HomeMy WebLinkAbout20252195.tiffResolution
Approve Contract for Academic Affiliation for Social Work Internship Opportunities
and Authorize Chair to Sign — Western New Mexico University, School of Social
Work
Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
Whereas, the Board has been presented with a Contract for Academic Affiliation for
Social Work Internship Opportunities between the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the
Department of Human Services, and Western New Mexico University, School of Social
Work, commencing upon full execution of signatures, with further terms and conditions
being as stated in said contract, and
Whereas, after review, the Board deems it advisable to approve said contract, a copy of
which is attached hereto and incorporated herein by reference.
Now, therefore, be it resolved by the Board of County Commissioners of Weld County,
Colorado, that the Contract for Academic Affiliation for Social Work Internship
Opportunities between the County of Weld, State of Colorado, by and through the Board
of County Commissioners of Weld County, on behalf of the Department of Human
Services, and Western New Mexico University, School of Social Work„ be, and hereby
is, approved.
Be it further resolved by the Board that the Chair be, and hereby is, authorized to sign
said contract.
The Board of County Commissioners of Weld County, Colorado, approved the above
and foregoing Resolution, on motion duly made and seconded, by the following vote on
the 6th day of August, A.D., 2025:
Perry L. Buck, Chair: Aye
Scott K. James, Pro-Tem: Aye
Jason S. Maxey: Aye
Lynette Peppler: Aye
Kevin D. Ross: Aye
Approved as to Form:
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
ce•.NSD
V.22./..25
2025-2195
H R0097
Cun-4tic� �- I 9759
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Academic Affiliation Agreement with Western New Mexico University
DEPARTMENT: Human Services DATE: July 15, 2025
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the problem/issue: The Department is seeking approval for an Academic
Affiliation Agreement between the Western New Mexico University and Weld County Department of
Human Services as an internship experience site for students enrolled in the College's social work
curriculum, for development and implementation of practicum experience for social work.
This agreement is non -financial and will cancel and supersede the prior Western New Mexico
University Educational Affiliation Agreement, known to the Board as 2017-0721.
The term for this Agreement is from the Execution Date and renewed for five (5) years.
This Affiliation Agreement has been reviewed and approved by legal (B. Howell).
What options exist for the Board?
Approval of the Academic Affiliation Agreement with Western New Mexico University.
Deny approval of Academic Affiliation Agreement with Western New Mexico University.
Consequences: The Academic Affiliation Agreement will not be executed.
Impacts: Opportunities for ongoing education in the Social Work field will not be possible
through the Weld County Department of Human Services.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
Total Cost = This is a non -financial agreement.
Pass -Around Memorandum; July 15, 2025 - CMS ID 9759
2025-2195
S/LP -}a-c0c11
Recommendation:
• Approval of the Academic Affiliation Agreement with Western New Mexico University and
authorize the Chair to sign.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck
Scott K. James
Jason S. Maxey
Lynette Peppier
Kevin D. Ross
Pass -Around Memorandum; July 15, 2025 - CMS ID 9759
0 Nmmu
College of Professional Studies
School of Social Work
CONTRACT BETWEEN
WESTERN NEW MEXICO UNIVERSITY
(ON BEHALF OF)
AND THROUGH
THE SCHOOL OF SOCIAL WORK
AND
This contract, hereinafter called the "Agreement," is made this tfil" 0'C" UIS"t,i1, by and
between Western New Mexico University on behalf of the School of Social Work and through the Social
Work Department, hereafter called the "College," and
Weld County Department of Human Services, hereinafter called the "Facility."
WHEREAS, the College has a curriculum in social work, and
WHEREAS, practicum experience is required as an integral component of the social work curriculum,
and
WHEREAS, the College desires the cooperation of Facility in the development and implementation of
the practicum experience phase of the College's social work curriculum, and
WHEREAS, the Facility recognizes its professional responsibility to participate in the education of social
work students, and
WHEREAS, the Facility wishes to join the College in development and implementation of practicum
experience for social work,
NOW, THEREFORE, in consideration of the mutual agreements set forth herein, the College and the
Facility will cooperate as described herein.
The College and the Facility mutually agree:
1. To establish the educational objectives for the practicum experience, devise methods for their
implementation, and continually evaluate to determine the effectiveness of the practicum experience.
2. To assure that no person will, on the grounds of race, color, creed, national origin, sex, sexual
orientation, gender identity, age, or handicap, be excluded from participation in, be denied the benefits
of, or be otherwise subjected to discrimination in performance of this Agreement.
3. To acknowledge that students participating in the Affiliation Program are members of the Facility's
"workforce", as that term is defined under the Health Insurance Portability and Accountability Act
("HIPAA") Privacy Rules at 45 C.F.R. 160.103. ("Workforce" means employees, volunteers, trainees,
and other persons whose conduct, in the performance of work for a covered entity, is under the direct
control of such entity, whether or not they are paid by the covered entity.) As members of Facility's
workforce for purposes of HIPAA, students participating in the Affiliation Program will be subject to the
Facility's HIPAA policies and procedures.
4. To acknowledge, notwithstanding Paragraph 3 of this agreement, that participating students are not
to be construed as agents or employees of the Facility or the College under this agreement. No
retirement, paid leave, bonding, use of Facility or College vehicles, insurance, or other employee
benefits from the Facility or College shall accrue to the students as a result of this Agreement.
5. To acknowledge that neither College nor students are "Business Associates" of the Facility as that
term is defined under HIPAA at 45 C.F.R 160.163.
6. At the discretion of the Facility allow the students to participate in continuing education programs
conducted for the Facility staff, including any training provided by the Facility on HIPAA compliance.
7.To acknowledge that the Facility at all times will retain responsibility for the care of its patients.
Neither College faculty nor students will be expected to replace Facility staff in the conduct of the
Facility's activities.
8. To allow this Agreement to cover practicum for Bachelor's and Master's Program affiliations.
9. That, as between the parties, each party will be responsible for liability arising from personal injury or
damage to persons or property occasioned by its own agents or employees in the performance of this
Agreement. Parties do not waive any of the immunities and protections of each Party's respective
state Governmental Immunity Statutes, those being New Mexico Tort Claims Act (§ 41-4-1 et seq.
NMSA 1978) and Colorado Governmental Immunity Act, CRS 24-10-101 et seq.
10. That students are sent and accepted on a case -by -case basis. Facility has the right to refuse any
Student BEFORE they are sent, due to a lack of Facility staff to properly supervise the Student.
The College agrees:
1. To assume responsibility for assuring continuing compliance with the educational standards
established by the Council on Social Work Education.
2. To establish and maintain ongoing communication with the Director of Field Education of the Facility
on items pertinent to social work education. Such communication may include, but not be limited to, a
description of the curriculum, relevant course outlines, policies, faculty, and major changes in this
information. On -site visits will be arranged whenever feasible.
3. When possible, to appoint as faculty the Practicum Supervisor who is responsible for planning and
implementation of the social work practicum experience at the Facility.
4. To notify the Practicum Supervisor and the Facility at a time mutually agreed upon, of its planned
schedule of student assignment, including the name of the student, level of academic preparation, and
length and dates of practicum experience.
5. To refer to the Facility only those students who have satisfactorily completed the prerequisite portion
of the curriculum that is applicable to the Facility.
6. To inform the student of the Facility's requirements for acceptance.
7. To advise the assigned student of the responsibility for complying with the existing pertinent rules
and regulations of the facility.
8. To provide professional liability coverage for its students in accordance with the provisions of the
New Mexico Tort Claims Act. The College is insured for professional liability covering its employees
and students in accordance with the provisions of the New Mexico Tort Claims Act. The College
agrees that all claims arising out of or relating to acts or omissions to act of one or more of its students
will be made and tendered to the New Mexico Public Schools Insurance Authority by College.
9. To supply the Practicum Supervisor with appropriate forms to be used in evaluating the performance
of the assigned student.
10. To have the student provide prior to the commencement of the student assignment such
confidential information as may be required by the Facility.
11. To forward to the Facility the name, health status report, the evidence of coverage or noncoverage
of health, worker's compensation and/or liability protection of each student enrolled in the program at
least four (4) weeks before the commencement of each student's Clinical Education placement.
12. To assure that all participating students and faculty have been instructed in and will observe the
importance of and requirements of maintaining confidentiality of all patient information.
13. To retain responsibility of personal and career guidance and counseling for its students.
The Facility agrees:
1. To designate as Practicum Supervisor the staff member who will be responsible for the
planning and implementation of the practicum experience. The staff member so designated shall meet
the criteria established by Council on Social Work Education and WNMU School of Social Work for
supervising students.
2. To provide the Practicum Supervisor with time to plan and implement the practicum experience
including, when feasible, time to attend relevant meetings and conferences.
3. To provide the physical facilities and equipment reasonably necessary to conduct the practicum
experience.
4. To have available a written description of the practicum experience being offered.
5. To advise the College of any changes in its personnel, operation, or policies that may affect
practicum experience.
6. To determine the number of students that can be accommodated during a given period of time.
7. To provide the assigned student, whenever possible, with use of library facilities and reasonable
study and storage space.
8. To provide the assigned student with access to the Facility's existing pertinent rules and regulations
with which the student is expected to comply, including the Facility's Policies and Procedures relating to
the student's responsibilities under HIPAA.
9. To make emergency health care reasonably available for the assigned student. The student will
otherwise be responsible for his or her health care.
10. To evaluate the performance of the assigned student on a regular basis using the evaluation form
developed by the WNMU School of Social Work and supplied by the College. The completed
evaluation will be forwarded to the college within one (1) week following conclusion of the student's
practicum experience.
11. To advise the College at least by midterm of any serious deficit noted in the ability of the assigned
student to progress toward achievement of the stated objectives of the practicum experience. It will
then be the mutual responsibilities of the assigned student, the Practicum Supervisor and the Director
of Field Education to devise a plan by which the student may be assisted to achieve the stated
objectives.
12. To have the right to terminate any student whose health or performance is a detriment to patient
well-being or the achievement of the stated objectives of the practicum experience after notifying the
College.
13. To support continuing education and professional growth and development of those staff who are
responsible for student supervision.
Miscellaneous terms:
1. This Agreement shall be effective when executed by both parties for a period of one year and will be
automatically renewed annually and reviewed every five (5) years unless otherwise indicated by one of
the parties.
2. Nothing in this Agreement will be construed as establishing a partnership, joint venture or similar
relationship between the Facility and the College, and nothing in this Agreement will be construed to
authorize either party to act as agent for the other.
3. This Agreement may be revised or modified only by written amendment signed both parties.
4. Either party may terminate this Agreement upon 90 days' written notice.
5. This Agreement is subject to periodic review as determined between the Facility and the College.
6. Any written notice/communication provided for, required, or permitted herein will be addressed to the
following:
Facility Name:
Western New Mexico University
PO Box 680
Silver City, New Mexico 88062
Contact Name: Estilla S. Lightfoot, PhD, LCSW
Associate Dean, School of Social Work
Phone Number: (575) 538-6420
For the University
keGGe RI&le
Kelley Riddle
Vice President of Business & Finance
By EZ lla tfoot,u128, 2025012851"
Estilla S. Lightfoot, PhD, LCSW
Associate Dean, School of Social Work
Date:
For the Facility
ATTEST:
BY:
Clerkto the Board
Deputy Clerk to the :oar
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Buck, Chair
ate: AUG 0 6 2025
2 ?5 2l'
SIGNATURE REQUESTED: Weld/WNMU
SSWK Affiliation Agreement
Final Audit Report
2025-07-28
Created: 2025-07-14
By: Windy Luna (wluna@weld.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAgOH9p1-SkJSZVucw0hv0_V-3JFKyFGQV
"SIGNATURE REQUESTED: Weld/WNMU SSWK Affiliation Agr
eement" History
t Document created by Windy Luna (wluna@weld.gov)
2025-07-14 - 4:47:54 PM GMT- IP address: 204.133.39.9
E-. Document emailed to riddlek@wnmu.edu for signature
2025.07-14 - 4:50:38 PM GMT
n Email viewed by riddlek@wnmu.edu
2025-07-14 - 10:57:50 PM GMT- IP address: 34.221.250.146
,n Email viewed by riddlek@wnmu.edu
2025-07-28 - 2:09:04 PM GMT- IP address: 54.186.125.26
4 Signer riddlek@wnmu.edu entered name at signing as Kelley Riddle
2025-07-28 - 2:10:41 PM GMT- IP address: 198.59.153.48
4 Document e -signed by Kelley Riddle (riddlek@wnmu.edu)
Signature Date: 2025-07-28 - 2:10:43 PM GMT - Time Source: server- IP address: 198.59.153.48
E. Document emailed to Estilla Lightfoot (estilla.lightfoot@wnmu.edu) for signature
2025-07-28 - 2:10:45 PM GMT
4 Document e -signed by Estilla Lightfoot (estilla.lightfoot@wnmu.edu)
Signature Date: 2025-07-28 - 3:28:51 PM GMT - Time Source: server- IP address: 73.228.9.144
el Agreement completed.
2025-07-28 - 3:28:51 PM GMT
Powered by
Adobe
Acrobat Sign
Contract Form
Entity Information
Entity Name*
WESTERN NEW MEXICO
UNIVERSITY
Entity ID*
@00037757
❑ New Entity?
Contract Name* Contract ID
WESTERN NEW MEXICO UNIVERSITY (ACADEMIC 9759
AFFILIATION AGREEMENT)
Contract Status
CTB REVIEW
Contract Lead *
WLUNA
Contract Lead Email
wluna@weld.gov;cobbxxl
k@weld.gov
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description*
WESTERN NEW MEXICO UNIVERSITY NEW ACADEMIC AFFILIATION AGREEMENT FOR SOCIAL WORK EMPLOYMENT -
BASED INTERNSHIP. TERM: EXECUTION DATE AND SHALL BE AUTOMATICALLY RENEWED ANNUALLY AND
REVIEWED EVERY FIVE (5) YEARS.
Contract Description 2
PA ROUTING WITH THIS ENTRY. ETA TO CTB: 07/16/25.
Contract Type*
AGREEMENT
Amount*
$0.00
Renewable *
YES
Automatic Renewal
Grant
IGA
Department Requested BOCC Agenda Due Date
HUMAN SERVICES Date* 07/26/2025
07/30/2025
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
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Review Date*
05/22/2026
Renewal Date*
07/24/2026
Committed Delivery Date Expiration Date
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JAMIE ULRICH CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
07/29/2025 07/29/2025 07/29/2025
Final Approval
BOCC Approved Tyler Ref #
AG 080625
BOCC Signed Date Originator
WLUNA
BOCC Agenda Date
08/06/2025
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