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Home My WebLink About20251449.tiffCon-Virac4-11)4g4c1Z PROFESSIONAL SERVICE AGREEMENT BETWEEN WELD COUNTY AND TENNYSON CENTER FOR CHILDREN THIS AGREEMENT is made and entered into this Zeday of M , 2025 by and between the Board of Weld County Commissioners, on behalf of the eld County Department of Human Services, hereinafter referred to as "County," and Tennyson Center for Children hereinafter referred to as "Contractor". WHEREAS, County desires to retain Contractor to perform services as required by County and set forth in the attached Exhibits; and WHEREAS, Contractor is willing and has the specific ability, qualifications, and time to perform the required services according to the terms of this Agreement; and WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the services as set forth below; and WHEREAS, the Colorado Department of Human Services has provided Core and Non -Core Services funding to the Department. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 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 the HIPAA Business Associates Agreement. Exhibit B consists of the Scope of Services. Exhibit C consists of the Rate Schedule. Exhibit D consists of County's Invitation for Bid (IFB) as set forth in Bid Package No. B2500040 which is incorporated into this agreement by reference and will be provided upon request to the Department. Exhibit E consists of Contractor's Bid Response to County's Invitation. 2. Service or Work. Contractor agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the Work described in the attached Consent ncpdfx 5/23/25 CC. 1 0 nbne 05) 5/2$!25 2025-1449 Exhibits. Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibits B, Scope of Services, and Exhibit E, Contractor's Bid Response to County's Invitation. Contractor shall further be responsible for the timely completion and acknowledges that a failure to comply with the standards and requirements of Work within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Agreement. 3. Term. The term of this Agreement shall be from June 1, 2025 through July 31, 2028, unless sooner terminated as provided herein, and is subject to continued budget appropriations. 4. Termination; Breach; Cure. County may terminate this Agreement for its own convenience upon thirty (30) days written notice to Contractor. Either Party may immediately terminate this Agreement upon material breach of the other party, however the breaching party shall have fifteen (15) days after receiving such notice to cure such breach. If this Agreement is terminated by County, Contractor shall be compensated for, and such compensation shall be limited to, (1) the sum of the amounts contained in invoices which it has submitted and which have been approved by the County; (2) the reasonable value to County of the services which Contractor provided prior to the date of the termination notice, but which had not yet been approved for payment; and (3) the cost of any work which the County approves in writing which it determines is needed to accomplish an orderly termination of the work. County shall be entitled to the use of all material generated pursuant to this Agreement upon termination. Upon termination of this Agreement by County, Contractor shall have no claim of any kind whatsoever against the County by reason of such termination or by reason of any act incidental thereto, except for compensation for work satisfactorily performed and/or materials described herein properly delivered. 5. Extension or Amendment. Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services. Accordingly, no claim that the County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder. In the event that written authorization and acknowledgment by the County for such additional services is not timely executed and issued in strict accordance with this Agreement, Contractor's rights with respect to such additional services shall be deemed waived and such failure shall result in non-payment for such additional services or work performed. Any claims by the Contractor for adjustment hereunder must be made in writing prior to performance of any work covered in the anticipated Amendment, unless approved and documented otherwise by the County Representative. Any change in work made without such prior Amendment shall be deemed not covered in the compensation and time provisions of this Agreement, unless approved and documented otherwise by the County Representative. 6. Compensation. County agrees to pay Contractor through an invoice process during the course of this Agreement in accordance with the Rate Schedule as described as Exhibit C. Contractor agrees to submit invoices which detail the work completed by Contractor. 2 The County will review each invoice and if it agrees Contractor has completed the invoiced items to the County's satisfaction, it will remit payment to the Contractor. No payment in excess of that set forth in the Exhibits will be made by County unless an Amendment authorizing such additional payment has been specifically approved by Weld County as required pursuant to the Weld County Code. If, at any time during the term or after termination or expiration of this Agreement, County reasonably determines that any payment made by County to Contractor was improper because the service for which payment was made did not perform as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from County, Contractor shall forthwith return such payment(s) to County. Upon termination or expiration of this Agreement,unexpended funds advanced by County, if any, shall forthwith be returned to County. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Unless expressly enumerated in the attached Exhibits, Contractor shall not be entitled to be paid for any other expenses (e.g. mileage). Notwithstanding anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement after, nor shall any payments be made to Contractor in respect of any period after December 31 of any year, without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25, Title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). 7. Independent Contractor. Contractor agrees that it is an independent contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits (including unemployment insurance or workers' compensation benefits) from County as a result of the execution of this Agreement. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Any provisions in this Contract that may appear to give the County the right to direct contractor as to details of doing work or to exercise a measure of control over the work mean that Contractor shall follow the direction of the County as to end results of the work only. The Contractor is obligated to pay all federal and state income tax on any moneys earned or paid pursuant to this contract. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of the Work without County's prior written consent, which may be withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the Work during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the Work. Contractor shall require each subcontractor, as approved by County and to the extent of the Work to be performed by the subcontractor, to be bound to Contractor by the terms of this Agreement, and to assume toward Contractor all the obligations and responsibilities which Contractor, holy this Agreement, assumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor 3 hired by Contractor and Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions of its agents, employees and subcontractors. 9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 10. Confidentiality. Confidential information of the Contractor should be transmitted separately from non -confidential information, clearly denoting in red on the relevant document at the top the word, "CONFIDENTIAL." However, Contractor is advised that as a public entity, Weld County must comply with the provisions of the Colorado Open Records Act (CORA), C.R.S. 24-72-201, et seq., with regard to public records, and cannot guarantee the confidentiality of all documents. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contractor agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this Agreement. 11. Warranty. Contractor warrants that the Work performed under this Agreement will be performed in a manner consistent with the standards governing such services and the provisions of this Agreement. Contractor further represents and warrants that all Work shall be performed by qualified personnel in a professional manner, consistent with industry standards, and that all services will conform to applicable specifications. 12. Acceptance of Services Not a Waiver. Upon completion of the Work, Contractor shall submit to County originals of all test results, reports, etc., generated during completion of this work. Acceptance by County of reports and incidental material(s) furnished under this Agreement shall not in any way relieve Contractor of responsibility for the quality and accuracy of the project. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor, and County's action or inaction when any such breach or default exists shall not impair or prejudice any right or remedy available to County with respect to such breach or default. No assent expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the County of, or payment for, the Work completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance. Contractor must secure, before the commencement of the Work, the following insurance covering all operations, goods, and services provided pursuant to this Agreement, and shall keep the required insurance coverage in force at all times during the 4 term of the Agreement, or any extension thereof, and during any warranty period. For all coverages, Contractor's insurer shall waive subrogation rights against County. Contractor shall provide coverage with limits of liability no less than those stated below. An excess liability policy or umbrella liability policy may be used to meet the minimum liability requirements provided that the coverage is written on a "following form" basis. Acceptability, of Insurers: Insurance is to be placed with insurers duly licensed or authorized to do business in the state of Colorado and with an "A.M. Best" rating of not less than A -VII. The County in no way warrants that the above -required minimum insurer rating is sufficient to protect the Contractor from potential insurer insolvency. Required Types of Insurance Workers' Compensation and Employer's Liability Insurance as required by state statute, covering all of the Contractor's employees acting within the course and scope of their employment. The policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contractor or subcontractor is exempt under Colorado Workers' Compensation Act., AND when such Contractor or subcontractor executes the appropriate sole proprietor waiver form. Minimum Limits: Coverage A (Workers' Compensation) Coverage B (Employers Liability) Statutory $ 100,000 $ 100,000 $ 500,000 Commercial General Liability Insurance - Occurrence Form. Policy shall include bodily injury, property damage, liability assumed under an Insured Contract. The policy shall be endorsed to include the following additional insured language: "Weld County, its elected officials, employees, associated and/or affiliated entities, successors, or assigns, agents, and volunteers shall be named as additional insureds with respect to liability arising out of the activities performed by, or on behalf of the Contractor." Such policy shall include Minimum Limits as follows: General Aggregate $ 1,000,000 Products/Completed Operations Aggregate $ 1,000,000 Each Occurrence Limit $ 1,000,000 Personal/Advertising Injury $ 1,000,000 Automobile Liability Insurance Bodily Injury and Property Damage for any owned, hired, and non -owned vehicles used in the performance Of this Contract. Such poli y shall maintain Minimum Limits as follows: Bo ily Injury/Property Damage (Each Accident) $ 1,000,000 5 Professional Liability (Errors and Omissions Liability) The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contractor shall maintain limits for all claims covering wrongful acts, errors and/or omissions, including design errors, if applicable, for damage sustained by reason of or in the course of operations under this Contract resulting from professional services. In the event that the professional liability insurance required by this Contract is written on a claims -made basis, Contractor warrants that any retroactive date under the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or an extended discovery period will be exercised for a period of two (2) years beginning at the time work under this Contract is completed. Minimum Limits: Per Loss Aggregate $ 1,000,000 $ 2,000,000 14. Proof of Insurance. Upon County's request, Contractor shall provide to County, for examination, a policy, endorsement, or other proof of insurance as determined in County's sole discretion. Provided information for examination shall be considered confidential, and as such, shall be deemed not subject to Colorado Open Records Act (CORA) disclosure. All insurers must be licensed or approved to do business within the State of Colorado, and unless otherwise specified, all policies must be written on a per occurrence basis. The Contractor shall provide the County with a Certificate of Insurance evidencing required coverages, before commencing work or entering the County premises. The Contractor shall furnish the County with certificates of insurance (ACCORD) form or equivalent approved by the County as required by this Contract. The certificates for each insurance policy are to be signed by a person authorized by that insurer to bind coverage on its behalf. The Contractor shall name on the Certificate of Insurance "Weld County, its successors or assigns; its elected officials, employees, agents, affiliated entities, and volunteers as Additional Insureds" for work that is being performed by the Contractor. On insurance policies where Weld County is named as an additional insured, the County shall be an additional insured to the full limits of liability purchased by the Contractor even if those limits of liability are in excess of those required by this Contract. Each insurance policy required by this Agreement must be in effect at or prior to commencement of work under this Agreement and remain in effect for the duration of the project, and for a longer period of time if required by other provisions in this Agreement. Failure to maintain the insurance policies as required by this Agreement or to provide evidence of renewal is a material breach of contract. All certificates and any required endorsement(s) shall be sent directly to the County Department Representative's Name and Address. The project/contract number and 6 project description shall be noted on the Certificate of Insurance. The County reserves the right to require complete, certified copies of all insurance policies required by this Agreement at any time, and such shall also be deemed confidential. Any modification or variation from the insurance requirements in this Agreement shall be made by the County Attorney's Office, whose decision shall be final. Such action will not require a formal contract amendment but may be made by administrative action. 15. Additional Insurance Related Requirements. The County requires that all policies of insurance be written on a primary basis, non-contributory with any other insurance coverages and/or self-insurance carried by the County. The Contractor shall advise the County in the event any general aggregate or other aggregate limits are reduced below the required per occurrence limit. At their own expense, the Contractor will reinstate the aggregate limits to comply with the minimum requirements and shall furnish the County with a new certificate of insurance showing such coverage is in force. Commercial General Liability Completed Operations coverage must be kept in effect for up to three (3) years after completion of the project. Contractors Professional Liability (Errors and Omissions) policy must be kept in effect for up to three (3) years after completion of the project. Certificates of insurance shall state that on the policies that the County is required to be named as an Additional Insured, the insurance carrier shall provide a minimum of 30 days advance written notice to the County for cancellation, non -renewal, suspension, voided, or material changes to policies required under this Agreement. On all other policies, it is the Contractor's responsibility to give the County 30 days' notice if policies are reduced in coverage or limits, cancelled or non -renewed. However, in those situations where the insurance carrier refuses to provide notice to County, the Contractor shall notify County of any cancellation, or reduction in coverage or limits of any insurance within seven (7) days of receipt of insurer's notification to that effect. The Contractor agrees that the insurance requirements specified in this Agreement do not reduce the liability Contractor has assumed in the indemnification/hold harmless section of this Agreement. Failure of the Contractor to fully comply with these requirements during the term of this Agreement may be considered a material breach of contract and may be cause for immediate termination of the Agreement at the option of the County. The County reserves the right to negotiate additional specific insurance requirements at the time of the contract award. 16. Subcontractor Insurance. Contractor hereby warrants that all subcontractors providing services under this Agreement have or will have the above -described insurance prior to their commencement of the Work, or otherwise that they are covered by the Contractor's 7 policies to the minimum limits as required herein. Contractor agrees to provide proof of insurance for all such subcontractors upon request by the County. 17. No limitation of Liability. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. The County in no way warrants that the minimum limits contained herein are sufficient to protect the Contractor from liabilities that might arise out of the performance of the Work under by the Contractor, its agents, representatives, employees, or subcontractors. The Contractor shall assess its own risks and if it deems appropriate and/or prudent, maintain higher limits and/or broader coverages. The Contractor is not relieved of any liability or other obligations assumed or pursuant to the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types. The Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement 18. Certification of Compliance with Insurance Requirements. The Contractor stipulates that it has met the insurance requirements identified herein. The Contractor shall be responsible for the professional quality, technical accuracy, and quantity of all services provided, the timely delivery of said services, and the coordination of all services rendered by the Contractor and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. 19. Mutual Cooperation. The County and Contractor shall cooperate with each other in the collection of any insurance proceeds which may be payable in the event of any loss, including the execution and delivery of any proof of loss or other actions required to effect recovery. 20. Indemnity. The Contractor shall indemnify, hold harmless and, not excluding the County's right to participate, defend the County, its officers, officials, agents, and employees, from and against any and all liabilities, claims, actions, damages, losses, and expenses including without limitation reasonable attorneys' fees and costs, (hereinafter referred to collectively as "claims") for bodily injury or personal injury including death, or loss or damage to tangible or intangible property caused, or alleged to be caused, in whole or in part, by the negligent or willful acts or omissions of Contractor or any of its owners, officers, directors, agents, employees or subcontractors. This indemnity includes any claim or amount arising out of or recovered under Workers' Compensation Law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, judicial decision, or other law or court decree. It is the specific intention of the parties that the County shall, in all instances, except for claims arising solely from the negligent or willful acts or omissions of the County, be indemnified by Contractor from and against any and all claims. It is agreed that the Contractor will be responsible for primary loss investigation, defense, and judgment costs where this indemnification is applicable. In consideration of the award of this contract, the Contractor agrees to waive all rights of subrogation against the County, its officers, officials, agents, and employees for losses arising from the work performed by the Contractor for the County. The Contractor shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account 8 of its performance under this Agreement or its failure to comply with the provisions of the Agreement) A failure of Contractor to comply with these indemnification provisions shall result in County's right but not the obligation to terminate this Agreement or to pursue any other lawful remedy. 21. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. Any attempts by Contractor to assign or transfer its rights hereunder without such prior approval by County shall, at the option of County, automatically terminate this Agreement and all rights of Contractor hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. 22. Examination of Records. To the extent required by law, the Contractor agrees that a duly authorized representative of County, including the County Auditor, shall have access to and the right to examine and audit any books, documents, papers and records of Contractor, involving all matters and/or transactions related to this Agreement. Contractor agrees to maintain these documents for three years from the date of the last payment received. 23. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 24. Notices. County may designate, prior to commencement of Work, its project representative ("County Representative") who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to County Representative. All notices or other communications made by one party to the other concerning the terms and conditions of this contract shall be deemed delivered under the following circumstances: a) personal service by a reputable courier service requiring signature for receipt; or b) five (5) days following delivery to the United States Postal Service, postage prepaid addressed to a party at the address set forth in this contract; or c) electronic transmission via email at the address set forth below, where a receipt or acknowledgment is required and received by the sending party; or 9 Either party may change its notice address(es) by written notice to the other. Notice may be sent to: TO CONTRACTOR: Name: Alyssa Deis Position: Director of Admissions Address: 2950 Tennyson Street Address: Denver, Colorado 80212 E-mail: stacy.sullivan ,tennysoncenter.orq Phone: (303) 731-4845 TO COUNTY: Name: Jamie Ulrich Position: Director Address: P.O. Box A Address: Greeley, Colorado 80632 E-mail: ulrichWweld.gov Phone: (970) 400-6510 25. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. 26. Health Insurance Portability & Accountability Act of 1996 ("HIPAA'). Federal law governing the privacy of certain health information requires a "Business Associate" agreement between Contractor and the County. 45 CFR Section 164.504(e). Attached and incorporated herein by reference as Exhibit A is a HIPAA Business Associate Agreement for HIPAA compliance. 27. Non -Exclusive Agreement. This Agreement is nonexclusive, and County may engage or use other Contractors or persons to perform services of the same or similar nature. 28. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 29. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 30. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24- 50-507. The signatories to this Agreement state that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property 10 which is the subject matter of this Agreement. Contractor agrees that if Contractor was a former employee of the Department of Human Services, or employs a former employee of the Department of Human Services, that Contractor will also abide by applicable requirements under C.R.S. 24-18-201 et seq. 31. Survival of Termination. The obligations of the parties under this Agreement that by their nature would continue beyond expiration or termination of this Agreement (including, without limitation, the warranties, indemnification obligations, confidentiality and record keeping requirements) shall survive any such expiration or termination. 32. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 33. Non -Waiver. The parties hereto understand and agree that the County is relying on, and does not waive or intend to waive by any provision of this Contract, the monetary limitations or any other rights, immunities, and protections provided by the Colorado Governmental Immunity Act, §§24-10-101 et seq. as from time to time amended, or otherwise available to the County, its subsidiary, associated and/or affiliated entities, successors, assigns; or its elected officials, employees, agents, and volunteers. 34. Force Majeure. Neither the Contractor nor the County shall be liable for any delay in, or failure of performance of, any covenant or promise contained in this Agreement, nor shall any delay or failure constitute default or give rise to any liability for damages if, and only to extent that, such delay or failure is caused by or results from acts beyond the impacted Party's reasonable control, including without limitation, the following "force majeure" events that frustrate the purpose of this Agreement: As used in this Agreement, "force majeure" means acts of God, acts of the public enemy, unusually severe weather, fires, floods, epidemics, quarantines, strikes, labor disputes and freight embargoes, government order or law, action by any governmental authority, and other similar events beyond the reasonable control of the impacted party, to the extent such events were not the result of, or were not aggravated by, the acts or omissions of the non -performing or delayed party. However, if force majeure occurs after the party delays performance, the party shall not be exempted from liability. The Party affected by the force majeure shall make reasonable efforts to reduce the consequences caused by the force majeure. If the force majeure affects the performance of the contract, the party that is subject to force majeure shall promptly notify the other party and submit to the other party a sufficient and valid proof of force majeure within a reasonable period of time. Otherwise, the corresponding liability shall not be waived. 35. No Third -Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that 11 any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 36. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 37. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 38. No Employment of Unauthorized Aliens. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an unauthorized alien who will perform work under this Agreement (see 8 U.S.C.A. §1324a and (h)(3)), nor enter into a contract with a subcontractor that employs or contracts with an unauthorized alien to perform work under this Agreement. Upon request, contractor shall deliver to the County a written notarized affirmation that it has examined the legal work status of an employee and shall comply with all other requirements of federal or state law, including employment verification requirements contained within state or federal grants or awards funding public contracts. Contractor agrees to comply with any reasonable request from the Colorado Department of Labor and Employment in the course of any investigation. If Contractor fails to comply with any requirement of this provision, County may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. 39. Attorney's Fees/Legal Costs. In the event of a dispute between County and Contractor concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 40. Binding Arbitration Prohibited. Weld County does not agree to binding arbitration by any extra judicial body or person. Any provision to the contrary in this Agreement or incorporated herein by reference shall be null and void. 41. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. 12 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: BY: Clerk to the/}Board f4life VIP 001.4.1 Deputy Clerk to the Br BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ck, Chair TRACTOR: MAY 2 8 2025 Tennyson Center for Children 2950 Tennyson Street Denver, Colorado 80212 Mirror Wattokr By: Mindy Watr0 ,May 14,2025 08 52 MDT) Mindy Watrous, Chief Executive Officer Date: 05/14/2025 13 2075- 1440\ Exhibit A HIPAA BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement ("BAA") is entered into by and between the County and the Contractor, referred to as "Business Associate", to set forth the terms and conditions under which protected health information ("PHI"), as defined by the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, Regulations enacted hereunder (HIPAA) , created or received by Business Associate on behalf of County may be used or disclosed. This BAA shall commence on the effective date outlined in Paragraph 3 of the Professional Services Agreement and the obligations herein shall continue in effect so long as Business Associate uses, discloses, creates or otherwise possesses or maintains any PHI created, or received, maintained or transmitted on behalf of County and until all PHI created, received, maintained or transmitted by Business Associate on behalf of County is destroyed or returned to County pursuant to Paragraph 16 herein. 1. The following terms, if and when used in this BAA, shall have the same meaning as those terms in the HIPAA Rules: Breach, Data Aggregation, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices, Protected Health Information, Required by Law, Secretary, Security Incident, Subcontractor, Unsecured Protected Health Information, and Use. a. Business Associate. "Business Associate" shall generally have the same meaning as the term "business associate" at 45 CFR 160.103. b. Covered Entity. "Covered Entity" shall generally have the same meaning as the term "covered entity" at 45 CFR 160.103. c. HIPAA Rules. "HIPAA Rules" shall mean the Privacy, Security, Breach Notification, and Enforcement rules at 45 CFR Part 160 and Part 164. 2. County and Business Associate hereby agree that Business Associate shall be permitted to use and/or disclose PHI created, received, maintained or transmitted on behalf of County in accordance with this BAA. The permitted uses and disclosures, as may be outlined in a contract or Memorandum of Understanding, must be within the scope of, and necessary to achieve, the obligations and responsibilities of the Business Associate in performing on behalf of, or providing services to, County, or as Required by Law. Business Associate may not use or disclose PHI in a manner that would violate Subpart E of 45 CFR Part 164 if done by County except for the specific uses and disclosures set forth herein. 3. Business Associate acknowledges Business Associate is required by law to comply with the HIPAA Security Rule (45 CFR 164.302 through 164.318), the use and disclosure provisions of the HIPAA Privacy Rule and the Health Information Technology for Economic and Clinical Health Act (HITECH). To the extent Business Associate is to carry out one or more of County's obligations under Subpart E of 45 CFR Part 164, Business Associate hereby agrees to comply with the requirements of Subpart E that apply to County in the performance of such obligations. 14 4. Business Associate may use and disclose PHI created or received by Business Associate on behalf of County if necessary for the proper management and administration of Business Associate or to carry out Business Associate's legal responsibilities, provided that: a. Any disclosure is required by law; or b. Business Associate obtains reasonable assurances from the person to whom the PHI is disclosed that (i) the PHI will be held confidentially and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person; and (ii) the Business Associate will be notified of any instances of which the person is aware in which the confidentiality of the information is breached. 5. Business Associate hereby agrees to maintain the security and privacy of all PHI in a manner consistent with state and federal laws and regulations, including HIPAA, HITECH, 42 CFR Pt. 2 if applicable, and all other applicable laws. 6. Business Associate shall ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of the Business Associate agree to the same restrictions, conditions, and requirements that apply to the Business Associate with respect to such information. Business Associate shall not disclose PHI created or received by Business Associate on behalf of County to a person, including any agent or subcontractor of Business Associate but not including a member of Business Associate's own workforce, until such person agrees in writing to be bound by provisions not less restrictive than this BAA and applicable state or federal law. 7. Business Associate shall not disclose PHI to any member of its workforce unless Business Associate has advised such person of Business Associate's privacy and security obligations under this Agreement, induding the consequences for violation of such obligations. Business Associate shall take appropriate disciplinary action against any member of its workforce who uses or discloses PHI in violations of this Agreement and applicable law, in addition to meeting its reporting obligations owed to County hereunder. 8. Business Associate represents and warrants that it will use and disclose PHI in accordance with the Privacy Rule's "minimum necessary" standards by taking reasonable steps to limit uses and disclosures to the minimum amount of PHI required in accomplishing the intended purpose and consistent with the County's minimum necessary policies and procedures. Business Associate agrees to use appropriate safeguards to prevent use or disclosure of PHI not permitted by this Agreement or applicable law. 9. Business Associate agrees to maintain a record of its disclosures of PHI, including disclosures not made for the purposes of this Agreement. Such record shall include the date of the disclosure, the name and, if known, the address of the recipient of the PHI, the name of the individual who is the subject of the PHI, a brief description of the PHI disdosed, and the purpose of the disdosure consistent with enabling County to meet its 15 accounting of disclosure obligations under the HIPAA Rules. Business Associate shall make such record available to County within thirty (30) days of a request and shall include disclosures made on or after the date which is six (6) years prior to the request. Business Associate shall not be required to maintain a record of disclosures of PHI made for the following purposes, unless such disclosures become mandatory for accounting of disclosure purposes under HIPAA: a. For the purpose of treatment, payment or health care operations (as those terms are defined under HIPAA); b. To an individual who is the subject of the PHI; and c. Pursuant to an Authorization which is valid under HIPAA. 10. Business Associate agrees to report to County any unauthorized use or disclosure of PHI by Business Associate or its workforce or subcontractors within ten (10) days and the remedial/mitigating action taken or proposed to be taken with respect to such use or disclosure and account for such disclosure. 11. In the event of a or Security Incident involving the County's PHI, Business Associate shall provide County a report including patient name, contact information, nature/cause of the breach, PHI breached and the date or period of time during which the breach occurred. Business Associate understands that such a report must be provided to County within ten (10) days from the date of the breach or the date the breach should have been known to have occurred, or as soon as possible upon discovery (not to exceed 10 days from the date of the breach/breach discovery). Business Associate is responsible for any actual and direct costs related to notification of individuals or next of kin (if the individual is deceased) of any successful Security Incident or Breach reported or caused by Business Associate to County. 12. Business Associates agrees to make its internal practices, books, and records relating to the use and disclosure of PHI received from County or created or received by Business Associate on behalf of County, available to the Secretary of the United States Department of Health and Human Services, for purposes of determining the County's and/or Business Associate's compliance with HIPAA. 13. Within ten (10) days of a written request by County, Business Associate shall allow a person who is the subject of PHI, such person's legal representative, or County to have access to and to copy such person's PHI maintained by Business Associate. Business, Associate shall provide PHI in the format requested by such person, legal representative, or County unless it is not readily producible in such format, in which case it shall be produced in standard hard copy format. Business Associate shall forward any request for access to PHI by an individual to County promptly upon receipt thereof. 14. Business Associate agrees to amend, pursuant to a request by County, PHI maintained and created or received by Business Associate on behalf of County. Business Associate further agrees to complete such amendment within ten (10) days 16 of a written request by County, and to make such amendment as directed by County. Business Associate shall forward any request for amendment by an individual to County promptly upon receipt thereof. 15. County shall notify Business Associate of any changes in, or revocation of, the permission by an individual to use or disclose his or her PHI, to the extent that such changes may affect Business Associate's use or disclosure of PHI. 16.1n the event Business Associate fails to perform its obligations under this Agreement, County may, at its option: a. Require Business Associate to submit to a plan of compliance, including monitoring by County and reporting by Business Associate, as County, in its sole discretion, determines necessary to maintain compliance with this Agreement and applicable law. Such plan shall be incorporated into this Agreement by amendment hereto; b. Require Business Associate to mitigate any loss occasioned by the unauthorized disclosure or use of PHI; and c. Immediately discontinuing providing PHI to Business Associate with or without written notice to Business Associate. 17. County may immediately terminate this and related agreements if County determines that Business Associate has breached a material term of this Agreement. Altematively, County may choose to: (i) provide Business Associate with ten (10) days written notice of the existence of an alleged material breach and (ii) afford Business Associate an opportunity to cure said alleged material breach to the satisfaction of County within ten (10) days of receipt of notice. Business Associate's failure to cure shall be grounds for immediate termination of this BAA. County's remedies under this BAA are cumulative and the exercise of any remedy shall not preclude the exercise of any other. 18.After termination or expiration of the Underlying Agreement for any reason, Business Associate with respect to PHI received created or maintained from or on behalf County, shall: (i) retain only that PHI which is necessary for Business Associate to continue its proper management and administration or to carry out its legal responsibilities; (ii) destroy (subject to the Underlying Agreement) the remaining PHI that the Business Associate still maintains in any form; and (iii) not use or disclose the PHI retained by Business Associate other than for the purposes for which such PHI was retained and subject to the same conditions set out in this BAA which applied before termination. If the destruction of the PHI is not feasible, in Business Associate's discretion, Business Associate shall notify County of the reasons destruction is not feasible and Business Associate shall continue to for as long as Business Associate retains the PHI. This section shall survive termination of this BAA. 19. Upon termination of this BAA for any reason, Business Associate, with respect to PHI received from County, or created, maintained, transmitted, or received by Business Associate on behalf of County, shall: a. Retain only that PHI which is necessary for Business Associate to continue its 17 proper management and administration or to carry out its legal responsibilities. b. Return to County the remaining PHI that the Business Associate still maintains in any form or destroy said PHI. c. Continue to use appropriate safeguards and comply with Subpart C of 45 CFR part 164 with respect to electronic protected health information to prevent use or disclosure of the PHI, other than as provided for in this Section, for as long as Business Associate retains the PHI. d. Not use or disclose the PHI retained by Business Associate other than for the purposes for which such PHI was retained and subject to the same conditions which applied prior to termination. e. Return to County or destroy the PHI retained by Business Associate when it is no longer needed by Business Associate for its proper management and administration or to carry out its legal responsibilities. The provisions of this section shall survive the BAA's termination. 20. The parties agree to amend this Agreement in order to maintain compliance with State or Federal law. County shall provide ten (10) days prior written notice to Business Associate of a need to amend the BAA and propose such amendments for Business Associate's consideration. Upon written agreement between the parties, such amendment shall be binding upon the parties. Either party may elect to terminate the BAA and any underlying service agreement(s) if an amendment is not able to be agreed upon within a reasonable timeframe from an amendment's commencement. All duties hereunder to maintain the security and privacy of PHI shall survive such termination. County and Business Associate may otherwise amend this Agreement by mutual written consent. 21. To the fullest extent permitted by law, each party (the "Indemnifying Party") shall indemnify the other party, and its officers, directors, employees and agents (collectively the "Indemnified Parties"), against any and all claims brought by or directly resulting from third parties, including reasonable attorneys' fees (the "Third Party Losses"), to the extent Third Party Losses are proximately caused by a breach of this BAA by the Indemnifying Party, each by the Indemnifying Party or its employees, directors, officers, subcontractors, and agents. The Indemnifying Party shall have the right to control the defense or settlement of such third -party claim, subject to the reasonable participation of, and approval by, the Indemnified Parties of any such settlement or defense strategy. The foregoing indemnification shall not apply to the extent such claims arise out of (i) the Indemnified Party's negligence or willful misconduct, or (ii) the negligence or willful misconduct of any subcontractor or agent other than Business Associate under the Indemnified Party's control. 18 EXHIBIT B SCOPE OF SERVICES Contractor will provide Day Treatment, Mental Health and Home -Based Intervention Services, as referred by the County. Day Treatment 1. Day Treatment/ASPEN Day Treatment a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Services may include but not be limited to: 1. Neuro-sequential Model of Therapeutics (NMT/NME). 2. Adolescent Dialectical Behavioral Therapy (DBT). 3. Trauma Focused Cognitive Behavioral Therapy (TF-CBT). 4. Cognitive Behavioral Therapy (CBT). 5. Motivational Interviewing (MI). 6. Sensory Integration, and Theraplay. ii. Services are provided by a Master's level Department of Regulatory Agencies (DORA) registered Clinician. b. Anticipated Frequency of Services: i. At minimum, one (1) individual therapy session. ii. Sixty (60) minutes per session. iii. Family therapy sessions sixty (60) minutes per week. iv. Day Treatment Clients are offered one (1) forty-five (45) minute weekly group therapy session. v. ASPEN clients are offered three (3) forty-five (45) minute weekly group therapy sessions. vi. Clients are also offered case management and crisis support as needed during hours of operation. vii. Clinicians facilitate monthly one (1) hour external staffing meetings with the client, family and other multidisciplinary team members to support progress monitoring and care coordination. c. Anticipated Duration of Services: i. Nine (9) to twelve (12) months. ii. Duration of service can extend to twenty-four (24) months or longer depending on the situational needs of the client. d. Goals of Services: i. Improved understanding of triggering events and development of adaptive coping mechanisms to reduce incidents of outburst, including but not limited to, aggression, elopement, self -harm or Suicidal Ideation (SI), Homicidal Ideation (HI). ii. Increase in emotion identification and an ability to express their emotions in a safe an adaptive manner to caregiving system to support overall improvement emotional regulation. iii. Learn and implement adaptive communication skills to support improvement in connections with teacher, peers and caregiving system and to increase participation in classroom -based learning. e. Outcomes of Services: i. Increased capacity for social and emotional connections with peers and caregiving system, including educators. ii. Ability to engage more routinely in classroom -based learning while finding adaptive and safe ways to manage emotional distress. iii. Improvement in understanding needs and being able to safely and appropriately communicate needs to others. f. Target Population: i. Children and adolescents ages five (5) to twenty-one (21) years old. g. Language: i. English. ii. Spanish. h. Medicaid Eligibility: i. This service may be Medicaid eligible. i. Service Access and Transportation: i. In -Office. Mental Health Services 1. Mental Health Services a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Services may include but not be limited to: 1. Neuro-sequential Model of Therapeutics (NMT/NME). 2. Adolescent Dialectical Behavioral Therapy (DBT). 3. Trauma Focused Cognitive Behavioral Therapy (TF-CBT). 4. Cognitive Behavioral Therapy (CBT). 5. Sensory Integration. 6. Trauma Focused Child/Parent Interactional Therapy. ii. Services are provided by a Master's level Department of Regulatory Agencies (DORA) registered Clinician. b. Anticipated Frequency of Services: i. One (1) to two (2) hours per week. c. Anticipated Duration of Services: i. Six (6) to twelve (12) months. d. Goals of Services: i. Improvement or stabilization of mental health symptoms. ii. Improvement in ability to utilize effective communication strategies. and coping skills on a consistent basis. iii. Improvement in problem -solving skills to prevent worsening of symptoms. e. Outcomes of Services: i. Affective regulation and application of coping skills. ii. Improvement in healthy relationships. iii. Implementation of routines and rituals to assist with regulating arousal states. f. Target Population: i. All ages. ii. All genders. g. Language: i. English. ii. Spanish. h. Medicaid Eligibility: i. This service is Medicaid eligible. i. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. Home -Based Intervention 1. Home -Based Intervention a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Services may include but not be limited to: 1. Neuro-sequential Model of Therapeutics (NMT/NME). 2. Adolescent Dialectical Behavioral Therapy (DBT). 3. Trauma Focused Cognitive Behavioral Therapy (TF-CBT). 4. Cognitive Behavioral Therapy (CBT). 5. Sensory Integration. 6. Trauma Focused Child/Parent Interactional Therapy. 7. Parent -Child Interactional Therapy (PCIT). ii. Services are provided by a Master's level DORA registered Clinician. b. Anticipated Frequency of Services: i. Two (2) to six (6) hours per week. ii. Hours of service depend on where the client is in their treatment. iii. Most often, clients begin service at around four (4) hours per week and titrate down over the course of care. c. Anticipated Duration of Services: i. Six (6) to twelve (12) months. d. Goals of Services: i. Increase emotion identification and utilization of adaptive coping mechanisms to reduce incidents of outburst or escalation. ii. Support the development and implementation of routines and rituals in the home environment to aid in improved daily functioning. iii. Increase effective communication skills to improve functionality of caregiving system. e. Outcomes of Services: i. Reduction in incidents, including but not limited to incidents of outburst, aggression or elopement. ii. Reduction in mental health symptomology, improvement in adaptive coping. iii. Increase in effective communication. f. Target Population: i. Children and adolescents ages five (5) to eighteen (18) years. ii. All genders. g. Language: i. English. ii. Spanish. h. Medicaid Eligibility: i. This service is Medicaid eligible. i. Service Access and Transportation: i. In-OfficeNideo. ii. In -Home or Community AND with Transportation. Terms 1. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the County. Failure to comply with all aspects may result in a forfeiture of payment. 2. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the County. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. 3. Contractor will respond to the Mental Health and Support Services Team (HS- CWServiceReferralAweld.gov) within three (3) business days regarding the ability to accept the received referral. 4. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Mental Health and Support Services Team HS-CWServiceReferralAweld.gov. 5. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Mental Health and Support Services Team HS- CWServiceReferralayveld.gov. No other County staff or other party to the case may authorize services or modifications to services. 6. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit B, Rate Schedule, then Contractor understands that the County will not reimburse for "no-shows". Contractor understands that the County will only reimburse Contractor for up to two (2) "no-shows" on the part of case participants who cancel without 24 -hour notice. After three (3) "no- shows", Contractor will place client on a behavioral plan requiring attendance or discharge the client from services. Contractor must inform the caseworker and the Mental Health and Support Services Team HS- CWServiceReferralAweld.gov within three (3) days of when the client is placed on a behavioral plan or discharged. 7. Contractor understands that the County will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the County prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Mental Health and Support Services Team HS-CWServiceReferralaweld.gov immediately via email, to discuss service continuation. 8. Contractor will identify, in detail, areas of continued concern and make recommendations to the caseworker in a monthly report regarding continuation of services and/or the need for additional services. 9. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the County, unless otherwise directed by the County. 10. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational, or behavioral issues. Areas of concern should be reported to the caseworker and the Mental Health and Support Services Team HS- CWServiceReferrala.weld.gov immediately AND on the required monthly report. 11. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Mental Health and Support Services Team. Any changes to Family Time referrals will be approved by a new referral signed by the Child Welfare Supervisor. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any; change to the initial referral or subsequent authorizations. 12. Contractor agrees to attend meetings when available and as requested by the Counter. Such meetings include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team Decision Making meetings. The Countir will reimburse for actual participation in the meeting only so long as there is written authorization from the Mental Health and Support Services Team, and the fadilitator documents in the meeting notes the timeframe that the provider attendikl and when participation in the meeting is deemed appropriate and necessary by the County. The Facilitator will be responsible for filling out the time attended on the meeting notes. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Mental Health and Support Services Team. Contractor may participate by phone or virtually, if approved by the County. 13.On a monthly basis, the Contractor will notify the Mental Health and Support Services Team HS-CWServiceReferral(�weld.gov of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The County reserves the right to decline the new staff members managing and/or administering services to County clients. 14. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas: Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR) and will address the aforementioned three areas when completing monthly reports as required by Paragraph 9 of this Exhibit. 15. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the County by the Contractor prior to the start of any Agreement. 16.Training Contractor may be required to attend training at the request of the County specific to services provided under this Agreement. The County will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the County. 17. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at (970) 336-7235 and advise that the subpoena must be personally served. 18. Monitoring and Evaluation Contractor and the County agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the County. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the County, and the Contractor. Contractor will collaborate in a timely manner with the County to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients to sign releases of information. Contractor understands that the County will not reimburse for services rendered to County clients until releases of information are obtained. Contractor shall permit the County, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 19. Credentialino Criteria Contractor and its employee(s) and sub-contractor(s) shall remain in good standing with the Colorado Department of Regulatory Affairs (DORA) and may not, at any time during the term of this contract, be listed as excluded or debarred in the System for Award Management (SAM). Contractor shall ensure that all employees/subcontractors who provide services to clients under this contract meet the credentials/qualifications specific to the County's identified credentialing standards and C.R.S Title 12, Article 43 and in the Social Services Manual Volume 7.000.6(M) (12 CCR 2509-4). The County has the right to approve Contractor's employees/subcontractors who will be performing services under this contract prior to the commencement of the work and shall have the right to review the employee(s)'/subcontractor(s)' employment files prior to granting approval. Contractor must retain copies of employee credentialing qualifications and background checks in personnel files and make such records available to the County Representative upon request. Contractor shall obtain reference and background checks, including fingerprint - based police (CBI and/or FBI) checks (if required by statute or regulation or if there will be unsupervised contact with children), checks of County records, and Sexual Offender Registry checks and receive, at minimum, preliminary results before assigning/hiring employees/subcontractors to perform under this contract. If the County becomes dissatisfied with Contractor's employee(s)/subcontractor(s), the County will notify Contractor of its concerns about the employee(s)/subcontractor(s). Disciplinary measures, if any, will be the sole responsibility of Contractor. However, if the concerns/issues cannot resolve to the County's satisfaction, Contractor's employees)/subcontractor(s) may not be allowed to provide services under this contract. The County reserves the right to review all Contractor's or Sub -Contractors background checks. It is the responsibility of the Contractor to notify the County of results of background checks. EXHIBIT C RATE SCHEDULE 1. Funding and Method of Payment The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified below in Paragraph 2, Fees for Services. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible County expenditures and shall not be reimbursed by the County. For services funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit a State of Colorado direct deposit enrollment form, which will be provided by the County, with a voided check, deposit slip or bank letter. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. For services not funded through Core Services; Contractor agrees to accept payment through County Warrant when funding source does not allow for direct deposit. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Program Area Day Treatmet Rate $120.00 Tnit ype Day' Service Name Day Treatment: Therapy $ 170.00 Day Day Treatment: ASPEN Therapy $ 145.00 '` Day Day Treatment: Excess Cost $ 210.00 Day Day Treatment - ASPEN Therapy - Excess Cost $ 0.70 Mile Day Treatment: Mileage Mental Health Services $ 150.00 Hour Mental: Health Services: In-OfficeNideo $ 187.00 Hour Mental Health Services: In -Home or Community AND with Transportation $ 150.04 Hour Mental Health Services: FTM, TDM, Professional Staffing $ 150.00 Each Mental Health Services: No Show Program Area Mental Health Services Rate $ 0.70 Type Mile Service Name , . Mental Health Services: Mileage Home -Based Services $ 150.00 Hour Home -Based Intervention: In Office/ Video $ 187.00 Hour Home -Based Intervention: In -Home or Community AND with Transportation $ 150.00 Hour Home -Based Intervention: FTM, TDM, Professional Staffing $ 150.00 Each Home -Based Intervention: No Show $ 0.70 Mile Home -Based Intervention: Mileage * Mileage rate is paid after forty (40) roundtrip miles from 2960 Tennyson Street, Denver, Colorado 80212 3. Request for Reimbursement and Supporting Documentation Contractor shall submit all Requests for Reimbursement and supporting documentation to the County by the 7th day of the month following the month of service, but no later than 45 days from the date of service for each client receiving ongoing services. Contractor shall prepare and submit monthly a Request for Reimbursement and monthly report including other supporting documentation, if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 of this Agreement. Monthly reports will be submitted through the County's online reporting system, unless otherwise directed or agreed to by the County. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Time(s) of service (i.e. 2-4pm) b. Location of where the service took place (i.e. clinician's office, client's home, in the community.) c. Clinician/therapist name d. What interventions were used, recommendations and/or goals discussed, progressions towards goals, and client engagement. e. For mileage reimbursement, if applicable, the mileage accumulated minus roundtrip mileage that is included in the rate, starting location, and ending location. f. Any and all safety concems. When submitting a Request for Reimbursement for a one-time service, the contractor shall submit the first and last page of the evaluation/report to confirm proof of services rendered. The full evaluation/report should be submitted by the contractor to the caseworker. For Monitored Sobriety services, proof of services rendered shall be the test result) Requests for Reimbursement and/or supporting documentation received after the 7t" day of the month may delay payment. Requests for Reimbursement and/or supporting documentation received after 45 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 45 -day deadline may result in termination of the Agreement. 4. Payment The County and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other County funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the County, the following: The service being provided by the contractor is not a Medicaid eligible service; a. The service is not deemed medically necessary; b. The Court with jurisdiction over the case has ordered that a non - Medicaid provider or service be used; c. A Medicaid provider is not available to provide the needed service; d. Medicaid is exhausted for the needed service; or e. Medicaid denied service. f. The client is not eligible for Medicaid. The County may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: a. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. b. Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the County. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the County. Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the County and Contractor, or by the County as a debt due to the County or otherwise as provided by law. 6. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMB Circular A-133. Exhibit D WELD COUNTY'S INVITATION FOR BID (Weld County's Invitation for Bid is incorporated into this agreement by reference and will be provided upon request to the Department.) This page is intentionally left blank Exhibit E Contractor's response to the Invitation for Bid Exhibit E contains the following documents: Attachment 1 — Bid Attestation Attachment 2 — Bid Form Attachment 3 — Provider Information Form (PIF) Attachment 4 — Staff Data Sheet Certificate of Insurance (COI) ATTACHMENT 1 BID ATTESTATION Failure to include a signed Attestation upon submittal of your bid may result in your bid being incomplete, non -responsive, and your bid being rejected. If there are any exclusions or contingencies submitted with your bid it may be disqualified. Bidder's Legal Name as reflected, on W-9 Tennyson Center for Children Address 2950 Tennyson St , Denver, CO 80212 Phone Number 303-433-2541 Email vanessa ross(a7tennvsoncenter org FEIN/Federal Tax ID # or SS# 61-1458290 ,The undersigned, by his or her signature, hereby acknowledges and represents that 1 The bid proposed herein meets all the conditions, specifications and special provisions set forth in the Invitation for Bid for Request No #82500040 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 authonzed to bind the below -named bidder for the amount shown on the accompanying bid sheets 4 Acknowledgement of Schedule E — Insurance and Bond 5 Acknowledgment of Schedule F — Weld County Contract 6 By submitting a responsive bid or proposal, the supplier agrees to be bound by all terms'and conditions of the solicitation as established by Weld County 7 Weld County reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid that, in the opinion of the Board of County Commissioners, is to the best interests of Weld County The bid(s) may be awarded to more than one vendor CONTRACTOR: Name Mindy Watrous Title President & CEO By (Double Click in box to sign electronically) i 12/3/2024 ADA ATTACHMENT 2 BID FORM Please complete the following: Number of services offered on this Attachment 2 (max 5): 3 You may complete another Attachment 2 if you have more than 5 services. Service #1 Service Name: Day Treatment/ASPEN Day Treatment Program Area: Day Treatment Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. (Please address each line item below using bulleted points) 1.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): Services may include but not be limited to Neuro-sequential Model of Therapeutics (NMT/NME), Adolescent Dialectical Behavioral Therapy (DBT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Sensory Integration, and Theraplay. Services are provided by a Master's level DORA registered Clinician. 1.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: Client/family is offered at minumum 1 individual therapy session 60 minutes in duration and if appropriate, 1 family therapy sessions per week 60 minutes in duration. Additionally, Day Treatment Clients are offered 1, 45 -minute weekly group therapy session, and ASPEN clients are offered 3, 45 -minute weekly group therapy sessions. Clients are also offered case management and crisis support as needed during hours of operation. Additionally, Clinicians facilitate monthly 1 -hour external staffing meetings with the client, family and other multidisciplinary team members to support progress monitoring and care coordination. 1.03 Anticipated duration of service (i.e. 3-4 months): 9-12 months; however, duration of service can extend to 24 months or longer situational the needs of the client. 1.04 Three (3), or more, specific goals of the service (DO use bullet points): - Improved understanding of triggering events and development of adaptive coping mechanisms to reduce incidents of outburst, including but not limited to, aggression, elopement, self -harm or SI/HI - Increase in emotion identification and an ability to express their emotions in a safe an adaptive mannner to caregiving system to support overall improvement emotional regulation -Learn and implement adaptive communication skills to support improvement in connections with teacher, peers and caregiving system and to increase participation in classroom based learning Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM 1.05 1.06 1.07 1.08 1.09 Three (3), or more, specific outcomes of service: - Increased capacity for social and emotional connections with peers and caregiving system, including educators - Ability to engage more routinely in classroom based learning while finding adaptive and safe ways to manage emotional distress - Improvement in understanding needs and being able to safely and appropriately communicate needs to others Target population of the service, including age and gender: Day Treatment is designed to support children and adolescents 5-21 years old Languages service is available in (please list proficiency and if interpreter services are available): English and Spanish Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Part: Treatment cost is eligible for Medicaid funding with contracted RAF's Service location — list where the service will take place (i.e. client's home, in -office, other): On -site, Tennyson Center for Children 2950 Tennyson Street Denver, CO 80212 Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 1.10 • For monthly Service rates please complete section 1.11 • For Home Study Providers please complete section 1.12 • For monitored Sobriety Providers please complete section 1.13 1.10 Hourly Service Rates: Service #1 Service Type $ Amount Unit Type 1.10a In-Office/Video $ Select One 1.10b Community $ Select One In -Home or 1.10c Service with Transportation Provided $ Select One 1.10d FTM, TDM, Prof. Staffing $ Per Hour 1.10e No show $ Per No Show 1.10f Mileage rate'` $.70 Per Mile * If applicable — Mileage rate is paid after 40) roundtrip miles. 1.11 Monthly Service Rates (each level must be listed): If applicable Revised 12/3/2024 ADA ATTAC I M ENT 2 ID FORM Y Service game'with Level r a Rate per rr MontitI •Minimum Flours , ,Of Service.' ` ' < 1 11a Day Treatment (therapy cost (8+) hours per month DAILY RATE $120 8 1 11 b ASPEN Day Treatment (therapy cost (16 +) hours per month) - DAILY RATE $170 16 1 11c Day Treatment (excess cost) CDE DR -DAILY RATE $145 1 11 d ASPEN Day Treatment (excess cost) CDE DR -DAILY RATE $210 1 11e $ 1 11f $ 1 11g $ 1 11h $ 1 11i $ 1 11j $ 1 12 Home Study Providers — Lost your rates in the box below. 1.13 Monitored Sobriety Providers — List your rates an the box below. 1.14 Additional Comments' Tennyson Center bills a daily rate for Day Treatment/ASPEN service If daily rates are not accepted, a monthly rate can be identified Revised 12/3/2024 ADA ATTACHMENT 2 3-'I® F®R'�: Weld County Use Only Service #1 Initial Proposal Determination. If Applicable, Select One Date: Reason for follow up or negotiation' List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by. Name of Authonzed Representative for Bidder Date: Method changes were approved. If Applicable, Select One Final Proposal Determination: Select One Date' Comments Revised 12/3/2024 'ADA ATTACHMENT 2 BID FORM Service #2 Service Name: Mental Health Services Program Area: Mental Health Services Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. ,Please address each line item_ below using bulleted points 2.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): Services may include but not be limited to Neuro-sequential Model of Therapeutics (NMT/NME), Adolescent Dialectical Behavioral Therapy (DBT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Behavioral Therapy (CBT), Sensory Integration, Trauma Focused Child/Parent Interactional Therapy, and Parent -Child Interactional Therapy (PCIT). Services are provided by a Master's level DORA registered Clinician. 2.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 1-2 hour(s) per week 2.03 Anticipated duration of service (i.e. 3-4 months): 6-12 months 2.04 Three (3), or more, specific goals of the service (DO use bullet points): improvement or stabilization of mental health symptoms - improvement in ability to utilize effective communication strategies and coping skills on a consistent basis -improvement in problem -solving skills to prevent worsening of symptom 2.05 Three (3), or more, specific outcomes of service: - affect regulation and application of coping skills -Improvement in healthy relationships -Implementation of routines and rituals to assist with regulating arousal states 2.06 Target population of the service, including age and gender: 0-99, all ages and genders 2.07 Languages service is available in (please list proficiency and if interpreter services are available): English and Spanish 2.08 Medicaid eligibility - list whether the service is eligible for Medicaid in whole or in part: Services are eligble for Medicaid- Whole 2.09 Service location — list where the service will take place (i.e. client's home, in -office, other): Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM In home, office setting or via tele-health services Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 2.10 • For monthly Service rates please complete section 2.11 • For Home Study Providers please complete section 2.12 • For monitored Sobriety Providers please complete section 2.13 2.10 Hourlv Service Rates: Service #2 $ Amount I Unit Type Service Type 2.10a In-Office/Video $150 Per Hour 2.10b Community Hour $187 Per In -Home or 2.10c Service with Transportation Provided $187 Per Hour 2.10d FTM, TDM, Prof. Staffing $150 Per Hour 2.10e No show $150 Per No Show 2.10f Mileage rate* $.70 Per Mile * If applicable — Mileage rate is paid after 40 roundtrip miles. 2.11 Monthly Service Rates each level must be listed): If applicable Service Name with Level � Rate Month per Minimum of Service: Hours 2.11a $ 2.11b $ - 2.11c $ 2.11d $ 2.11e $ 2.11f $ 2.11g $ 2.11h $ 2.111 $ 2.11j $ 2.12 Home Study Providers - List your rates in the box below. 2.13 Monitored Sobriety Providers - List your rates in the box below. 2.14 Additional Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM Weld County Use Only Service #2: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation' List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by. Name of Authonzed Representative for Bidder Date' Method changes were approved: If Applicable, Select One Final Proposal Determination Select One Date: Comments. Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM Service #3 Service Name: Home Based Intervention Program Area: Home -Based Intervention Scope of Work Please Note: If the service is a monthly package, different levels should be indicated. All monthly packages must state a specific minimum number of direct service hours. (Please address each line item below using bulleted points) 3.01 Modalities, curriculum, tools used in delivery of service (DO NOT list company history): Services may include but not be limited to Neuro-sequential Model of Therapeutics (NMT/NME), Adolescent Dialectical Behavioral Therapy (DBT), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Behavioral Therapy (CBT), Sensory Integration, Trauma Focused Child/Parent Interactional Therapy, and Parent -Child Interactional Therapy (PCIT). Services are provided by a Master's level DORA registered Clinician. 3.02 Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2-6 hours per week, hours of service depend on where the client is in their treatment. Most often clients begin service at around 4 hours per week and titrate down over the course of care 3.03 Anticipated duration of service (i.e. 3-4 months): 6-12 months 3.04 Three (3), or more, specific goals of the service (DO use bullet points): - Increase emotion identification and utilization of adaptive coping mechanisms to reduce incidents of outburst or escalation - Support the development and implementation of routines and rituals in the home environment to aid in improved daily functioning -Increase effective communication skills to improve functionality of caregiving system 3.05 Three (3), or more, specific outcomes of service: - Reduction in incidents, including but not limited to incidents of outbrust, aggression or elopement - Reduction in mental health symptomology, improvement in adaptive coping - Increase in effective communication 3.06 Target population of the service, including age and gender: Children and adolescents ages 5-18 years old, all genders 3.07 Languages service is available in (please list proficiency and if interpreter services are available): English, Spanish 3.08 Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Medicaid Eligible- Whole Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM 3.09 Service location — list where the service will take place (i.e. client's home, in -office, other): Rates Please Note: All rates need to include overhead and administrative work (i.e., scheduling or report writing). All rates should be per hour unless service is for evaluations/assessments, Home Studies, or Monitored Sobriety. • For hourly Service rates please complete section 3.10 • For monthly Service rates please complete section 3.11 • For Home Study Providers please complete section 3.12 • For monitored Sobriety Providers please complete section 3.13 3.10 Hourlv Service Rates: Service #3 Service Type $ Amount Unit Type 3.10a In-Office/Video $150 Per Hour 3.10b In $187 Per Hour -Home or Community 3.10c Service with Transportation Provided $187 Per Hour 3.10d $150 FTM, TDM, Prof. Staffing Per Hour 3.10e No show $150 Per No Show 3.10f Mileage rate* $.70 Per Mile * If applicable — Mileage rate is paid after 40 roundtrip miles. 3.11 Monthly Service Rates (each level must be listed): If applicable Service Name with Level Rate Month per Minimum of Service: Hours 3.11a $ 3.11b $ 3.11c $ 3.11d $ 3.11e $ 3.11f $ 3.118 $ 3.11h $ 3.11i $ 3.11j $ 3.12 Home Study Providers - List your rates in the box below. 3.13 Monitored Sobriety Providers - List your rates in the box below. 3.14 Additional Comments: Revised 12/3/2024 ADA ATTACHMENT 2 BID FORM Weld County Use Only Service #3: Initial Proposal Determination: If Applicable, Select One Date: Reason for follow up or negotiation: List specific item(s) needing follow up or discussion Changes approved to proposal: List specific item(s) that were changed Changes approved by: Name of Authorized Representative for Bidder Date: Method changes were approved: If Applicable, Select One Final Proposal Determination: Select One Date: Comments: Revised 12/3/2024 ADA ATTACHMENT 3 WELD COUNTY DEPARTMENT OF HUMAN SERVICES PROVIDER INFORMATION FORM (PIF) Agency Information: As listed on W-9 Agency Name: Tennyson Center for Children Trails Provider ID (if known): Provider Contact Full Name: V a n e s s a Ross Title: Chief Program Officer Primary Phone Number (10 -digit): 720-855-3577 Ext.: Primary Contact Email: vanessa.rossCa�tennysoncenter.orq Agency Location Address (Street, city, state, zip): 29 50 Tennyson S t . , Denver, CO 80212 Agency Mailing Address (Street, city, state, zip): Same as above Agency Type: Private Non -Profit Send Referrals for Service to: Referral Contact Name: Al v s s a Deis Title: Director of Admissions Referral Phone Number (10 -digit): 303-731-4845 Ext.: Email: admissionsCa�tennvsoncenter.org Billing Contact: Billing Contact Name: S t a c v Sullivan Title: Senior Accountant Billing Phone Number (10 -digit): 720-855-3468 Ext.: Email: stacy.sullivan(c�tennysoncenter.orq Revised ADA 12/3/2024 ATTACHMENT 4 - STAFF DATA SHEET Bidder Must List All Staff Who Will Administer the Proposed Service(s) BIDDER'S LEGAL NAME (As it appears on the W-9): AGENCY CONTACT: Vanessa Ross Tennyson Center for Children PHONE NUMBER: 720-855-3577 EMAIL: vanessa.ross@tennysoncenter.org PROPOSED SERVICE(S): Day Treatment/ASPEN Day Treatment, Mental Health Services, Kinship Services, Aftercare, Home -Based Interventions Legal Last Name Middle Initial Previous Legal Last Name (If applicable) Legal First Name Service Type Licensure/ Credentials DORA # (If applicable) Sprague C Leah Day Treatment ASPEN MH Services LCSW 09926174 Lanman M Hannah Day Treatment ASPEN MH Services LPC 0018532 Dugan R Amber Day Treatment ASPEN MH Services LCSW 09929328 Zehntner L Stephanie Day Treatment ASPEN MH Services LPC 0020198 Hayes N Ashley Day Treatment ASPEN MH Services LPCC 0021747 Owens Makensie Day Treatment ASPEN MH Services LPCC 0022295 Dame Sarah MH Services, Home Based Intervention MH Services LCSW 09925373 Flores E Megan MH Services LCSW 09925836 Zeledon Auxiliadora MH Services, NLC 0110452 Home Based Intervention Whitman Nicole MH Services, Home Based Intervention LSW 0009924068 Grinage Brooklyn MH Services, Home Based Intervention LSW 0009925179 Bailon Hepzibah MH Services, Home Based Intervention SWC 0000001525 Ross M Vanessa All Programs LCSW 09924986 Greenawalt V Dagny MH Services SWC 0000001507 CHILD WELFARE INVITATION FOR BID 2025-26 - VARIOUS SERVICES ACORDT. Client#: 1089099 TENNYCEN CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) o5n2/2oz5 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: H 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Services, LLC 4600 S. Ulster Street, Suite 1200 Denver, CO 80237 800 873-8500 INSURED Tennyson Center for Children At Colorado Christian Home 2950 Tennyson Street Denver, CO 80212-3029 AME: CONTACT Breanna Bucklin N PHONE ExQ: 800 873-8500 Wass: breanna.bucklin@usi.com INSURER(S) AFFORDINGCOVERAGE INSURER A : Berkley National Insurance Company INSURER B : Pinnacol Assurance Company (A/C, No): NAM It 38911 41190 INSURER C INSURER D : INSURER E_ INSURER F CERTIFICATE NUMBER: 49252680 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A X •ADDL TYPE OF INSURANCE ..__,INSR COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE X' OCCUR i SUBR WVD ,-_- POLICY NUMBER _-(MM/DO/YYYY)(MM/DD/YYYY) 852971914 POLICY EFF ADM) 10/01/2024110/01/2025 I I I LIMITS EACH OCCURRENCE , $1,000,000 r�REMIS_ ai occu ence) j $100,000 MED EXP (Any one person) I $ 5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE I $ 3,000,000 GEML - .. AGGREGATE LIMIT APPLIES PER POLICY JECOTi Ij LOC OTHER: PRODUCTS - COMP/OPAGG $3,000,000 $ A AUTOMOBILE X _. r X _- LIABILITY ANY AUTO OWNED I-- SCHEDULED AUTOS ONLY I-__ AUTOS HIRED NON-bWNED AUTOS ONLY I X ' AUTOS ONLY _ 852971914 10/01/2024'10/01/2025 I: COMBINED SINGLE LIMIT (EaacciLI $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) I $ r- PROPERTY DAMAGE $ (Per accident) $ A I X UMBRELLA LIAB-T OCCUR EXCESS LIAB I X CLAIMS -MADE I 852971914 10/01/2024 10/01/2025 I EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 $ I DED I I RETENTION $ �� WORKERS COMPENSATION B Y/ N I ANY PROPRIE R/ OFFlCER/MEM ER EXCLIUDED� UTIVE- j Y NrA (Mandatory in NH) "- '. It yes, describe under DESCRIPTION OF OPERATIONS below 4085885 10/01 /2024 10/01/2025 !, X STATILTE _-. ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE; $1,000,000 E.L. DISEASE - POLICY LIMIT I $1,000,000 A I Professional Liab 852971914 10/01/2024 10/01/2025 I 1,000,000 each claim 3,000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage: Physical Abuse, Sexual Misconduct Or Sexual Molestation Liability **Note: Physical Abuse, Se�qual Misconduct or Sexual Molestation limits are included in the $4,000,000 Umbrella limit** Policy Term: 10/01/2024 to 10/01/2025 (See Attached Descriptions CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Weld County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 315 N. 11th Ave ue Bldg. A. ACCORDANCE WITH THE POLICY PROVISIONS. Greeley, CO 80631 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of12 The ACORD name and logo are registered marks of ACORD #S49252680/M47263585 SACT DESCRIPTIONS (Continued from Page 1) Carrier: Berkley National Insurance Company Policy #852971914 Physical Abuse, Sexual Misconduct or Sexual Molestation - $1,000,000 Each Incident Limit Physical Abuse, Sexual Misconduct or Sexual Molestation - $3,000,000 Aggregate Limit Coverage: Crime Policy Term: 10/01/2023 to 10/01/2024 Carrier: Westchester Fire Insurance Company Policy # G72553445004 Employee Theft - $500,000 Limit / $5,000 Deductible Forgery or Alteration - $500,000 Limit / $5,000 Deductible Coverage: Cyber Liability Policy Term: 10/01/2024 to 10/01/2025 Carrier: Coalition Insurance Solutions, Inc. Policy # C4LTK140783CYBER2023 Network Security and Privacy Liability - $3,000,000 Aggregate Limit Multimedia Liability - $3,000,000 Aggregate Limit Deductible: $5,000 Description of Operations: Additional Insured: Board of County Commissioners of Weld County and its Officers / Employees. SAGITTA 25.3 (2016/03) 2 of 2 #S49252680/M47263585 SIGNATURE REQUESTED: Weld/Tennyson Center for Children PSA (full) Final Audit Report 2025-05-14 Created: 2025-05-14 By: Windy Luna (wluna@weld.gov) Status: Signed Transaction ID: CBJCHBCAABAAFYPZS_oDoN-zL81zBmiXDcsyfckGElY3 "SIGNATURE REQUESTED: Weld/Tennyson Center for Childre n PSA (full)" History ,t Document created by Windy Luna (wluna@weld.gov) 2025-05-14 - 1:38:44 PM GMT- IP address: 204.133.39.9 E. Document emailed to mindy.w@tennysoncenter.org for signature 2025-05-14 - 1:41:02 PM GMT ,t Email viewed by mindy.w@tennysoncenter.org 2025-05-14 - 2:50:42 PM GMT- IP address: 104.47.73.126 A, Signer mindy.w@tennysoncenter.org entered name at signing as Mindy Watrous 2025-05-14 - 2:52:05 PM GMT- IP address: 50.229.182.84 4 Document e -signed by Mindy Watrous (mindy.w@tennysoncenter.org) Signature Date: 2025-05-14 - 2:52:07 PM GMT - Time Source: server- IP address: 50.229.182.84 O Agreement completed. 2025-05-14 - 2:52:07 PM GMT Powered by Adobe Acrobat Sign Contract Form Entity Information Entity Name* TENNYSON CENTER FOR CHILDREN Entity ID* @00030337 Contract Name* TENNYSON CENTER FOR CHILDREN (NEW PROFESSIONAL SERVICES AGREEMENT RELATED TO BID #B2500040) Contract Status CTB REVIEW New Entity? Contract ID 9492 Contract Lead* WLUNA Contract Lead Email wluna@weld.gov;cobbxxl k@weld.gov Parent Contract ID Requires Board Approval YES Department Project # Contract Description* (CONSENT) TENNYSON CENTER FOR CHILDREN NEW PROFESSIONAL SERVICES AGREEMENT RELATED TO BID #B2500040. TERM: JUNE 1, 2025 THROUGH JULY 31, 2028. Contract Description 2 TEMPLATE APPROVED ON APRIL 23, 2025. THIS WILL BE A CONSENT ITEM. Contract Type* AGREEMENT Amount* $0.00 Renewable* YES Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weld.gov Department Head Email CM-HumanServices- DeptHead@weld.gov County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV Requested BOCC Agenda Date* 05/28/2025 Due Date 05/24/2025 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 MSAI 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 Review Date* 05/31/2028 Renewal Date* 06/01/2026 Committed Delivery Date Expiration Date Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver, Approval Process Department Head JAMIE ULRICH DH Approved Date 05/20/2025 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05/28/2025 Finance Approver RUSTY WILLIAMS Purchasing Approved Date Legal Counsel BYRON HOWELL Finance Approved Date Legal Counsel Approved Date 05/21/2025 05/22/2025 Tyler Ref # AG 052825 Originator WLUNA Hello