seventeen (17) years. ii. All genders. g. Language: i. English. ii. Interpreter services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. 5. WhyTry Program a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Assessment: WhyTry Measure R. ii. Collaboration with School Districts. iii. Family Engagement. iv. WhyTry research -based curriculum. v. Trauma -informed approach. vi. Family participation in service goals. b. Anticipated Frequency of Services: i. Two (2) to four (4) hours per week. c. Anticipated Duration of Services: i. Ten (10) to fifteen (15) weeks. d. Goals of Services: i. Improve student engagement and motivation. ii. Enhance social and emotional skills. iii. Reduce at -risk behaviors and drop -out rates. e. Outcomes of Services: i. Increase academic performance. ii. Develop stronger emotional resilience. iii. Significant reduction in truancy. iv. Significant reduction in disciplinary issues. f. Target Population: i. Youth ages five (5) through eighteen (18) years. ii. All genders. g. Language: i. English. ii. Interpreter services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. Terms 1. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the County. Failure to comply with all aspects may result in a forfeiture of payment. 2. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the County. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. 3. Contractor will respond to the Mental Health and Support Services Team LHS- CWServiceReferralAweld.gov} within three (3) business days regarding the ability to accept the received referral. 4. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Mental Health and Support Services Team HS-CWServiceReferralOweld.gov. 5. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Mental Health and Support Services Team HS- CWServiceReferralAweld.gov. No other County staff or other party to the case may authorize services or modifications to services. 6. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit B, Rate Schedule, then Contractor understands that the County will not reimburse for "no-shows". Contractor understands that the County will only reimburse Contractor for up to two (2) "no-shows" on the part of case participants who cancel without 24 -hour notice. After three (3) "no- shows", Contractor will place client on a behavioral plan requiring attendance or discharge the client from services. Contractor must inform the caseworker and the Mental Health and Support Services Team HS- CWServiceReferralCa.weld.gov within three (3) days of when the client is placed on a behavioral plan or discharged. 7. Contractor understands that the County will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the County prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Mental Health and Support Services Team HS-CWServiceReferralaweld.gov immediately via email, to discuss service continuation. 8. Contractor will identify, in detail, areas of continued concern and make recommendations to the caseworker in a monthly report regarding continuation of services and/or the need for additional services. 9. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the County, unless otherwise directed by the County. 10. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational, or behavioral issues. Areas of concern should be reported to the caseworker and the Mental Health and Support Services Team HS- CWServiceReferralaweld.gov immediately AND on the required monthly report. 11. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Mental Health and Support Services Team. Any changes to Family Time referrals will be approved by a new referral signed by the Child Welfare Supervisor. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 12. Contractor agrees to attend meetings when available and as requested by the County. Such meetings include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team Decision Making meetings. The County will reimburse for actual participation in the meeting only so long as there is written authorization from the Mental Health and Support Services Team, and the facilitator documents in the meeting notes the timeframe that the provider attended and when participation in the meeting is deemed appropriate and necessary by the County. The Facilitator will be responsible for filling out the time attended on the meeting notes. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Mental Health and Support Services Team. Contractor may participate by phone or virtually, if approved by the County. 13. On a monthly basis, the Contractor will notify the Mental Health and Support Services Team HS-CWServiceReferralaweld.gov of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The County reserves the right to decline the new staff members managing and/or administering services to County clients. 14. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas: Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR) and will address the aforementioned three areas when completing monthly reports as required by Paragraph 9 of this Exhibit. 15. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the County by the Contractor prior to the start of any Agreement. 16. Training Contractor may be required to attend training at the request of the County specific to services provided under this Agreement. The County will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the County. 17. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at (970) 336-7235 and advise that the subpoena must be personally served. 18. Monitoring and Evaluation Contractor and the County agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the County. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the County, and the Contractor. Contractor will collaborate in a timely manner with the County to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients to sign releases of information. Contractor understands that the County will not reimburse for services rendered to County clients until releases of information are obtained. Contractor shall permit the County, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 19. Credentialing Criteria Contractor and its employee(s) and sub-contractor(s) shall remain in good standing with the Colorado Department of Regulatory Affairs (DORA) and may not, at any time during the term of this contract, be listed as excluded or debarred in the System for Award Management (SAM). Contractor shall ensure that all employees/subcontractors who provide services to clients under this contract meet the credentials/qualifications specific to the County's identified credentialing standards and C.R.S Title 12, Article 43 and in the Social Services Manual Volume 7.000.6(M) (12 CCR 2509-4). The County has the right to approve Contractor's employees/subcontractors who will be performing services under this contract prior to the commencement of the work and shall have the right to review the employee(s)'/subcontractor(s)' employment files prior to granting approval. Contractor must retain copies of employee credentialing qualifications and background checks in personnel files and make such records available to the County Representative upon request. Contractor shall obtain reference and background checks, including fingerprint - based police (CBI and/or FBI) checks (if required by statute or regulation or if there will be unsupervised contact with children), checks of County records, and Sexual Offender Registry checks and receive, at minimum, preliminary results before assigning/hiring employees/subcontractors to perform under this contract. If the County becomes dissatisfied with Contractor's employee(s)/subcontractor(s), the County will notify Contractor of its concerns about the employees)/subcontractor(s). Disciplinary measures, if any, will be the sole responsibility of Contractor. However, if the concerns/issues cannot resolve to the County's satisfaction, Contractor's employees)/subcontractor(s) may not be allowed to provide services under this contract. The County reserves the right to review all Contractor's or Sub -Contractors background checks. It is the responsibility of the Contractor to notify the County of results of background checks. EXHIBIT C RATE SCHEDULE 1. Funding and Method of Payment The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified below in Paragraph 2, Fees for Services. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible County expenditures and shall not be reimbursed by the County. For services funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit a State of Colorado direct deposit enrollment form, which will be provided by the County, with a voided check, deposit slip or bank letter. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. For services not funded through Core Services; Contractor agrees to accept payment through County Warrant when funding source does not allow for direct deposit. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Program Area Home -Based Services Rate $ 132.00 Unit Type Hour Service Name STOPP Services: In OfficeNideo AND In Home or Community, AND with Transportation $ 132.00 Hour STOPP Services: FTM, TDM, Prof. Staffing $ 124.00 Hour JustCare Services: In Office/Video, In Home or Community, AND with Transportation $ 124.00 Hour JustCare Services: FTM, TDM, Prof. Staffing $ 124.00 Hour VIP Services: In OfficeNide° AND In Home or Community AND with Transportation $ 124.00 Hour VIP Services: FTM, TDM, Prof. Staffing $ 60.00 Each Home -Based Services: No Show $ 0.70 Mile Home -Based Services: Mileage Program Area Life Skills Rate $ 124.00 Unit Type Hour Service Name Visit Coaching Services: In Office/Video AND In Home or Community AND with Transportation $ 124.00 Hour Supervised Family Time: In OfficeNideo AND In Home or Community AND with Transportation $ 124.00 Hour Visit Coaching AND Supervised Family Time AND Triple P: FTM, TDM, Profession Staffing $ 124.00 Hour Triple P Positive Parent Program Level 4: In Office/Video AND In Home or Community AND with Transportation $ 119.00 Hour Nurturing Parenting: In OfficeNideo AND In Home or Community AND with Transportation $ 119.00 Hour Nurturing Parenting OR WhyTry Program: FTM, TDM, Prof. Staffing $ 119.00 Hour WhyTry Program: In OfficeNide° AND In Home or Community AND with Transportation $ 119.00 Hour WhyTry Program: FTM, TDM, Prof. Staffing $ 60.00 Each Life Skills: No Show $ 0.70 Mile Life Skills: Mileage 'Mileage rate is paid after 40 roundtrip miles from 1013 37"' Avenue Court, Suite 102, Greeley, Colorado 80634 3. Request for Reimbursement and Supporting Documentation Contractor shall submit all Requests for Reimbursement and supporting documentation to the County by the 7th day of the month following the month of service, but no later than 45 days from the date of service for each client receiving ongoing services. Contractor shall prepare and submit monthly a Request for Reimbursement and monthly report including other supporting documentation, if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 of this Agreement. Monthly reports will be submitted through the County's online reporting system, unless otherwise directed or agreed to by the County. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Time(s) of service (i.e. 2-4pm) b. Location of where the service took place (i.e. clinician's office, client's home, in the community.) c. Clinician/therapist name d. What interventions were used, recommendations and/or goals discussed, progressions towards goals, and client engagement. e. For mileage reimbursement, if applicable, the mileage accumulated minus roundtrip mileage that is included in the rate, starting location, and ending location. f. Any and all safety concerns. When submitting a Request for Reimbursement for a one-time service, the contractor shall submit the first and last page of the evaluation/report to confirm proof of services rendered. The full evaluation/report should be submitted by the contractor to the caseworker. For Monitored Sobriety services, proof of services rendered shall be the test result. Requests for Reimbursement and/or supporting documentation received after the 7th day of the month may delay payment. Requests for Reimbursement and/or supporting documentation received after 45 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 45 -day deadline may result in termination of the Agreement. 4. Payment The County and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other County funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the County, the following: The service being provided by the contractor is not a Medicaid eligible service; a. The service is not deemed medically necessary; b. The Court with jurisdiction over the case has ordered that a non - Medicaid provider or service be used; c. A Medicaid provider is not available to provide the needed service; d. Medicaid is exhausted for the needed service; or e. Medicaid denied service. f. The client is not eligible for Medicaid. The County may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: a. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. b. Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the County. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the County. Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the County and Contractor, or by the County as a debt due to the County or otherwise as provided by law. 6. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMB Circular A-133. Exhibit D WELD COUNTY'S INVITATION FOR BID (Weld County's Invitation for Bid is incorporated into this agreement by reference and will be provided upon request to the Department.) This page is intentionally left blank Exhibit E Contractor's response to the Invitation for Bid Exhibit E contains the following documents: • Attachment 1 — Bid Attestation • Attachment 2 — Bid Form • Attachment 3 — Provider Information Form (PIF) • Attachment 4 — Staff Data Sheet • Certificate of Insurance (COI) ATTACHMENT 1 BID ATTESTATION Failure to include a signed Attestation upon submittal of your bid may result in your bid being incomplete, non -responsive, and your bid being rejected. If there are any exclusions or contingencies submitted with your bid it may be disqualified. Bidder's Legal Name as reflected on W-9: JusticeWorks CO, LLC. Address: 201 Jackson Street, Denver, Colorado 80206 Phone Number: 303-854-7989 Email: info@iusticeworksco.com FEIN/Federal Tax ID # or SS#: 83-4574938 The undersigned, by his or her signature, hereby acknowledges and represents that: 1. The bid proposed herein meets all the conditions, specifications and special provisions set forth in the Invitation for Bid for Request No. #B2500040. 2. The quotations set forth herein are exclusive of any federal excise taxes and all other state and local taxes. 3. He or she is authorized to bind the below -named bidder for the amount shown on the accompanying bid sheets. 4. Acknowledgement of Schedule E — Insurance and Bond 5. Acknowledgment of Schedule F — Weld County Contract 6. By submitting a responsive bid or proposal, the supplier agrees to be bound by all terms and conditions of the solicitation as established by Weld County. 7. Weld County reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid that, in the opinion of the Board of County Commissioners, is to the best interests of Weld County. The bid(s) may be awarded to more than one vendor. CONTRACTOR: Name: Dipesh Chauhan Title: Director of Business Development By: x_\ 1 (Double Click in box to sign electronically) 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Weld County Use Only Service #3: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by: Name of Authorized Representative for Bidder Date: Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date: Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 P lease complete the following: N umber of services offered on this Attachment 2 (max 5): 5 You may complete another Attachment 2 if you have more than 5 services. Service #1 S ervice Name: Short -Term Outreach to Prevent Placement (STOPP) Program Area: Home Based Services Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. ' to 00-Se•aci.._ re$S.i.:e..at_,.iinejterti....b.awi:1416. I -rientfii--: 1.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): 1. Assessment: Strengths and Stressors Tool (SSTD). 2. Manual for STOPP program. 3. Trauma -Informed Approach. 4. Safety and Crisis Plans. 5. Community Resource Mapping. 6. Strengths -based Interviewing. 7. Solution -focused Goals. 8. Family Systems Approach. 1.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 4-6 hours per week. 1.03 Anticipated duration of service (i.e. 3-4 months): Average is 2 months 1.04 Three (3), or more, specific goals of the service (DO use bullet points): -Stablize Family Crisis to prevent out -of -home placement_ - Address and resolve issues related to the referral. - Connect with community support and resources for sustainability. 1.05 Three (3), or more, specific outcomes of service: - Family Preservation and Stability. - Improved Family Functioning -Enhanced Family and Community Engagement. 1.06 Target population of the service, including age and gender: Families with children from birth to 18 - all genders. 1.07 Languages service is available in (please list proficiency and if interpreter services are available): Interpreter services are available. 1.08 Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Not Medicaid eligible. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 1.09 Service location — list where the service will take place (i.e. client's home, in -office, other): In -home Service Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 1.10 • For monthly Service rates please complete section 1.11 • For Home Study Providers please complete section 1.12 • For monitored Sobriety Providers please complete section 1.13 1.10 Hourly Service Rates: Service ##1 Service Type $ Amount Unit Type 1.10a In-OfficeNideo $132 Per Hour 1.10b In -Home or Community $132 Per Hour 1.10c Service with Transportation Provided $132 Per Hour 1.10d FTM, TDM, Prof. Staffing $132 _ Per Hour 1.10e No show $00 Per No Show 1.10f Mileage rate* $0.70 Per Mile * If applicable — Mileage rate is paid after 40 roundtrip miles. 1.11 Monthly Service Rates each level must be listed): If applicable Service Name with Level Rate per Minimum of Service: Hours Month 1.11a $ 1.11b $ 1.11c $ 1.11d $ 1.11e $ 1.11f $ 1.11g $ 1.11h $ 1.11i $ 1.11j $ 1.12 Home Study Providers - List your rates in the box below. N/A 1.13 Monitored Sobriety Providers — List your rates in the box below. N/A Revised 12/3/2024 ADA ATTACHMENT 2 ID FORM #1 1.14 Additional Comments STOPP® (Short Term Outreach to Prevent Placement) is a highly impactful, short-term initiative specifically designed to address challenging circumstances within a child's home environment, thereby mitigating the risk of out -of -home placement As one of our flagship programs, STOPP® is dedicated to promoting the safety, well-being, and permanency of children involved in the child welfare system Utilizing a proactive approach, STOPP® collaborates with families to identify and resolve issues that jeopardize the child's safety and the overall functionality of the family unit Our pnmary objective is to retain children in their homes by addressing the concerns that prompted the child welfare referral The STOPP® program is an intensive service aimed at supporting families facing issues or concerns that may lead to child abuse or neglect By strategically focusing on significantly reducing child maltreatment while maintaining family unity through in - home and community -based services, STOPP® plays a crucial role in the prevention of child abuse and neglect Our comprehensive strategies pnontize family engagement and the establishment of a strong working alliance Revised 12/3/2024 ADA ATTACHMENT 2 Bi FORM #1 Weld County Use Only Service f#1: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by: Name of Authorized Representative for Bidder Date. Method changes were approved: If Applicable, Select One Final Proposal Determination' Select One Date: Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Service 42 Service Name: JustCare Program Area: Home Based Services Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. falweasejacicitacfat firieltT 2.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): 1. Assessment - Strengths and Stressors Tool (SSTD). 2 Strengths -based Interviewing. 3. Trauma -informed Approach. 4. Manual and incorporation of the JusticeWorks Practice Model. 5. Community Resource Mapping. 6. Service Management. 2.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2-4 hours per week 2.03 Anticipated duration of service (i.e. 3-4 months): 3-6 months 2.04 Three (3), or more, specific goals of the service (DO use bullet points): 1. Identify and address issues related to the referral. 2. Solution -focused goals with anticipated dates of completion. 3. Community Support and Resource Connections. 2.05 Three (3), or more, specific outcomes of service: 1. Strengthen Family Dynamics. 2. Increase self-sufficiency (autonomy) 3. Increase protective factors - decreasing risk. 2.06 Target population of the service, including age and gender: Families with children from birth to 18 - all genders. 2.07 Languages service is available in (please list proficiency and if interpreter services are available): Interpreter services are available. 2.08 Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Not Medicaid eligible 2.09 Service location — list where the service will take place (i.e. client's home, in -office, other): In -home and community Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 2.10 • For monthly Service rates please complete section 2.11 • For Home Study Providers please complete section 2.12 • For monitored Sobriety Providers please complete section 2.13 2.10 Hourly Service Rates: Service #2 Service Type $ Amount Unit Type 2.10a I n-OfficeNideo . $124 Per Hour 2.10b In -Home or Community $124 Per Hour 2.10c Service with Transportation Provided $124 Per Hour , 2.10d $124 FTM, TDM, Prof. Staffing Per Hour 2.10e No show $60 Per No Show 2.10f Mileage rate* $0.70 Per Mile * If applicable — Mileage rate is paid after 40 roundtrip miles. 2.11 Monthly Service Rates each level must be listed): If applicable Service Name with Level Rate Month per Minimum of Service: Hours 2.11a $ 2.11b $ 9.11r $ 2.11d $ 2.11e $ 2.11f $ 2.11g $ 2.11h $ 2.11i � _ $ 2.11j $ 2.12 Home Study Providers -- List your rates in the box below. N/A 2.13 Monitored Sobriety Providers — List your rates in the box below. N/A 2.14 Additional Comments: JustCareo is a community -based program designed to reduce the length of stay for children and youth in residential placements and to build family strengths to overcome challenging behaviors. JustCare also serves as a step down from more intensive services, such as our Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 STOPP® program, or as a transitional support for those returning home from placement. It can also function as a stand-alone service for referrals requiring less intensity than our STOPPO program JustCareo aims to achieve positive outcomes through a structured, creative, and personalized planning process. This approach results in more effective and relevant plans for the child and family than traditional service planning. The core principles and elements of JustCareo are consistent with the System of Care framework, ensuring that the perspectives of the family, including the child (if age -appropriate), are given equal importance during all p hases and activities Key Components *Contact with family is attempted within 24 hours; Initial intake scheduled within three (3) business days. *Staff work non-traditional hours, including weekends and evenings. *Transportation assistance when needed. ♦Development/Maintenance of crucial community support and resources. *Family -based, child -focused service model: We provide community and home services. *Concrete goods assistance such as diapers, formula, etc. *Creativity and Flexibility: We work creatively and flexibly with the team to assemble the resources and devote the time to ensure success for children and families. For example, we have utilized Family Finding when applicable or assisted transitional -aged youth in employment opportunities. ♦Sustainability: After services, families have a good working relationship with various community and informal supports to sustain positive functioning. An Aftercare Plan or transition plan is developed with the family to ensure sustainability. Revisec 12/3/2024 ADA ATTACHMENT 2 RID FORM #1 Weld County Use Only Service #2: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by: Name of Authorized Representative for Bidder Date: Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date: Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Service #3 Service Name: Violation Initiative Program (VIP) Program Area: Home Based Services Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours, usog ®14.11..eatesi_ao1010 t Pleases �d�d_r��eacia�r�� . i eo 3.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): 1. Assessment: Strenghts and Stressors Tool to identify strengths and risks. 2. Cognitive Behavioral intervention techniques. 3. Strengths -based Interviewing. 4. Service management. 5. Balance and Restorative Justice practices. 6. Collaboration with Juvenile Probation and the courts. 7. Community Resource Mapping. 8. VIP Manual. 9. Personal Accountability modules. 10. Trauma -informed approach. 3.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2-4 hours 3.03 Anticipated duration of service (i.e. 3-4 months): -9 months 3.04 Three (3), or more, specific goals of the service (DO use bullet points): 1. Enhance Life skills and Resilience. 2. Promote Accountability. 3. Address areas of need and decrease risky behaviors. 4. Connection to community support and resources. 5. Enhance academic and/or job skills. 3.05 Three (3), or more, specific outcomes of service: 1. Reduce recidivism. 2. Develop life and independent skills and resiliency. 3. Completion of court -ordered obligations./ 3.06 Target population of the service, including age and gender: Youth aged 10 to 18 - all genders. 3.07 Languages service is available in (please list proficiency and if interpreter services are available): Interpretation services are available. 3.08 Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Not Medicaid eligible. Revisec 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 3.09 Service location — list where the service will take place (i.e. client's home, in -office, other): In -home and community. Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 3.10 • For monthly Service rates please complete section 3.11 • For Home Study Providers please complete section 3.12 • For monitored Sobriety Providers please complete section 3.13 3.10 Hourlv Service Rates: Service #3 I Service Type ' $ Amount I Unit Type 3.10a In-Office/Video $124 Per Hour 3.10b In -Home or Community $124 Per Hour 3.10c Service with Transportation Provided $124 Per Hour 3.10d i FTM, TDM, Prof. Staffing $124 Per Hour 3.10e No show $60 Per No Show 3.10f Mileage rate* $0.70 Per Mile * If applicable - Mileage rate is paid after 40 roundtrip miles. 3.11 Monthly Service Rates each level must be listed): If applicable Service Name with Level Rate Month per Minimum of Service: Hours 3.11a $ 3.11b $ 3.11c $ 3.11d $ 3.11e $ 3.11f $ 3.119 $ 3.11h $ 3.11i $ 3.11j 1 $ 3.12 Home Study Providers - List your rates in the box below. N /A 3.13 Monitored Sobriety Providers - List your rates in the box below. N /A 3.14 Additional Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM ##1 The VIP@ (Violations Initiative Program) is a community -based, family -centered model emphasizing a balanced support and supervision approach This flexible program can be tailored to the individual participant's risk level and needs, making it an effective alternative to detention or placement for high-nsk youth Successful implementation of the VIP@ program requires strong collaboration between the service provider, probation officer, and any other child -serving agencies involved in the case This partnership ensures that all the youth's needs are comprehensively addressed The VIP@ program incorporates research -informed practices, including Strength -Based Interviewing and Cognitive -Behavioral Interventions (CBI), both of which are proven techniques for effectively engaging and working with youth VIP@ addresses a wide range of needs based on the juvenile's circumstances, including but not limited to Behavior management Family violence Restitution and community service Mental health challenges Parenting skills Substance abuse issues Trauma recovery Truancy Gang involvement Competency development Communication skills Access to resources and support Service plans are developed collaboratively with the youth, their family, and relevant stakeholders to ensure alignment with the participant's needs and goals These plans are reviewed and updated regularly as the youth progresses through the program, fostering accountability and long-term success Revised 12/3/2024 ADA ATTACHMENT 2 BAD FORM #1 Weld County Use Only Service #3: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by: Name of Authorized Representative for Bidder Date: Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date: Comments. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Service #4 Service Name: Visit Coaching Program Area: Life Skills Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. 4.01 4.02 4.03 4.04 4.05 (Please address each line .V.em below using bc,1 ettiri poin.ts): Modalities, curriculum, tools used in delivery of service (DO NOT list company history): I. Assessment: Basic Empathy Assessment Tool (BES). 2. Attachment -based practices. 3. Strengths -based approach. 4. Trauma -informed approach. 5. Strengths -based interviewing. 6. Parent Coaching and modeling. 7. Visit Coaching manual using Marty Beyer model. 8. Emoticnal Regulation Skills. 9. Reunification Readiness. Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: Varies based on individual need. Anticipated duration of service (i.e. 3-4 months): 3-6 months Three (3), or more, specific goals of the service (DO use bullet points): 1. Strengthen parent -child bond. 2. Improve Parenting skills. 3. Promote reunification readiness. 4. Child/Parent Attachment. Three (3), or more, specific outcomes of service: 1. Enhanced parenting competencies. 2. Safe and sustainable reunification. 3. Increased child well-being. 4. Effective use of resources. 4.06 Target population of the service, including age and gender: Families with children from birth to 17- all genders. 4.07 Languages service is available in (please list proficiency and if interpreter services are available): Interpreter services are availalbe 4.08 Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Not Medicaid Eligible. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 4.09 Service location — list where the service will take place (i.e. client's home, in -office, other): In -home and community unless otherwise specified by Weld County. Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 4.10 • For monthly Service rates please complete section 4.11 • For Home Study Providers please complete section 4.12 • For monitored Sobriety Providers please complete section 4.13 4.10 Hourly Service Rates: Service #4 $ Amount Service Type Unit Type 4.10a In-OfficeNideo , $124 Per Hour 4.10b $124 Per Hour In -Horne or Community 4.10c Service with Transportation Provided $124 Per Hour 4.10d $124 Per Hour FTM, TDM, Prof. Staffing 4.10e No show $60 Per No Show 4.10f Mileage rate* $0.70 Per Mile * If applicable -- Mileage rate is paid after 40 roundtrip miles. 4.11 Monthly Service Rates each level must be listed): If applicable Service Name with Level Minimum of Service: Hours Rate Month per 4.11a $ 4.11b $ 4.11c $ 4.11d $ 4.11e $ 4.11f $ 4.119 $ 4.11h $ 4.11i $ 4.11j $ 4.12 Home Study Providers - List your rates in the box below. N/A 4.13 Monitored Sobriety Providers — List your rates in the box below. N/A 4.14 Additional Comments: Revised 12/3/2024 ADA ATIACHMENT 2 BID FORM #1 The purpose of Visit Coaching is to ensure child safety, maintain the parent -child attachment, reduce a child's sense of abandonment, and preserve their sense of belonging as part of a family and community A child needs to see and have regular contact with their parents and siblings as these relationships are the foundation of child development (Beyer, 2004) Also, consistent and frequent visitation between parents and their children in out -of -home care can reduce trauma related to the separation Visitation is crucial to strengthening and maintaining family relationships and is linked to positive outcomes, such as improved child wellbeing, less time in out -of -home care, and faster reunification (Beyer, 2008) The premise of the Marty Beyer model is the four principles of Visit Coaching Empowerment, Empathy, Responsiveness, and Active Parenting Empowerment ©Visit coaching builds on the family's strengths °Families are supported to take charge of visits, making them as home -like as possible °Visit Coaching is individually designed to fit the family the coach guides while appreciating the unique ways the family shows love for their children ©As soon as progress is made and safety ensured, step-down is recommended and if approved, coached visits can occur outside the office in parks, schools, libraries, and other neutral locations °Seeing siblings whom the child does not live with is important, and families are helped to plan for this aspect of visits Empathy °Visit coaching supports families to meet the unique needs of their children °Standing in the child's shoes, the family and coach agree on the child's specific needs to be met in the visit When more than one child is visiting, the parent is supported to recognize their different needs °At least one need is to be met dunng the visit will be connected to the reasons the child was removed from the home °The effect of adult lifestyle choices on meeting the needs of the child will be an ongoing topic of discussion between the coach and family Responsiveness °Visit coaching helps families manage the conflict between adult and child needs °Families learn how their anger, sadness or feelings of victimization get in the way of meeting their child's needs °Families are coached to understand their child's need for stimulation and expectations that fit his/her age °Separate time is made available for discussions with the worker, so the parent can concentrate on the children during visits Active Parenting °Visit coaching helps families learn how their child's behavior is shaped by the adult's words, actions, and attitudes °Families are helped to improve the fit between their limit setting and the child's temperament and behavior ©Families are helped to stop viewing the child's behavior as "bad" or "hyper " °Families are involved in the child's school, activities, and medical appointments Revised 12/3/2024 ADA ATTACHMENT 2 ID FORM #1 Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Weld County Use ()nil/ Service #4: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by: Name of Authorized Representative for Bidder Date: Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date: Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Service #5 Service Name: Supervised Family Time Program Area: Life Skills Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. (Eier4s„gaddress each line item below using _b.ulle p.olnts:i 5.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): 1. Visit Logs and Visit Documentation. 2. Clearly defined Safety protocols. 3. Supervision checklists. 4. Parent -child activity suggestions. 5. Observation and Monitoring. 6. Trauma - informed approach. 5.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2-6 hours per week 5.03 Anticipated duration of service (i.e. 3-4 months): 3 - 6 months 5.04 Three (3), or more, specific goals of the service (DO use bullet points): 1. Provide safe visitation experience. 2. Monitor interaction between parent(s) and child 3. Behavioral Management. 4. Child safety and well-being. 5.05 Three (3), or more, specific outcomes of service: 1. Safety and stability during visits. 2. Improved child/parent engagement 3. Progress toward reunification or custody determinations. 5.06 Target population of the service, including age and gender: Families with children from birth through 17 - All genders. 5.07 Languages service is available in (please list proficiency and if interpreter services are available): Interpeter services are available. 5.08 Medicaid eligibility -- list whether the service is eligible for Medicaid in whole or in part: Not Medicaid Eligible. 5.09 Service location — list where the service will take place (i.e. client's home, in -office, other): As determined by Weld County and the court. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 5.10 • For monthly Service rates please complete section 5.11 • For Home Study Providers please complete section 5.12 • For monitored Sobriety Providers please complete section 5.13 5.10 Hourlv Service Rates: Service #5 Service Type $ Amount Unit Type Per Hour 5.10a In-OfficeNideo $124 5.10b Community_ $124 Per Hour In -Home or 5.10c Service with Transportation Provided $124 Per Hour 5.10d FTM, TDM, Prof. Staffing $124 Per Hour 5.10e No show $60 Per No Show 5.10f Mileage rate* $0.70 Per Mile t If applicable — Mileage rate is paid after 40 roundtrip miles. 5.11 Monthly Service Rates beach level must be listed): If applicable Service Name with Level Rate Month per Minimum of Service: Hours 5.11a $ 5.11b $ -- — 5.11c $ 5.11d $ 5.11e $ 5.11f $ 5.118 _ $ 5.11h � $ 5.11i $ 5.11_ � $ 5.12 Home Study Providers - List your rates in the box below. N/A 5.13 Monitored Sobriety Providers — List your rates in the box below. N/A 5.14 Additional Comments: JusticeWorks offers supervised visits for parents whose children are placed in Weld County's custody. These visits primarily take place during evenings and weekends, with additional availability during regular business hours as needed. Depending on individual case Revised 12/3/2024 ADA ATTACHMENT 2 BD FORM #1 requirements, visits are conducted in the community or at locations designated by Weld County A neutral third party's involvement in these interactions has long been recognized as a vital component in maintaining the child -parent relationship dunng penods of separation To ensure the safety and quality of these visits, a Family Resource Specialist (FRS) is assigned to supervise and monitor the parent -child interactions, intervening when necessary to ensure appropriate depend on strong, ongoing collaboration with Weld County caseworkers to ensure that all visits align with the child's best interests The primary goal of supervised visits is to support and preserve the child -parent bond while closely monitoring interactions to promote a safe and positive environment This process includes timely interventions to address any issues that may arise Successful outcomes are dependent on strong, ongoing collaboration with Weld County caseworkers to ensure that all visits align with the best interests of the child and support the objectives of reunification or other family goals Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #1 Weld County Use Only Service #5: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by: Name of Authonzed Representative for Bidder Date. Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date: Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Please complete the following: Number of services offered on this Attachment 2 (max 5): 3 You may complete another Attachment 2 if you have more than 5 services. Service #1 Service Name: Triple P (Positive Parenting Program Level 4) Program Area: Life Skills Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. (Please addre$s 04h line item. _beiON using__b,uilete� point J, 1.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): 1. Triple P Parenting Skills Assessment. 2. Triple P Child Behavior Checklist. 3. Parenting Stress I ndes. 4. Session Feedback Forms. 5. Trauma -informed Approach. 6. Positive Parenting Strategies. 7. Behavioral Management techniques based on cognitive behavioral therapy. 8. Family communication skills. 9.Child Development Education. 10. Problem Solving and Goal Setting. 1.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 1-2 Hours per week 1.03 Anticipated duration of service (i.e. 3-4 months): 10-12 weeks 1.04 Three (3), or more, specific goals of the service (DO use bullet points): 1. Enhance parenting skills and confidence. 2. Improve child behavior. 3. Promote stronger parent/child relationships. 1.05 Three (3), or more, specific outcomes of service: 1. Reduction in child behavioral problems. 2. Increased Parent well-being and satisfaction. 3. Improved Family Dynamics and communication. 1.06 Target population of the service, including age and gender: Triple P Level 4 Standard is for all genders from birth to 12. Triple P Level 4 Standard Teen if for all genders from 12 to 16. 1.07 Languages service is available in (please list proficiency and if interpreter services are available): Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Interpreter services are available. 1.08 Medicaid eligibility -- list whether the service is eligible for Medicaid in whole or in part: Not Medicaid Eligible. 1.09 Service location — list where the service will take place (i.e. client's home, in -office, other): �-Home. Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 1.10 • For monthly Service rates please complete section 1.11 • For Home Study Providers please complete section 1.12 • For monitored Sobriety Providers please complete section 1.13 1.10 Service #1 Service Type $ Amount Unit Type 1.10a . In-OfficeNideo $124 Per Hour In -Home or Community $124 1.10b Per Hour _ 1.10c y Service with Transportation Provided $124 Per Hour FTM. TDM, Prof. Staffing $124 1.10d Per Hour No show $60 Per No Show 1.10e r 1.10f Mileage rate* $0.70 Per Mile * If applicable — Mileage rate is paid after 40 roundtrip miles. 1.11 Monthly Service Rates each level must be listed): If applicable Rate Month per Service Name with Level Minimum of Service: Hours , $ 1.11a , $ 1.11b 1.11c $ $ 1.11d $ 1.11e $ 1.11f 1.11g $ $ 1.11h 1.11i $ , $ 1.11j _ 1.12 Home Study Providers — List your rates in the box below. N/A Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 1 93 Monitored Sobriety Providers — List your rates in the box below. N/A 1.94 Additional Comments: Triple P Standard Level_4 is a comprehensive, evidence -based parenting program designed to help parents manage and improve their child's behavior It focuses on equipping parents with practical, individualized strategies for handling challenging behaviors such as aggression, defiance, and non-compliance Through one-on-one sessions, parents leam techniques to promote positive behaviors, enhance communication, and set clear boundaries This program utilizes cognitive -behavioral strategies, positive reinforcement, and consistent discipline to 'strengthen the parent -child relationship, reduce stress, and build parental confidence Parents are empowered to create a nurturing environment that fosters emotional regulation and social development in their children The ultimate goal is to improve child behavior, reduce parenting stress, and enhance family dynamics Triple P Standard Level 4 Teen is an extension of the original program, tailored specifically for parents of adolescents aged 12 to 16 This level addresses the unique challenges of parenting teenagers, such as managing risk -taking behavior, peer pressure, and rebelliousness Parents are taught how to establish appropnate boundaries, promote positive peer relationships, and address common teenage issues like truancy, substance use, and defiant behavior The program also focuses on improving communication between parents and teens, encouraging healthy problem -solving, and teaching parents how to manage their own stress while supporting their teen's emotional and social growth By offering strategies that are relevant to adolescent development, Triple P Standard Level 4 Teen aims to help parents navigate the complexities of raising teenagers, fostering a supportive environment for both the parent and the adolescent Revised 12/3/2024 ADA ATTACHMENT 2 E® FORM #2 Weld County Use Only Service #1: Initial Proposal Determination If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal- List specific item(s) that were changed Changes approved by' Name of Authorized Representative for Bidder Date' Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date. Comments. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Service #2 Service Name: Nurturing Parenting Program Area: Life Skills Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 ez-3;),AXtifkling?ec)ritig1042 nrgrIM (7A - Modalities, curriculum, tools used in delivery of service (DO NOT list company history): 1. Assessment using AAP1.2. 2. Individualized Family Sessions. 3. Observation of parent/child interaction. 4. Trauma -informed approach. 5. Strengths -based. 6. Positive Discipline Strategies. 7. Parenting skills for healthy attachment. 8. Child Development Education. 9. Nurturing Parenting Practices. Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2-4 x per week. Anticipated duration of service (i.e. 3-4 months): 3-6 months Three (3), or more, specific goals of the service (DO use bullet points): 1. Enhance Positive Parenting Skills. 2. Improve Parent/Child Relationships. 3. Promote healthy child development. 4. Develop appropriate child discipline measures. Three (3), or more, specific outcomes of service: 1. Reduction in negative parenting behaviors. 2. Improved Emotional Regulation in children. 3. Increased parental confidence and satisfaction. Target population of the service, including age and gender: Families with children from birth through 17 - all genders. Languages service is available in (please list proficiency and if interpreter services are available): Interpretation services are available. Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Not Medicaid Eligible. Service location — list where the service will take place (i.e. client's home, in -office, other): In -Home and Community. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 2.10 • For monthly Service rates please complete section 2.11 • For Home Study Providers please complete section 2.12 • For monitored Sobriety Providers please complete section 2.13 2.10 Hourly Service Rates: Service #2 Service Type _ $ Amount Unit Type 2.10a I n-OfficeNideo $119 Per Hour 2.10b In -Home or Community $119 Per Hour 2.10c Service with Transportation Provided $119 Per Hour 2.10d FTM, TDM, Prof. Staffing $119 Per Hour 2.10e No show $60 Per No Show 2.10f Mileage rate* S0.70 Per Mile * If applicable — Mileage rate is paid after 40 roundtrip miles. 2.11 Monthly Service Rates each level must be listed): If applicable ay Rate Month per Minimum of Service: Hours Service Name with Level 2.11a $ $ 2.11b $ 2.11c - ---- -- 2.11d i $ $ 2.11e 2.11f $ $ 2.11g $ 2.11h 2.11i - $ 2.11j - $ 2.12 Home Study Providers - List your rates in the box below. N /A 2.13 Monitored Sobriety Providers — List your rates in the box below. N /A 2.14 Additional Comments: Nurturing Parenting is a family -focused, research -informed program designed to help parents develop healthy, supportive, and nurturing relationships with their children. The program builds skills that promote emotional well-being, positive behavior, and healthy family communication. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Parents are taught to recognize and respond to their child's emotional needs in a supportive manner, while also learning strategies to address challenging behaviors without resorting to physical or emotional harm By emphasizing empathy, discipline that fosters self-esteem, and nurtunng interactions, Nurturing Parenting arms to reduce the cycle of negative parenting practices, especially for parents who have experienced trauma or adverse childhood expenences themselves The program creates a safe space for parents to explore their own strengths, enhance their parenting skills, and develop positive family dynamics Through individualized support and practical tools, Nurtunng Parenting helps parents better understand child development, improve parent -child interactions, and foster strong, secure attachments The program focuses on key areas such as discipline, empathy, emotional regulation, self -care, and creating healthy family routines As parents implement the nurturing practices learned in the program, children benefit from improved emotional regulation, better communication skills, and healthier social and academic development Ultimately, Nurtunng Parenting promotes long-term family resilience, helping families create supportive, loving environments where both parents and children can thnve Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Weld County Use Onlv Service #2' Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific items) needing follow up or discussion Changes approved to proposal. List specific item(s) that were changed Changes approved by: Name of Authonzed Representative for Bidder Date: Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date: Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Service Name: WhyTry Program Program Area: Life Skills 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. (Please. address each line item below using bulleteo pointij Modalities, curriculum, tools used in delivery of service (DO NOT list company history): 1. Assessment: WhyTry Measure R. 2. Collaboration with School Districts. 3. Family Engagement. 4. WhyTry research -based curriculum. 5. Trauma -informed approach. 6. Family participation in service goals. Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2-4 hours per week Anticipated duration of service (i.e. 3-4 months): 10-15 Weeks Three (3), or more, specific goals of the service (DO use bullet points): 1. Improve student engagement and motivation. 2. Enhance social and emotional skills. 3. Reduce at -risk behaviors and drop -out rates. Three (3), or more, specific outcomes of service: 1. Increase academic performance. 2. Develop stronger emotional resilience. 3. Significant reduction in truancy. 4. Significant reduction in disciplinary issues. Target population of the service, including age and gender: Youth 5 through 18 - all genders. Languages service is available in (please list proficiency and if interpreter services are available): Interpreter services are available. Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Not Medicaid Eligible. Service location — list where the service will take place (i.e. client's home, in -office, other): In -Home, school, and community Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM #2 Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 3.10 • For monthly Service rates please complete section 3.11 • For Horne Study Providers please complete section 3.12 • For monitored Sobriety Providers please complete section 3.13 3.10 3.11 Service #3 Unit Type Service Type $ Amount _ 3.10a In-OfficeNideo _ $119 Per Hour 3.10b In -Home or Community $119 Per Hour 3.10c $119 Per Hour Service with Transportation Provided 3.10d FTM, TDM, Prof. Staffing $119 Per Hour 3.10e No show $60 p Per No Show Mileage rate* $0.70 Per Mile 3.10f * If applicable — Mileage rate is paid after 40 roundtrip miles. ....,------1 ---- - --- - -- -- s . a 1 < Service Name with Level _ . Rate Month per Minimum of Service: Hours 3.11a $ 3.11b $ 3.11c $ 3.11d _ $ $ 3.11e 3.11f $ 3.11g $ 3.11h $ 3.11i $ 3.11j _ $ 3.12 Home Study Providers - List your rates in the box below. N/A 3.13 Monitored Sobriety Providers -- List your rates in the box below. N/A 3.14 Additional Comments: The WhyTry Program is a research -based intervention designed to help at -risk youth develop the skills and mindset needed to succeed both academically and personally. By focusing on building resilience. motivation, and self-confidence. the program encourages students to Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM ##2 believe in their own potential and empowers them to make better choices It offers a senes of visual and interactive lessons, using powerful metaphors and activities to help students understand and apply concepts like goal setting, overcoming obstacles, and developing a positive attitude toward education The program is designed to engage students in a fun and relatable way, ensuring that they not only learn valuable life skills but also stay motivated and invested in their own success Through a combination of practical tools and motivational lessons, the WhyTry Program helps students connect with their goals, recognize their worth, and push through challenges with determination By addressing the social and emotional needs of students, it aims to reduce negative behaviors such as truancy, disengagement, and defiance, while also providing strategies for better decision -making The program's ultimate goal is to empower students to stay in school, improve their academic performance, and build the resilience needed to navigate life's challenges effectively In doing so, WhyTry fosters a positive shift in mindset, promoting long-term personal and academic success Revised 12/3/2024 ADA ATTACHMENT 3 WELD COUNTY DEPARTMENT OF HUMAN SERVICES PROVIDER INFORMATION FORM (PIF) Agency Information: As listed on W-9 Agency Name: J u s t i c e W o r k s CO, LLC Trails Provider ID (if known): Provider Contact Full Name: S a ma n t h a G e r d e m an Title: Regional Director Primary Phone Number (10 -digit): 610-858-8097 Ext.: N/A Primary Contact Email: sgerdemanCa?.iusticeworksvouthcare.com Agency Location Address (Street, city, state, zip): 2 0 1 Jackson Street, Denver, CO 80206 Agency Mailing Address (Street, city, state, zip): 2 0 1 Jackson Street, Denver, CO 80206 Agency Type: Private for Profit Send Referrals for Service to: Referral Contact Name: Dawn Goodman Title: Program Director Referral Phone Number (10 -digit): 303-854-7989 Ext.: N/A Email: d000dmaneiusticeworksco.com Billing Contact: Billing Contact Name: Ca r I v Campbell Title: Chief Financial Officer Billing Phone Number (10 -digit): 412-342-1068 Ext.: N/A Email: ccamcbellCa justiceworksvouthcare.com Revised ADA 12/3/2024 ATTACHMENT 4 - STAFF DATA SHEET Bidder Must List All Staff Who Will Administer the Proposed Service(s) BIDDER'S LEGAL NAME (As it appears on the W-9): AGENCY CONTACT: Dipesh Chauhan 4usticeWorks CO, LLC PHONE NUMBER:610-858-8094 EMAIL:dchauhan@justiceworksyouthcare.com PROPOSED SERVICE(S): STOPP, JustCare, Visit Coaching, Supervised Visits, Violation Initiative Program (VIP), Nurturing Parenting, Triple P, WhyTry :J Legal ,Last Name Middle ' Initial Previous Legal Last Name (If applicable) Legal First Name Service Type Licensurel Credentials DORA # (If applicable) Goodman M. Dawn Torres Ricardo Berger Brock Luna-Galinda Hortensia CHILD WELFARE INVITATION FOR BID 2025-26 - VARIOUS SERVICES ACORIOr CERTIFICATE OF LIABILITY INSURANCE DATE m8miwIYYYY) 2!28!2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Warr Mary Beth Campos Marsh & McLennan Agency LLC Rollingwood Center, Building I 2500 Bee Cave Road, Suite 125 PHONE FAx IA1C NO.EId,, 512-532-1542 Ftx,c,..: EAo°A1DREss: marybeth.camposcMarshMMA.com Austin TX 78746 INSURER,. AFFORDING COVERAGE NAIC0 INSURER A : Berkley Regional Insurance Company 29580 INSURED JUSTIYJOR. JusticeWorks YouthCare, Inc., etal INSURER B: Berkshire Hathaway Homestate Ins Co 20044 INSURER C: Great American Risk Solutions Surplus 35351 1500 Ardmore Blvd., Suite 410 Pittsburgh PA 15221 INSURER D: At -Bay Specialty Insurance Company 19607 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1193971725 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'LWINSR TYPE OF INSURANCE ADOL 5UBR iNSD Woo POUCY NUMBER POLICY EFF 1 POtJCY EXP IMMiLla YY►IONAVDD/YYYYI LIMITS A X COMMERCIAL GENERALUABIUTY CLAIMS -MADE O OCCUR HHN853255911 3/1/2025 3/1/2026 EACH OCCURRENCE 31,000,000 PPRREEMAGE MISESr EaENTED ncel $500000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GEM%AGGREGATE LIMIT APPLIES PER: X POLICY ESC E LOC OTHER: I GENERAL AGGREGATE $ 3,000,000 j PRODUCTS - COMP/OP AGG $3,000,000 $ A AUTOMOBLEUABIUTY X )( ANY AUTO OWNED UTOS ONLY RD'S HIRED AUTOS ONLY � SCHEDULED AUTOS X NON -OWNED AUTOS ONLY I HHN853255911 3/1/2025 I 3/1/2026 farZEArGLE U.1T $1,000,000 i BODILY INJURY (Per person) S I I BODILY INJURY (Per woolen() $ i PROPERTY DAMAGE Met acddenn s $ C X UMBRELLA UAB )..li OCCUR EXCE(SSLIAB ; CLAIMS -MADE XF301294 3/1!2025 3/1!2026 EACH OCCURRENCE $ 5,000,000 j AGGREGATE 55,000,000 DED ( I RETENTION S $ B :TETIiSCOMPENSATION AND EMPLOYERS' LIAa1LITY ANYPROPRIETOR/PARTNERlEXECUTI" Y/ N OFFICERIMEMBEREXCLUDED? � (Mandatory Mn. If yes, describe under DESCRIPTION OF OPERATIONS below N/A JUWC524602 4/2412024 4/24/2025 II X I sUTUTE I I F", EL EACH ACCIDENT $1,000,000 EL DISEASE -EA EMPLOYEE $1,000,000 E.L DISEASE - POLICY LIMIT S 1,000,000 A Abuse or Mo isarl n A CrberLabalLability D Cyber Liability HHN853255911 HHN853255911 08672225403 3/1/2025 3!1/2025 1011/2024 311/2026 3/1/2028 3N/2026 $1,000,000 eadl gag s1,o00,000eachcalm 83,OOD,000 each calm $3,000,000 A. $3,000,000 A. $3,000,000 Agg DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space M required) Named Insured Extension: JusticeWorks BehavioralCare; Heit Holdings,LLC; Alexander Morgan and Company, LLC (tibia Catalyst RTW; JusticeWorks FL, LLC; Merlin Fiorano, LLC; JusticeWorks OH, LLC; JusticeWorks CO, LLC; JusticeWorks TX, LLC; JusticeWorks NV, LLC; JusticeWorks DE, LLC The deductible for the General Liability policy is $0.00. The General liability policy includes a blanket additional insured endorsement to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Weld County 315 N. 11th Avenue, Bldg A Greeley CO 80631 AUTHOR/MDREPRESENTATIVE Z &J,-._ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: JUSTIWORKS LOC it: C© ADDITIONAL REMARKS SCHEDULE Page 1 of 1 'I... " AGENCY Marsh & McLennan Agency LLC NAMED INSURED JusticeWorks YouthCare, Inc., etas 1500 Ardmore Blvd., Suite 410 POLICY NUMBER Pittsburgh PA 15221 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE The General Liabilittyy policy contains a blanket waiver of subrogation endorsement that may apply only when there is a written contract between the named insured and the certificate holder that requires such warding. The deductible for the Automobile Liability policy is $0.00. The Automobile Liability policy includes a blanket additional insured endorsement to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The Automobile liability policy lndudes waiver of subrogation wording that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The Workers Compensation policy includes waiver of subrogation wording that may apply only when there is a written contract between the named insured and the certificate holder that regwres such wording. The General Liability, Automobile and Excess Liability policies provide 30 day notice of cancellation: 10 day for nonpayment of premium to the certificate holder. The Cydr Liability policy incudes a blanket additional insured endorsement to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The deductible for the Cyber Liability policy is $25,000. Carrier Ratings: Berkley Regional Insurance Company — A+ Trisura Specialty — A Certificate Holder Includes: Board of County Commissioners of Weld County and its Officers/Employees ACORD 101 (2000/01) © 2000 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 83 911219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY. GENERAL LIABILITY BROADENING ENDORSEMENT This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Throughout this endorsement, the words "you" and "your" refer to the Named Insured shown in the Declarations. The word "we," "us," and "our" refer to the company providing this insurance. The following is only a summary of the additional coverages provided by this endorsement and is provided only for your reference and convenience. For the Limits of Insurance and the additional coverages provided by this endorsement, read the provisions on the following pages and the Coverage Form, which this endorsement modifies. SUBJECTS OF INSURANCE Broadened Bodily Injury Broadened Personal and Advertising Injury Broadened Property Damage Broadened Fire, Lightning, Explosion, and Sprinkler Leakage - $500,000 Broadened Medical Payments - $20,000 Broadened Supplementary Benefits a. Bail Bonds - $1,000 b. Expenses Incurred to Assist in Defense - $500 per Day Broadened Newly Acquired or Formed Organization Broadened Non -Owned or Chartered Watercraft or Aircraft Broadened Commercial General Liability Conditions a. Duties in the Event of Occurrence, Offense, Claim, or Suit b. Liberalization — Automatic Coverage If We Adopt Broader Coverages c. Notice to Company Automatic Coverage for "Special Events" Automatic Additional Insureds a. Athletic Activity Participants b. Contractual Obligations c. Funding Sources d. Manager or Lessor of Premises e. Owner, Manager, Operator, or Lessor of "Special Event" Premises f. Supervisors or Higher in Rank — Co -Employee Exclusion Removed g. Limitations Blanket Waiver of Subrogation Priority of Application for Multiple Insureds The coverages listed in this endorsement are provided as extensions or additions to your insurance program. CG 83 91 1219 Includes copyrighted material of Insurance Services Page 1 of 8 Office, Inc., with its permission A. BROADENED BODILY INJURY Paragraph 3. of Section V — Definitions is deleted and replaced with the following: 3. "Bodily injury" means physical injury, sickness, or disease sustained by a person, including death resulting from any of these. "Bodily injury" also means mental injury, mental anguish, humiliation, or shock sustained by a person, if directly resulting from physical injury, sickness, or disease sustained by that person. B. BROADENED PERSONAL AND ADVERTISING INJURY 1. Paragraph 14. of Section V - Definitions is deleted and replaced with the following: 14. "Personal and advertising injury" means injury, including consequential "bodily injury" arising out of one or more of the following offenses during the policy period. a. False arrest, detention, or imprisonment; b. Malicious prosecution or abuse of process; c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling, or premises that a person occupies by or on behalf of its owner, landlord, or lessor; d. Oral, written, televised, videotaped, or electronic publication of material that slanders or libels a person or organization, or disparages a person's or organization's goods, products, or services; e. Oral, written, televised, videotaped or electronic publication of material that violates a person's right of privacy; f. Misappropriation of advertising ideas or style of doing business; g. Infringement of copyright, title, or slogan; or h. Mental injury, mental anguish, humiliation, or shock, if directly resulting from Items 14.a. through 14.g. above. 2. Exclusions 2.b. and 2.c. under Coverage B - Personal and Advertising Injury Liability are deleted and replaced with the following: b. Material Published with Knowledge of Falsity "Personal and advertising injury" arising out of oral, written, televised, videotaped, or electronic publication of material, if done by or at the direction of the insured with knowledge of its falsity; c. Material Published Prior to Policy Period "Personal and advertising injury" arising out of oral, written, televised, videotaped, or electronic publication of material whose first publication took place before the beginning of the policy period; C. BROADENED PROPERTY DAMAGE Exclusion 2.a. under Coverage A - Bodily Injury and Property Damage Liability is deleted and replaced with the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. D. BROADENED FIRE, LIGHTNING, EXPLOSION AND SPRINKLER LEAKAGE 1. Paragraph 6. under Section III - Limits Of Insurance is deleted and replaced with the following: 6. Subject to 5. above, the Damage to Premises Rented to You Limit is the most we will pay under Coverage A for damages because of "property damage" to; a. Any one premises while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner; and b. Personal property of others in your care, custody, or control, while at premises rented to you or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner, arising out of any one fire, lightning, explosion, or sprinkler leakage occurrence. Page 2 of 8 Includes copyrighted material of Insurance Services CG 83 91 12 19 Office, Inc., with its permission The Damage to Premises Rented to You Limit is the greater of: c. $500,000; or d. The amount shown in the Declarations for Damage to Premises Rented to You Limit. 2. Paragraph 2. Exclusions of Coverage A - Bodily Injury and Property Damage Liability is amended as follows: Paragraphs c. through n., do not apply to damage by fire, lightning, explosion, or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III - Limits Of Insurance. 3. Paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions is amended as follows: Paragraph b.(1)(a)(ii) is deleted and replaced with the following: (ii) That is Fire, Lightning, Explosion, or Sprinkler Leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner; or 4. Paragraph 9.a. under Section V - Definitions is deleted and replaced with the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; 5. This Broadened Coverage is subject to all the terms of Section III - Limits Of insurance. 6. This Broadened Coverage does not apply if Fire Damage Liability of COVERAGE A (SECTION I) is excluded either by the Declaration to this Coverage Part or by an endorsement to this Coverage Part. E. BROADENED MEDICAL PAYMENTS 1. The following provision is added to Paragraph 2. of Section 111- Limits Of Insurance: The Medical Expense Limit shall be the greater of: a. $20,000; or b. The amount shown in the Declarations for Medical Expense Limit. 2. This Medical Expense Limit is subject to all the terms of Section III - Limits Of Insurance. 3. This above Medical Expense Limit does not apply if Coverage C - Medical Payments is excluded either by the Declaration to this Coverage Part or by an endorsement to this Coverage Part. F. BROADENED SUPPLEMENTARY PAYMENTS Paragraphs 1.b, and 1.d. under Supplementary Payments - Coverages A and B are deleted and replaced with the following: b. Up to $1,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit," including actual loss of earnings up to $500 a day because of time off from work. G. BROADENED NEWLY ACQUIRED OR FORMED ORGANIZATION Paragraph 3.a under Section II - Who Is An Insured is deleted and replaced by the following: a. Coverage under this provision is afforded only until the 120"' day after you acquire or form the organization or the end of the policy period, whichever is earlier. H. BROADENED NON -OWNED OR CHARTERED WATERCRAFT OR AIRCRAFT Exclusion 2.g. under Coverage A - Bodily Injury and Property Damage Liability is deleted and replaced by the following: g. "Bodily injury" or "property damage" arising out of the ownership, maintenance, use, or entrustment to others of any aircraft, "auto," or watercraft owned by or operated by, or rented or loaned to, any insured. Use includes operation and "loading or unloading". CG 83 91 12 19 Includes copyrighted material of Insurance Services Page 3 of 8 Office, Inc., with its permission This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to premises you own or rent, provided the "auto" is not owned by or rented, or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, maintenance, or use of aircraft, watercraft, or "autos"; or (5) "Bodily injury" or "property damage" arising out of the operation of any of the equipment listed in Paragraph f. (2) or f. (3) of Section V - Definitions, Paragraph 12., "Mobile Equipment"; or (6) An aircraft you do not own that is: (a) Hired, chartered, or loaned with a crew; and (b) Not owned in whole or in part by any insured. (7) This insurance does not apply, under Paragraph g.(1) and g.(2) above, if the insured has any other insurance for "bodily injury" or "property damage" which would also apply to loss covered under this provision, whether the other insurance is primary, excess, contingent, or on any other basis. (8) This insurance is excess, under Paragraph g.(6) above, over any other insurance, whether the other insurance is primary, excess, contingent or on any other basis. I. BROADENED COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Paragraph 2. Duties in The Event Of Occurrence, Offense, Claims Or Suit under Section IV - Commercial General Liability Conditions is amended to add the following provision: e. Your obligation to notify us as soon as practicable of an "occurrence," or offense under Paragraph 2.a. above, or a claim or "suit" or offense under Paragraphs 2.a., 2.b., and 2.c above, is satisfied if you send us written notice as soon as practicable after any of your "executive officers," directors, partners, insurance managers, or legal representatives becomes aware of, or should have become aware of, such "occurrence," offense, claim or "suit." 2. The following provisions are added to Section IV - Commercial General Liability Conditions: 10. Liberalization If we adopt any revision that would broaden the coverage under this coverage part without additional premium within 30 days prior to or during the policy period, the broadened coverage will immediately apply to this coverage part. 11. Notice To Company If you report an "occurrence" or offense to your Workers' Compensation insurer which later becomes a claim under this Coverage Part, failure to report such "occurrence" or offense to us at the time of the "occurrence" or offense will not be considered a violation of the Duties In The Event Of Occurrence, Offense, Claim Or Suit Condition, if you notify us as soon as practicable when you become aware that the "occurrence" or offense has become a liability claim. J. AUTOMATIC COVERAGE FOR SPECIAL EVENTS I. You are automatically covered for all "special events" which you organize, promote, administer, sponsor, or conduct during the term of this policy. 2. Section V - Definitions is amended to add the following paragraph: 23. "Special Event" means any event: a. The purpose of which is to raise funds for you; or b. To recognize the accomplishments of your organization, your "employees," or your "volunteer workers"; or Page 4 of 8 Includes copyrighted material of Insurance Services CG 83 91 1219 Office, Inc., with its permission c. Which you, or an individual or organization with whom you have entered into a contract or agreement, organize, promote, administer, sponsor, or conduct for the purposes described in Paragraphs a. or b. above; and d. Which takes place on premises owned by you, or on premises while rented or leased to you or to that organization described in Paragraph c. above. K. AUTOMATIC ADDITIONAL INSURED(S) The following provisions are added to Section II - Who Is An Insured: 4. Automatic Additional Insured(s) Additional Insureds - Athletic Activity Participants (1) This policy is amended to include as an insured any person(s) [hereinafter called Additional Insured(s)] representing you while participating in amateur athletic activities that you sponsor. However, no such person is an insured for: (a) "Medical expenses" under Coverage C - Medical Payments. (b) "Bodily Injury" to: (i) A co -participant, your "volunteer worker" or your "employee" while participating in amateur athletic activities that you sponsor; or (ii) You, or any partner or member, (if you are a partnership or joint venture), or any member (if you are a limited liability company); or (c) "Property damage" to property owned by, occupied or used by, rented to , in the care, custody, or control of, or over which physical control is being exercised for any purpose by: (i) A co -participant, your "volunteer worker", or your "employee"; or (ii) You, or any partner or member, (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Additional Insured - Contractual Obligations (1) This policy is amended to include as an insured any person or organization (hereinafter called Additional Insured) that you are required by a written "insured contract" to include as an insured, subject to all of the following provisions: (a) Coverage is limited to liability arising out of: (1) Your ongoing operations performed for such Additional Insured; or (2) Such Additional Insured's financial control of you; or (3) The maintenance, operation or use by you of equipment leased to you by such Additional Insured; or (4) A permit issued to you by a state or political subdivision. (b) Coverage does not apply to any "occurrence" or offense: (i) Which took place before the execution of, or subsequent to the completion or expiration of, the written insured contract"; or (ii) Which takes place after you cease to be a tenant in that premises. (c) With respect to architects, engineers, or surveyors, coverage does not apply to "Bodily Injury," "Property Damage," "Personal Injury," or "Advertising Injury" arising out of the rendering or the failure to render any professional services by or for you including: (i) The preparing, approving, or failing to approve or prepare maps, drawings, opinions, reports, surveys, change orders, designs or specifications; and (ii) Supervisory, inspection, or engineering services. (d) Coverage provided herein shall be considered excess over any other valid and collectible insurance available to the Additional Insured whether that other insurance is primary, excess, contingent, or on any other basis unless a written contractual arrangement specifically requires this insurance to be primary. CG 83 91 1219 Includes copyrighted material of Insurance Services Page 5 of 8 Office, Inc., with its permission (e) In the event that you are engaged in the manufacture or assembly of any goods or products for the benefit or at the direction of another party, pursuant to a contract or agreement with that party, this paragraph (e). does not extend coverage to that party as an Additional Insured. Coverage for such a party will be extended only by a specific endorsement issued by us and naming such party. c. Additional Insured - Funding Sources (1) This policy is amended to include as an insured any Funding Source (hereinafter called Additional Insured) which requires you in a written contract to name such Additional Insured but only with respect to liability arising out of your premises or "your work" for such Additional Insured, and only to the extent set forth as follows: (a) The Limits of Insurance applicable to the Additional Insured are the lesser of those specified in the written contract or agreement or in the Declarations for this policy and subject to all the terms, conditions and exclusions for this policy. The Limits of Insurance applicable to the Additional Insured are inclusive of, and not in addition to, the Limits of Insurance shown in the Declarations. (b) The coverage provided to the Additional Insured is not greater than that customarily provided by the policy forms specified in and required by the contract. (c) In no event shall the coverages or Limits of Insurance in this Coverage Form be increased by such contract. (d) Coverage provided herein shall be considered excess over any other valid and collectible insurance available to the Additional Insured whether that other insurance is primary, excess, contingent, or on any other basis unless a written contractual arrangement specifically requires this insurance to be primary. d. Additional Insured - Manager or Lessor of Premises (1) This policy is amended to include as an insured any person or organization (hereinafter called Additional Insured) from whom you lease or rent your premises and which requires you to add such person or organization as an Additional Insured in this policy under: (a) A written contract; or (b) An oral agreement or contract where a Certificate of Insurance has been issued showing that person or organization as an Additional Insured; but only if the written or oral agreement is an "insured contract; (a) Currently in effect or to become effective during the term of this policy; and (b) Executed prior to the "bodily injury," "property damage, "personal injury", or "advertising injury." (2) With respect to the insurance afforded the Additional Insured identified in Paragraph d.(1) immediately above, the following additional provisions apply: (a) This insurance applies only to liability arising out of the ownership, maintenance, or use of that portion of the premises leased to you; (b) The Limits of Insurance applicable to the Additional Insured are the lesser of those specified in the written contract or agreement or in the Declarations for this policy and subject to all this policy's terms, conditions, and exclusions. The Limits of Insurance applicable to the Additional Insured are inclusive of, not in addition to, the Limits of Insurance shown in the Declarations. (c) In no event shall the coverages or Limits of Insurance in this Coverage Part be increased by such contract or agreement. (d) Coverage provided herein shall be considered excess over any other valid and collectible insurance available to the Additional Insured whether that other insurance is primary, excess, contingent, or on any other basis unless a written contractual arrangement specifically requires this insurance to be primary. (3) This insurance does not apply to: (a) Any "occurrence" or offense which takes place after you cease to be a tenant in the premises covered by this endorsement; or Page 6 of 8 Includes copyrighted material of Insurance Services CG 83 91 1219 Office, Inc., with its permission (b) Structural alterations, new construction, or demolition operations performed by or on behalf of the Additional Insured. Additional Insured - Owner, Manager, Operator or Lessor of "Special Events" Premises (1) This policy is amended to include as an insured any person or organization (hereinafter called Additional Insured) from whom you lease, rent or occupy the premises upon which a "special event" is held, sponsored or conducted by you, or on your behalf, under. (a) A written contract; or (b) An oral agreement or contract where a Certificate of Insurance has been issued showing that person or organization as an Additional Insured; but only if the written or oral agreement is an "insured contract," (i) Currently in effect or to become effective during the term of this policy; and (ii) Executed prior to the "bodily injury", "property damage" or "personal and advertising injury". (2) With respect to the insurance afforded the Additional Insured identified in Paragraph e. (1) of this endorsement, the following additional provisions apply: (a) This insurance applies only to liability arising out of the use of that portion of the premises while leased or rented to you for the specific "special event"; (b) The Limits of Insurance applicable to the Additional Insured are the lesser of those specified in the contract or agreement pertaining to the use of the premises or in the Declarations for this policy and subject to all of this policy's terms, conditions, and exclusions. The Limits of Insurance applicable to the Additional Insured are inclusive of, not in addition to, the Limits of Insurance shown in the Declarations. (c) In no event shall the coverage or Limits of Insurance in this Coverage Form be increased by such contract or agreement. (d) Coverage provided herein shall be considered excess over any other valid and collectible insurance available to the Additional Insured whether that other insurance is primary, excess, contingent, or on any other basis unless a written contractual arrangement specifically requires this insurance to be primary. (3) This insurance does not apply to: (a) Any "occurrence" or offense which takes place after you cease to be a tenant, licensee or occupant in the premises covered by this endorsement; or (b) Any acts or "occurrences" caused by or attributable to the owner, manager, operator, or lessor of the premises upon which the "special event" is held. f. Additional Insured - Supervisors or Higher in Rank (1) This policy is amended to include as insured any "employees" (hereinafter called Additional Insured), designated as supervisor or higher in rank, who are authorized by you to exercise direct or indirect supervision and control over "employees" and the manner in which work is performed, but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" designated as supervisor or higher in rank, is an insured for: (a) "Bodily injury" or "personal injury": (i) To you, to your partners or members (if you are a partnership or joint venture), or to your members (if you are a limited liability company); (ii) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraph (a)(i) above; or (iii) Arising out of his or her providing or failing to provide professional health care services. (b) "Personal Injury": (i) To a co -"employee" while in the course of his or her employment; (ii) To the spouse, child, parent, brother or sister of that co -"employee" as a consequence of Paragraph (b)(1) above; or CG 83 91 1219 Includes copyrighted material of Insurance Services Page 7 of 8 Office, Inc., with its permission 9. (iii) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (b)(i) or (b)(ii) above. (c) "Property damage" to property: (i) Owned, occupied or used by; or (ii) Rented to, in the care, custody, or control of, or over which physical control is being exercised for any purpose by you, any of your "employees," any partner, or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). Additional Insured - LIMITATIONS (1) The persons, entities, or organizations to which coverage is extended under Paragraphs a. (Athletic Activity Participants), b. (Contractual Obligations), c. (Funding Sources), d. (Managers or Lessors of Premises), and e. (Owner, Manager, Operator, or Lessor of "Special Events" Premises) are Additional Insureds, but only: (a) With respect to each Additional Insured's vicarious liability for "actual damages" solely caused by you or by "your work" that is ongoing for such Additional Insured's supervision of "your work"; and (b) If the Additional Insured did not cause or contribute to the "occurrence" or act resulting in liability. (2) If an endorsement is attached to this policy and specifically names a person or organization as an Additional Insured, then the coverage extended under this paragraph 4. AUTOMATIC ADDITIONAL INSURED(S) does not apply to that person, entity, or organization. (3) The following is added to Section V - Definitions: 24. "Actual Damages" is to have its usual and customary legal meaning and excludes without limitation, punitive damages, restitution, penalties, and formula damages added to "actual damages" and any other enhanced damages. (4) All other terms and conditions of this Coverage Part which are not inconsistent with this Paragraph h. apply to coverage extended to the above referenced Additional Insureds REGARDLESS OF WHETHER OR NOT A COPY OF THIS COVERAGE PART AND/OR ITS ENDORSEMENTS ARE DELIVERED TO AN ADDITIONAL INSURED. L. BLANKET WAIVER OF SUBROGATION Paragraph 8. under Section IV - Commercial General Liability Conditions is deleted and replaced with the following: 8. Transfer of Rights Of Recovery Against Others To Us And Blanket Waiver Of Subrogation a. If an insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. b. If required by written "insured contract," we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract for that person or organization and included in the "products -completed operations hazard." M. PRIORITY OF APPLICATION FOR MULTIPLE INSUREDS Section 111- Limits Of Insurance is amended to add the following paragraph: 8. In the event a claim or "suit" is brought against more than one insured, due to "bodily injury" or "property damage" from the same "occurrence," or "personal injury," or "advertising injury," from the same offense, we will apply the Limits of Insurance in the following order: You; b. Your "executive officers," directors, "employees," and c. Any other insureds in any order that we choose. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. Page 8 of 8 Includes copyrighted material of Insurance Services CG 8391 1219 Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY CG 83 63 01 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERICAL GENERAL LIABILITY COVERAGE PART Under Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, item a., Primary Insurance is amended to include the following: However, if you are obligated pursuant to a written contract or agreement entered into prior to a loss to provide a person or organization that is included in the Who Is An Insured section of this insurance with primary insurance such as is afforded by this policy, then this insurance is primary and we will not seek contribution from insurance available to such person or organization. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. CG 83 63 01 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 POLICY NUMBER: HHN 8532559 - 10 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person Or Organization: Blanket Waiver of Subrogation as required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 0412 19 O Insurance Services Office, Inc., 2018 Page 1 of 1 BUSINESS AUTO BROADENING ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies and is subject to the insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is only a summary of the additional coverages provided by this endorsement and is provided only for your reference and convenience. For the Limits of Insurance and the additional coverages provided by this endorsement, read the provisions on the following pages and the Coverage Form, which this endorsement modifies. The deductibles specified on your "auto" declarations page are applicable to these coverages unless a different deductible is indicated. If one or more of these coverages is provided by a specific endorsement, then the specific endorsement will apply. SUBJECTS OF INSURANCE Who Is An Insured 1. Broad Form Named Insured 2. Employees As Insureds 3. Volunteers As Insureds 4. Employee Hired Auto Broadened Liability Supplementary Payments 1. Bail Bonds - $3,000 2. Reasonable Expenses Incurred - $300 per day Physical Damage Coverage Amendments 1. Towing 2. Coverage Extensions a) Transportation Expenses b) Loss of Use Expenses c) Auto Loan/Lease Gap Coverage d) Personal Property Coverage e) Airbag Discharge 3. Hired Car Physical Damage 4. Rental Reimbursement Coverage 5. Audio, Visual and Data Electronic Equipment 6. Deductible Amendments a) 2 or more Autos b) Glass Deductible Business Auto Conditions Amendments 1. Knowledge of Occurrence 2. Blanket Waiver of Subrogation General Condition Amendment Unintentional Errors and Omissions The coverages listed in this endorsement are provided as extensions or additions to your insurance program. CA 83 40 12 14 Page 1 of 5 Includes copyrighted material of Insurance Services Inc. used with its permission. BUSINESS AUTO BROADENING ENDORSEMENT 1. Broad Form Named Insured The following is added to Section II — Liability Coverage, Paragraph A. 1. Who Is An Insured provision: d. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: Coverage under this provision is afforded only until the 180"' day after you acquire or form the organization or the end of the policy period, whichever is earlier. Your Board Members (or their spouses) are an "insured" while operating an "auto" hired or rented under a contract or agreement in that Board Member's or spouses name, with your permission, while performing duties related to the conduct of your business. 2. Employees As Insureds The following is added to Section II — Liability Coverage, Paragraph A. 1. Who Is An Insured provision: f. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow while performing duties related to the conduct of your business. 3. Volunteers As Insureds The following is added to Section II — Liability Coverage, Paragraph A. 1. Who Is An Insured provision: g. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. Anyone else who furnishes that "auto" is also an "insured". 4. Employee As Insured The following is added to Section II — Liability Coverage, Paragraph A. 1. Who Is An Insured provision: h. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. 5. Broadened Liability Supplementary Payments The following replaces Section II — Liability Coverage, Paragraph A.2. Coverage Extensions, a. Supplementary Payments (2) and (4): (2) Up to $3000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual "loss" of earnings up to $300 a day because of time off from work. 6. Towing The following replaces Section III — Physical Damage Coverage, A. Coverage, Paragraph 2. Towing: We will pay up to $ 75 for towing and labor costs incurred each time a covered "auto" is disabled. However, the labor must be performed at the place of disablement. No deductible applies to this coverage. 7. Transportation Expenses The following replaces Section III — Physical Damage Coverage, 4. Coverage Extensions, a. Transportation Expenses: We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the policy period and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". CA 83 40 12 14 Page 2 of 5 Includes copyrighted material of Insurance Services Inc. used with its permission. BUSINESS AUTO BROADENING ENDORSEMENT 8. Loss Of Use Expenses The following replaces Section III — Physical Damage Coverage, A. Coverage, 4. Coverage Extensions, b. Loss of Use Expenses: For Hired Auto Physical Damage, we will pay expense for which an "insured" becomes legally responsible to pay for "loss° of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for "loss" of use expenses if caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto" (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $80 per day, to a maximum of $800. 9. Auto Loan/Lease Gap Coverage The following is added to the Section III — Physical Damage Coverage, Paragraph 4. Coverage Extensions: c. Auto Loan/Lease Gap Coverage In the event of a total "loss" to a covered "auto" shown in the Schedule or Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto", less: (1) The amount paid under the Physical Damage Coverage Section of the policy; and (2) Any: (a) Overdue lease/loan payments at the time of the "loss"; (b) Financial penalties imposed under a lease; (c) Security deposits not retumed by the lessor; (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (e) Carry-over balances from previous loans or leases. 10. Personal Property Coverage The following is added to Section III — Physical Damage Coverage, A. Coverage, 4. Coverage Extensions. d. Personal Property Coverage We will pay up to $500 for loss to any personal property which is: (1) owned by an "insured"; and (2) in or on your covered "auto". This coverage is applicable only in the event of a total theft of a covered "auto". No deductible applies to this coverage. 11. Airbag Discharge The following is added to Section III — Physical Damage Coverage, A. Coverage, 4. Coverage Extensions. e. Airbag Discharge If there is an accidental discharge of an airbag in your covered "auto", we will pay to have the airbag replaced. This extension is excess over any other collectible insurance or warranty. No deductible applies to this coverage. 12. Hired Car Physical Damage If this policy provides Comprehensive, Specified Causes of Loss or Collision Coverage, that coverage may be extended to hired "autos". The coverage available to a hired "auto" will be equal to the broadest coverage shown on the Declarations available to any covered "auto". The most we will pay for any one "accident" or "loss" is: CA 83 40 12 14 Page 3 of 5 Includes copyrighted material of Insurance Services Inc. used with its permission. BUSINESS AUTO BROADENING ENDORSEMENT (1) $40,000; or (2) The actual cash value or cost of repair of the damaged or stolen property. Paragraph 5.b. of the Other Insurance Condition in the Business Auto Coverage Form is replaced by the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. (3) Any covered "auto" hired or rented by your Board Members (or their spouses) under a contract in that individual Board Member's (or spouses') name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered auto. 13. Rental Reimbursement Coverage a. We will pay for rental reimbursement expenses incurred by you for the rental of an auto because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage. b. We will pay only for those expenses incurred during the policy period and ending, regardless of the policy's expiration, with the lesser of the following number of days. (1) The number of days reasonably required to repair or replace the covered "auto". If loss is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you. (2) 30 days. c. Our payment is limited to the lesser of the following amounts: (1) Necessary and actual expenses incurred. (2) $50 per day. d. This coverage does not apply while there are spare or reserve autos available to you for your operations. e. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under Section III — Physical Damage Coverage, 4. Coverage Extensions, a. Transportation Expenses. 14. Audio, Visual And Data Electronic Equipment We will pay with respect to a covered "auto" for "loss" to any electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the reproduction of sound. This coverage applies only if the equipment is permanently installed in the covered auto at the time of the loss or the equipment is removable from a housing unit which is permanently installed in the covered "auto" at the time of the "loss", and such equipment is designed to be solely operated by use of the power from the "auto" electrical system, in or upon the covered "auto". The most we will pay for "loss" to audio, visual or data electronic equipment as a result of any one "accident" is the lessor of: a. The actual cash value of the damaged or stolen property as of the time of the "loss"; b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or c. $400. This coverage does not apply if there is other coverage provided under this policy for the above described audio, visual and data electronic equipment. We will pay any deductible, up to $400, that is applicable to the other coverage. CA 8340 12 14 Page 4 of 5 Includes copyrighted material of Insurance Services Inc. used with its permission. BUSINESS AUTO BROADENING ENDORSEMENT No deductible applies to this coverage. 15. Deductible Amendment The following is added to Section III — Physical Damage Coverage, A. Coverage, Paragraph D. Deductible. In the event that a "loss" from one "accident" involves two or more covered "autos", only the largest applicable deductible for Comprehensive, Specified Causes Of Loss, or Collision coverage will apply. This provision applies only to those "autos" designated in the Schedule or Declarations to have Comprehensive, Specified Causes Of Loss, or Collision coverage. 16. Glass Deductible The following is added to Section III — Physical Damage Coverage, Paragraph D. Deductible. No deductible applies to "loss" to glass used in the windshield, doors or windows of a covered "auto". 17. Knowledge Of Occurrence The following replaces Section IV — Business Auto Conditions, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, a. In the event of "accident", "claim", "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident" or "loss". Include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. Your obligation to provide prompt notice to us is satisfied if you send us notice as soon as practicable after: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) An executive officer or insurance manager, if you are a corporation; (4) Your members, managers or insurance manager, if you are a limited liability company; (5) Your elected or appointed officials, trustees, board members, or your insurance manager, if you are an organization other than a partnership, joint venture, or limited liability company; becomes aware of, or should have become aware of such "accident", "claim", "suit" or "loss". 18. Blanket Waiver Of Subrogation The following is added to Section IV — Business Auto Conditions, A. Loss Conditions. 6. If required by written insured contract, we waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury" or "property damage" caused by an "accident" and resulting from the ownership, maintenance or use of a covered "auto". 19. Unintentional Errors And Omissions The following is added to Section IV — Business Auto Conditions, B. General Condition, 2. Concealment, Misrepresentation Or Fraud. However, if you should unintentionally misrepresent or conceal information to us at any time, we will not deny coverage under this policy based on this unintentional error or omission. This provision does not affect our right to cancel or non -renew your coverage or collect additional premium for any added exposures. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. CA 83 40 12 14 Page 5 of 5 Includes copyrighted material of Insurance Services Inc. used with its permission. Contract Entity Information Entity Name* JUSTICEWORKS CO LLC Entity ID* @00040898 Contract Name* JUSTICEWORKS CO LLC (NEW PROFESSIONAL SERVICES AGREEMENT RELATED TO BID #B2500040) Contract Status CTB REVIEW O New Entity? Contract ID 9568 Contract Lead* WLUNA Contract Lead Email wluna@weld.gov;cobbxxl k@weld.gov Parent Contract ID Requires Board Approval YES Department Project # Contract Description JUSTICEWORKS CO LLC (NEW PROFESSIONAL SERVICES AGREEMENT RELATED TO BID #B2500040). TERM: JUNE 1, 2025 THROUGH APRIL 30, 2028. Contract Description 2 (CONSENT) TEMPLATE APPROVED ON APRIL 23, 2025. THIS WILL BE A CONSENT ITEM. Contract Type* AGREEMENT Amount* $0.00 Renewable* YES Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weld.gov Department Head Email CM-HumanServices- 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* 06/16/2025 Due Date 06/12/2025 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 Review Date* 02/29/2028 Renewal Date* 06/01/2026 Committed Delivery Date Expiration Date Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head JAMIE ULRICH DH Approved Date 06/09/2025 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06/16/2025 Finance Approver CHERYL PATTELLI Legal Counsel BYRON HOWELL Finance Approved Date Legal Counsel Approved Date 06/10/2025 06/10/2025 Tyler Ref # AG 061625 Originator WLUNA Hello