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Home My WebLink About20231366.tiffeontvac-Hg5Z(o BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Professional Services Agreement Amendment #2 with various Service Providers through Request for Proposal (RFP) Bid #B2300042 DEPARTMENT: Human Services DATE: June 3, 2025 PERSON REQUESTING: Jamie Ulrich, Director, Human Services Brief description of the problem/issue: The Department entered into Professional Service Agreements (PSA) with various Service Providers through Request for Proposal (RFP) Bid #B2300042, identified as Tyler ID 2023-0507. These Agreements were issued fora period of one (1) year with the option to renew for three (3) additional one (1) year terms upon mutual written agreement. The Department is now requesting to amend the current agreements to extend the terms and to modify the scopes and rates as noted below. CMS ID Provider/Term Services Provided Tyler# FY 26 Budget 9522 Catholic Charites Term: July 1, 2025 to June 30, 2026 Case Management Services and Outreach 2023-1365 $75,000.00 9523 Colorado Legal Services Term: July 1, 2025 to June 30, 2026 Legal Services 2023-1606 $25,000.00 9524 Meals on Wheels Term: July 1, 2025 to June 30, 2026 Home Delivery Meals 2023-1367 $100,000.00 9525 North Range Behavioral Heath Term: July 1, 2025 to June 30, 2026 Peer Counseling Services 2023-1364 $40,000.00 9526 Senior Resource Service (60+ Ride) Term: July 1, 2025 to June 30, 2026 Transportation Services 2023-1366 $35,000.00 What options exist for the Board? .. Approval of Amendment #2 to the PSAs listed above. • Deny approval of Amendment #2 to the PSAs listed above. Consequences: The Department will not have current agreements with the above providers. Impacts: The Department will not be able to offer services to eligible clients in Weld County. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): • Funded through Older American Act Grant funding. Pass -Around Memorandum; June 3, 2025 - CMS ID Various cons (,/ l 25 c� iHS oOa ac OCo/lal/a5 7.07,3 -13 0(0 Recommendation: • Approval of Amendment #2 to the Professional Services Agreements and authorize the Chair to sign. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck Scott K. James Jason S. Maxey Lynette Peppier Kevin D. Ross g6%. Vitt PmaLQ /14 Pass -Around Memorandum; June 3, 2025 - CMS ID Various Karla Ford From: Sent: To: Subject: Scott James Tuesday, June 3, 2025 12:45 PM Karla Ford Re: Please Reply - PA FOR ROUTING: HCS Various OAA PSA Amendments (CMS Various) Importance: High I support -thanks! COUNTY, CO Scott K. James Weld County Commissioner Office: 970-400-4200/Cell : 970-381-7496 P.O. Box 758, 1150 O St., Greeley, CO 80632 0 0 On Jun 3, 2025, at 12:41 PM, Karla Ford <kford@weld.gov>wrote: From: Karla Ford Sent: Monday, June 2, 2025 7:30 AM To: Scott James <siames@weld.gov> Subject: Please Reply - PA FOR ROUTING: HCS Various OAA PSA Amendments (CMS Various) Importance: High Please advise if you support recommendation and to have department place on the agenda. <imageo04.jpg> Karla Ford Office Manager & Executive Assistant Board of Weld County Commissioners Desk: 970-400-4200/970-400-4228 P.O. Box 758, 1150 O St., Greeley, CO 80632 AGREEMENT AMENDMENT BETWEEN WELD COUNTY AND SENIOR RESOURCE SERVICES DBA 60+ RIDE This Agreement Amendment made and entered into I Viday of 3(,1,N9, 2025 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Senior Resource Services dba 60+ Ride, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Transportation Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2023-1366, approved on May 15, 2023. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on June 30, 2024. • The Original Agreement was amended on: • June 17, 2024 to extend the term date through June 30, 2025 and amend Exhibit D, Modified Scope and Rates. • The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2023-1366. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement effective July 1, 2025: 1. Paragraph 3. Term This agreement is being renewed for the third year, for the period of July 1, 2025 through June 30, 2026. 2. Exhibit D, Modified Scope and rates is hereby amended as attached All other terms and conditions of the Original Agreement remain unchanged. 2OG3-t3Cof IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: C ATTES f BOARD OF COUNTY COMMISSIONERS Clerk to the Boar • ! _ ' 4 .WELD COUNTY, COLORADO BY puty Clerk to the Bo ' ""' ��' erry L. B k, Chair CONTRACTOR: JUN 1 8 2025 Senior Resource Services dba 60+ Ride 800 8th Avenue, Suite 229 Greeley, Colorado 80631 By: Robin n Blakely (J 12, 2025lOG7.20 MDT) Robin Blakely, Executive Director 06/12/2025 Date: ac 3-i3Co6 Exhibit D Modified Scope and Rates Exhibit D, addresses the funding, specific Scope of Services, Rates, and Performance Measurements based on the awarded grant monies issued by the County 1. Funding Contractor will receive the following award as noted in the table below for the period July 1, 2025 to June 30, 2026 for Transportation services $ 35,000 00 I Total Grant Award The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified in Section 2, Services and Rates 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. Service and Rates County agrees to pay Contractor for services outlined below, not to exceed the total grant award as noted in Section 1, Funding Unit Rate $1850` Service Description One-wa tn. Contractor agrees to provide 1891 units with the goal of reaching 39 minority older adults, 156 low-income, and 52 rural older adults 3. Terms Contractor agrees to commence services within thirty (30Ydays after the signing of the Agreement and assure completion of all servicesunderthis agreement by the end of the period dated in Section 1, Funding Contractor agrees. to document and report any program income received as a result of services provided under the Agreement Contractor agrees to include the following statement in any written materials (pamphlets, brochures, announcements, websites, etc ) or in any verbal presentations Contractor is supported, in part by funds provided by the Weld County Area Agency on Aging through the Older Americans Act Exhibit D Modified Scope and Rates Contractor understands that County is required to conduct periodic evaluations of the activities conducted ;under this -Agreement and to monitor on an ongoing basis the performance of Contractor to insure that the funds made available by the Agreement are expended in keeping with the purposes for which they were awarded, and Contractor accordingly agrees to cooperate fully with the County in the conduct of such evaluation and monitoring, including the keeping and supplying of such information, and providing access to documents and records to the County for the purpose of audit, and further agrees to do all things necessary to enable County to fulfill its obligation to the State of Colorado and the United States Government Furthermore, if Contractor submits invoices to the County and receives reimbursement for services provided to clients who are later determined to be ineligible, Contractor agrees to repay those funds to the County in full upon request Any changes, including any increase or decrease in the amount of Contractor's compensation, and including changes in budget allocations which are mutually agreed upon by and between the County and Contractor, shall be incorporated in written amendments to this Agreement and in appropriate revisions to the grant proposal Contractor understands and agrees a This Agreement and the provisions of services hereunder shall be subject to the laws of Colorado and be in accordance with the policies, procedures, and practices of the County, the Older Americans Act, Volume 10 Code of Colorado Regulations and the policies and procedures established by the State Unit on Aging, and the terms and conditions of the project application approved by the County 'b Understands that'if there is Federal/State program income unearned at the time the project is terminated, this amount must be returned to the County unless the County otherwise stipulates c Understands that the project's fiscal affairs are subject to audit If costs are disallowed, the proportion of Federal/State funds disallowed must be returned to the County d Understands that;this award is made for the period amounts stated in this ' Agreement This 'Agreement in no way implies further funding which is contingent upon the availability of funds and approval of future project applications e Agrees to keep records and make reports on the forms required by the County and in accordance with guidelines issued by the State of Colorado and the Administration on Aging, specifically, Exhibit D Modified Scope and Rates I To submit monthly financial invoices and programmatic reports to the County by the 10th of the following month, ii To submit other reports to the County as requested, iii Maintain a computer system that will be able to manage all required County reporting software, iv Maintain Internet access in order to transfer all required data to the County f Agrees to advise the County of needed program and financial changes and await approval from the County prior to change implementation g Agrees to have policies and procedures for complaint/appeal tracking, timely disposition of complaints/appeals and documentation of such processes h Agrees to have a -client grievance policy, which will address any alleged infractions of any Federal, State or Local laws by Contractor against - recipients of or applicants for services i Agrees to have a policy and procedure for wait lists that meets the requirements set forth by the Contractor 1 Agrees to provide recipients receiving services the opportunity to contribute to all or part of the cost of the services received Each recipient shall be given the -opportunity to determine if they are able to contribute to all or part of the cost of services No recipient shall be denied a service because of an inability and/or choice not to contribute to all or part of the cost of the service All contributions shall be considered program' income All contributions shall be used to expand the services for which the contributions were given k Agrees that local cash or In -kind _contributions have not been used to satisfy or match another federal grant or funds Supplies, volunteer services, and other in -kind -contributions shall be valued as described under 45 C F R 874 5 All matching contributions, including cash and in - kind shall be verifiable from agency records I Agrees to perform background checks of all employees, volunteers or subcontractors pursuant to C R S 27-1-110 and in accordance with the policy of the County and the State Unit on -Aging m Agrees to have Motor Vehicle Records on all employees and volunteers n The County may also recover, at the County's discretion, payments made Exhibit D Modified Scope and Rates -to Contractor in error for any reason, including, but not limited to, overpayments or improper payments, and unexpended or excess funds received by Contractor by deduction from subsequent payments under this Contract, deduction from any payment due under any other contracts, grants, or agreements between the County and Contractor, or by any other appropriate;method for collecting debts owed to the County 4. Performance Measures a The Performance, Measures Process As set forth and defined herein, "Performance Focus" is a performance - based analysis strategy the Parties shall use in association with the Contractor's performance hereunder that allows the Parties to better focus on and improve performance outcomes to obtain maximum benefits from - the work of the Contractor under this Contract By identifying areas of focus, the Parties shall determine what aspects of the Contractor's performance hereunder are working and what aspects of said performance need improvement By measuring the impact of day-to-day work of the Contractor hereunder, the Parties will be able to make more informed collaborative decisions to align the work of the Contractor to affect more positive performance outcomes,and change for the purposes served through this Contract b Performance Measures Reports Performance Measures Reports shall reflect relevant report data for the Performance Measures identified hereunder to be tracked on an ongoing basis through the Contract Performance Focus process Performance Measures shall continue -to evolve to meet_the objective of measuring key performance outcome indicators for the work of the Contractor hereunder Performance Measures may be changed via a contract amendment c Contract Performance Measures The Contractor agrees on the following initial Performance Measures i Measure The Contractor shall increase unduplicated consumers served in comparison to the same month in the previous fiscal year Measure In a consumer satisfaction survey provided by the State Unit on Aging (SUA) the contractor shall provide surveys to one hundred percent (100%) of registered consumers within the contractor's region during the month of February The results shall be summarized by the contractor and submitted to the County by May 1st, unless otherwise requested by the County by a different date The summarized results shall -show the following measures Consumer Satisfaction Survey results shall show a minimum of ninety percent (90%) positive response • • SIGNATURE REQUESTED: Weld/60+ Ride Amendment #2 Final Audit Report 2025-06-12 Created: 2025-06-11 By: Sara Adams (sadams@weld.gov) Status: Signed Transaction ID: CBJCHBCAABAAEL6yZp6QgWx31 ungXIVBd6OQ8IX6b0z- "SIGNATURE REQUESTED: Weld/60+ Ride Amendment #2" Hi story 11 Document created by Sara Adams (sadams@weld.gov) 2025-06-11 - 10:08:35 PM GMT- IP address: 204.133.39.9 'y Document emailed to robin@60plusride.org for signature 2025-06-11 - 10:09:08 PM GMT in Email viewed by robin@60plusride.org 2025-06-12 - 10:17:40 PM GMT- IP address: 38.175.185.73 b© Signer robin@60plusride.org entered name at signing as Robin Blakely 2025-06-12 - 10:20:17 PM GMT- IP address: 38.175.185.73 Oro Document e -signed by Robin Blakely (robin@60plusride.org) Signature Date: 2025-06-12 - 10:20:19 PM GMT - Time Source: server- IP address: 38.175.185.73 O Agreement completed. 2025-06-12 - 10:20:19 PM GMT Powered by Adobe Acrobat Sign Contract Form Entity Information Entity Name* SENIOR RESOURCE SERVICES Entity ID* a100031957 7 Contract Name* SENIOR RESOURCE SERVICES DBA 60 + RIDE - AMENDMENT #2 Contract Status CTB REVIEW Q New Entity? Contract ID 9526 Contract Lead* SADAMS Contract Lead Email sadams4-weld.gov:cobbx xlk@weld.gov Parent Contract ID 20231366 Requires Board Approval YES Department Project # Contract Description * AMENDMENT 4-2 TO THE PROFESSIONAL SERVICES CONTRACT FOR TRANSPORTATION SERVICES FROM BID# B2300042 REFERENCED AS TYLER ID# 2023-0507. THIS AMENDMENT EXTENDS THE TERMS TO 7 ,1 /25 TO 6 30,- 26 AND MODIFIES THE SCOPE AND RATES. Contract Description 2 PA ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB IS 06/03;'25. Contract Type * AMENDMENT Amount * $35,000.00 Renewable* NO 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 Requested BOCC Agenda Date * 0618,'2025 Due Date 06/14,2025 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 06/13 '2025 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06/18.2025 Review Date* 04. 30;`2026 Committed Delivery Date Contact Type Contact Email Finance Approver CHERYL PATTELLI Renewal Date Expiration Date* 06/30 2026 Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 06,' 16;202 5 Tyler Ref # AG 061 82 5 Originator SADAMS Legal Counsel BYRON HOWELL Legal Counsel Approved Date 06/16/2025 C611 -1 -vac -Ht 2 -is BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Professional Services Agreement Amendment #1 with various Service Providers through Request for Proposal (RFP) Bid #62300042 DEPARTMENT: Human Services DATE: June 4, 2024 PERSON REQUESTING: Jamie Ulrich, Director, Human Services Brief description of the problem/issue: The Department entered into Professional Service Agreements (RSA) with various Service Providers through Request for Proposal (RFP) Bid #82300042, identified as Tyler ID 2023- 0507. These Agreements were Issued for a period of one (1) year with the option to renew for three (3) additional one (1) year terms upon mutual written agreement. The Department is now requesting to amend the current agreements to extend the terms and to modify the scopes and rates as noted below. CMS ID Provider/Term Services Provided Tyler# 1 FY 25 Bud 8280 Colorado Legal Services Term: July 1, 2024 to June 30, 2025 Legal Services 2023-1606 $54,000.00 8279 Catholic Charites Term: July 1, 2024 to June 30, 2025 Case Management Services and Outreach 2023-1365 $113,760.00 8281 North Range Behavioral Health Term: July 1, 2024 to June 30, 2025 Peer Counseling Services 2023-1364 $78,000.00 8282 Meals on Wheels Term: July 1, 2024 to June 30, 2025 Home Delivery Meals 2023-1367 $189,000.00 8278 Senior Resource Service (60+ Ride) Term: July 1, 2024 to June 30, 2025 Transportation Services 2023-1366 $67,800.00 What options exist for the Board? Approval of Amendment #1 to the PSAs listed above. Deny approval of Amendment #1 to the PSAs listed above. Consequences: The Department will not have current agreements with the above providers. Impacts: The Department will not be able to offer services to eligible clients in Weld County. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): �► Funded through Older American Act Grant funding. Pass -Around Memorandum; June 4, 2024 - CM ID Various oki) CD riso-H- Frop\d-r- 1013 -13(0(a Recommendation: • Approval of Amendment #1 to the Professional Services Agreements and authorize the Chair to sign. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L Buck, Pro-Tem Mike Freeman Scott K. James Kevin D. Ross, Chair Lori Saine G? 6 Ck Pass -Around Memorandum; June 4, 2024 - CMS ID Various AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SENIOR RESOURCE SERVICES DBA 60+ RIDE This Agreement Amendment made and entered into 11'day of Ju IIl9 . , 2024 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Senior Resource Services dba 60+ Ride, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Transportation Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2023-1366, approved on May 15, 2023. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on June 30, 2024. • This Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement effective July 1, 2024: 1. Paragraph 3. Term This agreement is being renewed for the second year, for the period of July 1, 2024 through June 30, 2025. 2. Exhibit D, Modified Scope and Rates is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: .0%) `" `kligeb' e` - Clerk to the Board BOARD OF COUNTY COMMISSIONERS WELD CC►.d , COLORADO Ataide- 7- _ 6), Deputy Clerk to the Boar Kevin D. Ross, Chair TRACTOR: JUN 1 7 2024 nior Resource Services dba 60+ Ride 800 8th Avenue, Suite 229 Greeley, Colorado 80631 By: Ro 'ob n(May 3Zake .19 MDT) Robin Blakely, Executive Director May 23, 2024 Date: ao�3- 3coco Exhibit D Modified Scope and Rates Exhibit D addresses the funding, specific Scope of Services, Rates, and Performance Measurements based on the awarded grant monies issued by the County. 1. Funding Contractor will receive the following award as noted in the table below for the period July 1, 2024 to June 30, 2025 for Transportation services: $ 67,800.00 I Total Grant Award The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified in Section 2, Services and Rates. 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. Service and Rates County agrees to pay Contractor for services outlined below, not to exceed the total grant award as noted in Section 1, Funding. Unit Rate Service Description One-way trip Contractor agrees to provide 3.664 units with the goal of reaching 75 minority older adults, 300 low-income, and 100 rural older adults. 3. Terms Contractor agrees to commence services within thirty (30) days after the signing of the Agreement and assure completion of all services under this agreement by the end of the period dated in Section 1, Funding. Contractor agrees to document and report any program income received as a result of services provided under the Agreement. Contractor agrees to include the following statement in any written materials (pamphlets, brochures, announcements, websites, etc.) or in any verbal presentations: Contractor is supported, in part by funds provided by the Weld County Area Agency on Exhibit D Modified Scope and Rates Aging through the Older Americans Act. Contractor understands that County is required to conduct periodic evaluations of the activities conducted under this Agreement and to monitor on an ongoing basis the performance of Contractor to insure that the funds made available by the Agreement are expended in keeping with the purposes for which they were awarded; and Contractor accordingly agrees to cooperate fully with the County in the conduct of such evaluation and monitoring, including the keeping and supplying of such information, and providing access to documents and records to the County for the purpose of audit; and further agrees to do all things necessary to enable County to fulfill its obligation to the State of Colorado and the United States Government. Any changes, including any increase or decrease in the amount of Contractor's compensation, and including changes in budget allocations which are mutually agreed upon by and between the County and Contractor, shall be incorporated in written amendments to this Agreement and in appropriate revisions to the grant proposal. Contractor understands and agrees that the following provisions are part of the official application and as such become binding upon commencement of the project: a. This Agreement and the provisions of services hereunder shall be subject to the laws of Colorado and be in accordance with the policies, procedures, and practices of the County, the Older Americans Act, Volume 10 Code of Colorado Regulations and the policies and procedures established by the State Unit on Aging, and the terms and conditions of the project application approved by the County. b. Understands that if there is Federal/State program income unearned at the time the project is terminated, this amount must be returned to the County unless the County otherwise stipulates. c. Understands that the project's fiscal affairs are subject to audit. If costs are disallowed, the proportion of Federal/State funds disallowed must be returned to the County. d. Understands that this award is made for the period amounts stated in this Agreement. This Agreement in no way implies further funding which is contingent upon the availability of funds and approval of future project applications. e. Agrees to keep records and make reports on the forms required by the County and in accordance with guidelines issued by the State of Colorado and the Administration on Aging, specifically, Exhibit D Modified Scope and Rates i. To submit monthly financial invoices and programmatic reports to the County by the 10th of the following month; ii. To submit other reports to the County as requested; iii. Maintain a computer system that will be able to manage all required County reporting software; iv. Maintain internet access in order to transfer all required data to the County. f. Agrees to advise the County of needed program and financial changes and await approval from the County prior to change implementation. g. Agrees to have policies and procedures for complaint/appeal tracking, timely disposition of complaints/appeals and documentation of such processes. h. Agrees to have a client grievance policy, which will address any alleged infractions of any Federal, State or Local laws by Contractor against recipients of or applicants for services. Agrees to have a policy and procedure for wait lists that meets the requirements set forth by the Contractor. j. Agrees to provide recipients receiving services the opportunity to contribute to all or part of the cost of the services received. Each recipient shall be given the opportunity to determine if they are able to contribute to all or part of the cost of services. No recipient shall be denied a service because of an inability and/or choice not to contribute to all or part of the cost of the service. All contributions shall be considered program income. All contributions shall be used to expand the services for which the contributions were given. k. Agrees that local cash or in -kind contributions have not been used to satisfy or match another federal grant or funds. Supplies, volunteer services, and other in - kind contributions shall be valued as described under 45 C.F.R. 874.5. All matching contributions, including cash and in -kind shall be verifiable from agency records. I. Agrees to perform background checks of all employees, volunteers or subcontractors pursuant to C.R.S. 27-1-110 and in accordance with the policy of the County and the State Unit on Aging. m. Agrees to have Motor Vehicle Records on all employees and volunteers. Exhibit D Modified Scope and Rates 4. Performance Measures a. The Performance Measures Process. As set forth and defined herein, "Performance Focus" is a performance -based analysis strategy the Parties shall use in association with the Contractor's performance hereunder that allows the Parties to better focus on and improve performance outcomes to obtain maximum benefits from the work of the Contractor under this Contract. By identifying areas of focus, the Parties shall determine what aspects of the Contractor's performance hereunder are working and what aspects of said performance need improvement. By measuring the impact of day-to-day work of the Contractor hereunder, the Parties will be able to make more informed collaborative decisions to align the work of the Contractor to affect more positive performance outcomes and change for the purposes served through this Contract. b. Performance Measures Reports. Performance Measures Reports shall reflect relevant report data for the Performance Measures identified hereunder to be tracked on an ongoing basis through the Contract Performance Focus process. Performance Measures shall continue to evolve to meet the objective of measuring key performance outcome indicators for the work of the Contractor hereunder. Performance Measures may be changed via a contract amendment. c. Contract Performance Measures The Contractor agrees on the following initial Performance Measures: i. Measure: The Contractor shall increase unduplicated consumers served in comparison to the same month in the previous fiscal year. ii. Measure: In a consumer satisfaction survey provided by the State Unit on Aging (SUA) the contractor shall provide surveys to one hundred percent (100%) of registered consumers within the contractor's region during the month of February. The results shall be summarized by the contractor and submitted to the County by May 1st, unless otherwise requested by the County by a different date. The summarized results shall show the following measures: iii. Consumer Satisfaction Survey results shall show a minimum of ninety percent (90%) positive response. SIGNATURE REQUESTED: Weld/60+ Ride Amendment #1 Final Audit Report 2024-05-23 Created: 2024-05-21 By: Sara Adams (sadams@weld.gov) Status: Signed Transaction ID: CBJCHBCAABAA7kVccxvBn5ktoxPD7ao2TgeuxWZytgXC "SIGNATURE REQUESTED: Weld/60+ Ride Amendment #1" Hi story t Document created by Sara Adams (sadams@weld.gov) 2024-05-21 - 9:26:37 PM GMT- IP address: 204.133.39.9 Ley Document emailed to robin@60plusride.org for signature 2024-05-21 - 9:27:28 PM GMT ▪ Email viewed by robin@60plusride.org 2024-05-23 - 4:14:06 PM GMT- IP address: 73.14.184.69 d® Signer robin@60plusride.org entered name at signing as Robin Blakely 2024-05-23 - 4:19:32 PM GMT- IP address: 73.14.184.69 S5 Document e -signed by Robin Blakely (robin@60plusride.org) Signature Date: 2024-05-23 - 4:19:34 PM GMT - Time Source: server- IP address: 73.14.184.69 Q Agreement completed. 2024-05-23 - 4:19:34 PM GMT Powered by Adobe Acrobat Sign SENIRES-02 CERTIFICATE OF LIABILITY INSURANCE LGROSHONG DATE (MM/DD/YYYY) 4/15/2024 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(ies) 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). renounce License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 NAMEACr Lisa Groshong (p ICNNo, EM): (303) 813-4207 I FAX (ac, No, nooREss: Iisa.groshong@hubinternational.com INSURERS) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B:Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TV TV TYPE OF INSURANCE INSD WC Ira WC POLICY NUMBER (MM/DD/YYYY) (raw, POLICY EXP IMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 2024-24987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENII_ AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOC OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS AA O ON Y 202424987 5/15/2024 5/15/2025 (Ea COMBINEDt) SINGLE LIMIT acciden $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PerOaoc r?AMAGE $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER rrer R EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION "COOPERATIONS below N / A 4149902 8/1/2023 8/1/2024 X I STATUTE I I ERH EL. EACH ACCIDENT 100,000 $ E.L. DISEASE - LA EMPLOYEE $ 100'000 E.L. DISEASE - POLICY LIMIT $ 500,000 A A Professional Liabili Misconduct I Abuse 2024-24987 2024-24987 5/15/2024 5/15/2024 5/15/2025 5/15/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: 800 8th Ave., Suite 229, Greeley, CO 8 & 8 Building, LLC and Waypoint Property Management, LLC is included as Additional Insured (landlord) under General Liability. CERTIFICATE HOLDER CANCELLATION 8 & 8 Building, LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Waypoint Property Management, LLC 772 Whalers Way, Suite 200 AUTHOR1ZEED REPRESENTATIVE ~ r1Z\ Fort Collins, CO 80525 I ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AW O' SENIRES-02 CERTIFICATE OF LIABILITY INSURANCE LGROSHONG DATE(MMIDDITYYY) 4/15/2024 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 CONTACT Lisa Groshong NAME: 303 813-4207 I FAX (ac, No, Ext): ( ) (A/c, No): Mass, Iisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # .SURER A :Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 NSURER B : Pinnaaol Assurance Company 41190 NSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LTR ADDL WC INSD WVD POLICY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP IMM/DDIYYYY)_ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 2024-24987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP /Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1'000'000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 72-F LOC OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOSS AUTOS ONLY 2024-24987 5/15/2024 5/15/2025 (Ea COMBINED ent) SINGLE LIMIT accid $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Pen adept) AMAGE $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ B WORKERS COMPENSATION Wag LIABILITY OFFlCER/MEM ER EXCLUDED? ECUTIVE Y / N (Mandatory In NH) If yes, describe under DESCRIPTION "COOPERATIONS below N / A 4149902 8/1/2023 8/1/2024 X I STATUTE ERH E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Professional Liabili A Misconduct / Abuse 2024-24987 2024-24987 5/15/2024 5/15/2024 5/15/2025 5/15/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES gicro 101, Additional Remarks Schedule, may be attached if more space Is required) The certificate holder is listed as additional insured. RTIFICATE HOLDER CANCELLATION City of Greeley Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1000 10th St Greeley, CO 80631 AUTTHHORIZEED REPRESENTATIVE ,41.(L -e ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SENIRES-02 LGROSHONG CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/15/2024 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 w►MEcT Lisa Groshong (303) 813-4207 FA rA/c°NN , Ext): (a/X, No): Rig, n ojEss: Iisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE to. SUER INSD UV POLICY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP (MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE X OCCUR X 2024-24987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 20'000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ 78-- X Lcc OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY X 2024-24987 5/15/2024 5/15/2025 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N IA 4149902 8/1/2023 8/1/2024 j X I STATUTE I I ERH E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 $ A A Professional Liabili Misconduct / Abuse 2024-24987 2024-24987 5/15/2024 5/15/2024 5/15/2025 5/15/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addhional Remarks Schedule, may be attached if more space is re4uired) City of Greeley, Greeley Urban Renewal Authority is listed as additional insured in respect to the General Liability and Business Automobile policies. CERTIFICATE HOLDER ANCELLATION City of Greeley, Greeley Urban Renewal Authority Y Y tY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1000 10th St Greeley, CO 80631 AUTHORIZED REPRESENTATIVE 1:LY2-e ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SENIRES-02 LGROSHONG .4G'(.7#121:3' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/15/2024 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 mom. Lisa Groshong PHONE 303 813-4207 I FAX (A/c, No, Ext): ( ) (A/c, No): n AREss: lisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. "LWTYPE OF INSURANCE LTR ADD- SUBR 4WD- WVD POLICY NUMBER POLICY EFF tMM/DD/YYYYI POLICY EXP (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE OCCUR 2024-24987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 pREMl3 S (Ea occu ante) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECT LOC OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOSS AUTOS ONLY 2024-24987 5/15/2024 5/15/2025 COMBINED SINGLE LIMIT (E a accident/ 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PPeROPERTY DAMAGE r accident) $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ B IT COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? ECUTIVE Y / N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4149902 8/1/2023 8/1/2024 X I STATUTE I 12RH E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 $ A Professional Liabili A Misconduct / Abuse 2024-24987 2024-24987 5/15/2024 5/15/2024 5/15/2025 5/15/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE q114-e y ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SENIRES-02 CERTIFICATE OF LIABILITY INSURANCE LGROSHONG DATE (MM/DD/YYYY) 4/15/2024 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 NAMEACT Lisa Groshong PHONE 303 813-4207 Fax (ac, No, Ex, ( ) (ac, No): noo iEss: Iisa.groshong@hubinternationalcom INSURERS) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TT TT TYPE OF INSURANCE ADDL SUER INSD WVD POLICY NUMBER AMY; �MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 2024-24987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occunence) $ 500,000 MED EXP /Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 0 JEI;T X LOC OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOSS 'RAM ONE X X 2024-24987 5/15/2024 5/15/2025 COMBINED SINGLE LIMIT (Ea accident/ 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ra acEc li)AMAGE $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION ANY EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4149902 8/1/2023 8/1/2024 X I STATUTE I I Re - E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 $ A A Professional Liabili Misconduct / Abuse 2024-24987 2024-24987 5/15/2024 5/15/2024 5/15/2025 5/15/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The General Liability policy provides coverage for Privacy Liability and Cyber Coverage sub)ect to the policy Ilmits. This coverage satisfies the requirement as defined by the Health Insurance Portability and Accountability Act (HIPPA) of 1996. DRCOG, its officers and its employees are listed as additional insured in regards to the General Liability and the Business Auto Policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado, Department of Human Services p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Division of Aging and Adult Services 1575 Sherman St., 10th Floor Denver, CO 80203 AUTHORIZED REPRESENTATIVE - jr 1-4(2-e `` I ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AW O� SENIRES-02 CERTIFICATE OF LIABILITY INSURANCE LGROSHONG DATE (MMIDD/YYYY) 4/15/2024 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 MEACT Lisa Groshong PHONE 303 813-4207 I FAX (ac, No, Ext): ( ) (ac, No): AooREss: Iisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (AND 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : ERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TNTYPE OF INSURANCE LTR ADDL UV INSD UV POUCY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP lMM/DD/YYYYf LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 2024-24987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,500,000 GENERAL AGGREGATE $ 3,000,000 GENT: AGGREGATE LIMIT APPLIES PER: POLICY LI JECT LOC OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS AUOTOS ONLY x 2024-24987 5/15/2024 5/15/2025 COMBINED SINGLE LIMIT (Ea accidenU 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (PerOacEc=tY"AGE $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ B WORKERS COMPENSATION rang LIABILITY Y / N OFFICER/MEMBER EXCLUDED? ECUTIVE Li] (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4149902 8/1/2023 8/1/2024 X I STATUTE I I ERH E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Professional Liabili A Misconduct / Abuse 2024-24987 2024-24987 5/15/2024 5/15/2024 5/15/2025 5/15/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 ore space is re wired) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 107, Additional Remarks Schedule, may be attached if =n=17=21 Certificate holder is included as Additional Insured under General Liability on a primary and non-contributory�asis and Additional Insured under Automobile Liability. IFICATE HOLDER CANCELLATION Via Mobility Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2855 N. 63rd Street Boulder, CO 80301 AUTHORIZED REPRESENTATIVE )l' ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SENIRES-02 CERTIFICATE OF LIABILITY INSURANCE LGROSHONG DATE(MM/DD/YYYY) 4/15/2024 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 CONTACT Lisa Groshong NAME: PHONE 303 813-4207 I Fp1t (VIE, Ext): ( ) raw* a AREss: lisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL VAT INSD WVD POLICY NUMBER POLICY EFF IMMIDD/YYYYI POLICY EXP fMM/DD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 2024-24987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurtence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GENII_ AGGREGATE LIMIT APPLIES PER: POLICY ElPEl LOC JECROT OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS AUOTOS ONLY 2024-24987 5/15/2024 5/15/2025 SINGLE LIMIT CEaOMBINEDU (acciden 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ rACII cEc TIlilAMAGE $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I J RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNTRECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, descr be under DESCRIPTION OF OPERATIONS below N / A 4149902 8/1/2023 8/1/2024 x I STATUTE I I ERH E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 $ A A Professional Liabili Misconduct / Abuse 2024-24987 2024-24987 5/15/2024 5/15/2024 5115/2025 5115/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CANCELLATION Weld Coun tY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1150 O Street Greeley, CO 80631 AUTHORIZED REPRESENTATIVE � ti L ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SENIRES-02 LGROSHONG AWROa CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/15/2024 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 CONTACT Lisa Groshong NAME: jA"/co, No, E., (303) 813-4207 jac, No): n ( ss: Iisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : ERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IIR TYPE OF INSURANCE LTR ADO- WC INSD WVD POLICY NUMBER POLICY 71 IMMIDDIYYYYI POLICY EXP IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 202424987 5/15/2024 5/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurtence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL 8, ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHELED AUTOSDU El0SwNED AUTOS ONLY X X 202424987 5/15/2024 5/15/2025 CO(Ea accident) MBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE {Per accident) $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEM ER EXCLUDED? ECUTIVE Y / N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4149902 8/1/2023 8/1/2024 X I STATUTE I I ERH E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - FA EMPLOYEE $ 100'000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Professional Liabili A Misconduct / Abuse 202424987 202424987 5/15/2024 5/15/2024 5/15/2025 5/15/2025 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Weld County and Weld County Area on Aging is listed as additional insured in respect to the general liability and business auto liability. Waiver of subrogation applies to the general liability and business auto IFICATE HOLDER CANCELLATION Weld County & Weld County Area Agency on Aging tY 9 Y 9 9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 315 N 11th Ave P O Box 1805 AUTHORIZEDREPRESENTATIVE Greeley, CO 80632 I 14)f-\ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Contract Form Entity Information Entity Name* SENIOR RESOURCE SERVICES Entity ID* @00031957 Contract Name * SENIOR RESOURCE SERVICES (60+ RIDE) AMENDMENT #1 Contract Status CTB REVIEW O New Entity? Contract ID 8278 Contract Lead * SADAMS Contract Lead Email sadams@weld.gov;cobbx xlk@weld.gov Parent Contract ID 20231366 Requires Board Approval YES Department Project # Contract Description AMENDMENT #1 TO THE PROFESSIONAL SERVICES CONTRACT FOR TRANSPORTATION SERVICES FROM BID# B2300042 REFERENCED AS TYLER ID# 2023-0507. THIS AMENDMENT EXTENDS THE TERMS TO 7/1/24 TO 6/30/25 AND MODIFIES THE SCOPE AND RATES. Contract Description 2 PA ROUTING THROUGH NORMAL PROCESS. ETA TO CTB IS 06/05/24. Contract Type * AMENDMENT Amount* $67,800.00 Renewable * YES Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov. com Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL DGOV.COM Requested BOCC Agenda Date * 06/12/2024 Due Date 06/08/2024 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Contact Information Review Date* 04/30/2025 Renewal Date* 06/30/2025 Committed Delivery Date Expiration Date Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel JAMIE ULRICH CHERYL PATTELLI BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 06/10/2024 06/10/2024 06/10/2024 Final Approval BOCC Approved Tyler Ref # AG 061 724 BOCC Signed Date Originator SADAMS BOCC Agenda Date 06/17/2024 Ouc 1c1 (99S7 PROFESSIONAL SERVICE AGREEMENT BETWEEN WELD COUNTY AND SENIOR RESOURCE SERVICES DBA 60+ RIDE THIS AGREEMENT is made and entered into this I day of M , 2023, by and between the Board of Weld County Commissioners, on behalf of the Weld Cadrity Department of Human Services' Area Agency on Aging, hereinafter referred to as "County," and Senior Resource Services dba 60+ Ride, hereinafter referred to as "Contractor". WHEREAS, County desires to retain Contractor to perform services as required by County and set forth in the attached Exhibits; and WHEREAS, Contractor is willing and has the specific ability, qualifications, and time to perform the required services according to the terms of this Agreement; and WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the services as set forth below. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in the attached Exhibits, each of which forms an integral part of this Agreement and are incorporated herein. The parties each acknowledge and agree that this Agreement, including the attached Exhibits, define the performance obligations of Contractor and Contractor's willingness and ability to meet those requirements (the "Work"). If a conflict occurs between this Agreement and any Exhibit or other attached document, the terms of this Agreement shall control, and the remaining order of precedence shall be based upon order of attachment. Exhibit A consists of County's Request for Proposal (RFP) as set forth in Bid Package No. B2300042 which is incorporated into this agreement by reference and will be provided upon request to the Department. The RFP contains all of the specific requirements of the County. Exhibit B consists of Contractor's Response to County's Request for Proposal. The response confirms Contractor's obligations under this Agreement. Exhibit C consist of the Health Insurance Portability and Accountability Act (HIPAA) Business Associate Agreement. Exhibit D consists of a modified Scope of Work and Rates based on the actual award amount. 2. Service or Work. Contractor agrees to procure the materials, equipment and/or products necessary for the Work and agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the Work described in the attached Exhibits. Contractor shall further be responsible for the timely completion and acknowledges that a failure Con 5/(5/Z3 2023-1366 6///..9,3 ti' -0()15 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 July 1, 2023, through June 30, 2024, unless sooner terminated as provided herein. Both of the parties to this Agreement understand and agree that the laws of the State of Colorado prohibit County from entering into Agreements which bind County for periods longer than one year. This Agreement may be renewed for 3 (three) additional one-year terms upon mutual written agreement of the Parties. 4. Termination; Breach; Cure. County may terminate this Agreement for its own convenience upon thirty (30) days written notice to Contractor. Either Party may immediately terminate this Agreement upon material breach of the other party, however the breaching party shall have fifteen (15) days after receiving such notice to cure such breach. 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 Change Order shall be deemed covered in the compensation and time provisions of this Agreement, unless approved and documented otherwise by the County Representative. 6. Compensation. 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 D. Contractor agrees to submit invoices which detail the work completed by Contractor. 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 2 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. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of the Work without County's prior written consent, which may be withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the Work during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the Work. Contractor shall require each subcontractor, as approved by County and to the extent of the Work to be performed by the subcontractor, to be bound to Contractor by the terms of this Agreement, and to assume toward Contractor all the obligations and responsibilities which Contractor, by this Agreement, assumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions of its agents, employees and subcontractors. 9. Ownership. All work and information obtained by Contractor under this Agreement or 3 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 pursuant to this Agreement, and shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. For all coverages, Contractor's insurer shall waive subrogation rights against County. a. Types of Insurance. 4 Workers' Compensation / 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. Commercial General Liability Insurance including public liability and property damage, covering all operations required by the Work. Such policy shall include minimum limits as follows: $1,000,000 each occurrence; $1,000,000 general aggregate; $1,000,000 Personal injury; $50,000 any 1 fire, $5,000 Medical payment per person. Automobile Liability Insurance: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned, hired, and non -owned vehicles used in the performance of this Contract. 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: $1,000,000 Per Loss; $2,000,000 Aggregate. Privacy Insurance Liability Insurance covering all loss of County and State Confidential Information, such as Personal Identifiable Information (PII), Protected Health Information (PHI), Payment Card Information (PCI), Tax Information, and Criminal Justice Information (CJI), and claims based on alleged violations of privacy rights through improper use or disclosure of protected information with minimum limits as follows: $1,000,000 each occurrence; and $2,000,000 general aggregate. Notwithstanding if Contractor has Confidential Information for 10 or fewer individuals or revenue of $250,000 or less, Contractor shall maintain limits of not less than $50,000. Notwithstanding if Contractor has Confidential Information for 25 or fewer individuals or revenue of $500,000 or less, Contractor shall maintain limits of not less than $100,000. b. Proof of Insurance. Upon County's request, Contractor shall provide to County a certificate of insurance, a policy, or other proof of insurance as determined in County's sole discretion. County may require Contractor to provide a certificate of insurance naming Weld County, Colorado, its elected officials, and its employees as an additional named insured. 5 c. Subcontractor Insurance. Contractor hereby warrants that all subcontractors providing services under this Agreement have or will have the above described insurance prior to their commencement of the Work, or otherwise that they are covered by the Contractor's policies to the minimum limits as required herein. Contractor agrees to provide proof of insurance for all such subcontractors upon request by the County. d. 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. e. 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. 14. Indemnity. The Contractor shall defend, indemnify and hold harmless County and the State of Colorado, its officers, agents, and employees, from and against any and all injury, loss, damage, liability, suits, actions, claims, or willful acts or omissions of any type or character arising out of the Work done in fulfillment of the terms of this Agreement or on account of any act, claim or amount arising 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. The Contractor shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement. It is agreed that the Contractor will be responsible for primary loss investigation, defense and judgment costs where this contract of indemnity applies. In consideration of the award of this contract, the Contractor agrees to waive all rights of subrogation against the County its associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents, and volunteers for losses arising from the work performed by the Contractor for the County. A failure to comply with this provision shall result in County's right to immediately terminate this Agreement. 15. 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, 6 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. 16. Examination of Records. To the extent required by law, the Contractor agrees that an duly authorized representative of County, including the County Auditor, shall have access to and the right to examine and audit any books, documents, papers and records of Contractor, involving all matters and/or transactions related to this Agreement. Contractor agrees to maintain these documents for three years from the date of the last payment received. 17. 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. 18. 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 Either party may change its notice address(es) by written notice to the other. Notice may be sent to: TO CONTRACTOR: Name: Janet Bedingfeld Position: Executive Director Address: 800 8th Street Avenue, Suite 229 Address: Greeley, Colorado 80631 E-mail: janet@60plusride.org Phone: 970-673-3773 TO COUNTY: Name: Jamie Ulrich Position: Director of Human Services Address: 315 North 11th Avenue, Building A Address: Greeley, Colorado 80634 E-mail: ulrichjj@weld.gov Phone: 970-400-6510 7 19. 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. 20. 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. 21. 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. 22. 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. 23. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24- 50-507. The signatories to this Agreement state that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. 24. 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. 25. 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. 26. Governmental Immunity. No term or condition of this Agreement shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 27. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the 8 undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 28. 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. 29. 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. 30. 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. 31. Binding Arbitration Prohibited. Weld County does not agree to binding arbitration by any extra judicial body or person. Any provision to the contrary in this Agreement or incorporated herein by reference shall be null and void. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. 9 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ._t k1.) v• 4 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: ike Freeman, Chair MAY 1 5 2323 enior Resource Services dba 60+ Ride 800 8th Avenue, Suite 229 Greeley, Colorado 80631 Janet Eea'i q fi�Gal By: Janet Bedingfield (May 4, 2315:59 MDT) Janet Bedingfeld, Executive Director Date: May 4, 2023 to Exhibit A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department ) This page is intentionally left blank Exhibit B Area Agency on Aging Grant Application Packet Attachment A - Fiscal Packet This workbook contains the following tabs, all of which must be completed: Enter amounts in whole dollars. Do not override grayed out formula cells. Cover Sheet Information regarding the application agency, and funding requesting. Program Expenditures Proposed budget of direct expenditures for the operation of the program for which the applicant agency is seeking funding. Program Sources of Funding Proposed budget of direct sources of funding anticipated to be generated by the program, for which the applicant agency will be operating. (NOTE: Complete Local Cash Match and In -Kind tabs prior to completing the Program Sources of Funding tab.) Local Cash Match Itemized list of local cash to be generated and used in the operation of the program. (NOTE: Complete this tab prior to completing Program Sources of Funding tab, as the amounts from this tab will transfer to the Program Sources of Funding tab.) In -Kind Match Itemized list of in -kind contributions to be generated and used in the operation of the program. (NOTE: Complete this tab prior to completing Program Sources of Funding tab, as the amounts from this tab will transfer to the Program Sources of Funding tab.) Services & Clients Summary of projected service units, clients, and unit costs for FY 2020 (July 1, 2019 - June 30, 2020) The following items must also be attached to the grant application: Annual financial statements, reflecting the operations of the applicant agency for the most recently completed 12 month fiscal year. Applicant Agency's current year to date financial statements for its current fiscal year. Applicant Agency's current fiscal year operating budget. Exhibit B Older American Act Grant Application Packet - Fiscal Cover Sheet Project Period: July 1, 2023 - June 30, 2024 County to be Served: Weld Applicant Agency's Program Title for Services to be Provided: 60+ Ride Older Adult Transportation Services • First Time Applicant X Prior Applicant ("X" one) Category of Service to be Provided ("X" only one box. A separate application must be completed for each service in which funding is sought.) X Access Services Community Services Nutrition Services Amount of Program Funding Requested: (Enter the amount from line h of the Program - Expenditures tab.) $ 312,408 Applicant Agency's Information Agency Name: Agency Director's Name: Phone Number: Program Director's Name: Title: Phone Number: Agency Type: X Public Agency Non -Profit Agency Mailing Address: Physical Address: (If different from Mailing Address) Senior Resource Services dba 60+ Ride Janet Bedingfeld 970-673-3773 Janet Bedingfield Executive Director 970-673-3773 Private For Profit Agency Other: 800 8TH AVENUE, STE 229 GREELEY, CO 80631 Terms and Conditions: It is understood and agreed by the undersigned that: 1). Funds granted as a result of this request are to be expended for the purpose set forth herein and in accordance with all applicable laws, regulations, policies, and procedures of the WCAAA, the State of Colorado, and the Older Americans Act; 2). any proposed changes in the proposal will be submitted in writing by the applicant and upon notification of approval by the WCAAA Aging Services Division shall become part of this agreement; and 3). funds awarded as a result of this application may be terminated at any time for violations of any terms or requirements of this agreement, or for any unanticipated funding modifications. Signature: (Must be that of Applicant Agency Representative lawfully authorized to enter into agreements on behalf of the agency and bind the agency to such agreements.) Name: Email: Janet Bedingfield anet@60plusride.org Signature Title. Executive Director 2/13/2023 Date Exhibit B Proposed Program Budget - Expenditures Applicant Agency: Senior Resource Services dba 60+ Ride Program: 60+ Ride Older Adult Transportation Services Description Program Expense (Round to Whole Number) Personnel (Salary & Wages) ( List each position directly working on this program separately, specifying annual salary and percentage of time expended on this program.) Administrative Assistant (95%) Executive Director (50%) Office Assistant (95%) Volunteer Coordinator (95%) Grant Writer (50%) Van Drivers (100%) Intake Cooridnator (100%) 27,300 31,500 19,760 34,580 3,000 72,880 7,900 (a). TOTAL Personnel Expenditures 196,920 Fringe Benefits ( List each position directly working on this program separately, specifying annual fringe benefit and percentage of time expended on this program.) Executive Director Medical Insurance (50%) Administrative Assistant Medical Insurance (75%) Volunteer Coordinator Medical Insurance (75%) Personnel Sundry Items (75%) (b). TOTAL Fringe Benefit Expenditures Travel - Mileage (Itemize mileage expense reimbursed to staff and volunteers for mileage incurred while directly working on this program, including the number of miles and the reimbursement rate. For other types of program travel costs, specify the nature of the expense and the need.) Volunteer Driver Mileage Reimbursement (75%) 2,761 1,185 1,643 1,200 $ 6,789 7,500 Marketing/Communications Mileage Reimbursement (75%) Staff Mileage Reimburesment (75%) 2,250 563 Page 3 of 10 Exhibit B (c) TOTAL Travel Expenditures ;$Wk ` 1',0;313 Supplies (Itemize supply costs used for direct operations of this program ) Client/Volunteer Communication (75%) 4,238 Marketing & Networking (75%) 16,875 Client Management and Schedule Software (75%) 15,000 Van Expenses (75%) 33,874 (d) TOTAL Supply Expenditures 'fir Fr69;98a, Other (Itemize all other program costs directly used in the operations of this program and not already included any other above category ) (e) TOTAL Other Expenditures 4i44;44'., 't:-;',',' (f) TOTAL DIRECT PROGRAM EXPENDITURES (Sum of lines a through e) (g) Allowable Indirect Expenditures (Enter 10% of Line f) (h) TOTAL PROPOSED PROGRAM EXPENDITURES (Sum of lines f and g) (Equals the amount of Older Americans Act Funding requested ) ��►�:.��4��, T� 28,401' Page 4 of 10 Exhibit B Proposed Program Budget - Sources of Funding Applicant Agency: Senior Resource Services dba 60+ Ride Program: 60+ Ride Older Adult Transportation Services Match Area Agency on Aging Funding Requested (Amount from Line h of Proposed Program Budget - Expenditures) $ 312,408 Match Requirement: Cash and In -kind contributions must be verifiable from the applicant agency's records; Not be included as match for any other federally assisted project or program; Be reasonable and necessary for proper and efficient accomplishment of the program objectives; Be allowable under applicable federal cost principles; Be provided for in the overall budget; and, conform to federal matching requirements. (a). Minimum Required Match: 10% of Older Americans Act Funding Local Cash Match (Enter Amount from Local Cash Match tab) In -Kind Match (Enter Amount from In -Kind Match tab) (b). Total Match Contributed Match Requirement Met (Line b minus line a - Cannot be a Negative Number) : $ 31,241 314,615 184,474 499,089 467,848 Program Income Program Income (Enter any income generated by the applicant agency that is from activities, for which part or all of the cost of which is borne by the program. Include voluntary client contributions received directly from clients, for services or goods provided by the program. NOTE: Charging a fee for clients to receive program services or goods is prohibited. In addition, all program income is to be expended for program costs.) Description Amount Direct Public Support 12,000 Fundraisers Less Fundraising Expenses 67,730 I nterst Income 3,500 Client Contributions 1,100 TOTAL Program Income $ 84,330 Exhibit B Proposed Program Budget - Local Cash Match Applicant Agency: Senior Resource Services dba 60+ Ride Program: 60+ Ride Older Adult Transportation Services Local Cash Match (Local Cash Match are sources of cash to be received from non -Federal and non -State sources passing to the or those of the applicant agency, which are to be used for the payment of allowable program expenditures.) control of the applicant agency, Source of agency, list Funds applicant (Name agency of contributor name) or if applicant Existing Contributor Relationship in Place with YIN Amount to of be Contributed Cash Match Commitment in Contribution Place to Agreement Provide YIN ENDOWMENTS Y Y 3,500 GRANTS Y Y 311,115 TOTAL Cash Match (Transfer Amount to Proposed Program Budget - Sources of Funding Worksheet) 314,615 Exhibit B Proposed Program Budget - In -Kind Match Applicant Agency: Senior Resource Services dba 60+ Ride Program: 60+ Ride Older Adult Transportation Services In -Kind Match (In -Kind Match are services, goods, and property to be program for which no cash reimbursement is required.) donated by the applicant agency or a third party, which are allowable costs of the Source applicant name) of Funds agency, (Name list applicant of contributor agency or if Description of Goods or Services to be Contributed Agreement Provide Commitment Contribution Y/N in Place to Value Goods Contributed of or In -Kind Services Volunteer Drivers Donated Services Y 184,474 TOTAL In -Kind Match (Transfer Amount to Proposed Program Budget - Sources of Funding Worksheet) 184,474 Exhibit B Summary of Projected Unit Costs, Service Units, and Clients Applicant Agency: Senior Resource Serivces dba 60+ Ride Program: 60+ Ride Older Adult Transportation Services Projected Unit Costs: Provide Unit Cost using Federal/State requested amounts only Federal/State Grant Funds Requested Estimated Unit Cost $154,000 $22.00 Projected Service Units and Clients: Projected Service Units and Clients - Instructions Below (A) (B) (C) (D) Unduplicated Clients by Primary Target Category Services to be Provided Units of Service Unduplicated TOTAL Clients (1). Rural (2). Income Low (3). Minority (4). Frail (5). Other Transportation - One way rides 7000 300 100 300 75 0 40 ( A ). Services to be Provided List the name of the services or services per program service descriptions. ( B ). Units of Service In of most service instances value. one hour equals one unit of services. Refer to each service category description for unit ( C ). Total Unduplicated Clients is Total to of be all counted persons receiving one time, services regardless through of how this program many times for he/she the contract utilizes year. the service. Each person receiving services only ( Primary D ). Unduplicated Target Category Clients by Allocate category the classification. unduplicated Note: clients The identified sum of (D) in ( C ) 1-5 = into ( C). one of the following categories, based on the client's primary (1). Rural List the number of adults age 60 and older who will be rural. Definition of Rural: Persons who reside in an Exhibit B area that 1) is not urbanized, and 2) is determined based on RUCA classification of client's zip code An urbanized area has a population concentration of at least 50,000 inhabitants, generally consisting of a central city and the surrounding closely -settled contiguous territory (suburbs) (2) Low Income List the number of adults age 60 and older who will be at or below the poverty threshold established by the Bureau of the Census (3) Minority List the number of adults 60 and older to be served by ethnic/racial group Asian/Pacific Islander A person having origins in any of the original peoples of the Far East, Southeast Asia, the India subcontinent or the Pacific Islands including China, India, Japan, Korea, the Philippine Islands and Samoa Black (Not of Hispanic Origin) A person having origins in any black racial group of Africa American Indian/Alaskan Native A person having origins in any of the original people of North America, and who maintains cultural identification through tribal affiliation or community recognition Hispanic A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race (4) Frail List the number of older adults who will be frail/disabled Definition of Frail Persons having a physical or mental impairment that affects his/her ability to perform normal daily tasks or that threatens the capacity of an individual to live independently A frail/disabled person has functional limitations in two or more of activities of daily living (5) Other List the number of older adults identified in ( C ) that are not included in category 1-4 Exhibit B 60+ RIDE CLIENT GRIEVANCE POLICY AND PROCEDURE This procedure is intended to resolve issues related to clients of 60+ Ride. The goal of the grievance policy and appeal policy procedure is to allow clients of 60+ Ride to exercise their due process rights with a simple and easily understood process. Informal Internal Complaint A client may make an informal complaint verbally or in writing. Procedure for Responding to an Informal Complaint a) Involved staff will listen to the complaint and attempt to resolve it. b) If involved staff is/are unable to resolve the client's complaint it will be escalated to the Executive Director c) Timeliness a. 60+ Ride should attempt to resolve any complaint at the time it is presented. b. If a complaint is escalated to the Executive Director it will be resolved as soon as possible, but contact will be made with the complainant within 48 hours d) Documentation a. Documentation of steps taken toward resolution and its conclusion will be completed by staff in the client's Ride Scheduler profile, and a hard copy will be added to their paper file. b. When a complaint is escalated to the Executive Director it will be entered into the complaint log c. Should the complainant prefer a formal process they will be informed verbally and in writing of the formal complaint process, as follows. Filing a Formal Complaint a) Complaint Format a. It is preferred the client complete the AAA complaint form. b. If the complainant prefers, they may use their own format of choice. b) The complaint may be delivered to the 60+ office by email, mail or in person. Exhibit B 6o ride c) Complainants should make their formal complaint either verbally or in writing to the 60+ Ride Executive Director with 45 days of the occurrence of the event. An extension to the 45 -day time limit may be granted by the 60+ Ride Director for good cause. 60+ Ride has 10 business days from the day it receives the complaint to complete the internal process described below Procedure for Responding to a Formal Complaint a) The 60+ Ride Executive Director shall arrange to meet with the complainant and the client, if different, and any staff person named in the complaint b) Executive Director's Role in responding to Formal Complaint a. The director shall identify/clarify the matter or issues and explain the process for resolving the complaint. b. Assistance for putting the complaint in writing will be offered to the complainant, if needed c. A copy of the complaint written by the Director will be made available to the complainant. d. The Director shall attempt to resolve the complaint at this meeting. c) In further inquiry/investigation is necessary, the Executive Director's response may include interviews with relevant persons, a record review, or other efforts that are necessary to form an accurate and factual basis for resolution of the complaint. d) The Executive Director will prepare a written report which summarizes the complaint, including a finding of founded (a violation has occurred) or unfounded (the complaint is without merit). The written report shall include. a. The name of the contact person (Executive Director) for complaints b. The date the decision was reached. c. A summary of the steps taken on behalf of the client to resolve the issue. d. If the complaint is determined to be founded, the report shall describe the specific adjustments recommended for resolving the issue. Where appropriate, the recommendations will include a timeline for carrying out the adjustments/ corrections. e. If the complaint is determined to be unfounded, but the Director has identified issues that appear to affect the quality of service, the report will include suggestions for improvement. Exhibit B to ride f. Copies of the report will be sent to the client, or the complainant if other than the client. e) In non -emergency situations the Director will complete his/her inquiry and submit the completed report within 10 days from the date the complaint was first presented. f) In emergency situations the Director will complete the inquiry and submit a report within 5 days from the date the complaint was first presented. g) If the Director, the client or the complainant, agree to the facts, conclusions, and/or recommendations of the report, the complaint will considered resolved. Exhibit B FREE TRANSPORTATION FINANCIAL STATEMENTS Years Ended December 31, 2020 and 2019 ANdERSON mWIIITNEy Exhibit B TABLE OF CONTENTS Independent Auditors' Report STATEMENTS OF FINANCIAL POSITION STATEMENTS OF ACTIVITIES STATEMENTS OF FUNCTIONAL EXPENSES STATEMENTS OF CASH FLOWS NOTES TO FINANCIAL STATEMENTS. . 1 3 4 6 8 9 Exhibit B ANdERSON mWIIiTNEy ••••• Independent Auditors' Report Board of Directors Senior Resource Services dba 60+ Ride Greeley, Colorado A Professional Corporation of Certified Public Accountants We have audited the accompanying statements of financial position of Senior Resource Services, dba 60+ Ride as of December 31, 2020 and 2019, and the related statements of activities, functional expenses, and cash flows for the years then ended and the related notes to the financial statements. Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the United States; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error. Auditor's Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. -1- 5801 West 11th Street . Suite 300 Greeley, Colorado 80634-4813 (970) 352-7990 www.awhitney.com Exhibit B Board of Directors Senior Resource Services Page 2 Opinion In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Senior Resource Services as of December 31, 2020 and 2019, and the changes in its net assets and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States. OINDUA,D4--2,- (,0 iarvAd, p. c. November 18, 2021 -2- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF FINANCIAL POSITION December 31 2020 2019 ASSETS Current Assets: Cash and cash equivalents Accounts receivable Prepaid expenses $ 215,267 $ 116,764 23,932 22,462 900 3,983 Total Current Assets 240,099 143,209 Property and Equipment: Van Computer equipment Office equipment Less: Accumulated Depreciation Total Property and Equipment, Net Other Assets: Beneficial interest in assets held by Weld Community Foundation 20,594 20,594 9,313 5,651 1,895 1,895 31,802 28,140 22,256 18,267 9,546 9,873 25,965 22,931 TOTAL ASSETS $ 275,610 $ 176,013 LIABILITIES Accounts payable Payroll withholding Deferred revenue $ 1,813 $ 5,489 1,286 - 2,094 19,167 Total Liabilities 5,193 24,656 NET ASSETS Without Donor Restriction: Undesignated Board designated endowment With Donor Restriction 203,894 128,426 25,965 22,931 40,558 Total Net Assets 270,417 151,357 TOTAL LIABILITIES AND NET ASSETS $ 275,610 $ 176,013 See Accompanying Notes to Financial Statements. -3- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF ACTIVITIES Without Donor With Donor Year Ended December 31, 2020 Restriction Restriction Total Revenue and Support: Contributions In -kind donations Special events Grants Program services Released from restrictions $ 11,975 $ $ 11,975 6,964 6,964 31,579 - 31,579 150,318 51,700 202,018 104,297 104,297 115,439 (115,439) Total Revenue and Support 316,275 40,558 356,833 Expenses: Program Management and general Fundraising 155,232 155,232 66,821 66,821 58,537 58,537 Total Expenses 280,590 - 280,590 Revenue Over Expenses Other Changes in Net Assets: Miscellaneous revenue Investment income 35,685 40,558 76,243 39,512 39,512 3,305 3,305 Change in Net Assets Net Assets, Beginning of Year 78,502 40,558 119,060 151,357 151,357 Net Assets, End of Year $ 229,859 $ 40,558 $ 270,417 Continued on the next page. -4- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF ACTIVITIES - Continued Year Ended December 31, 2019 Without Donor With Donor Totals Restriction Restriction Revenue and Support: Contributions In -kind donations Special events Grants Program services Released from restrictions $ 9,682 $ $ 9,682 40,200 - 40,200 65,334 65,334 66,078 - 66,078 111,023 111,023 111,023 (111,023) Total Revenue and Support 292,317 292,317 Expenses: Program Management and general Fundraising 195,332 195,332 64,960 64,960 84,326 84,326 Total Expenses 344,618 344,618 Revenue Under Expenses Other Changes in Net Assets: Miscellaneous revenue Investment income (52,301) (52,301) 445 445 5,328 5328 Change in Net Assets Net Assets, Beginning of Year (46,528) (46,528) 197,885 197,885 Net Assets, End of Year $ 151,357 $ $ 151,357 See Accompanying Notes to Financial Statements. -5- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF FUNCTIONAL EXPENSES Year Ended December 31, 2020 Program Management Fundraising and Services and General Development Total Salaries, wages and payroll taxes $ 103,260 $ 42,822 $ 38,800 $ 184,882 Advertising and marketing 7,633 - - 7,633 Board meetings and training - 30 - 30 Depreciation 2,992 758 239 3,989 Dues and memberships 2,333 1,393 - 3,726 Fundraising - 13,535 13,535 Insurance 5,899 1,351 - 7,250 Mileage and travel 1,556 48 44 1,648 Office supplies 6,077 1,299 1,112 8,488 Printing and postage 2,504 173 157 2,834 Professional fees - 13,727 - 13,727 Rent 4,176 1,584 1,440 7,200 Staff expenses 1,300 493 448 2,241 Support equipment 942 358 325 1,625 Telephone & interne 2,686 501 456 3,643 Transportation scheduling 7,815 7,815 Van expenses 2,749 2,749 Volunteer expenses 610 - - 610 In -kind expenses 2,700 2,284 1,981 6,965 TOTAL EXPENSES % of Total Expenses $ 155,232 $ 66,821 $ 58,537 $ 280,590 55% 24% 21% l00% Continued on the next page. -6- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF FUNCTIONAL EXPENSES - Continued Year Ended December 31, 2019 Program Management Fundraising and Services and General Development Total Salaries, wages and payroll taxes Advertising and marketing Board meetings and training Depreciation Dues and memberships Fundraising Insurance Mileage and travel Office supplies Printing and postage Professional fees Rent Staff expenses Support equipment Telephone Transportation scheduling Van expenses Volunteer expenses In -kind expenses TOTAL EXPENSES $ 113,231 $ 34,458 $ 27,616 $ 175,305 22,917 - 22,917 271 78 62 411 4,094 1,037 327 5,458 4,600 857 - 5,457 - - 17,123 17,123 5,212 1,213 - 6,425 4,879 148 117 5,144 1,620 466 368 2,454 1,167 282 1,157 2,606 493 21,314 112 21,919 4,752 1,368 1,080 7,200 1,511 435 343 2,289 1,300 374 295 1,969 2,243 646 510 3,399 19,008 - 19,008 3,757 3,757 1,577 - - 1,577 2,700 2,284 35,216 40,200 $ 195,332 $ 64,960 $ 84,326 $ 344,618 % of Total Expenses 57% 19% 24% 100% See Accompanying Notes to Financial Statements. -7- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF CASH FLOWS Years Ended December 31 2020 2019 Cash Flows from Operating Activities: Cash received from donations, grants and other support Cash paid to employees and vendors Interest received Interest paid $ 370,838 $ 246,993 (268,526) (300,178) (147) 1,648 Net Cash Provided (Used) by Operating Activities 102,165 (51,537) Cash Flows from Investing Activities: Proceeds from certificates of deposit - 70,000 Purchase of property and equipment (3,662) - Net Cash Provided (Used) by Investing Activities (3,662) 70,000 Cash Flows from Financing Activities Net Increase in Cash Cash, Beginning of Year Cash, End of Year 98,503 18,463 116,764 98,301 $ 215,267 $ 116,764 Reconciliation of Change in Net Assets to Net Cash Flows from Operating Activities: Change in Net Assets Adjustments: Endowment investment (income) loss reinvested Depreciation and amortization (Increase) decrease in: Accounts receivable Prepaid expenses Increase (decrease) in: Accounts payable Payroll withholding Deferred revenue $ 119,060 $ (46,528) (3,034) (3,297) 3,989 5,458 (1,470) (9,736) 3,083 (750) (3,676) 748 1,286 (1,599) (17,073) 4,167 Net Cash Used by Operating Activities $ 102,165 $ (51,537) See Accompanying Notes to Financial Statements. -8- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies: The accounting and reporting policies of Senior Resource Services dba 60+ Ride (the Agency) conform to accounting principles generally accepted in the United States. The following summary of significant accounting policies is presented to assist the reader in evaluating the Agency's financial statements. Organization: Senior Resource Services operates a program that provides personal transportation free of charge for residents in Weld County, Colorado who are 60 years of age or over. Medical and non -medical rides are provided by volunteer drivers using their own vehicles, while in the Greeley -Evans area, the Agency transports clients to non -medical appointments using employed drivers operating the Agency's minivan. The Agency is supported primarily through donor contributions and grants from the Weld County Area Agency on Aging and other foundations. Basis of Presentation: The accompanying financial statements have been prepared on the accrual basis in accordance with accounting principles generally accepted in the United States. Net assets of the Agency and changes therein are classified and reported as follows: Net assets without donor restrictions: Net assets that are not subject to donor - imposed restrictions and may be expended for any purpose in performing the primary objectives of the organization. These net assets may be used at the discretion of the Agency's management and the board of directors. Net assets with donor restrictions: Net assets subject to stipulations imposed by donors and grantors. Some donor restrictions are temporary in nature; those restrictions will be met by actions of the Board or the passage of time. Other donor restrictions are perpetual in nature, whereby the donor has stipulated the funds be maintained in perpetuity. Donor restricted contributions are reported as increases in net assets with donor restrictions. When a restriction expires, net assets are reclassified from net assets with donor restrictions to net assets without donor restrictions in the Statement of Activities. Cash and Cash Equivalents: The Agency considers all demand bank deposits and highly -liquid investments (money market funds) with original maturities of three months or less at the date of acquisition to be cash and cash equivalents for purposes of the cash flow statement. -9- Exhibit B SENIOR RESOURCE SERVICES dba 604 -Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Concentrations of Credit Risk: The Agency's bank account is held at a fmancial institution at which deposits are insured by the Federal Deposit Insurance Corporation (FDIC). Balances in the bank account may, at times, exceed the FDIC insurance coverage. The money market funds are held by a broker -dealer and is insured by the Securities Investor Protection Corporation (SIPC). Property and Equipment: Property and equipment additions over $500 are recorded at cost, or if donated, at fair value on the date of donation. Depreciation and amortization are computed using the straight-line method over the estimated useful lives of the assets ranging from 3 to 7 years, or in the case of capitalized leased assets or leasehold improvements, the lesser of the useful life of the asset or the lease term. When assets are sold or otherwise disposed of, the cost and related depreciation or amortization are removed from the accounts, and any remaining gain or loss is included in the statement of activities. Costs of maintenance and repairs that do not improve or extend the useful lives of the respective asset are expensed currently. The Agency reviews the carrying values of property and equipment for impairment whenever events or circumstances indicate that the carrying value of an asset may not be recoverable from the estimated future cash flows expected to result from its use and eventual disposition. When considered impaired, an impairment loss is recognized to the extent carrying value exceeds the fair value of the asset. There was no indication of asset impairment during the year ended December 31, 2020. Contributions: Contributions, including unconditional promises to give, if any, are recorded as received. All contributions are available for unrestricted use unless specifically restricted by the donor. Contributions whose restrictions are met in the same reporting period as donated are reported as contributions without donor restrictions. Conditional promises to give are recognized when the conditions on which they depend are substantially met. Contributions receivable, if any, are recognized as contributions revenue in the period the notice of the contribution is received. The contributions are due within one year and are considered to be fully collectible; accordingly, no allowance for doubtful accounts has been established. Contributions receivable are considered to be with donor restriction because they will be paid at a future date. -10- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Contract Revenue: Senior Resource Services administers various transportation programs. The Agency recognizes revenue in accordance with FASB Accounting Standards Codification Topic 606, Revenue from Contracts with Customers, which provides a five -step model for recognizing revenue from contracts with customers as follows: • Identify the contract with the customer • Identify the performance obligations in the contract • Determine the transaction price • Allocate the transaction price to the performance obligations in the contract • Recognize revenue when or as performance obligations are satisfied Payment terms for goods and services to contractees are billed monthly and are typically due in 30 days. In instances where the timing of revenue recognition differs from the timing of the right to invoice, the Agency has determined that a significant financing component does not exist. The primary purpose of the invoicing terms is to provide contractees with simplified and predictable ways of purchasing services and not to receive financing from or providing financing to the contractee. The timing of revenue recognition is at a point in time when time and expenses are incurred. Opening balances of accounts receivable, contract assets and liabilities as of January 1, 2019 were $12,726 of accounts receivable, no contract assets and $19,167 of contract liabilities. A portion of the agency's revenue is derived from cost -reimbursable federal, state and city contracts and grants, which are conditioned upon certain performance requirements and/or the incurrence of allowable qualifying expenses. Amounts received are recognized as revenue when the organization has incurred expenditures in compliance with specific contract or grant provisions. Amounts received prior to incurring qualifying expenditures are reported as deferred revenue in the statements of financial position. Deferred revenue is generally earned in the following year. Practical Expedients: The Agency does not disclose the value of unsatisfied performance obligations for (i) contracts with an original expected length of one year or less, or (ii) contracts for which the amount of revenue recognized is based on the amount to which the organization has the right to invoice the contractee for services performed. Changes in contract assets and liabilities primarily relate to either party's performance under the contracts. -11- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Donated Services: Volunteers contribute significant time to the Agency's program; however, bemuse they do not meet recognition criteria prescribed by generally accepted accounting principles the financial statements do not reflect the value of these contributed services. During 2020, with services largely diminished due to the COVID-19 pandemic, volunteers donated 2,385 hours while providing 296 grocery deliveries and 2,466 rides to Weld County's aging population. Using Colorado volunteer rates this value is estimated to be $88,964. Functional Expense Allocation: The Statements of Functional Expenses presents expenses by both their nature and function. Certain categories of expenses are attributable to program and to management and general functions, and thus require allocation on a reasonable basis that is consistently applied. Personnel costs (compensation and payroll taxes) are allocated based on estimates of the efforts the staff apply to various programs and functions. Other costs (including depreciation, rent, supplies, insurance, and other expenses) are allocated in the same portions as the personnel costs. Income Taxes: Senior Resource Services is organized as a Colorado nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as an organization described in Section 501(c)(3). The Agency qualifies for the charitable contribution deduction under Section 170(b)(1)(A)(vi) and (viii), and has been determined not to be private foundations under Section 509(a)(1). The Agency is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Agency is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purposes. The Agency has determined it did not have unrelated business income during fiscal year 2020, and accordingly, has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Agency believes that it has appropriate support for any tax position taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The entity would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Reclassifications: Certain 2019 amounts have been reclassified for comparison purposes with the 2020 financial statement presentation. The reclassifications had no effect on the change in net assets. - 12 - Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Estimates: The preparation of fmancial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the fmancial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates and those differences could be material. Subsequent Events: The Agency has evaluated subsequent events through the date the financial statements were available for issuance, which is the same date as the independent auditors' report. Risks and Uncertainties: The COVID-19 pandemic and actions taken to mitigate the spread are expected to continue to have an impact on the economies and financial markets of many countries, including the geographical area in which Senior Resource Services operates. It is hard to predict how long these conditions will last and what the complete financial effect will be to Senior Resource Services. NOTE 2 — Information Regarding Liquidity and Availability: The Agency strives to maintain liquid financial assets sufficient to cover 90 days of general expenditures. Financial assets in excess of daily cash requirements are generally invested in a money market fund or certificates of deposit with staggered maturities. The following table reflects the Agency's financial assets as of December 31, 2020 and 2019, reduced by amounts that are not available to meet general expenditures within one year of the Statement of Financial Position date. December 31 2020 2019 Financial Assets at Year End: Demand bank account and cash on hand Money market funds Accounts receivable Beneficial interest in assets held by Foundation $ 146,644 $ 48,412 68,623 68,352 23,932 22,462 25,965 22,931 Net Assets with Donor Restrictions Board Designations for Programs and Projects 265,164 162,157 (40,558) -- (25,965) (22,931) Financial Assets Available to Meet General Expenditures Over the Next Twelve Months $198,641 $139,226 - 13 - Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 3 — Deferred Revenue: The Agency records funds received prior to the related revenue recognition as deferred revenue. A summary of the deferred revenue balances at December 31, 2020 and 2019 follows: December 31 2020 2019 Grant Funds: Virginia Hill Foundation NextFifty Initiative (NFI) El Pomar $ -- $ 9,167 -- 10,000 2,094 -- $ 2,094 $ 19,167 NOTE 4 — Endowment Fund: In 2018, Senior Resource Services entered into an agreement with the Weld Community Foundation to establish a quasi -endowment fund to be administered by the Foundation. The fund is held and invested by the Weld Community Foundation for the benefit of the Senior Resource Services. Senior Resource Services is eligible to receive annual distributions according to the Community Foundation's spending policy. Excess earnings, if any, are reinvested in the fund. In connection with this fund, Senior Resource Services granted variance power to the Weld Community Foundation, which allows modification, upon reasonable cause, of any restrictions or conditions on the distribution of funds if, in their sole judgment, the restriction becomes unnecessary or incapable of fulfillment. Since Senior Resource Services is the beneficiary of the fund, Senior Resource Service reports its interest in the fund in these financial statements. Senior Resource Services, over the long-term, expects the current spending policy to allow its endowment fund to grow. This is consistent with Senior Resource Services objective to maintain the purchasing power of the endowment assets as well as to provide additional real growth through investment return. To achieve that objective, the Weld Community Foundation has adopted an investment policy that attempts to maximize total return consistent with an acceptable level of risk. Actual returns in any given year may vary from the expectations. Investment risk is measured in terms of the total endowment fund; investment assets and allocation between asset classes and strategies are managed to not expose the fund to unacceptable levels of risk. -14- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 4 — Endowment Fund - Continued: The following are the changes in endowment net assets for the year ended December 31, 2020 and 2019, respectively: Board Designated December 31 2020 2019 Endowment net assets, beginning of year Contributions Net realized and unrealized gains (losses) Interest and dividends Appropriation of endowment assets for expenditure Investment management fees Endowment net assets, end of year $ 22,931 $ 19,634 2,993 3,196 459 484 (418) (383) $ 25,965 $ 22,931 The Fair Value Measurements and Disclosures Topic of the Financial Accounting Standards Board Codification establishes a fair value hierarchy that is based on the fair value measurements. Measurements using quoted prices in active markets for identical assets and liabilities fall within Level 1 of the hierarchy, measurements using significant other observable inputs fall within Level 2, and measurements using significant unobservable inputs fall within Level 3. Description Beneficial interest in assets held by Weld Community Foundation Fair Value Measurements at December 31, 2020 Quoted Prices Significant In Active Other Significant Markets for Observable Unobservable Identical assets Inputs Inputs (Level 1) (Level 2) (Level 3) $ -- $ -- $ 25,965 Description Beneficial interest in assets held by Weld Community Foundation Fair Value Measurements at December 31, 2019 Quoted Prices Significant In Active Other Significant Markets for Observable Unobservable Identical assets Inputs Inputs (Level 1) (Level 2) (Level 3) $ -- $ -- $ 22,931 The beneficial interest in assets held by Weld Community Foundation is recorded at the amount provided by the Foundation, which is based on the fair market value of the investments underlying the fund. - 15 - Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 5 — Paycheck Protection Program: In April 2020 the Agency received loan proceeds of $32,037 from a promissory note issued under the Paycheck Protection Program (PPP) which was established under the CARES Act and is administered by the U.S. Small Business Administration. Under the terms of the CARES Act, PPP loan recipients can apply for and be granted forgiveness for all or a portion of the loam granted under PPP. Such forgiveness will be determined based on the use of the loan proceeds for payroll costs, rent and utility expenses and the maintenance of workforce and compensation levels with certain limitations. The Companies applied for forgiveness and the loan was forgiven in January 2021 and management has concluded that the PPP loan represents, in substance, a government grant and has included these proceeds as other income in the financial statements. NOTE 6 — Lease: The Agency leases office space under an operating lease. The lease requires monthly lease payments of $600. The lease expired in December 2019. The lease has not been formally extended and is continuing on a month -to -month basis at the same terms. Total lease expense for the years ended December 31, 2020 and 2019 totaled $7,200. - 16 - Exhibit B 6oride FREE TRANSPORTATION FINANCIAL STATEMENTS Years Ended December 31, 2021 and 2020 ANdERSON I3WhiTNEy Exhibit B TABLE OF CONTENTS Independent Auditors' Report 1 STATEMENTS OF FINANCIAL POSITION 3 STATEMENTS OF ACTIVITIES 4 STATEMENTS OF FUNCTIONAL EXPENSES 6 STATEMENTS OF CASH FLOWS 8 NOTES TO FINANCIAL STATEMENTS 9 Exhibit B ANdERSON WkITNEy ■■■■■ Board of Directors Senior Resource Services dba 60+ Ride Greeley, Colorado Independent Auditors' Report A Professional Corporation of Certified Public Accountants Opinion We have audited the financial statements of Senior Resource Services, dba 60+ Ride (the Organization), which comprise the statements of financial position as of December 31, 2021 and 2020, the related statements of activities, functional expenses, and cash flows for the years then ended, and the related notes to the financial statements. In our opinion, the accompanying financial statements present fairly, in all material respects, the financial position of the Organization as of December 31, 2021 and 2020, and the results of its operations and its cash flows for the years then ended in accordance with accounting principles generally accepted in the United States of America. Basis for Opinion We conducted our audits in accordance with auditing standards generally accepted in the United States of America (GAAS). Our responsibilities under those standards are further described in the Auditor's Responsibilities for the Audit of the Financial Statements section of our report. We are required to be independent of the Company and to meet our other ethical responsibilities, in accordance with the relevant ethical requirements relating to our audits. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Responsibilities of Management for the Financial Statements Management is responsible for the preparation and fair presentation of the financial statements in accordance with accounting principles generally accepted in the United States of America, and for the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, management is required to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about the Organization's ability to continue as a going concern within one year after the date that the financial statements are issued (or within one year after the date that the financial statements are available to be issued when applicable). -1- 5801 West 11th Street . Suite 300 (970) 352-7990 Greeley, Colorado 80634-4813 www.awhitney.com Exhibit B Board of Directors Senior Resource Services Page 2 Auditor's Responsibilities for the Audit of the Financial Statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. Misstatements are considered material if there is a substantial likelihood that, individually or in the aggregate, they would influence the judgment made by a reasonable user based on the financial statements. In performing an audit in accordance with GAAS, we: Exercise professional judgment and maintain professional skepticism throughout the audit. Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Organization's internal control. Accordingly, no such opinion is expressed. Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluate the overall presentation of the financial statements. Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt about the Organization's ability to continue as a going concern for a reasonable period of time. We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit, significant audit findings, and certain internal control —related matters that we identified during the audit. afta-44.4--ii- tO , PC August 22, 2022 -2- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF FINANCIAL POSITION December 31 2021 2020 ASSETS Current Assets: Cash and cash equivalents Accounts receivable Prepaid expenses $ 179,992 $ 215,267 49,254 23,932 12,075 900 Total Current Assets 241,321 240,099 Property and Equipment Vehicles Computer equipment Office equipment Less: Accumulated Depreciation 31,754 20,594 9,313 9,313 4,390 1,895 45,457 31,802 13,000 22,256 Total Property and Equipment, Net 32,457 9,546 Other Assets: Beneficial interest in assets held by Weld Community Foundation 29,697 25,965 TOTAL ASSETS $ 303,475 $ 275,610 LIABILITIES Accounts payable Payroll withholding Deferred revenue $ 12,264 $ 1,813 1,286 2,500 2,094 Total Liabilities 14,764 5,193 NET ASSETS Without Donor Restriction: Undesignated Board designated endowment With Donor Restriction 240,375 203,894 29,697 25,965 18,639 40,558 Total Net Assets 288,711 270,417 TOTAL LIABILITIES AND NET ASSETS $ 303,475 $ 275,610 See Accompanying Notes to Financial Statements. -3- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF ACTIVITIES Year Ended December 31, 2021 Without Donor With Donor Total Restriction Restriction Revenue and Support: Contributions In -kind donations Special events Grants Program services Released from restrictions Total Revenue and Support Expenses: Program Management and general Fundraising Total Expenses Revenue Over Expenses Other Changes in Net Assets: Miscellaneous revenue Investment income Change in Net Assets Net Assets, Beginning of Year $ 24,133 $ $ 24,133 5,200 5,200 26,256 26,256 33,250 72,194 105,444 128,195 128,195 222,308 (222,308) 311,147 (21,919) 289,228 228,109 228,109 93,706 93,706 13,694 13,694 335,509 - 335,509 (24,362) (21,919) (46,281) 60,836 60,836 3,739 3,739 40,213 (21,919) 18,294 229,859 40,558 270,417 Net Assets, End of Year $ 270,072 $ 18,639 $ 288,711 Continued on the next page. -4- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF ACTIVITIES - Continued Year Ended December 31, 2020 Without Donor With Donor Totals Restriction Restriction Revenue and Support: Contributions In -kind donations Special events Grants Program services Released from restrictions $ 11,975 $ $ 11,975 6,964 6,964 31,579 - 31,579 150,318 51,700 202,018 104,297 104,297 115,439 (115,439) - Total Revenue and Support Expenses: Program Management and general Fundraising 316,275 40,558 356,833 155,232 155,232 66,821 66,821 58,537 58,537 Total Expenses 280,590 280,590 Revenue Under Expenses Other Changes in Net Assets: Miscellaneous revenue Investment income 35,685 40,558 76,243 39,512 39,512 3,305 3,305 Change in Net Assets Net Assets, Beginning of Year 78,502 40,558 119,060 151,357 151,357 Net Assets, End of Year $ 229,859 $ 40,558 $ 270,417 See Accompanying Notes to Financial Statements. -5- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF FUNCTIONAL EXPENSES Year Ended December 31, 2021 Program Management Fundraising and Services and General Development Total Salaries, wages and payroll taxes Advertising and marketing Board meetings and training Depreciation Dues and memberships Fundraising Insurance Mileage and travel Office supplies Printing and postage Professional fees Rent Staff expenses Support equipment Telephone & interne Transportation scheduling Van expenses Volunteer expenses In -kind expenses $131,050 $ 68,535 $ 5,879 $ 205,464 52,615 - 52,615 - 89 - 89 4,643 1,238 310 6,191 - 53 - 53 - - 7,188 7,188 5,439 1,257 6,696 1,376 220 - 1,596 7,537 1,585 9,122 3,164 36 3,200 460 13,128 - 13,588 2,779 1,305 126 4,210 535 1,944 24 2,503 2,164 610 - 2,774 2,753 613 59 3,425 7,612 7,612 2,152 - 2,152 1,454 377 - 1,831 2,376 2,716 108 5,200 TOTAL EXPENSES $ 228,109 $ 93,706 $ 13,694 $ 335,509 % of Total Expenses 68% 28% 4% 100% Continued on the next page. -6- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF FUNCTIONAL EXPENSES - Continued Year Ended December 31, 2020 Program Management Fundraising and Services and General Development Total Salaries, wages and payroll taxes $ 103,260 $ 42,822 $ 38,800 $ 184,882 Advertising and marketing 7,633 - 7,633 Board meetings and training - 30 - 30 Depreciation 2,992 758 239 3,989 Dues and memberships 2,333 1,393 - 3,726 Fundraising - - 13,535 13,535 Insurance 5,899 1,351 - 7,250 Mileage and travel 1,556 48 44 1,648 Office supplies 6,077 1,299 1,112 8,488 Printing and postage 2,504 173 157 2,834 Professional fees 13,727 - 13,727 Rent 4,176 1,584 1,440 7,200 Staff expenses 1,300 493 448 2,241 Support equipment 942 358 325 1,625 Telephone 2,686 501 456 3,643 Transportation scheduling 7,815 7,815 Van expenses 2,749 - 2,749 Volunteer expenses 610 - - 610 In -kind expenses 2,700 2,284 1,981 6,965 TOTAL EXPENSES $ 155,232 $ 66,821 $ 58,537 $ 280,590 % of Total Expenses 55% 24% 21% 100% See Accompanying Notes to Financial Statements. -7- Exhibit B SENIOR RESOURCE SERVICES dba 60+ RIDE STATEMENTS OF CASH FLOWS Years Ended December 31 2021 2020 Cash Flows from Operating Activities: Cash received from donations, grants and other support Cash paid to employees and vendors Interest received Interest paid $ 319,132 $ 370,838 (324,364) (268,944) 7 271 Net Cash Provided (Used) by Operating Activities (5,225) 102,165 Cash Flows from Investing Activities: Proceeds from sale of property and equipment 4,200 - Purchase of property and equipment (34,250) (3,662) Net Cash Provided (Used) by Investing Activities (30,050) (3,662) Cash Flows from Financing Activities Net Increase (Decrease) in Cash (35,275) 98,503 Cash, Beginning of Year 215,267 116,764 Cash, End of Year $ 179,992 $ 215,267 Reconciliation of Change in Net Assets to Net Cash Flows from Operating Activities: Change in Net Assets Adjustments: Endowment investment (income) loss reinvested Loss on sale of property and equipment Depreciation and amortization (Increase) decrease in: Accounts receivable Prepaid expenses Increase (decrease) in: Accounts payable Payroll withholding Deferred revenue $ 18,294 $ 119,060 (3,732) (3,034) 948 6,191 3,989 (25,322) (1,470) (11,175) 3,083 10,451 (3,676) (1,286) 1,286 406 (17,073) Net Cash Provided (Used) by Operating Activities See Accompanying Notes to Financial Statements. $ (5,225) $ 102,165 -8- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies: The accounting and reporting policies of Senior Resource Services dba 60+ Ride (the Agency) conform to accounting principles generally accepted in the United States. The following summary of significant accounting policies is presented to assist the reader in evaluating the Agency's financial statements. Organization: Senior Resource Services operates a program that provides personal transportation free of charge for residents in Weld County, Colorado who are 60 years of age or over. Medical and non -medical rides are provided by volunteer drivers using their own vehicles, while in the Greeley -Evans area, the Agency transports clients to non -medical appointments using employed drivers operating the Agency's minivan. The Agency is supported primarily through donor contributions and grants from the Weld County Area Agency on Aging and other foundations. Basis of Presentation: The accompanying financial statements have been prepared on the accrual basis in accordance with accounting principles generally accepted in the United States. Net assets of the Agency and changes therein are classified and reported as follows: Net assets without donor restrictions: Net assets that are not subject to donor - imposed restrictions and may be expended for any purpose in performing the primary objectives of the organization. These net assets may be used at the discretion of the Agency's management and the board of directors. Net assets with donor restrictions: Net assets subject to stipulations imposed by donors and grantors. Some donor restrictions are temporary in nature; those restrictions will be met by actions of the Board or the passage of time. Other donor restrictions are perpetual in nature, whereby the donor has stipulated the funds be maintained in perpetuity. Donor restricted contributions are reported as increases in net assets with donor restrictions. When a restriction expires, net assets are reclassified from net assets with donor restrictions to net assets without donor restrictions in the Statement of Activities. Cash and Cash Equivalents: The Agency considers all demand bank deposits and highly -liquid investments (money market funds) with original maturities of three months or less at the date of acquisition to be cash and cash equivalents for purposes of the cash flow statement. -9- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Concentrations of Credit Risk: The Agency's bank account is held at a financial institution at which deposits are insured by the Federal Deposit Insurance Corporation (FDIC). Balances in the bank account may, at times, exceed the FDIC insurance coverage. The money market funds are held by a broker -dealer and is insured by the Securities Investor Protection Corporation (SIPC). Property and Equipment: Property and equipment additions over $500 are recorded at cost, or if donated, at fair value on the date of donation. Depreciation and amortization are computed using the straight-line method over the estimated useful lives of the assets ranging from 3 to 7 years, or in the case of capitalized leased assets or leasehold improvements, the lesser of the useful life of the asset or the lease term. When assets are sold or otherwise disposed of, the cost and related depreciation or amortization are removed from the accounts, and any remaining gain or loss is included in the statement of activities. Costs of maintenance and repairs that do not improve or extend the useful lives of the respective asset are expensed currently. The Agency reviews the carrying values of property and equipment for impairment whenever events or circumstances indicate that the carrying value of an asset may not be recoverable from the estimated future cash flows expected to result from its use and eventual disposition. When considered impaired, an impairment loss is recognized to the extent carrying value exceeds the fair value of the asset. There was no indication of asset impairment during the year ended December 31, 2021. Contributions: Contributions, including unconditional promises to give, if any, are recorded as received. All contributions are available for unrestricted use unless specifically restricted by the donor. Contributions whose restrictions are met in the same reporting period as donated are reported as contributions without donor restrictions. Conditional promises to give are recognized when the conditions on which they depend are substantially met. Contributions receivable, if any, are recognized as contributions revenue in the period the notice of the contribution is received. The contributions are due within one year and are considered to be fully collectible; accordingly, no allowance for doubtful accounts has been established. Contributions receivable are considered to be with donor restriction because they will be paid at a future date. -10- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Contract Revenue: Senior Resource Services administers various transportation programs. The Agency recognizes revenue in accordance with FASB Accounting Standards Codification Topic 606, Revenue from Contracts with Customers, which provides a five -step model for recognizing revenue from contracts with customers as follows: • Identify the contract with the customer • Identify the performance obligations in the contract • Determine the transaction price • Allocate the transaction price to the performance obligations in the contract • Recognize revenue when or as performance obligations are satisfied Payment terms for goods and services to contractees are billed monthly and are typically due in 30 days. In instances where the timing of revenue recognition differs from the timing of the right to invoice, the Agency has determined that a significant financing component does not exist. The primary purpose of the invoicing terms is to provide contractees with simplified and predictable ways of purchasing services and not to receive financing from or providing financing to the contractee. The timing of revenue recognition is at a point in time when time and expenses are incurred. Opening balances of accounts receivable, contract assets and liabilities as of January 1, 2020 were $22,462 of accounts receivable, no contract assets and $19,167 of contract liabilities. A portion of the agency's revenue is derived from cost -reimbursable federal, state and city contracts and grants, which are conditioned upon certain performance requirements and/or the incurrence of allowable qualifying expenses. Amounts received are recognized as revenue when the organization has incurred expenditures in compliance with specific contract or grant provisions. Amounts received prior to incurring qualifying expenditures are reported as deferred revenue in the statements of financial position. Deferred revenue is generally earned in the following year. Practical Expedients: The Agency does not disclose the value of unsatisfied performance obligations for (i) contracts with an original expected length of one year or less, or (ii) contracts for which the amount of revenue recognized is based on the amount to which the organization has the right to invoice the contractee for services performed. Changes in contract assets and liabilities primarily relate to either party's performance under the contracts. -11- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Donated Services: Volunteers contribute significant time to the Agency's program; however, because they do not meet recognition criteria prescribed by generally accepted accounting principles the financial statements do not reflect the value of these contributed services. During 2021, with services largely diminished due to the COVID-19 pandemic, volunteers donated 6,258 hours while providing 262 grocery deliveries and 3,525 rides to Weld County's aging population. Using Colorado volunteer rates this value is estimated to be $185,047. Functional Expense Allocation: The Statements of Functional Expenses presents expenses by both their nature and function. Certain categories of expenses are attributable to program and to management and general functions, and thus require allocation on a reasonable basis that is consistently applied. Personnel costs (compensation and payroll taxes) are allocated based on estimates of the efforts the staff apply to various programs and functions. Other costs (including depreciation, rent, supplies, insurance, and other expenses) are allocated in the same portions as the personnel costs. Income Taxes: Senior Resource Services is organized as a Colorado nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as an organization described in Section 501(c)(3). The Agency qualifies for the charitable contribution deduction under Section 170(b)(1)(A)(vi) and (viii), and has been determined not to be private foundations under Section 509(a)(1). The Agency is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Agency is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purposes. The Agency has determined it did not have unrelated business income during fiscal year 2021, and accordingly, has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Agency believes that it has appropriate support for any tax position taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the fmancial statements. The entity would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Reclassifications: Certain 2020 amounts have been reclassified for comparison purposes with the 2021 financial statement presentation. The reclassifications had no effect on the change in net assets. -12- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 1- Summary of Significant Accounting Policies — Continued: Estimates: The preparation of fmancial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates and those differences could be material. Subsequent Events: The Agency has evaluated subsequent events through the date the financial statements were available for issuance, which is the same date as the independent auditors' report. Risks and Uncertainties: The COVID-19 pandemic and actions taken to mitigate the spread are expected to continue to have an impact on the economies and financial markets of many countries, including the geographical area in which Senior Resource Services operates. It is hard to predict how long these conditions will last and what the complete financial effect will be to Senior Resource Services. NOTE 2 — Information Regarding Liquidity and Availability: The Agency strives to maintain liquid financial assets sufficient to cover 90 days of general expenditures. Financial assets in excess of daily cash requirements are generally invested in a money market fund or certificates of deposit with staggered maturities. The following table reflects the Agency's financial assets as of December 31, 2021 and 2020, reduced by amounts that are not available to meet general expenditures within one year of the Statement of Financial Position date. December 31 2021 2020 Financial Assets at Year End: Demand bank account and cash on hand Money market funds Accounts receivable Beneficial interest in assets held by Foundation $ 111,361 $ 146,644 68,631 68,623 49,254 23,932 29,697 25,965 Net Assets with Donor Restrictions Board Designations for Programs and Projects 258,943 265,164 (18,639) (40,558) (29,697) (25,965) Financial Assets Available to Meet General Expenditures Over the Next Twelve Months $ 210,607 $ 198,641 - 13 - Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 3 — Deferred Revenue: The Agency records funds received prior to the related revenue recognition as deferred revenue. A summary of the deferred revenue balances at December 31, 2021 and 2020 follows: December 31 2021 2020 Grant Funds: Windsor Community Foundation El Pomar $ 2,500 $ -- 2,094 $ 2,500 $ 2,094 NOTE 4 — Endowment Fund: In 2018, Senior Resource Services entered into an agreement with the Weld Community Foundation to establish a quasi -endowment fund to be administered by the Foundation. The fund is held and invested by the Weld Community Foundation for the benefit of the Senior Resource Services. Senior Resource Services is eligible to receive annual distributions according to the Community Foundation's spending policy. Excess earnings, if any, are reinvested in the fund. In connection with this fund, Senior Resource Services granted variance power to the Weld Community Foundation, which allows modification, upon reasonable cause, of any restrictions or conditions on the distribution of funds if, in their sole judgment, the restriction becomes unnecessary or incapable of fulfillment. Since Senior Resource Services is the beneficiary of the fund, Senior Resource Service reports its interest in the fund in these financial statements. Senior Resource Services, over the long-term, expects the current spending policy to allow its endowment fund to grow. This is consistent with Senior Resource Services objective to maintain the purchasing power of the endowment assets as well as to provide additional real growth through investment return. To achieve that objective, the Weld Community Foundation has adopted an investment policy that attempts to maximize total return consistent with an acceptable level of risk. Actual returns in any given year may vary from the expectations. Investment risk is measured in terms of the total endowment fund; investment assets and allocation between asset classes and strategies are managed to not expose the fund to unacceptable levels of risk. -14- Exhibit B SENIOR RESOURCE SERVICES dba 60+Ride NOTES TO FINANCIAL STATEMENTS NOTE 4 — Endowment Fund - Continued: The following are the changes in endowment net assets for the year ended December 31, 2021 and 2020, respectively: Board Designated December 31 2021 2020 Endowment net assets, beginning of year Contributions Net realized and unrealized gains (losses) Interest and dividends Appropriation of endowment assets for expenditure Investment management fees Endowment net assets, end of year $ 29,697 $ 25,965 $ 25,965 $ 22,931 3,829 2,993 400 459 (497) (418) The Fair Value Measurements and Disclosures Topic of the Financial Accounting Standards Board Codification establishes a fair value hierarchy that is based on the fair value measurements. Measurements using quoted prices in active markets for identical assets and liabilities fall within Level 1 of the hierarchy, measurements using significant other observable inputs fall within Level 2, and measurements using significant unobservable inputs fall within Level 3. Description Beneficial interest in assets held by Weld Community Foundation Fair Value Measurements at December 31, 202 Quoted Prices Significant In Active Other Significant Markets for Observable Unobservable Identical assets Inputs Inputs (Level 1) (Level 2) (Level 3) $ -- $ -- $ 29,697 Description Beneficial interest in assets held by Weld Community Foundation $ -- $ $ 25,965 Fair Value Measurements at December 31, 2020 Quoted Prices Significant In Active Other Significant Markets for Observable Unobservable Identical assets Inputs Inputs (Level 1) (Level 2) (Level 3) The beneficial interest in assets held by Weld Community Foundation is recorded at the amount provided by the Foundation, which is based on the fair market value of the investments underlying the fund. - 15 - Exhibit B SENIO RES OU !': CE SERVICES fib . 60+Rite NOTES T $ FINANCIAL STATEMENTS NOTE S — Paycheck Protection Program: In January 2021 the Agency received loan proceeds of $34,942 from a promissory note issued under the Paycheck Protection Program (PPP) which was established under the CARES Act and is administered by the U S Small Busmess Administration Under the terms of the CARES Act, PPP loan recipients can apply for and be granted forgiveness for all or a portion of the loans granted under PPP Such forgiveness will be determined based on the use of the loan proceeds for payroll costs, rent and utility expenses and the maintenance of workforce and compensation levels with certain limitations The Companies applied for forgiveness and the loan was forgiven in September 2021 and management has concluded that the PPP loan represents, m substance, a government grant and has included these proceeds as other income in the financial statements. NS TE 6— Lease: The Agency leases office space under an operating lease The lease requires monthly lease payments of $600. The lease expired in Decembei 2019 The lease has not been formally extended and is continuing on a month -to -month basis at the same terms From June 2021 to September 2021, the Agency had an office sharing agreement with a vendor where they exchanged office space for services totalmg $2,990 Total lease expense for the years ended December 31, 2021 and 2020 was $4,210 and $7,200, respectively. -16- Exhibit B 6o ride Senior Resource Services dba 60+ Ride Income 4000 Direct Public Support 4010 Business Donations 4020 Client Donations (AAA) 4040 Individual Donations 4060 Benevolence Donations Total 4000 Direct Public Support 4100 Fundraisers 4110 CO Gives 4120 Heart To Heart 4130 Ride & Revel 4140 Campaign Letter 4150 Grocery Cards 4160 Amazon Smiles Total 4100 Fundraisers 4200 Contracted Services 4210 North Front Range Mobility 4230 Weld County Area Agency on Aging 4240 Purchase Transit-NFRMPO Total 4200 Contracted Services 4400 Endowments 2023 Budget 5000.00 1400.00 5000.00 600.00 12000.00 3000.00 25000.00 50000.00 13000.00 750.00 30.00 91780.00 5450.00 110000.00 26400.00 $33000.00 less 20% match 245850.00 Exhibit B 6o ride Senior Resource Services dba 60+ Ride 4410 Dorothy Hood Endowment 4420 Community Foundation Total 4400 Endowments 4600 Grants 4601 Anschutz Family Foundation 4605 Community Foundation 4606 Community Block Development 4607 Women's Fund 4608 RL Monfort Family Foundation 4610 A.V.Hunter u me r Trust 4611 Windsor Community Foundation 4613 Weld CDBG Accessible Van Operations Grant 4615 The Weld Trust 4616 Scheduling Grant-NFRMPO 4617 Van Grant-NFRMPO 4619 Weld Board of County Commissioners 4650 United Way of Weld County 4660 Virginia Hill 4680 Daniels Fund 4690 Eldergarden 2023 Budget 3500.00 0.00 3500.00 10000.00 0.00 10000.00 5000.00 0.00 10000.00 2500.00 68775.00 + 1/2 of second grant of 124775.00 $112000.00 35000.00 2870.00 52000.00 Match for Purchasing Accessible 13000.00 Van 24500.00 10000.00 0.00 2000.00 Exhibit B Go ride Senior Resource Services dba 60+ Ride 4692 Next Fifty Initiative 4694 CDOT/NFRMPO - RideNoCo Scheduling Program Total 4600 Grants 4900 Other Income 4905 Miscellaneous Income 4910 Interest Income -Edward Jones 4921 Gain/Loss on Sale of Asset Total 4900 Other Income 2023 Budget Match for the Purchase Transit 6600.00 Grant Funding - not yet applied for 2870.00 311115.00 1300.00 500.00 -341.84 1458.16 Total Revenue 665703.16 Expenses 6000 Administrative Expenses 6010 Board Expenses 6011 Board Insurance 6012 Meeting Luncheons 6013 Supplies/Appreciation 6014 Training Materials and Meetings Total 6010 Board Expense 6020 Fees 6021 Accounting and Legal Fees 6022 Audit Fees 1300.00 200.00 200.00 50.00 1750.00 4500.00 12000.00 Exhibit B 6o ride Senior Resource Services dba 60+ Ride 6023 Conference/Organizational Fees (Professional) 6024 Other Fees Total 6020 Fer 6030 Lease and Utilities 6031 Monthly Phone Service/Internet 6032 Office Lease 6033 Employee & Volunteer Parking Permits 6036 Water Cooler Total 6030 Lease and Utilities 6040 Office Supplies & Equipment 6041 Office Equipment 6042 Desktop and Paper Supplies 6043 Office Equipment Repairs 6044 Office Furniture 6045 Postage -Office (Bills & Grants) 6047 Printer Ink/Toner 6048 Software 6049 Technical Support 6050 Website 6051 Books & Subscriptions 6052 Office Kitchen Supplies 2023 Budget 1000.00 200.00 17700.00 3850.00 7200.00 1080.00 100.00 12230.00 2750.00 750.00 500.00 500.00 250.00 500.00 2000.00 500.00 500.00 100.00 100.00 Exhibit B 6o ride Senior Resource Services dba 60+ Ride 6053 Office/General Administrative Expenses 2023 Budget 3700.00 Total 6040 Office Supplies & Equipment 12150.00 6060 Personnel 6061 AM Administrative Assistant 6062 Executive Director 6063 Office Assistant 6064 Volunteer Coordinator 6065 Grant Writer 6067 Vacation Pay 6068 Van Drivers 6069 Handicapped Van Ride Scheduler 6072 Workers Comp Insurance 6075 Matching Soc. Sec. and Medicare 6076 State Unemployment Expense 6077 Employee Bkgrd Cks/Hiring Expense 6080 Travel & Mileage Total 6060 Personnel 6090 Personnel Morale & Sundry Items 6091 Staff 6092 Interns 54700.00 68522.00 20800.00 39190.00 6000.00 72880.00 19760.00 1400.00 18850.00 1500.00 1300.00 750.00 305652.00 1500.00 100.00 $600 stipend X 6 included $36400+$1580insurance, +$16720 new admin supp and benefits $63000+$5522in5urance $1 increase based on 20 hrs week $36400+$2190insurance included in budgeted other pay $39520 handicapped van, $32760 other van 20 hrs week@$19 • Exhibit B 6o ride Senior Resource Services dba 60+ Ride Total 6090 Personnel Morale & Sundry Items Total 6000 Administrative Expenses 6100 Fundraiser Expenses 6110 Advertising 6111 Donor Management Software 6130 Postage 6140 Printing 6150 Sponsor Recognition 6160 Upfront Costs otal 6100 Fundraiser Expenses 6200 Programs 6220 Client/Volunteer Communication 6221 Cards 6223 Mailings expense, pstg paper & ink 6224 Supplies 6225 Printing Total 6220 Client/Volunteer Communication 6230 Marketing & Networking 6231 Advertising 6232 Brochures/business cards 2023 Budget 1600.00 351082.00 2000.00 2000.00 50.00 5000.00 1000.00 14000.00 24050.00 150.00 1300.00 200.00 4000.00 5650.00 12000.00 1500.00 Exhibit B 6o4Yde A - .el J Senior Resource Services dba 60+ Ride 6233 Health/Community Fairs 6234 Mileage Reimbursement 6235 Networking and Outreach 6236 Promotional Pens/Other Mktg Itm 6237 Supplies & Equipment 6239 Organizational Fees for Networking 6240 Mailings expense, pstg, paper & ink 2023 Budget 500.00 3000.00 1500.00 1500.00 200.00 1800.00 500.00 pill Total 6230 Marketing & Networking alga 22500.00 6250 Transportation Program 6251 Appreciation/Awards 6252 Background Checks 6253 Driving Shirts/Vehicle Magnets 6254 Volunteer Mileage Reimbursement 6255 Handbooks 6256 Insurance 6257 Training Materials/Copies 6258 Transportation Scheduling Sys 6259 Cell Phone 6260 Intake Coordinator 6261 Training on Program Topics 1500.00 3500.00 3500.00 10000.00 1000.00 3250.00 200.00 3588.00 1800.00 7900.00 100.00 Total 6250 Transportation Program 36338.00 6270 Van Exhibit B 6o ride Senior Resource Services dba 60+ Ride 6271 Fuel & Oil 6272 Insurance 6273 Licenses/Plates 6274 Parking Permit 6275 Repairs & Maintenance 6276 Misc. Van Supplies 6277 Driver Training 6279 Depreciation (Van) PP Total 6270 Van salmi 6280 60+ Grocery & Rx Program 6281 Groceries 6283 Supplies Total 6280 60+ Grocery & Rx Program Total 6200 Programs Total Expenditures Asset Purchase -1587 Accessible Van Asset Purchase -1550 Computer and Equipment 2023 Budget 16000.00 4200.00 450.00 180.00 4500.00 1950.00 2000.00 15885.00 45165.00 500.00 0.00 500.00 110153.00 485285.00 65000.00 1500.00 Net Operating Revenue 113918.16 Exhibit B to ride FREE TRANsPORTATInck 2023 Board of Directors List Name Address Phone E -Mail Occupation Term Joyce Scott President Greeley, 1223 42" Ave. CO 80634 970-978-4977 ycescott6682@comcast.net joycescott6682@comcast.net Administrator College Teacher January 2020-2023 Michael Treasurer Muskin 444 number Riverfront NE 405, 68102 Omaha, Plaza 970-231-8824 muramusk@yahoo.com Executive Greeley Retired House Mentoring Transitional Non-profit & Director Partners Youth at Sept 2019-2022 Eva Secretary Jewell 2506 Greeley, 57th CO Ave 80634 970-302-1584 evamjewell@yahoo.com Retired WeldCountyArea Agency Director on Aging of March2021-2024 Kent Past Naughton Chairman 5408 Greeley, Arrowhead CO 80634 Dr. 970-313-4779 970-576-4016 cell knaughton@witwerlaw.com Partner Oldenburg, Johnson at Witwer, Barry & December 2016-2022 Kate Howell 25505 CR Kersey, CO 53 80644 970.576.4792 katehowellrealtor@gmail.com g .com Associate RE/MAX Alliance Broker September 2021-2023 Michael Carey 551 Windsor, Trailwood CO Circle 80550 970-301-8314 mcarevmd@aol.com V@ aol.com Retired Ph ysician sician Family January 2022 - 2025 Julie Villumsen 4913 Greeley, W. 12 CO St. 80634 Dr. 516-695-4137 julsberg1723@yahoo.com November 2022 -2025 Executive Director Janet Bedingfield Greeley, 1936 29th Ave. CO 80634 970-388-1181 Janet@60PlusRide.org Executive Director Sept 2016 -Present Updated 2/9/23 Exhibit B SENIRES-02 LGROSHONG AW RLY CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/27/2022 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(ies) must have ADDITIONAL INSURED provisions or be endosed. 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 NAMEACT Lisa Groshong (VI, E.,: (303) 813-4207 jac, No): Wass, lisa.groshong@hubinternational.com INSURERS) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR 'LT TYPE OF INSURANCE ADDL Ur INSD WVD POLICY NUMBER POLICY EFF IMM/DD/YYYYI POLICY EXP fMM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 2022-24987 5/15/2022 5/15/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEST Loc OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS AUOTOS ONLD 2022-24987 5/15/2022 5/15/2023 COMaacciBINED dent) SINGLE LIMIT {E $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PeOELV ntj AMAGE $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED l I RETENTION $ $ B WORKERS NEW AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLUDED? ECUTIVE ElNIA (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 4149902 8/1/2022 8/1/2023 X STATUTE I I EORH E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A A Professional Liabili Misconduct / Abuse 2022-24987 2022-24987 5/15/2022 5/15/2022 5/15/2023 5/15/2023 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE q1(2 ---e ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Exhibit B SENIRES-02 CERTIFICATE OF LIABILITY INSURANCE LGROSHONG DATE (MM/DD/YYYY) 9/27/2022 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(ies) 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 suchppendorsement(s). PRODUCER License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 NAMEACT Lisa Groshong (aco, No, Ext): (303) 813-4207 jac, No►: Mass; lisa.groshong@hubinternational.com INSURERS) AFFORDING COVERAGE NAIL ft INSURER A :Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B:Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LTR ADDL SUBR INSD WVD POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP ANC LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 2022-24987 5/15/2022 5/15/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY E 3pef LOC OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTEO�S ONLY AUTOS ONLY SCHEDULED AUTOSWN _ AUOTO ONLY )( )( 2022-24987 5/15/2022 5/15/2023 co an D SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PerOIL tl RAMAGE $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ B WORKERS COMPENSATION Y EMPLOYERS' LIABILITY OF armiEMBER EXCLUDED, ECUTIVE Y / N (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below N / A 4149902 8/1/2022 8/1/2023 X STATUTE I I Sr - E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Professional Liabili A Misconduct / Abuse 2022-24587 2022-24987 5/15/2022 5/15/2022 5/15/2023 5/15/2023 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The General Liability policy provides coverage ror Privacy Liability and Cyber Coverage subject to the policy limits. This coverage satisfies the requirement as defined by the Health Insurance Portability and Accountability Act (HIPPA) of 1996. DRCOG, its officers and its employees are listed as additional insured in regards to the General Liability and the Business Auto Policy CERTIFICATE HOLDER CANCELLATION State of Colorado, Department of Human Services P Division of Aging and Adult Services 1575 Sherman St., 10th Floor Denver, CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A/UT/AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Exhibit B SENIRES-02 LGROSHONG A O' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/27/2022 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 80222 mom- Lisa Groshong (A/CNNo, E. (303) 8134207 jaC, No): Rink.: lisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE TA- SUER TA- WVD POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP IMM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMSMADE OCCUR X X 2022-24987 5/15/2022 5/15/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jE8T Loc OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-QWNED AUTOa ONLY X X 2022-24987 5/15/2022 5/15/2023 COMBI (Ea accNident)ED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFlCER/MEMBER EXCLUDED? ECUTIVE Y (Mandatory in NH) If yes, describe under DESCRIPTION 'COOPERATIONS below N / A 4149902 8/1/2022 8/1/2023 X I STATUTE I EORH E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 $ A A Professional Liabili Misconduct / Abuse 2022-24987 2022-24987 5/15/2022 5/15/2022 5/15/2023 5/15/2023 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS ( LOCATIONS / VEHICLES (ACORD 7O7, Additional Remarks Schedule, may Ue attached if more space is required) Weld County and Weld County Area on Aging is listed as additional insured in respect to the general (lability and business auto liability. Waiver of subrogation applies to the general liability and business auto CERTIFICATE HOLDER CANCELLATION Weld County & Weld County Area Agency on Aging tY 9 Y 9 9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 315 N 11th Ave PO Box 1805 AUTHORIZED REPRESENTATIVE Greeley, CO 80632 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Exhibit B LGROSHONG ACORO® 4.. ------CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 9/27/2022 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(ies) 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 License # 0757776 HUB International Insurance Services (COL) 2000 S. Colorado Blvd Tower 2, Suite 150 Denver, CO 60222 NAMEACT Lisa Groshong (303) 813-4207 (A/C ( NrJD, E.,: A/C, No: Mass: lisa.groshong@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Alliance of Nonprofits for Insurance, Risk Retention Group (ANI) 10023 INSURED 60+ Ride 800 8th Ave. #229 Greeley, CO 80631 INSURER B : Pin nacol Assurance Company 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'ITTYPE OF INSURANCE LTR via SUER INSD WVD POLICY NUMBER POLICY EFF tail= POLICY EXP dall/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 2022-24987 5/15/2022 5/15/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occunencel $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY LI 5' i LOC OTHER: PRODUCTS - COMP/OP AGG $ 3,000,000 LIQUOR LIABILIT $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOOS ONLY AUTOS ONLY SCHEDULED AUTOOSWN AUOTOS ONL� 2022-24987 5/15/2022 5/15/2023 (ED aB aeD SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per aargAcAGE $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I RETENTIONS B WORKERS NEW AND EMPLOYERS' LIABILITY Y/N FFICE El OR/MEMBER/N UDED?ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4149902 8/1/2022 8/1/2023 X I STATUTE I I EORH E. L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 500,000 $ A Professional Liabili A Misconduct / Abuse 2022-24987 2022-24987 5/15/2022 5/15/2022 5/15/2023 5/15/2023 Aggregate Each Claim/Aggregate 1,000,000 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION Weld County Government 1150 O Street Greeley, CO 80631 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU�THORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Exhibit B The undersigned, by his or her signature, hereby acknowledges and represents that: 1. The proposal proposed herein meets all of the conditions, specifications and special provisions set forth in the Request for Proposal for Request No. #B2300042. 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 Vendor for the amount shown on the accompanying proposal sheets. 4. The signed proposal submitted, all of the documents of the Request for Proposal contained herein (including, but not limited to, product specifications and scope of services), and the formal acceptance of the proposal by Weld County, together constitutes a contract, with the contract date being the date of formal acceptance of the proposal by Weld County. 5. Weld County reserves the right to reject any and all proposals, to waive any informality in the proposals, and to accept the proposal that, in the opinion of the Board of County Commissioners, is in the best interest of Weld County. The proposal(s) may be awarded to more than one vendor. FIRM Senior Resource Services dba 60+ Ride BY BUSINESS ADDRESS Janet Bedingfield (Please print) 800 8TH Avenue, Suite 229 DATE 2/13/23 CITY, Greeley STATE, CO ZIP 80631 TELEPHONE NO 970-388-1181 FAX SIGNATURE E-MAIL CODE TAX ID # 20-4429783 janet60pIusride.org WELD COUNTY IS EXEMPT FROM COLORADO SALES TAXES. THE CERTIFICATE OF EXEMPTION NUMBER IS #98-03551-0000. ATTEST: Weld County Clerk to the Board BY: YOU DO NOT NEED TO SEND BACK PAGES 1 - 8. BOARD OF COUNTY COMMISSIONERS WELD COUNTY. COLORADO Deputy Clerk to the Board Mike Freeman, Chair APPROVED AS TO SUBSTANCE: Elected Official or Department Head Controller PSRFP1022 PROPOSAL REQUEST #B2300042 Page 22 Exhibit B Senior Resource Services dba 60+ Ride 82300042 Narrative Description of Project 1. Description of Agency and Related Experience Senior Resource Services (SRS), a 501(c)(3) nonprofit organization dba 60+ Ride, was established in 2006 with the mission to offer aging residents 60 years and older the opportunity to maintain their physical, emotional, and mental health while living independently. The vision of the organization is to enable older adults throughout Northern Colorado to live independently. Since 2007, the organization has been transporting older adults to medical appointments, grocery shopping, congregate meal sites, and other critical appointments such as those at government or financial institutions. In addition, aging adults are connected to socialization activities including social events, faith community events, senior centers, and personal grooming appointments. Volunteer drivers and 60+ Ride part-time drivers provide the rides which are scheduled through a rider call-in/online scheduling system. After efforts to rebrand the organization and a volunteer recruitment campaign in 2022, we successfully rebuilt our volunteer driver numbers to 90 (from only 8 drivers immediately after the pandemic) and increased awareness of our services in the community. Approximately half of those volunteer drivers are outside the Greeley -Evans area. Ongoing volunteer recruitment is happening to strengthen volunteer numbers in the more rural areas of Weld County. Senior Resource Services, dba 60+ Ride, has been successfully administering government grant funded programs and services since 2012 when it began accessing funding through the Weld County Area Agency on Aging (AAA). 60+ Ride is experienced in administering older adult transportation services as supported by the Weld County AAA and is familiar with compliance with the Department of Human Services Code of Colorado Regulations Volume 10, the State Unit on Aging Policy and Procedures Manual (SUA PP), and the State Unit on Aging Service Definitions and Reporting Requirements. Executive Director Janet Bedingfield oversees all programming and will be ultimately responsible for the implementation of this grant project. She is highly informed in best practices in providing transportation services to seniors leveraging local, regional, and state funding to support growing programs. Ms. Bedingfield serves as one of two executive committee members for the CDOT planning region North Front Range Metropolitan Organization (NFRMPO)'s Weld County Mobility Committee, bringing a voice for inclusion of older adult transportation needs to this regional transportation planning group. She also acts as the Joint Mobility Co -Chair for the Northern Colorado Mobility Committee, serving Weld and Larimer Counties. 60+ Ride works with a contracted bookkeeper, Jennifer Endreson of Accountable Business Services, to process and prepare financial reporting on a regular, monthly basis. Ms. Endreson studied accounting at Colorado State University and started her accounting business in 2016. As she has been providing services to the agency for multiple years, Ms. Endreson has experienced completing the financial reporting required for government grants with multi -year cycles. 2. Statement of Need In 2019, the North Front Range Metropolitan Planning Organization (NFRMPO) prepared an analysis of aging adults in Weld County and future trends and transportation needs. This analysis 1 Exhibit B Senior Resource Services dba 60+ Ride 82300042 Application Packet determined that between 2015 and 2045, Weld County residents over the age of 60 are expected to more than double, growing by 134% - from a current estimate of approx. 60,000 residents to more than 120,000 residents. 60+ Ride serves vulnerable individuals over the age of 60 who do not drive and do not use public transportation because of cost, accessibility, or lack of stamina. These services are provided to all older adults in Weld County regardless of race, ethnicity, or income. The majority of registered riders are women (80%) and 16% are Hispanic (although 40% of rides are made by Hispanic riders who have a higher dialysis treatment need). Approximately 90% of riders are living at or below 50% ($31,000) of the Area Median Income for a single person ($62,000). While there is a growing trend of larger, for-profit providers in the area of older adult transportation services in Northern Colorado, 60+ Ride's volunteer -driven model with strong, efficient software support keeps the agency's staff time and overhead costs lower. Being mission - driven rather than profit -driven has allowed the team to focus on providing services for aging adults in most need of safe, reliable transportation but do not have access for socioeconomic reasons. Rural communities are particularly vulnerable within for-profit transportation models, often with client (revenue) numbers too low to justify the costs of program infrastructure. Using volunteers within rural communities allows 60+ Ride to better reach the most vulnerable Northern Colorado adults aged 60 and older. In 2019, 60+ Ride provided just under 9,000 one-way rides (units of service). About 2/aid of these rides were non -medical. Given the pace of recovery and increasing population of older adults in Weld County, we are anticipating a return to pre -pandemic service demand and to even exceed those numbers in 2023 and into 2024. Rising costs related to maintaining a van fleet and securing quality staff members has also caused our per unit (ride) rate to rise from about $37 in 2019 to over $40 this year. We have also experienced a financial set back already this year as we were just informed this past week that funding coming from CDOT through the NFRMPO projected at $164,000 will actually only be $33,000. This leaves the agency with a significant budget shortfall. In order to sustain and continue to increase the number of rides provided to older adults in Weld County, 60+ Ride is requesting $154,000 in funding through this opportunity from the Weld AAA. This will provide 7,000 one-way rides at the rate of $22 (reduced from the full $40 operational rate for FY23). This also represents a 50% increase in the funding we have previously requested from Weld AAA as we are confident that we will see our demand for services increase by at least 50% this year and in the immediate future. 2 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet 3. Services to be Provided 60+ Ride is the only organization in Weld County providing program participants with "door through door" transportation regardless of income. These services directly increase older adults' ability to maintain their health and independence through consistent availability of medical care. Assisting adults aged 60 and older with safe, reliable transportation services reduces re- hospitalization, and offers a way to increase nutrition quality through fresh food access. Older adult transportation services also decrease social isolation and the resulting depression amongst those aging in place through direct community connection. This translates into both quality of life for program participants and the financial benefit of fewer people depending heavily on government health and social services. New riders are enrolled in the transportation program by the individual (not their family) calling the 60+ Ride office or submitting an inquiry through the organization's website. The Intake Coordinator then makes an appointment with the potential rider in their home within two weeks of their call. The coordinator brings a packet of information to this intake appointment that details how to make calls to schedule appointments, the parameters of when, where, and what kinds of rides can be scheduled, and documents for the rider to sign. The coordinator also provides detailed information on the free services, with an option for the rider to voluntarily donate to the agency if they wish. 60+ Ride employs three part-time van drivers who provide van rides in an agency -owned van to primarily non -medical appointments Monday through Friday in the Greeley/Evans area. In addition to the three part-time van drivers, 60+ Ride operates through a network of volunteer drivers. After being recruited, screened, and oriented, our volunteer drivers carry out the direct service to our clients, making it possible to provide transportation to our vulnerable aging population at no charge. 60+ Ride uses a sophisticated electronic ride scheduler that allows our volunteers to easily log in (or call our office) to see what rides are available for whom, to and from where, on what date and at what time. They can also see necessary medical information such as whether the client uses a walker or oxygen. They simply click an "accept" button and receive an email confirmation. The volunteer calls the client to introduce themselves and let them know their ride is covered. They receive a reminder email and call the client again the day before the ride as a reminder to the client and to firm up details. Clients are required to give us at least one week's notice of their transportation needs to give us the best chance at finding a volunteer driver, but we also have an "Urgent Needs Team" for critical situations which arise beyond the control of the client. We schedule appointments for our staffed vehicle on a first come first served basis until 3:30 PM on the day before the appointment. Evening and weekend rides are available on a limited basis as volunteers are willing and able through both the regular scheduling system and the urgent needs process. 3 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet 4. Objectives and Action Steps Objective Action Steps Date to be Completed Outcome Measures Objective 1: 60+ Ride will 1. Employ three part- time drivers to drive the agency's van. 7/1/23-6/30/24 Number of one - way rides provided by staff drivers provide a minimum of 6,000 one-way rides for adults aged 60 years and older throughout Weld County, with a focus on growing the number of rides provided in isolated, rural communities. Rides will be provided free of charge, regardless of income. Objective 1 2. Utilize volunteer drivers from throughout Weld County to supplement the rides provided by the agency van. 7/1/23-6/30/24 Number of one - way rides provided by volunteer drivers Objective 1 3. Maintain an on-line ride scheduling system in order to ensure efficient and accurate scheduling. The program's goal is to meet transportation requests within one week. 7/1/23-6/30/24 Time between ride request and service fulfillment Objective 1 4. Conduct intakes with new clients within two weeks of initial request to provide 60+ Ride program information and 7/1/23-6/30/24 Time between client referral and intake appointment with coordinator 4 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet explain voluntary donation program. Oblective 1 5. Maintain oversight of licensing, approvals, and certifications required by federal, state, and local regulations for all drivers. 7/1/23-6/30/24 Objective 1 6. Maintain records on driver background checks, vehicle safety and maintenance inspections, and Colorado's mandated minimum insurance coverage on every driver. 7/1/23-6/30/24 Number of volunteer drivers matches number of background checks; regular maintenance schedule tracking; insurance coverage does not lapse Objective 1 7. Maintain records to document the number of rides provided and the demographics of riders. 7/1/23-6/30/24 Database records complete for all riders Objective 2: 60+ Ride will 1. Employ a full-time Volunteer & Outreach Coordinator to oversee all aspects of the volunteer program. 7/1/23-6/30/24 Position is already filled maintain a dynamic and effective volunteer recruitment program to secure a minimum of 150 volunteer drivers in order to meet the ridership needs of Weld County's older adults in need of transportation. 5 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet Objective 2 2. Provide twice -yearly training events for volunteer drivers. 7/1/23-6/30/24 Number of trainings provided Objective 2 3. Provide twice -yearly volunteer appreciation events. 7/1/23-6/30/24 Number of events held Objective 2 4. Actively pursue Speakers Bureau and information booth opportunities to present the 60+ Ride program at community events, faith groups, and resource fairs. 7/1/23-6/30/24 Number of presentations given in the community Objective 2 5. Attend community volunteer networking and recruitment events throughout the county. 7/1/23-6/30/24 Number of events attended Objective 3: 60+ Ride will 1. Regularly attend all partner agencies and aging adult community forums, planning meetings, and networking events throughout the county. 7/1/23-6/30/24 Number of new partnerships formed; number of meetings and events attended maintain and develop a partnership with 15-20 new and existing community stakeholders in order to actively publicize the availability of free rides to older adults throughout Weld County as well as to mutually refer the riders to services. These partnerships will be targeted in a manner to ensure that frail, homebound, minorities, and low-income older adults, particularly those in isolated, 6 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet rural communities, receive information about the program and receive referrals to needed services. Objective 3 2. Partner actively with Area Agency on Aging to ensure that all low- income older adults enrolled in Weld County assistance programs are referred to the transportation program 7/1/23-6/30/24 Number of client referrals from Weld AAA Objective 3 3. Maintain the organization's website with information on how to access services. 7/1/23-6/30/24 Website traffic data Objective 3 4. Update social media at least weekly to reach prospective clients and their family/caregivers. 7/1/23-6/30/24 Social media post frequency data and response data Objective 3 5. Distribute rack and business cards to senior centers, doctors' offices, churches, town halls, social services, etc. on a continual basis. 7/1/23-6/30/24 Number of rack and business cards distributed in the community Objective 3 6. Send quarterly newsletters to volunteers, donors, 7/1/23-6/30/24 Number of newsletters sent 7 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet and community supporters. Objective 3 7. Continue to promote the program through live broadcasts on established local radio station partners KFKA and Pirate Radio 104.7. These broadcasts are particularly effective in reaching rural communities. 7/1/23-6/30/24 Number of speaking engagements Objective 3 8. Conduct advertising campaigns throughout Weld County via digital and social media. 7/1/23-6/30/24 Number of client & volunteer driver referrals from these sources per survey data 5. Targeting 60+ Ride has experience building community collaboration with multiple agencies serving Weld County for transportation referrals and to ensure that older adults who are frail, homebound, and low-income are knowledgeable about the critical services provided through the program. This referral network includes the following stakeholders serving older adults: hospitals, doctors, dentists, community health centers (indigent medical/mental health care), churches, Weld County Area Agency on Aging, Catholic Charities, Alzheimer's Association, United Way, Weld Food Bank, Meals on Wheels, the North Front Range Metropolitan Planning Organization (NFRMPO), Weld County Mobility Committee (WCMC), Northern Colorado Mobility Committee NCMC), United Way of Weld County's Aging Well Collective Impact Group and Transportation Workgroup, and local senior centers. In 2022, 60+ Ride focused efforts on developing closer partnerships with local municipalities in Weld County to better support aging adults and awareness of our services in those communities. Targeting of those most socially and economically in need is accomplished through the following objectives: 8 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet Objective 1. Partner with community stakeholders throughout Weld County whose mission/purpose are to address the needs and provide services to vulnerable populations including economically disadvantaged and socially isolated older persons. for the purpose of advocating for transportation access and to provide an active presence in planning and needs assessment for this vulnerable population. Action Steps 1. Attend all planning meetings, community events, and networking opportunities provided by stakeholders including (but not limited to): Area Agency on Aging Catholic Charities Guadalupe Community Center United Way of Weld County Meals on Wheels Alzheimer's Association Senior Centers throughout the County Faith Communities NFRMPO WCMC NCMC Aging Well Collective Impact Group Other as identified 2. Partner with the medical/mental health community so that providers of services to the low-income population remain aware of the 60+ Ride services and to ensure an active referral relationship. 2. Meet with and continue to provide informational brochures to major medical providers including: Monfort Family Clinic/Sunrise Community Centers Salud Family Health Centers throughout the county Banner Health/NCMC UC Health Northern Colorado Health Alliance North Range Behavioral Health Medical offices throughout the county 9 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet 6. Client Contributions All transportation services provided by 60+ Ride are offered free of charge, regardless of income. However, during the enrollment process the Intake Coordinator provides the new client with a letter informing the client of the ability to support 60+ Ride through voluntary contributions, and a pre -addressed envelope is provided. This letter states that contributions are appreciated but not required. The letter also states that the client will never be denied services at the result of not contributing to the agency. The Intake Coordinator reads this letter to the client during the intake session and leaves the potential rider with the packet of information about the transportation program. Donations are typically made by check and sent through the mail. The Executive Director, Administrative Assistant, or Office Assistant opens the mail and records the check on in a donor management program. The check is stamped for deposit only and deposited by the Administrative Assistant within a week. The Administrative Assistant prepares a thank you letter to the donor acknowledging receipt of the check. Deposits are recorded on the General Ledger by an outside bookkeeping service and included in the financial statements/bank reconciliations. When a volunteer driver is offered a donation they are advised to give the client a pre -addressed envelope and ask them to mail the contribution directly to the office. All contributions received from riders are used to provide general operating support of the transportation program. In 2022, the total value of contributions from clients was $1,095. 7. Coordination 60+ Ride coordinates with multiple agencies for transportation referrals and to services including: Weld Food Bank for emergency food boxes and commodities; Community health centers for medical appointments including: Monfort Family Clinics in Greeley and the Salud Family Health Centers in other parts of Weld County; Referrals for transportation assistance are received from many sources including: doctors, clinics, dentists, churches, Weld County Area Agency on Aging, Catholic Charities, Alzheimer's Association, American Cancer Society, Meals on Wheels, North Colorado Medical Center, UC Health, NFRMPO's One -Call, One -Click Center, United Way's 211 Center, and community Senior Centers throughout the county. Riders are also referred to other agencies throughout Weld County for services including: Area Agency on Aging, Catholic Charities (older adults case management and outreach), United Way, Meals on Wheels, Alzheimer's Association, and the Greeley/Evans Transit system (primarily for accessible transportation services). 10 Exhibit B Senior Resource Services dba 60+ Ride B2300042 Application Packet 8. Project Monitoring, Evaluation and Outcomes Progress on project objectives will be monitored by the advisory board (e.g. Board of Directors) through reports provided by the Executive Director who will have the primary responsibility of monitoring the project. The Executive Director will oversee the completion of the monthly financial report and the quarterly statistical report which will be completed by the Administrative Assistant and Office Assistant staff members respectively. The information collected for these reports will be used to inform the Board and to make operating and strategic decisions. Feedback from program participants is obtained through a yearly survey that is mailed to all ride recipients from the previous calendar year, with results compiled by March of the new year. The three -question survey asks: 1.) Have the services helped you maintain or improve your independence? 2.) Were the services available to access necessary services when needed? 3.) Was the office staff courteous when you called to request transportation? Respondents are also able to give anecdotal feedback on how the services have been beneficial, or any concerns or challenges they have encountered. Survey responses are then reported to the advisory board and any community stakeholders who request this information. The primary outcomes that will be measured with this project include: 1. Number of one-way rides provided 2. Number of volunteer drivers recruited/maintained 3. Number of community partnerships developed/maintained 4. Number of referrals from various sources (partners, marketing mediums) The Executive Director will monitor the results of these outcomes and report them to the advisory board monthly to insure that all operating and strategic decisions align with the goals of this project. Grievance Procedure Any complaint received from a 60+ Ride client, volunteer, or member of the public is to be immediately reported to the Administrative Assistant or to the Executive Director, who will research the situation and take proper action to resolve the matter. If a client wishes to file a formal grievance, they must submit it by mail to the Executive Director or may contact the office directly by phone or email. During their intake process, clients are given a form they may use for the complaint. Complaints and grievances will be addressed within two working days of the time they are received. If a reasonable, satisfactory resolution cannot be found to a formally submitted grievance, the rider may contact the Executive Director and request the grievance be referred to the Board of Directors. 11 Exhibit B Senior Resource Services dba 60+ Ride 82300042 Application Packet Advisory Board The 60+ Ride Board of Directors will serve as the advisory board to provide input about this project. The board meets monthly, and members serve three-year terms. The board provides fiscal, program, and policy oversight, and in addition to choosing and evaluating the Executive Director, ultimately ensures that 60+ Ride is operating within the mission and goals for which it has received tax-exempt status. The current board membership includes three older adults (age 60 and older) and one minority member. Recruitment of new board members targeting these demographics is on -going. The board will meet monthly during the term of the project, and progress on the project goals and objectives will be provided at those meetings. 9. Future Goals and Plans The Board of Directors has formed an ad hoc committee to evaluate the previous strategic plan and begin work on a new one. They are expected to complete this work in early 2023. One of the organization's 2023 goals is to continue to expand our capacity to provide access to our free transportation services to the isolated, rural areas of Weld County by increasing our outreach efforts to recruit an additional 25 volunteer drivers in these areas. According to the American Community Survey 5 -year estimates (2013-2017), approx. 40% of Greeley/Evans residents over the age of 65 reported having a disability, and between 25% and 58% of residents 65 years old and older in the rural communities of Weld County reported having a disability. The same survey also reported that 3.8%, or 3,790 households in Weld County had no vehicle. The North Front Range Metropolitan Planning Organization (NFRMPO)'s 2017 Coordinated Plan also identified the need for transportation for older adults and individuals with disabilities within Weld County, especially within the unincorporated areas. At present, GET is the only transportation provider in much of Weld County and serves a limited area. In partnership with Weld County and the NFRMPO, 2023 will also include the addition of a new staffed vehicle which will allow 60+ Ride to provide rides to up to two wheelchair users at a time, as well as ambulatory clients, serving the rural areas of Weld County where there is a critical need for this service. A new accessible vehicle will help bridge the gap in Weld County for some of the most vulnerable Weld County residents within the aging population, along with increased service to rural non -ambulatory clients. Finally, while there is no date for a launch at this time because it is contingent upon the successful implementation of the accessible van service, research has been completed and members of an advisory council approached for expanding services to adults with disabilities in the future. 12 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement ("Agreement") between the County and Contractor is agreed to in connection with, and as an exhibit to, the Contract. For purposes of this Agreement, the County is referred to as "Covered Entity" and the Contractor is referred to as "Business Associate". Unless the context clearly requires a distinction between the Contract and this Agreement, all references to "Contract" shall include this Agreement. 1. PURPOSE Covered Entity wishes to disclose information to Business Associate, which may include Protected Health Information ("PHI"). The Parties intend to protect the privacy and security of the disclosed PHI in compliance with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), Pub. L. No. 104-191 (1996) as amended by the Health Information Technology for Economic and Clinical Health Act ("HITECH Act") enacted under the American Recovery and Reinvestment Act of 2009 ("ARRA") Pub. L. No. 111-5 (2009), implementing regulations promulgated by the U.S. Department of Health and Human Services at 45 C.F.R. Parts 160, 162 and 164 (the "HIPAA Rules") and other applicable laws, as amended. Prior to the disclosure of PHI, Covered Entity is required to enter into an agreement with Business Associate containing specific requirements as set forth in, but not limited to, Title 45, Sections 160.103, 164.502(e) and 164.504(e) of the Code of Federal Regulations ("C.F.R.") and all other applicable laws and regulations, all as may be amended. 2. DEFINITIONS The following terms used in this Agreement shall have the same meanings as in the HIPAA Rules: Breach, Data Aggregation, Designated Record Set, 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. The following terms used in this Agreement shall have the meanings set forth below: a. Business Associate. "Business Associate" shall have the same meaning as the term "business associate" at 45 C.F.R. 160.103, and shall refer to Contractor. b. Covered Entity. "Covered Entity" shall have the same meaning as the term "covered entity" at 45 C.F.R. 160.103, and shall refer to the County. c. Information Technology and Information Security. "Information Technology" and "Information Security" shall have the same meanings as the terms "information technology" and "information security", respectively, in §24-37.5-102, C.R.S. Capitalized terms used herein and not otherwise defined herein or in the HIPAA Rules shall have the meanings ascribed to them in the Contract. 3. OBLIGATIONS AND ACTIVITIES OF BUSINESS ASSOCIATE a. Permitted Uses and Disclosures. i. Business Associate shall use and disclose PHI only to accomplish Business Associate's obligations under the Contract. Page 1 of 9 EXHIBIT C IIIPAA BUSINESS ASSOCIATE AGREEMENT ii. To the extent Business Associate carries out one or more of Covered Entity's obligations under Subpart E of 45 C.F.R. Part 164, Business Associate shall comply with any and all requirements of Subpart E that apply to Covered Entity in the performance of such obligation. iii. Business Associate may disclose PHI to carry out the legal responsibilities of Business Associate, provided, that the disclosure is Required by Law or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that: A. the information will remain confidential and will be used or disclosed only as Required by Law or for the purpose for which Business Associate originally disclosed the information to that person, and; B. the person notifies Business Associate of any Breach involving PHI of which it is aware. iv. Business Associate may provide Data Aggregation services relating to the Health Care Operations of Covered Entity. Business Associate may de -identify any or all PHI created or received by Business Associate under this Agreement, provided the de -identification conforms to the requirements of the HIPAA Rules. b. Minimum Necessary. Business Associate, its Subcontractors and agents, shall access, use, and disclose only the minimum amount of PHI necessary to accomplish the objectives of the Contract, in accordance with the Minimum Necessary Requirements of the HIPAA Rules including, but not limited to, 45 C.F.R. 164.502(b) and 164.514(d). c. Impermissible Uses and Disclosures. i. Business Associate shall not disclose the PHI of Covered Entity to another covered entity without the written authorization of Covered Entity. ii. Business Associate shall not share, use, disclose or make available any Covered Entity PHI in any form via any medium with or to any person or entity beyond the boundaries or jurisdiction of the United States without express written authorization from Covered Entity. d. Business Associate's Subcontractors. i. Business Associate shall, in accordance with 45 C.F.R. 164.502(e)(1)(ii) and 164.308(b)(2), ensure that any Subcontractors who create, receive, maintain, or transmit PHI on behalf of Business Associate agree in writing to the same restrictions, conditions, and requirements that apply to Business Associate with respect to safeguarding PHI. ii. Business Associate shall provide to Covered Entity, on Covered Entity's request, a list of Subcontractors who have entered into any such agreement with Business Associate. iii. Business Associate shall provide to Covered Entity, on Covered Entity's request, copies of any such agreements Business Associate has entered into with Subcontractors. e. Access to System. If Business Associate needs access to a Covered Entity Information Technology system to comply with its obligations under the Contract or this Agreement, Business Associate shall request, review, and comply with any and all policies applicable to Covered Entity regarding such Page 2 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT system including, but not limited to, any policies promulgated by the Office of Information Technology and available at http://oit.state.co.us/about/policies. f. Access to PHI. Business Associate shall, within ten days of receiving a written request from Covered Entity, make available PHI in a Designated Record Set to Covered Entity as necessary to satisfy Covered Entity's obligations under 45 C.F.R. 164.524. g. Amendment of PHI. Business Associate shall within ten days of receiving a written request from Covered Entity make any amendment to PHI in a Designated Record Set as directed by or agreed to by Covered Entity pursuant to 45 C.F.R. 164.526, or take other measures as necessary to satisfy Covered Entity's obligations under 45 C.F.R. 164.526. ii. Business Associate shall promptly forward to Covered Entity any request for amendment of PHI that Business Associate receives directly from an Individual. h. Accounting Rights. Business Associate shall, within ten days of receiving a written request from Covered Entity, maintain and make available to Covered Entity the information necessary for Covered Entity to satisfy its obligations to provide an accounting of Disclosure under 45 C.F.R. 164.528. i. Restrictions and Confidential Communications. J• i. Business Associate shall restrict the Use or Disclosure of an Individual's PHI within ten days of notice from Covered Entity of: A. a restriction on Use or Disclosure of PHI pursuant to 45 C.F.R. 164.522; or B. a request for confidential communication of PHI pursuant to 45 C.F.R. 164.522. ii. Business Associate shall not respond directly to an Individual's requests to restrict the Use or Disclosure of PHI or to send all communication of PHI to an alternate address. iii. Business Associate shall refer such requests to Covered Entity so that Covered Entity can coordinate and prepare a timely response to the requesting Individual and provide direction to Business Associate. Governmental Access to Records. Business Associate shall make its facilities, internal practices, books, records, and other sources of information, including PHI, available to the Secretary for purposes of determining compliance with the HIPAA Rules in accordance with 45 C.F.R. 160.310. k. Audit, Inspection and Enforcement. Business Associate shall obtain and update at least annually a written assessment performed by an independent third party reasonably acceptable to Covered Entity, which evaluates the Information Security of the applications, infrastructure, and processes that interact with the Covered Entity data Business Associate receives, manipulates, stores and distributes. Upon request by Covered Entity, Business Associate shall provide to Covered Entity the executive summary of the assessment. Page 3 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT ii. Business Associate, upon the request of Covered Entity, shall fully cooperate with Covered Entity's efforts to audit Business Associate's compliance with applicable HIPAA Rules. If, through audit or inspection, Covered Entity determines that Business Associate's conduct would result in violation of the HIPAA Rules or is in violation of the Contract or this Agreement, Business Associate shall promptly remedy any such violation and shall certify completion of its remedy in writing to Covered Entity. 1. Appropriate Safeguards. i. Business Associate shall use appropriate safeguards and comply with Subpart C of 45 C.F.R. Part 164 with respect to electronic PHI to prevent use or disclosure of PHI other than as provided in this Agreement. ii. Business Associate shall safeguard the PHI from tampering and unauthorized disclosures. iii. Business Associate shall maintain the confidentiality of passwords and other data required for accessing this information. iv. Business Associate shall extend protection beyond the initial information obtained from Covered Entity to any databases or collections of PHI containing information derived from the PHI. The provisions of this section shall be in force unless PHI is de -identified in conformance to the requirements of the HIPAA Rules. m. Safeguard During Transmission. i. Business Associate shall use reasonable and appropriate safeguards including, without limitation, Information Security measures to ensure that all transmissions of PHI are authorized and to prevent use or disclosure of PHI other than as provided for by this Agreement. ii. Business Associate shall not transmit PHI over the internet or any other insecure or open communication channel unless the PHI is encrypted or otherwise safeguarded with a FIPS- compliant encryption algorithm. n. Reporting of Improper Use or Disclosure and Notification of Breach. Business Associate shall, as soon as reasonably possible, but immediately after discovery of a Breach, notify Covered Entity of any use or disclosure of PHI not provided for by this Agreement, including a Breach of Unsecured Protected Health Information as such notice is required by 45 C.F.R. 164.410 or a breach for which notice is required under §24-73-103, C.R.S. ii. Such notice shall include the identification of each Individual whose Unsecured Protected Health Information has been, or is reasonably believed by Business Associate to have been, accessed, acquired, or disclosed during such Breach. iii. Business Associate shall, as soon as reasonably possible, but immediately after discovery of any Security Incident that does not constitute a Breach, notify Covered Entity of such incident. iv. Business Associate shall have the burden of demonstrating that all notifications were made as required, including evidence demonstrating the necessity of any delay. Page 4 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT o. Business Associate's Insurance and Notification Costs. i. Business Associate shall bear all costs of a Breach response including, without limitation, notifications, and shall maintain insurance to cover: A. loss of PHI data; B. Breach notification requirements specified in HIPAA Rules and in §24-73-103, C.R.S.; and C. claims based upon alleged violations of privacy rights through improper use or disclosure of PHI. ii. All such policies shall meet or exceed the minimum insurance requirements of the Contract or otherwise as may be approved by Covered Entity (e.g., occurrence basis, combined single dollar limits, annual aggregate dollar limits, additional insured status, and notice of cancellation). iii. Business Associate shall provide Covered Entity a point of contact who possesses relevant Information Security knowledge and is accessible 24 hours per day, 7 days per week to assist with incident handling. iv. Business Associate, to the extent practicable, shall mitigate any harmful effect known to Business Associate of a Use or Disclosure of PHI by Business Associate in violation of this Agreement. P. q. Subcontractors and Breaches. Business Associate shall enter into a written agreement with each of its Subcontractors and agents, who create, receive, maintain, or transmit PHI on behalf of Business Associate. The agreements shall require such Subcontractors and agents to report to Business Associate any use or disclosure of PHI not provided for by this Agreement, including Security Incidents and Breaches of Unsecured Protected Health Information, on the first day such Subcontractor or agent knows or should have known of the Breach as required by 45 C.F.R. 164.410. ii. Business Associate shall notify Covered Entity of any such report and shall provide copies of any such agreements to Covered Entity on request. Data Ownership. i. Business Associate acknowledges that Business Associate has no ownership rights with respect to the PHI. ii. Upon request by Covered Entity, Business Associate immediately shall provide Covered Entity with any keys to decrypt information that the Business Association has encrypted and maintains in encrypted form, or shall provide such information in unencrypted usable form. r. Retention of PHI. Except upon termination of this Agreement as provided in Section 5, below, Business Associate and its Subcontractors or agents shall retain all PHI throughout the term of this Agreement, Page 5 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT and shall continue to maintain the accounting of disclosures required under Section 3.h, above, for a period of six years. 4. OBLIGATIONS OF COVERED ENTITY a. Safeguards During Transmission. Covered Entity shall be responsible for using appropriate safeguards including encryption of PHI, to maintain and ensure the confidentiality, integrity, and security of PHI transmitted pursuant to this Agreement, in accordance with the standards and requirements of the HIPAA Rules. b. Notice of Changes. Covered Entity maintains a copy of its Notice of Privacy Practices on its website. Covered Entity shall provide Business Associate with any changes in, or revocation of, permission to use or disclose PHI, to the extent that it may affect Business Associate's permitted or required uses or disclosures. ii. Covered Entity shall notify Business Associate of any restriction on the use or disclosure of PHI to which Covered Entity has agreed in accordance with 45 C.F.R. 164.522, to the extent that it may affect Business Associate's permitted use or disclosure of PHI. 5. TERMINATION a. Breach. i. In addition to any Contract provision regarding remedies for breach, Covered Entity shall have the right, in the event of a breach by Business Associate of any provision of this Agreement, to terminate immediately the Contract, or this Agreement, or both. ii. Subject to any directions from Covered Entity, upon termination of the Contract, this Agreement, or both, Business Associate shall take timely, reasonable, and necessary action to protect and preserve property in the possession of Business Associate in which Covered Entity has an interest. b. Effect of Termination. i. Upon termination of this Agreement for any reason, Business Associate, at the option of Covered Entity, shall return or destroy all PHI that Business Associate, its agents, or its Subcontractors maintain in any form, and shall not retain any copies of such PHI. ii. If Covered Entity directs Business Associate to destroy the PHI, Business Associate shall certify in writing to Covered Entity that such PHI has been destroyed. iii. If Business Associate believes that returning or destroying the PHI is not feasible, Business Associate shall promptly provide Covered Entity with notice of the conditions making return or destruction infeasible. Business Associate shall continue to extend the protections of Section 3 of this Agreement to such PHI, and shall limit further use of such PHI to those purposes that make the return or destruction of such PHI infeasible. Page 6 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT 6. INJUNCTIVE RELIEF Covered Entity and Business Associate agree that irreparable damage would occur in the event Business Associate or any of its Subcontractors or agents use or disclosure of PHI in violation of this Agreement, the HIPAA Rules or any applicable law. Covered Entity and Business Associate further agree that money damages would not provide an adequate remedy for such Breach. Accordingly, Covered Entity and Business Associate agree that Covered Entity shall be entitled to injunctive relief, specific performance, and other equitable relief to prevent or restrain any Breach or threatened Breach of and to enforce specifically the terms and provisions of this Agreement. 7. LIMITATION OF LIABILITY Any provision in the Contract limiting Contractor's liability shall not apply to Business Associate's liability under this Agreement, which shall not be limited. 8. DISCLAIMER Covered Entity makes no warranty or representation that compliance by Business Associate with this Agreement or the HIPAA Rules will be adequate or satisfactory for Business Associate's own purposes. Business Associate is solely responsible for all decisions made and actions taken by Business Associate regarding the safeguarding of PHI. 9. CERTIFICATION Covered Entity has a legal obligation under HIPAA Rules to certify as to Business Associate's Information Security practices. Covered Entity or its authorized agent or contractor shall have the right to examine Business Associate's facilities, systems, procedures, and records, at Covered Entity's expense, if Covered Entity determines that examination is necessary to certify that Business Associate's Information Security safeguards comply with the HIPAA Rules or this Agreement. 10. AMENDMENT a. Amendment to Comply with Law. The Parties acknowledge that state and federal laws and regulations relating to data security and privacy are rapidly evolving and that amendment of this Agreement may be required to provide procedures to ensure compliance with such developments. i. In the event of any change to state or federal laws and regulations relating to data security and privacy affecting this Agreement, the Parties shall take such action as is necessary to implement the changes to the standards and requirements of HIPAA, the HIPAA Rules and other applicable rules relating to the confidentiality, integrity, availability and security of PHI with respect to this Agreement. ii. Business Associate shall provide to Covered Entity written assurance satisfactory to Covered Entity that Business Associate shall adequately safeguard all PHI, and obtain written assurance satisfactory to Covered Entity from Business Associate's Subcontractors and agents that they shall adequately safeguard all PHI. Page 7 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT iii. Upon the request of either Party, the other Party promptly shall negotiate in good faith the terms of an amendment to the Contract embodying written assurances consistent with the standards and requirements of HIPAA, the HIPAA Rules, or other applicable rules. iv. Covered Entity may terminate this Agreement upon 30 days' prior written notice in the event that: A. Business Associate does not promptly enter into negotiations to amend the Contract and this Agreement when requested by Covered Entity pursuant to this Section; or B. Business Associate does not enter into an amendment to the Contract and this Agreement, which provides assurances regarding the safeguarding of PHI sufficient, in Covered Entity's sole discretion, to satisfy the standards and requirements of the HIPAA, the HIPAA Rules and applicable law. b. Amendment of Appendix. The Appendix to this Agreement may be modified or amended by the mutual written agreement of the Parties, without amendment of this Agreement. Any modified or amended Appendix agreed to in writing by the Parties shall supersede and replace any prior version of the Appendix. 11. ASSISTANCE IN LITIGATION OR ADMINISTRATIVE PROCEEDINGS Covered Entity shall provide written notice to Business Associate if litigation or administrative proceeding is commenced against Covered Entity, its directors, officers, or employees, based on a claimed violation by Business Associate of HIPAA, the HIPAA Rules or other laws relating to security and privacy or PHI. Upon receipt of such notice and to the extent requested by Covered Entity, Business Associate shall, and shall cause its employees, Subcontractors, or agents assisting Business Associate in the performance of its obligations under the Contract to, assist Covered Entity in the defense of such litigation or proceedings. Business Associate shall, and shall cause its employees, Subcontractor's and agents to, provide assistance, to Covered Entity, which may include testifying as a witness at such proceedings. Business Associate or any of its employees, Subcontractors or agents shall not be required to provide such assistance if Business Associate is a named adverse party. 12. INTERPRETATION AND ORDER OF PRECEDENCE Any ambiguity in this Agreement shall be resolved in favor of a meaning that complies and is consistent with the HIPAA Rules. In the event of an inconsistency between the Contract and this Agreement, this Agreement shall control. This Agreement supersedes and replaces any previous, separately executed HIPAA business associate agreement between the Parties. 13. SURVIVAL Provisions of this Agreement requiring continued performance, compliance, or effect after termination shall survive termination of this contract or this agreement and shall be enforceable by Covered Entity. Page 8 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT APPENDIX TO HIPAA BUSINESS ASSOCIATE AGREEMENT This Appendix ("Appendix") to the HIPAA Business Associate Agreement ("Agreement") is s an appendix to the Contract and the Agreement. For the purposes of this Appendix, defined terms shall have the meanings ascribed to them in the Agreement and the Contract. Unless the context clearly requires a distinction between the Contract, the Agreement, and this Appendix, all references to "Contract" or "Agreement" shall include this Appendix. 1. PURPOSE This Appendix sets forth additional terms to the Agreement. Any sub -section of this Appendix marked as "Reserved" shall be construed as setting forth no additional terms. 2. ADDITIONAL TERMS a. Additional Permitted Uses. In addition to those purposes set forth in the Agreement, Business Associate may use PHI for the following additional purposes: i. Reserved. b. Additional Permitted Disclosures. In addition to those purposes set forth in the Agreement, Business Associate may disclose PHI for the following additional purposes: i. Reserved. c. Approved Subcontractors. Covered Entity agrees that the following Subcontractors or agents of Business Associate may receive PHI under the Agreement: i. Reserved. d. Definition of Receipt of PHI. Business Associate's receipt of PHI under this Contract shall be deemed to occur, and Business Associate's obligations under the Agreement shall commence, as follows: i. Reserved. e. Additional Restrictions on Business Associate. Business Associate agrees to comply with the following additional restrictions on Business Associate's use and disclosure of PHI under the Contract: i. Reserved. f. Additional Terms. Business Associate agrees to comply with the following additional terms under the Agreement: i. Reserved. Page 9 of 9 Exhibit D Modified Scope and Rates Exhibit D addresses the funding, specific Scope of Services, Rates, and Performance Measurements based on the awarded grant monies issued by the County. 1. Funding Contractor will receive the following award as noted in the table below for the period July 1, 2023 to June 30, 2024 for Transportation services: $ 113,000.00 I Total Grant Award The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified in Section 2, Services and Rates. 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. Service and Rates County agrees to pay Contractor for services outlined below, not to exceed the total grant award as noted in Section 1, Funding. Unit Rate $ 18.50 Service Description One-wa tri . Contractor agrees to provide 6,108 units with the goal of reaching 75 minority older adults, 300 low-income, and 100 rural older adults. 3. Terms Contractor agrees to commence services within thirty (30) days after the signing of the Agreement and assure completion of all services under this agreement by the end of the period dated in Section 1, Funding. Contractor agrees to document and report any program income received as a result of services provided under the Agreement. Contractor agrees to include the following statement in any written materials (pamphlets, brochures, announcements, websites, etc.) or in any verbal presentations: Contractor is supported, in part by funds provided by the Weld County Area Agency on Aging through the Older Americans Act. Exhibit D Modified Scope and Rates Contractor understands that County is required to conduct periodic evaluations of the activities conducted under this Agreement and to monitor on an ongoing basis the performance of Contractor to insure that the funds made available by the Agreement are expended in keeping with the purposes for which they were awarded; and Contractor accordingly agrees to cooperate fully with the County in the conduct of such evaluation and monitoring, including the keeping and supplying of such information, and providing access to documents and records to the County for the purpose of audit; and further agrees to do all things necessary to enable County to fulfill its obligation to the State of Colorado and the United States Government. Any changes, including any increase or decrease in the amount of Contractor's compensation, and including changes in budget allocations which are mutually agreed upon by and between the County and Contractor, shall be incorporated in written amendments to this Agreement and in appropriate revisions to the grant proposal. Contractor understands and agrees that the following provisions are part of the official application and as such become binding upon commencement of the project: a. This Agreement and the provisions of services hereunder shall be subject to the laws of Colorado and be in accordance with the policies, procedures, and practices of the County, the Older Americans Act, Volume 10 Code of Colorado Regulations and the policies and procedures established by the State Unit on Aging, and the terms and conditions of the project application approved by the County. b. Understands that if there is Federal/State program income unearned at the time the project is terminated, this amount must be returned to the County unless the County otherwise stipulates. c. Understands that the project's fiscal affairs are subject to audit. If costs are disallowed, the proportion of Federal/State funds disallowed must be returned to the County. d. Understands that this award is made for the period amounts stated in this Agreement. This Agreement in no way implies further funding which is contingent upon the availability of funds and approval of future project applications. e. Agrees to keep records and make reports on the forms required by the County and in accordance with guidelines issued by the State of Colorado and the Administration on Aging, specifically, i. To submit monthly financial invoices and programmatic reports to the County by the 10th of the following month; ii. To submit other reports to the County as requested; iii. Maintain a computer system that will be able to manage all required Exhibit D Modified Scope and Rates County reporting software; iv. Maintain internet access in order to transfer all required data to the County. f. Agrees to advise the County of needed program and financial changes and await approval from the County prior to change implementation. g. Agrees to have policies and procedures for complaint/appeal tracking, timely disposition of complaints/appeals and documentation of such processes. h. Agrees to have a client grievance policy, which will address any alleged infractions of any Federal, State or Local laws by Contractor against recipients of or applicants for services. i. Agrees to have a policy and procedure for wait lists that meets the requirements set forth by the Contractor. J• Agrees to provide recipients receiving services the opportunity to contribute to all or part of the cost of the services received. Each recipient shall be given the opportunity to determine if they are able to contribute to all or part of the cost of services. No recipient shall be denied a service because of an inability and/or choice not to contribute to all or part of the cost of the service. All contributions shall be considered program income. All contributions shall be used to expand the services for which the contributions were given. k. Agrees that local cash or in -kind contributions have not been used to satisfy or match another federal grant or funds. Supplies, volunteer services, and other in - kind contributions shall be valued as described under 45 C.F.R. 874.5. All matching contributions, including cash and in -kind shall be verifiable from agency records. 1. Agrees to perform background checks of all employees, volunteers or subcontractors pursuant to C.R.S. 27-1-110 and in accordance with the policy of the County and the State Unit on Aging. Exhibit D Modified Scope and Rates 4. Performance Measures a. The Performance Measures Process. As set forth and defined herein, "Performance Focus" is a performance -based analysis strategy the Parties shall use in association with the Contractor's performance hereunder that allows the Parties to better focus on and improve performance outcomes to obtain maximum benefits from the work of the Contractor under this Contract. By identifying areas of focus, the Parties shall determine what aspects of the Contractor's performance hereunder are working and what aspects of said performance need improvement. By measuring the impact of day-to-day work of the Contractor hereunder, the Parties will be able to make more informed collaborative decisions to align the work of the Contractor to affect more positive performance outcomes and change for the purposes served through this Contract. b. Performance Measures Reports. Performance Measures Reports shall reflect relevant report data for the Performance Measures identified hereunder to be tracked on an ongoing basis through the Contract Performance Focus process. Performance Measures shall continue to evolve to meet the objective of measuring key performance outcome indicators for the work of the Contractor hereunder. Performance Measures may be changed via a contract amendment. c. Contract Performance Measures The Contractor agrees on the following initial Performance Measures: i. Measure: The Contractor shall increase unduplicated consumers served in comparison to the same month in the previous fiscal year. ii. Measure: In a consumer satisfaction survey provided by the State Unit on Aging (SUA) the contractor shall provide surveys to one hundred percent (100%) of registered consumers within the contractor's region during the month of February. The results shall be summarized by the contractor and submitted to the County by May 1st, unless otherwise requested by the County by a different date. The summarized results shall show the following measures: iii. Consumer Satisfaction Survey results shall show a minimum of ninety percent (90%) positive response. SIGNATURE REQUESTED: Weld/60+ Ride AAA Transportation Services Agreement Final Audit Report 2023-05-04 Created: 2023-05-04 By: Lesley Cobb (cobbxxlk@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAv2ShSvG0R2u8SOZTh4JFZcf3GLSQ-ez "SIGNATURE REQUESTED: Weld/60+ Ride AAA Transportatio n Services Agreement" History t Document created by Lesley Cobb (cobbxxlk@co.weld.co.us) 2023-05-04 - 1:58:05 PM GMT- IP address: 204.133.39.9 '► Document emailed to janet@60plusride.org for signature 2023-05-04 - 1:59:54 PM GMT t Email viewed by janet@60plusride.org 2023-05-04 - 9:58:05 PM GMT- IP address: 76.131.135.15 6© Signer janet@60plusride.org entered name at signing as Janet Bedingfield 2023-05-04 - 9:59:36 PM GMT- IP address: 76.131.135.15 6© Document e -signed by Janet Bedingfield (janet@60plusride.org) Signature Date: 2023-05-04 - 9:59:38 PM GMT - Time Source: server- IP address: 76.131.135.15 Q Agreement completed. 2023-05-04 - 9:59:38 PM GMT Powered by Adobe Acrobat Sign Contract Form New Contract Request Entity Information Entity Name* SENIOR RESOURCE SERVICES Entity ID* @00031957 Contract Name* SENIOR RESOURCE SERVICES DBA 60— RIDE (PROFESSIONAL SERVICES AGREEMENT TRANSPORTATION SERVICES B23000421 Contract Status CTB REVIEW Contract ID 6957 Contract Lead* COBBXXLK ❑ New Entity? Parent Contract ID 20230507 Requires Board Approval YES Contract Lead Email Department Project* cobbxxlkg,co.weld.co.us Contract Description* CONSENT - PROFESSIONAL SERVICES CONTRACT FOR TRANSPORTATION SERVICES FROM BID.' 02300042 REFERENCED AS TYLER IDO 20230507. TERM 7 1 23 TO 6 30:`24 AND MAY BE RENEWED FOR THREE ADDITIONAL ONE-YEAR TERMS UPON MUTUAL WRITTEN AGREEMENT. Contract Description 2 REFERENCE BID 682300042 AWARD ON 3 1 5 23 TYLER IDO 2023-0507. TRANSPORTATION SERVICES = S113,000.00 Contract Type* AGREEMENT Amount* S113,000.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices0Sweldgov.co fT7 Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEYL WELDG OV.COM Requested BOCC Agenda Date* 05:17,2023 Due Date 05 1 3;2023 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date. 04 30;2024 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Committed Delivery Date Expiration Date* 06 2£,2024 Contact Type Contact Email Contact Phone I Contact Phone 2 Purchasing Approver Purchasing Approved Date CONSENT 05/09;2023 Approval Process Department Head JAMIE ULRICH DH Approved Date 05/0912023 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05 15+2023 Originator COBEXXLK Finance Approver CONSENT Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 05 09 2023 05:09+2023 Tyler Ref It AG 051523 Hello