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Home My WebLink About20231364.tiff doh -vc..cf I b#+ 103SS /Ma Department of Human Services 970-352-1551 315 North 1 1 th Avenue COUNTY, CO Greeley, CO 80631 February 5, 2026 To: Board of County Commissioners Re: Professional Services Agreement Amendment #3 with various Service Providers through Request for Proposal (RFP) Bid #B2300042 The Department entered into Professional Service Agreements(PSA)with various Service Providers through Request for Proposal (RFP) Bid #B2300042, known to the Board as Document ID 2023-0507. The Department is requesting to amend the current agreements to add additional funding, as noted below. CMS Provider/Term Services Tyler# Original FY 26 Additional Revised ID Provided Budget Funding Total Catholic Charites Case 2023-1365 $75,000.00 $35,000.00 $110,000.00 10352 Term: July 1, 2025 Management to June 30, 2026 Services and Outreach Colorado Legal Legal Services 2023-1606 $25,000.00 $10,000.00 $35,000.00 10353 Services Term: July 1, 2025 to June 30, 2026 Meals on Wheels Home Delivery 2023-1367 $100,000.00 $40,000.00 $140,000.00 10354 Term: July 1, 2025 Meals to June 30, 2026 North Range Peer 2023-1364 $40,000.00 $30,000.00 $70,000.00 10355 Behavioral Health Counseling Term: July 1, 2025 Services to June 30, 2026 Sincerely, Jamie Ulrich, Director Con �l erlc c c on base(1)1+5) %On -13(04 7 /1 /,cD Z/ 9l2 (p H-120bR5 AGREEMENT AMENDMENT BETWEEN 'j WELD COUNTY AND Cc u NTY NORTH RANGE BEHAVIORAL HEALTH -� This Agreement Amendment made and entered into day of 2026 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and North Range Behavioral Health, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Peer Counseling Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2023-1364, approved on May 15, 2023. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on June 30, 2024. • The Original Agreement was amended on: • June 19, 2024 to extend the term date through June 30, 2025 and amend Exhibit D, Modified Scope and Rates. • June 18, 2025 to extend the term date through June 30, 2026 and amend Exhibit D, Modified Scope and Rates. • The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2023-1364. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement effective January 1, 2026: 1. Exhibit D, Modified Scope and Rates is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: S .- % ATTEST: BOARD OF COUNTY COMMISSIONERS Clerk to the Board WELD COUNTY, COLORADO BY: U �?,..r .1 Deputy Clerk to the Boar �• E / -cott K. James, Chair FEB o 0 2026 1861 aik -CONTRACTOR: 0 c` • orth Range Behavioral Health UR '>1300 North 17th Avenue \r\ =..._1, Greeley, Colorado 80631 VW COatk$ By: Kim Collins(Feb 5,2026 15.05:05 MST) Kim Collins, Chief Executive Officer 02/05/2026 Date: 2 c? — 13&-} Exhibit D Modified Scope and Rates Exhibit D addresses the funding, specific Scope of Services, Rates, and Performance Measurements based on the awarded grant monies issued by the County. 1. Funding Contractor will receive the following award as noted in the table below for the period July 1, 2025 to June 30, 2026 for Peer Counseling services: Original Grant Award Additional Funding as Revised Total of January 1, 2026 $ 40,000.00 $30,000.00 $70,000.00 The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified in Section 2, Services and Rates. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. 2. Service and Rates County agrees to pay Contractor for services outlined below, not to exceed the total grant award as noted in Section 1, Funding. Unit Rate Service Descri•tion $ 31.68 Peer Counseling Contractor agrees to provide 2,209 units to approximately 162 unduplicated older adults with the goal of reaching 35 minority older adults, and 43 rural older adults. 3. Terms Contractor agrees to commence services within thirty (30) days after the signing of the Agreement and assure completion of all services under this agreement by the end of the period dated in Section 1 , Funding. Contractor agrees to document and report any program income received as a result of services provided under the Agreement. Exhibit D Modified Scope and Rates Contractor agrees to include the following statement in any written materials (pamphlets, brochures, announcements, websites, etc.) or in any verbal presentations: Contractor is supported, in part by funds provided by the Weld County Area Agency on Aging through the Older Americans Act. Contractor understands that County is required to conduct periodic evaluations of the activities conducted under this Agreement and to monitor on an ongoing basis the performance of Contractor to insure that the funds made available by the Agreement are expended in keeping with the purposes for which they were awarded; and Contractor accordingly agrees to cooperate fully with the County in the conduct of such evaluation and monitoring, including the keeping and supplying of such information, and providing access to documents and records to the County for the purpose of audit; and further agrees to do all things necessary to enable County to fulfill its obligation to the State of Colorado and the United States Government. Furthermore, if Contractor submits invoices to the County and receives reimbursement for services provided to clients who are later determined to be ineligible, Contractor agrees to repay those funds to the County in full upon request. Any changes, including any increase or decrease in the amount of Contractor's compensation, and including changes in budget allocations which are mutually agreed upon by and between the County and Contractor, shall be incorporated in written amendments to this Agreement and in appropriate revisions to the grant proposal. Contractor understands and agrees: a. This Agreement and the provisions of services hereunder shall be subject to the laws of Colorado and be in accordance with the policies, procedures, and practices of the County, the Older Americans Act, Volume 10 Code of Colorado Regulations and the policies and procedures established by the State Unit on Aging, and the terms and conditions of the project application approved by the County. b. Understands that if there is Federal/State program income unearned at the time the project is terminated, this amount must be returned to the County unless the County otherwise stipulates. c. Understands that the project's fiscal affairs are subject to audit. If costs are disallowed, the proportion of Federal/State funds disallowed must be returned to the County. d. Understands that this award is made for the period amounts stated in this Agreement. This Agreement in no way implies further funding which is contingent upon the availability of funds and approval of future project applications. Exhibit D Modified Scope and Rates e. Agrees to keep records and make reports on the forms required by the County and in accordance with guidelines issued by the State of Colorado and the Administration on Aging, specifically, i. To submit monthly financial invoices and programmatic reports to the County by the 10th of the following month; ii. To submit other reports to the County as requested; iii. Maintain a computer system that will be able to manage all required County reporting software; iv. Maintain internet access in order to transfer all required data to the County. f. Agrees to advise the County of needed program and financial changes and await approval from the County prior to change implementation. g. Agrees to have policies and procedures for complaint/appeal tracking, timely disposition of complaints/appeals and documentation of such processes. h. Agrees to have a client grievance policy, which will address any alleged infractions of any Federal, State or Local laws by Contractor against recipients of or applicants for services. i. Agrees to have a policy and procedure for wait lists that meets the requirements set forth by the Contractor. j. Agrees to provide recipients receiving services the opportunity to contribute to all or part of the cost of the services received. Each recipient shall be given the opportunity to determine if they are able to contribute to all or part of the cost of services. No recipient shall be denied a service because of an inability and/or choice not to contribute to all or part of the cost of the service. All contributions shall be considered program income. All contributions shall be used to expand the services for which the contributions were given. k. Agrees that local cash or in-kind contributions have not been used to satisfy or match another federal grant or funds. Supplies, volunteer services, and other in-kind contributions shall be valued as described under 45 C.F.R. 874.5. All matching contributions, including cash and in- kind shall be verifiable from agency records. I. Agrees to perform background checks of all employees, volunteers or subcontractors pursuant to C.R.S. 27-1-110 and in accordance with the policy of the County and the State Unit on Aging. m. The County may also recover, at the County's discretion, payments made to Contractor in error for any reason, including, but not limited to, overpayments or improper payments, and unexpended or excess funds Exhibit D Modified Scope and Rates received by Contractor by deduction from subsequent payments under this Contract, deduction from any payment due under any other contracts, grants, or agreements between the County and Contractor, or by any other appropriate method for collecting debts owed to the County. 4. Performance Measures a. The Performance Measures Process. As set forth and defined herein, "Performance Focus" is a performance- based analysis strategy the Parties shall use in association with the Contractor's performance hereunder that allows the Parties to better focus on and improve performance outcomes to obtain maximum benefits from the work of the Contractor under this Contract. By identifying areas of focus, the Parties shall determine what aspects of the Contractor's performance hereunder are working and what aspects of said performance need improvement. By measuring the impact of day-to-day work of the Contractor hereunder, the Parties will be able to make more informed collaborative decisions to align the work of the Contractor to affect more positive performance outcomes and change for the purposes served through this Contract. b. Performance Measures Reports. Performance Measures Reports shall reflect relevant report data for the Performance Measures identified hereunder to be tracked on an ongoing basis through the Contract Performance Focus process. Performance Measures shall continue to evolve to meet the objective of measuring key performance outcome indicators for the work of the Contractor hereunder. Performance Measures may be changed via a contract amendment. c. Contract Performance Measures The Contractor agrees on the following initial Performance Measures: i. Measure: The Contractor shall increase unduplicated consumers served in comparison to the same month in the previous fiscal year. ii. Measure: In a consumer satisfaction survey provided by the State Unit on Aging (SUA) the contractor shall provide surveys to one hundred percent (100%) of registered consumers within the contractor's region during the month of February. The results shall be summarized by the contractor and submitted to the County by May 1st, unless otherwise requested by the County by a different date. The summarized results shall show the following measures: iii. Consumer Satisfaction Survey results shall show a minimum of ninety percent (90%) positive response. Signature Requested : Weld/NRBH Amendment #3 Final Audit Report 2026-02-05 Created: 2026-02-05 By: Sara Adams(sadams@weld.gov) Status: Signed Transaction ID: CBJCHBCAABAAI6BLYIjOUxSaXOQQIrtMKGABX3215dhT "Signature Requested: Weld/NRBH Amendment #3" History t Document created by Sara Adams (sadams@weld.gov) 2026-02-05-6:39:59 PM GMT-IP address:204.133.39.9 E, Document emailed to kimberly.collins@northrange.org for signature 2026-02-05-6:40:27 PM GMT e Email viewed by kimberly.collins@northrange.org 2026-02-05-9:55:38 PM GMT-IP address:67.190.10.167 4 Signer kimberly.collins@northrange.org entered name at signing as Kim Collins 2026-02-05-10:05:03 PM GMT-IP address:67.190.10.167 hj Document e-signed by Kim Collins (kimberly.collins@northrange.org) Signature Date:2026-02-05-10:05:05 PM GMT-Time Source:server-IP address:67.190.10.167 O Agreement completed. 2026-02-05-10:05:05 PM GMT F Powered by `. , ; ( Adobe Acrobat Sign Entity Information Entity Name* Entity ID* New Entity? Please use the job NORTH RANGE BEHAVIORAL SUP-8661 aid linked here to add a HEALTH Q supplier in Workday. Contract Name* Contract ID Parent Contract ID NORTH RANGE BEHAVIORAL HEALTH - AMENDMENT 10355 20231 364 #3 Contract Lead* Requires Board Approval Contract Status SADAMS YES CTB REVIEW Contract Lead Email Department Project# sadams@weld.gov;cobbx xlk@weld.gov Contract Description* (CONSENT) AMENDMENT#3 TO THE PROFESSIONAL SERVICES CONTRACT FOR LEGAL SERVICES FROM BID# B2300042 REFERENCED AS TYLER ID# 2023-0507. THIS AMENDMENT MODIFIES EXHIBIT D TO ADD $30,000.00 TO THE TOTAL AWARDED FUNDING. Contract Description 2 PA ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB IS 02/10/26. Contract Type* Department Requested BOCC Agenda Due Date AMENDMENT HUMAN SERVICES Date* 02/05/2026 02/09/2026 Amount* Department Email $70,000.00 CM- Will a work session with BOCC be required?* HumanServices@weld.gov NO Renewable* NO Department Head Email Does Contract require Purchasing Dept. to be CM-HumanServices- included?* Automatic Renewal DeptHead@weld.gov NO Grant County Attorney IGA GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 04/30/2026 Termination Notice Period Expiration Date* Committed Delivery Date 06/30/2026 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date CONSENT 02/05/2026 Approval Process Department Head Finance Approver Legal Counsel JAMIE ULRICH CONSENT CONSENT DH Approved Date Finance Approved Date Legal Counsel Approved Date 02/05/2026 02/05/2026 02/05/2026 Final Approval BOCC Approved Doc ID# AG 020926 BOCC Signed Date Originator BOCC Agenda Date SADAMS 02/09/2026 COn+VaektaCt5a5 BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE:Professional Services Agreement Amendment#2 with various Service Providers through Request for Proposal(REP)Bid#B2300042 DEPARTMENT: Human Services DATE: June 3,2025 PERSON REQUESTING: Jamie Ulrich,Director,Human Services Brief description of the problem/issue: The Department entered into Professional Service Agreements(PSA)with various Service Providers through Request for Proposal(RFP)Bid#B2300042, identified as Tyler ID 2023-0507. These Agreements were issued for a period of one(1)year with the option to renew for three(3)additional one(1)year terms upon mutual written agreement.The Department is now requesting to amend the current agreements to extend the terms and to modify the scopes and rates as noted below. CMS ID Provider!Term Services Provided Tyler# FY 26 Budget 9522 Catholic Charites Case Management 2023-1365 $75,000.00 Term:July 1,2025 to June 30,2026 Services and Outreach Colorado Legal Services Legal Services 2023-1606 $25,000.00 9523 Term:July 1,2025 to June 30,2026 Meals on Wheels Home Delivery Meals 2023-1367 $100,000.00 9524 Term:July 1,2025 to June 30,2026 North Range Behavioral Health Peer Counseling 2023-1364 $40,000.00 9525 Term:July 1,2025 to June 30,2026 Services Senior Resource Service(60+Ride) Transportation Services 2023-1366 $35,000.00 9526 Term:July 1,2025 to June 30,2026 What options exist for the Board? • Approval of Amendment#2 to the PSAs listed above. • Deny approval of Amendment#2 to the PSAs listed above. Consequences:The Department will not have current agreements with the above providers. Impacts:The Department will not be able to offer services to eligible clients in Weld County. Costs(Current Fiscal Year t Ongoing or Subsequent Fiscal Years): ▪ Funded through Older American Act Grant funding. Pass-Around Memorandum;June 3,2025—CMS ID Various COrSenll (-n ec.:oHs Onp,se. 7,6Z3—13(o14 ttA3/25 60(Iq,as N-re.00c1 Recommendation: • Approval of Amendment#2 to the Professional Services Agreements and authorize the Chair to sign. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L.Buck g'6' Scott K.James Vi II elm r Jason S.Maxey ' 14 Lynette Peppier Kevin D.Ross MC. , Pass-Around Memorandum;June 3,2025—CMS ID Various Karla Ford From : Scott James Sent : Tuesday , June 3 , 2025 12 : 45 PM To : Karla Ford Subject : Re : Please Reply - PA FOR ROUTING : HCS Various OAA PSA Amendments ( CMS Various ) Importance : High I support thanks ! • a. 1 1 , :s . „ 0_ • Ilk • COU NTY, CO Scott K . James Weld County Commissioner Office : 970 - 400 - 4200 / Ce I I : 970 - 381 - 7496 P . O . Box 758 , 1150 O St . , Greeley , CO 80632 x. C, 0 On Jun 3 , 2025 , at 12 : 41 PM , Karla Ford < kford@weld . gov > wrote : From : Karla Ford Sent : Monday , June 2 , 2025 7 : 30 AM To : Scott James < siames@weld . gov > Subject : Please Reply - PA FOR ROUTING : HCS Various OAA PSA Amendments ( CMS Various ) Importance : High Please advise if you support recommendation and to have department place on the agenda . < image004 . jpg > Karla Ford Office Manager & Executive Assistant Board of Weld County Commissioners Desk : 970 - 400 - 4200 / 970 - 400 - 4228 P . O . Box 758 , 1150 O St . , Greeley , CO 80632 i MVP AGREEMENT AMENDMENT BETWEEN r' WELD COUNTY AND �' NORTH RANGE BEHAVIORAL HEALTH Dry; This Agreement Amendment made and entered into I thday of \( kk.Q, , 2025 by and between the Board of Weld County Commissioners,on behalf of the Weld County Department of Human Services,hereinafter referred to as the"Department",and North Range Behavioral Health,hereinafter referred to as the"Contractor". WHEREAS the parties entered into an Agreement for Peer Counseling Services,(the "Original Agreement")identified by the Weld County Clerk to the Board of County Commissioners as document No.2023-1364,approved on May 15,2023. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment,which is incorporated by reference herein,as well as the terms provided herein. NOW THEREFORE,in consideration of the premises,the parties hereto covenant and agree as follows: • The Original Agreement was set to end on June 30,2024. • The Original Agreement was amended on: • June 19,2024 to extend the term date through June 30,2025 and amend Exhibit D,Modified Scope and Rates. • The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2023-1364. • These Amendments,together with the Original Agreement,constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement effective July 1,2025: 1. Paragraph 3.Term This agreement is being renewed for the third year,for the period of July 1,2025 through June 30,2026. 2. Exhibit D,Modified Scope and Rates is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. �a3-t3Cot1 IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day,month,and year first above written. COUNTY: ATTEST: BOARD OF COUNTY COMMISSIONERS Clerk to the Board 400""*►,, WELD COUNTY,COLORADO BY S 1.. � ' l�; •••� !�� ,� -puty Clerk to the B tp rd '' : 'erry L. ck,Chair .;Y JUN 1 8 2025 %%c; - ".f CONTRACTOR: North Range Behavioral Health 1300 North 17th Avenue Greeley,Colorado 80631 kin't COitiktt By:Kim Collins(Jun 12,202512:17 MDT) Kim Collins,Chief Executive Officer 06/12/2025 Date: Z oZ3-13(4 Exhibit D Modified Scope and Rates Exhibit D addresses the funding,specific Scope of Services,Rates,and Performance Measurements based on the awarded grant monies issued by the County. 1. Funding Contractor will receive the following award as noted in the table below for the period July 1,2025 to June 30,2026 for Peer Counseling services: $40,000.00 I Total Grant Award The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s)specified in Section 2, Services and Rates. Payment pursuant to this Agreement,whether in whole or in part,is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds,or any part thereof,become unavailable as determined by the County,the County may immediately terminate the Agreement or amend it accordingly. 2. Service and Rates County agrees to pay Contractor for services outlined below,not to exceed the total grant award as noted in Section 1,Funding. Unit Rate Service Description $31.68 IMEEMEMINSIMINIM Contractor agrees to provide 1,262 units to approximately 93 unduplicated older adults with the goal of reaching 20 minority older adults,and 25 rural older adults. 3. Terms Contractor agrees to commence services within thirty(30)days after the signing of the Agreement and assure completion of all services under this agreement by the end of the period dated in Section 1,Funding. Contractor agrees to document and report any program income received as a result of services provided under the Agreement. Contractor agrees to include the following statement in any written materials (pamphlets,brochures,announcements,websites,etc.)or in any verbal Exhibit D Modified Scope and Rates presentations:Contractor is supported,in part by funds provided by the Weld County Area Agency on Aging through the Older Americans Act. Contractor understands that County is required to conduct periodic evaluations of the activities conducted under this Agreement and to monitor on an ongoing basis the performance of Contractor to insure that the funds made available by the Agreement are expended in keeping with the purposes for which they were awarded;and Contractor accordingly agrees to cooperate fully with the County in the conduct of such evaluation and monitoring,including the keeping and supplying of such information,and providing access to documents and records to the County for the purpose of audit;and further agrees to do all things necessary to enable County to fulfill its obligation to the State of Colorado and the United States Government. Furthermore,if Contractor submits invoices to the County and receives reimbursement for services provided to clients who are later determined to be ineligible,Contractor agrees to repay those funds to the County in full upon request. Any changes,including any increase or decrease in the amount of Contractor's compensation,and including changes in budget allocations which are mutually agreed upon by and between the County and Contractor,shall be incorporated in written amendments to this Agreement and in appropriate revisions to the grant proposal. Contractor understands and agrees: a. This Agreement and the provisions of services hereunder shall be subject to the laws of Colorado and be in accordance with the policies, procedures,and practices of the County,the Older Americans Act, Volume 10 Code of Colorado Regulations and the policies and procedures established by the State Unit on Aging,and the terms and conditions of the project application approved by the County. b. Understands that if there is Federal/State program income unearned at the time the project is terminated,this amount must be returned to the County unless the County otherwise stipulates. c. Understands that the project's fiscal affairs are subject to audit. If costs are disallowed,the proportion of Federal/State funds disallowed must be returned to the County. d. Understands that this award is made for the period amounts stated in this Agreement. This Agreement in no way implies further funding which is contingent upon the availability of funds and approval of future project applications. Exhibit D Modified Scope and Rates e. Agrees to keep records and make reports on the forms required by the County and in accordance with guidelines issued by the State of Colorado and the Administration on Aging,specifically, i. To submit monthly financial invoices and programmatic reports to the County by the 10th of the following month; ii. To submit other reports to the County as requested; iii. Maintain a computer system that will be able to manage all required County reporting software; iv. Maintain internet access in order to transfer all required data to the County. f. Agrees to advise the County of needed program and financial changes and await approval from the County prior to change implementation. g. Agrees to have policies and procedures for complaint/appeal tracking, timely disposition of complaints/appeals and documentation of such processes. h. Agrees to have a client grievance policy,which will address any alleged infractions of any Federal,State or Local laws by Contractor against recipients of or applicants for services. i. Agrees to have a policy and procedure for wait lists that meets the requirements set forth by the Contractor. j. Agrees to provide recipients receiving services the opportunity to contribute to all or part of the cost of the services received. Each recipient shall be given the opportunity to determine if they are able to contribute to all or part of the cost of services. No recipient shall be denied a service because of an inability and/or choice not to contribute to all or part of the cost of the service. All contributions shall be considered program income. All contributions shall be used to expand the services for which the contributions were given. k. Agrees that local cash or in-kind contributions have not been used to satisfy or match another federal grant or funds. Supplies,volunteer services,and other in-kind contributions shall be valued as described under 45 C.F.R.874.5.All matching contributions,including cash and in- kind shall be verifiable from agency records. I. Agrees to perform background checks of all employees,volunteers or subcontractors pursuant to C.R.S.27-1-110 and in accordance with the policy of the County and the State Unit on Aging. m.The County may also recover,at the County's discretion,payments made to Contractor in error for any reason,including,but not limited to, Exhibit D Modified Scope and Rates overpayments or improper payments,and unexpended or excess funds received by Contractor by deduction from subsequent payments under this Contract,deduction from any payment due under any other contracts, grants,or agreements between the County and Contractor,or by any other appropriate method for collecting debts owed to the County. 4. Performance Measures a. The Performance Measures Process. As set forth and defined herein,"Performance Focus"is a performance- based analysis strategy the Parties shall use in association with the Contractor's performance hereunder that allows the Parties to better focus on and improve performance outcomes to obtain maximum benefits from the work of the Contractor under this Contract.By identifying areas of focus,the Parties shall determine what aspects of the Contractor's performance hereunder are working and what aspects of said performance need improvement.By measuring the impact of day-to-day work of the Contractor hereunder,the Parties will be able to make more informed collaborative decisions to align the work of the Contractor to affect more positive performance outcomes and change for the purposes served through this Contract. b. Performance Measures Reports. Performance Measures Reports shall reflect relevant report data for the Performance Measures identified hereunder to be tracked on an ongoing basis through the Contract Performance Focus process. Performance Measures shall continue to evolve to meet the objective of measuring key performance outcome indicators for the work of the Contractor hereunder. Performance Measures may be changed via a contract amendment. c. Contract Performance Measures The Contractor agrees on the following initial Performance Measures: i. Measure:The Contractor shall increase unduplicated consumers served in comparison to the same month in the previous fiscal year. ii. Measure:In a consumer satisfaction survey provided by the State Unit on Aging(SUA)the contractor shall provide surveys to one hundred percent(100%)of registered consumers within the contractor's region during the month of February.The results shall be summarized by the contractor and submitted to the County by May 1st,unless otherwise requested by the County by a different date.The summarized results shall show the following measures: iii. Consumer Satisfaction Survey results shall show a minimum of ninety percent(90%)positive response. SIGNATURE REQUESTED: Weld/NRBH Amendment#2 Final Audit Report 2025-06-12 Created: 2025-06-04 By: Sara Adams(sadams@weld.gov) Status Signed Transaction ID: CBJCHBCAABAAuFiwSxVsCctWI9wG4mXk9XsLamKpkSK3 "SIGNATURE REQUESTED:Weld/NRBH Amendment#2"Histo ry to Document created by Sara Adams(sadams@weld.gov) 2025-06-04-2:43:32 PM GMT-IP address:204.133.39.9 E-►Document emailed to kimberly.collins@northrange.org for signature 2025-06-04-2:43:48 PM GMT ,in Email viewed by kimberly.collins@northrange.org 2025-06-04-4:24:33 PM GMT-IP address:169.133.32.249 ,New document URL requested by kimberly.collins@northrange.org 2025-06-12-0:29:02 AM GMT-IP address:67.176.76.26 ,n Email viewed by kimberly.collins@northrange.org 2025-06-12-1:34:06 AM GMT-IP address:67.176.76.26 £1©Signer kimberly.collins@northrange.org entered name at signing as Kim Collins 2025-06-12-6:17:01 PM GMT-IP address:63.145.75.130 4 Document e-signed by Kim Collins(kimberly.collins@northrange.org) Signature Date:2025-06-12-6:17:03 PM GMT-Time Source:server-IP address:63.145.75.130 Q Agreement completed. 2025-06-12-6:17:03 PM GMT Adobe Acrobat Sign Contract For Entity Information Entity Name* Entity ID* Q New Entity? NORTH RANGE BEHAVIORAL @00008661 HEALTH Contract Name* Contract ID Parent Contract ID NORTH RANGE BEHAVIORAL HEALTH-AMENDMENT 9525 20231364 #2 Contract Lead* Requires Board Approval Contract Status SADAMS YES CTB REVIEW Contract Lead Email Department Project# sadams@weld.gov;cobbx xlk@weld.gov Contract Description* AMENDMENT#2 TO THE PROFESSIONAL SERVICES CONTRACT FOR PEER COUNSELING SERVICES FROM BID# B2300042 REFERENCED AS TYLER ID#2023-0507.THIS AMENDMENT EXTENDS THE TERMS TO 7/1/25 TO 6/30/26 AND MODIFIES THE SCOPE AND RATES. Contract Description 2 PA ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB IS 06/03/25. Contract Type* Department Requested BOCC Agenda Due Date AMENDMENT HUMAN SERVICES Date* 06/14/2025 06/18/2025 Amount* Department Email $40,000.00 CM- Will a work session with BOCC be required?* HumanServices@weld.gov NO Renewable* NO Department Head Email Does Contract require Purchasing Dept.to be CM-HumanServices- included? Automatic Renewal DeptHead@weld.gov Grant County Attorney GENERAL COUNTY ATTORNEY EMAIL IGA County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note:the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 04/30/2026 Termination Notice Period Committed Delivery Date Expiration Date* 06/30/2026 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel JAMIE ULRICH CHERYL PATTELLI BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 06/12/2025 06/13/2025 06/13/2025 Final Approval BOCC Approved Tyler Ref# AG 061825 BOCC Signed Date Originator SADAMS BOCC Agenda Date 06/18/2025 Con-\va c�-Ill SZFsI fr BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE:Professional Services Agreement Amendment#1 with various Service Providers through Request for Proposal(RFP)Bid#B2300042 DEPARTMENT:Human Services DATE: June 4,2024 PERSON REQUESTING: Jamie Ulrich,Director,Human Services Brief description of the problem/issue:The Department entered into Professional Service Agreements(PSA) with various Service Providers through Request for Proposal(REP)Bid#82300042,identified as Tyler ID 2023- 0507. These Agreements were issued for a period of one(1)year with the option to renew for three(3) additional one(1)year terms upon mutual written agreement.The Department is now requesting to amend the current agreements to extend the terms and to modify the scopes and rates as noted below. CMS ID Provider/Term Services Provided Tyler# FY 25 Budget Colorado Legal Services Legal Services 2023-1606 $54,000.00 8280 Term:July 1,2024 to June 30,2025 Catholic Charites Case Management Services 2023-1365 $113,760.00 8279 Term:July 1,2024 to June 30,2025 and Outreach North Range Behavioral Health Peer Counseling Services 2023-1364 $78,000.00 8281 Term:July 1,2024 to June 30,2025 Meals on Wheels Home Delivery Meals 2023-1367 $189,000.00 8282 Term:July 1,2024 to June 30,2025 Senior Resource Service(60+Ride) Transportation Services 2023-1366 $67,800.00 8278 Term:July 1,2024 to June 30,2025 What options exist for the Board? • Approval of Amendment#1 to the PSAs listed above. • Deny approval of Amendment#1 to the PSAs listed above. Consequences:The Department will not have current agreements with the above providers. Impacts:The Department will not be able to offer services to eligible clients in Weld County. Costs(Current Fiscal Year/Ongoing or Subsequent Fiscal Years): • Funded through Older American Act Grant funding. Pass-Around Memorandum;June 4,2024-CMS ID V ious Con e n� 20Z3—I3(01-1 Recommendation: • Approval of Amendment#1 to the Professional Services Agreements and authorize the Chair to sign. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L.Buck,Pro-Tern Mike Freeman t1� Scott K.lames Kevin D.Ross,Chair kk� Lori Saine Pass-Around Memorandum;June 4,2024—CMS ID Various 11,79P1 AGREEMENT AMENDMENT BETWEEN r„ THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND NORTH RANGE BEHAVIORAL HEALTH This Agreement Amendment made and entered into (q'day of u,�LQ , 2024 by and between the Board of Weld County Commissioners,on behalf of the Weld County Department of Human Services,hereinafter referred to as the"Department",and North Range Behavioral Health,hereinafter referred to as the"Contractor". WHEREAS the parties entered into an Agreement for Peer Counseling Services,(the "Original Agreement")identified by the Weld County Clerk to the Board of County Commissioners as document No.2023-1364,approved on May 15,2023. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment,which is incorporated by reference herein,as well as the terms provided herein. NOW THEREFORE,in consideration of the premises,the parties hereto covenant and agree as follows: • The Original Agreement will end on June 30,2024. • This Amendment,together with the Original Agreement,constitutes the entire understanding between the parties.The following additional changes are hereby made to the current Agreement effective July 1,2024: 1. Paragraph 3.Term This agreement is being renewed for the second year,for the period of July 1, 2024 through June 30,2025. 2. Exhibit D,Modified Scope and Rates is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day,month,and year first above written. COUNTY: ATTEST: �i� BOARD OF COUNTY COMMISSIONERS Clerk to the Board WELD CO ,COL 0 ❑❑ B • 1.4) Deputy Clerk to the B y• •n D.Ross,Chair JUN 1 9 2024 vir0 RACTOR: Ocivc orth Range Behavioral Health 1300 North 17th Avenue Greeley,Colorado 80631 By:Kim Collins(May 21,2024 20.49 MDT) Kim Collins,Chief Executive Officer Date:May 21,2024 2023-136'4 Exhibit D Modified Scope and Rates Exhibit D addresses the funding,specific Scope of Services,Rates,and Performance Measurements based on the awarded grant monies issued by the County. 1. Funding Contractor will receive the following award as noted in the table below for the period July 1,2024 to June 30,2025 for Peer Counseling services: $78,000.00 Total Grant Award The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s)specified in Section 2,Services and Rates. Payment pursuant to this Agreement,whether in whole or in part,is subject to and contingent upon the continuing availability of said funds for the purposes hereof In the event that said funds,or any part thereof,become unavailable as determined by the County,the County may immediately terminate the Agreement or amend it accordingly. 2. Service and Rates County agrees to pay Contractor for services outlined below,not to exceed the total grant award as noted in Section 1,Funding. Unit Rate Se,ice Description $31.68 rannEll Contractor agrees to provide 2.462 units to approximately 184 unduplicated older adults with the goal of reaching 40 minority older adults,and 50 rural older adults. 3. Terms Contractor agrees to commence services within thirty(30)days after the signing of the Agreement and assure completion of all services under this agreement by the end of the period dated in Section 1,Funding. Contractor agrees to document and report any program income received as a result of services provided under the Agreement. Contractor agrees to include the following statement in any written materials(pamphlets, brochures,announcements,websites,etc.)or in any verbal presentations:Contractor is supported,in part by funds provided by the Weld County Area Agency on Aging through the Older Americans Act. Exhibit D Modified Scope and Rates Contractor understands that County is required to conduct periodic evaluations of the activities conducted under this Agreement and to monitor on an ongoing basis the performance of Contractor to insure that the funds made available by the Agreement are expended in keeping with the purposes for which they were awarded;and Contractor accordingly agrees to cooperate fully with the County in the conduct of such evaluation and monitoring,including the keeping and supplying of such information,and providing access to documents and records to the County for the purpose of audit;and further agrees to do all things necessary to enable County to fulfill its obligation to the State of Colorado and the United States Government. Any changes,including any increase or decrease in the amount of Contractor's compensation,and including changes in budget allocations which are mutually agreed upon by and between the County and Contractor,shall be incorporated in written amendments to this Agreement and in appropriate revisions to the grant proposal. Contractor understands and agrees that the following provisions are part of the official application and as such become binding upon commencement of the project: a. This Agreement and the provisions of services hereunder shall be subject to the laws of Colorado and be in accordance with the policies,procedures,and practices of the County,the Older Americans Act,Volume 10 Code of Colorado Regulations and the policies and procedures established by the State Unit on Aging,and the terms and conditions of the project application approved by the County. b. Understands that if there is Federal/State program income unearned at the time the project is terminated,this amount must be returned to the County unless the County otherwise stipulates. c. Understands that the project's fiscal affairs are subject to audit.If costs are disallowed,the proportion of Federal/State funds disallowed must be returned to the County. d. Understands that this award is made for the period amounts stated in this Agreement.This Agreement in no way implies further funding which is contingent upon the availability of funds and approval of future project applications. e. Agrees to keep records and make reports on the forms required by the County and in accordance with guidelines issued by the State of Colorado and the Administration on Aging,specifically, i. To submit monthly financial invoices and programmatic reports to the County by the 1 Oth of the following month; ii. To submit other reports to the County as requested; iii. Maintain a computer system that will be able to manage all required Exhibit D Modified Scope and Rates County reporting software; iv. Maintain internet access in order to transfer all required data to the County. f. Agrees to advise the County of needed program and financial changes and await approval from the County prior to change implementation. g. Agrees to have policies and procedures for complaint/appeal tracking,timely disposition of complaints/appeals and documentation of such processes. h. Agrees to have a client grievance policy,which will address any alleged infractions of any Federal,State or Local laws by Contractor against recipients of or applicants for services. i. Agrees to have a policy and procedure for wait lists that meets the requirements set forth by the Contractor. j. Agrees to provide recipients receiving services the opportunity to contribute to all or part of the cost of the services received.Each recipient shall be given the opportunity to determine if they are able to contribute to all or part of the cost of services.No recipient shall be denied a service because of an inability and/or choice not to contribute to all or part of the cost of the service.All contributions shall be considered program income.All contributions shall be used to expand the services for which the contributions were given. k. Agrees that local cash or in-kind contributions have not been used to satisfy or match another federal grant or funds. Supplies,volunteer services,and other in- kind contributions shall be valued as described under 45 C.F.R.874.5.All matching contributions,including cash and in-kind shall be verifiable from agency records. 1. Agrees to perform background checks of all employees,volunteers or subcontractors pursuant to C.R.S.27-1-110 and in accordance with the policy of the County and the State Unit on Aging. Exhibit D Modified Scope and Rates 4. Performance Measures a. The Performance Measures Process. As set forth and defined herein,"Performance Focus"is a performance-based analysis strategy the Parties shall use in association with the Contractor's performance hereunder that allows the Parties to better focus on and improve performance outcomes to obtain maximum benefits from the work of the Contractor under this Contract.By identifying areas of focus,the Parties shall determine what aspects of the Contractor's performance hereunder are working and what aspects of said performance need improvement.By measuring the impact of day-to-day work of the Contractor hereunder,the Parties will be able to make more informed collaborative decisions to align the work of the Contractor to affect more positive performance outcomes and change for the purposes served through this Contract. b. Performance Measures Reports. Performance Measures Reports shall reflect relevant report data for the Performance Measures identified hereunder to be tracked on an ongoing basis through the Contract Performance Focus process.Performance Measures shall continue to evolve to meet the objective of measuring key performance outcome indicators for the work of the Contractor hereunder.Performance Measures may be changed via a contract amendment. c. Contract Performance Measures The Contractor agrees on the following initial Performance Measures: i. Measure:The Contractor shall increase unduplicated consumers served in comparison to the same month in the previous fiscal year. ii. Measure:In a consumer satisfaction survey provided by the State Unit on Aging(SUA)the contractor shall provide surveys to one hundred percent(100%)of registered consumers within the contractor's region during the month of February.The results shall be summarized by the contractor and submitted to the County by May 1st,unless otherwise requested by the County by a different date.The summarized results shall show the following measures: iii. Consumer Satisfaction Survey results shall show a minimum of ninety percent(90%)positive response. SIGNATURE REQUESTED: Weld/NRBH Amendment#1 Final Audit Report 2024-05-22 Created: 2024-05-21 By: Sara Adams(sadams@weld.gov) Status: Signed Transaction ID: CBJCHBCAABAATRk2XTzQ9uvs4NBW2uSGBoHh6t eKxXK "SIGNATURE REQUESTED:Weld/NRBH Amendment#1"Histo ry l Document created by Sara Adams(sadams@weld.gov) 2024-05-21-9:39:55 PM GMT-IP address:204.133.39.9 Cry Document emailed to kimberly.collins@northrange.org for signature 2024-05-21-9:40:39 PM GMT in Email viewed by kimberly.collins@northrange.org 2024-05-21-10:30:32 PM GMT-IP address:63.145.75.130 to Signer kimberly.collins@northrange.org entered name at signing as Kim Collins 2024-05-22-2:49:44 AM GMT-IP address:67.176.76.26 ui©Document e-signed by Kim Collins(kimberly.collins@northrange.org) Signature Date:2024-05-22-2:49:46 AM GMT-Time Source:server-IP address:67.176.76.26 Agreement completed. 2024-05-22-2:49:46 AM GMT Powered by / ' Adobe Acrobat Sign A c o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/26/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dionne Perez NAME: Professional Risk LLC 7%Extt: (970)356-8030 No):1970)356-8032 8213 W.20th St -MAIL dionne.perez@proriskllc.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL Greeley CO 80634 INSURER A:Philadelphia Insurance Co 18058 INSURED INSURER B:Pinnacol Assurance 41190 North Range Behavioral Health INSURER c:Lloyds of London 1300 N 17th Avenue INSURERD: INSURER E Greeley CO 80631 INSURER F: COVERAGES CERTIFICATE NUMBER:23-29 Excess 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) {MM/DDIX, X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A I CLAIMS-MADEEi OCCUR DAMAGE RENTED PREM SESO(Ea occurrence) $ 1,000,000 X PROFESSIONAL LIABILITY X y PHPX25702el 7/1/2023 7/1/2024 MED EXP(Any one person) $ 20,000 PERSONAL 8.ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY❑jE 4 a LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea acddent) A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED pppg2570291 7/1/2023 7/1/2024 BODILY INJURY(Per accident)$ AUTOS _AUTOS PROPERTY DAM AGE NON-OWNED (Per accident)HIRED AUTOS AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,000 PH08869863 7/1/2023 7/1/2024 WORKERS COMPENSATION X I STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Y❑N/A (Mandatory in NH) y 4044331 7/1/2023 7/1/2024 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C PRIVACY/CYBER LIABILITY ESM0739690999 7/1/2023 7/1/2024 LIMIT $ 5,000,000 A HIP.VIOLATION PHSD1807067 7/1/2023 7/1/2024 LIMIT $ 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Weld County Department of Human Services Child Welfare Division is listed as additional insured as pertains to the General Liability policy,per written contract.This coverage is primary and non-contributory.Waiver of subrogation applies on the General Liability and Workers'Compensation policies. 30 day notice of cancellation applies,10 day notice for non-pay. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Weld County Department of Human Services THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Child Welfare Division ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Tobi Vegter PO BOX A AUTHORIZED REPRESENTATIVE Greeley, CO 80632 Dionne Perez/DP .is�.e�c7�croso3{ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Contract Entity Information Entity Name* Entity ID* 0 New Entity? NORTH RANGE BEHAVIORAL @00008661 HEALTH Contract Name* Contract ID Parent Contract ID NORTH RANGE BEHAVIORAL HEALTH-AMENDMENT 8281 20231 364 #1 Contract Lead* Requires Board Approval Contract Status SADAMS YES CTB REVIEW Contract Lead Email Department Project# sadams@weld.gov;cobbx xlk@weld.gov Contract Description* AMENDMENT#1 TO THE PROFESSIONAL SERVICES CONTRACT FOR PEER COUNSELING SERVICES FROM BID# B2300042 REFERENCED AS TYLER ID#2023-0507.THIS AMENDMENT EXTENDS THE TERMS TO 7/1/24 TO 6/30/25 AND MODIFIES THE SCOPE AND RATES. Contract Description 2 PA ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB IS 06/05/24. Contract Type* Department Requested BOCC Agenda Due Date AMENDMENT HUMAN SERVICES Date* 06/08/2024 06/12/2024 Amount* Department Email $78,000.00 CM- Will a work session with BOCC be required?* HumanServices@weldgov. NO Renewable* com YES Does Contract require Purchasing Dept.to be Department Head Email included? Automatic Renewal CM-HumanServices- DeptHead@weldgov.com Grant County Attorney GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL DGOV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note:the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date" Renewal Date* 04/30/2025 06/30/2025 Termination Notice Period Committed Delivery Date Expiration Date Contact Information 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 BRUCE BARKER DH Approved Date Finance Approved Date Legal Counsel Approved Date 06/12/2024 06/14/2024 06/14/2024 Final Approval BOCC Approved Tyler Ref# AG 061924 BOCC Signed Date Originator SADAMS BOCC Agenda Date 06/19/2024 00 vac{ IUi (oc S5 PROFESSIONAL SERVICE AGREEMENT BETWEEN WELD COUNTY AND NORTH RANGE BEHAVIORAL HEALTH THIS AGREEMENT is made and entered into this I51 day of ,2023,by W and between the Board of Weld County Commissioners,on behalf of theWeld C my Department of Human Services'Area Agency on Aging,hereinafter referred to as"County,"and North Range Behavioral Health,hereinafter referred to as"Contractor". WHEREAS,County desires to retain Contractor to perform services as required by County and set forth in the attached Exhibits;and WHEREAS,Contractor is willing and has the specific ability,qualifications,and time to perform the required services according to the terms of this Agreement;and WHEREAS,Contractor is authorized to do business in the State of Colorado and has the time,skill,expertise,and experience necessary to provide the services as set forth below. NOW,THEREFORE,in consideration of the mutual promises and covenants contained herein,the parties hereto agree as follows: 1. Introduction.The terms of this Agreement are contained in the terms recited in this document and in the attached Exhibits,each of which forms an integral part of this Agreement and are incorporated herein.The parties each acknowledge and agree that this Agreement,including the attached Exhibits, define the performance obligations of Contractor and Contractor's willingness and ability to meet those requirements(the"Work").If a conflict occurs between this Agreement and any Exhibit or other attached document,the terms of this Agreement shall control, and the remaining order of precedence shall be based upon order of attachment. Exhibit A consists of County's Request for Proposal(RFP)as set forth in Bid Package No. B2300042 which is incorporated into this agreement by reference and will be provided upon request to the Department.The RFP contains all of the specific requirements of the County. Exhibit B consists of Contractor's Response to County's Request for Proposal.The response confirms Contractor's obligations under this Agreement. Exhibit C consist of the Health Insurance Portability and Accountability Act(HIPAA) Business Associate Agreement. Exhibit D consists of a modified Scope of Work and Rates based on the actual award amount. 2. Service or Work. Contractor agrees to procure the materials, equipment and/or products necessary for the Work and agrees to diligently provide all services,labor,personnel and materials necessary to perform and complete the Work described in the attached Exhibits. Contractor shall further be responsible for the timely completion and acknowledges that a failure 6,034,22414-50 2023-1364 0 on704 ncsilk, . // /a& 5/I'5/23 tI-V 0695 to comply with the standards and requirements of Work within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Agreement. 3. Term. The term of this Agreement shall be from July 1,2023,through June 30, 2024, unless sooner terminated as provided herein. Both of the parties to this Agreement understand and agree that the laws of the State of Colorado prohibit County from entering into Agreements which bind County for periods longer than one year.This Agreement may be renewed for 3(three)additional one-year terms upon mutual written agreement of the Parties. 4. Termination;Breach;Cure. County may terminate this Agreement for its own convenience upon thirty(30)days written notice to Contractor.Either Party may immediately terminate this Agreement upon material breach of the other party,however the breaching party shall have fifteen(15)days after receiving such notice to cure such breach.If this Agreement is terminated by County,Contractor shall be compensated for,and such compensation shall be limited to,(1)the sum of the amounts contained in invoices which it has submitted and which have been approved by the County;(2)the reasonable value to County ofthe services which Contractor provided prior to the date of the termination notice,but which had not yet been approved for payment;and(3)the cost of any work which the County approves in writing which it determines is needed to accomplish an orderly termination of the work.County shall be entitled to the use of all material generated pursuant to this Agreement upon termination.Upon termination of this Agreement by County,Contractor shall have no claim of any kind whatsoever against the County by reason of such termination or by reason of any act incidental thereto,except for compensation for work satisfactorily performed and/or materials described herein properly delivered. 5. Extension or Amendment. Any amendments or modifications to this agreement shall be in writing signed by both parties.No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services. Accordingly,no claim that the County has been unjustly enriched by any additional services,whether or not there is in fact any such unjust enrichment,shall be the basis of any increase in the compensation payable hereunder.In the event that written authorization and acknowledgment by the County for such additional services is not timely executed and issued in strict accordance with this Agreement, Contractor's rights with respect to such additional services shall be deemed waived and such failure shall result in non-payment for such additional services or work performed.Any claims by the Contractor for adjustment hereunder must be made in writing prior to performance of any work covered in the anticipated Amendment,unless approved and documented otherwise by the County Representative. Any change in work made without such prior Change Order shall be deemed covered in the compensation and time provisions of this Agreement,unless approved and documented otherwise by the County Representative. 6. Compensation. County agrees to pay Contractor through an invoice process during the course of this Agreement in accordance with the Rate Schedule as described as Exhibit D. Contractor agrees to submit invoices which detail the work completed by Contractor.The County will review each invoice and if it agrees Contractor has completed the invoiced items to the County's satisfaction,it will remit payment to the Contractor.No payment in excess of that set forth in the Exhibits will be made by County unless an Amendment authorizing such additional 2 payment has been specifically approved by Weld County as required pursuant to the Weld County Code.If,at any time during the term or after termination or expiration of this Agreement,County reasonably determines that any payment made by County to Contractor was improper because the service for which payment was made did not perform as set forth in this Agreement,then upon written notice of such determination and request for reimbursement from County,Contractor shall forthwith return such payment(s)to County. Upon termination or expiration of this Agreement, unexpended funds advanced by County,if any,shall forthwith be returned to County.County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Unless expressly enumerated in the attached Exhibits, Contractor shall not be entitled to be paid for any other expenses(e.g.mileage).Notwithstanding anything to the contrary contained in this Agreement,County shall have no obligations under this Agreement after,nor shall any payments be made to Contractor in respect of any period after December 31 of any year,without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25,Title 30 of the Colorado Revised Statutes,the Local Government Budget Law(C.R.S.29-1-101 et.seq.)and the TABOR Amendment(Colorado Constitution,Article X,Sec.20). 7. Independent Contractor. Contractor agrees that it is an independent contractor and that Contractor's officers,agents or employees will not become employees of County,nor entitled to any employee benefits(including unemployment insurance or workers'compensation benefits) from County as a result of the execution of this Agreement.Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor,its employees and agents are not entitled to unemployment insurance or workers'compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees.Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes(if applicable) incurred pursuant to this Agreement. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of the Work without County's prior written consent,which may be withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the Work during the performance of this Agreement and no personnel to whom County has an objection,in its reasonable discretion, shall be assigned to the Work.Contractor shall require each subcontractor,as approved by County and to the extent of the Work to be performed by the subcontractor,to be bound to Contractor by the terms of this Agreement, and to assume toward Contractor all the obligations and responsibilities which Contractor,by this Agreement,assumes toward County.County shall have the right(but not the obligation)to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process.The Contractor shall be responsible for the acts and omissions of its agents,employees and subcontractors. 9. Ownership. All work and information obtained by Contractor under this Agreement or 3 individual work order shall become or remain(as applicable),the property of County.In addition, all reports,documents,data,plans,drawings,records and computer files generated by Contractor in relation to this Agreement and all reports,test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement,whether or not such materials are in completed form,shall at all times be considered the property of the County. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 10. Confidentiality. Confidential information of the Contractor should be transmitted separately from non-confidential information,clearly denoting in red on the relevant document at the top the word,"CONFIDENTIAL." However,Contractor is advised that as a public entity, Weld County must comply with the provisions of the Colorado Open Records Act(CORA),C.R.S. 24-72-201,et seq.,with regard to public records,and cannot guarantee the confidentiality of all documents. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees not to sell,assign,distribute,or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contractor agrees to advise its employees,agents,and consultants,of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this Agreement. 11. Warranty. Contractor warrants that the Work performed under this Agreement will be performed in a manner consistent with the standards governing such services and the provisions of this Agreement.Contractor further represents and warrants that all Work shall be performed by qualified personnel in a professional manner,consistent with industry standards,and that all services will conform to applicable specifications. 12. Acceptance of Services Not a Waiver. Upon completion of the Work,Contractor shall submit to County originals of all test results,reports,etc.,generated during completion of this work. Acceptance by County of reports and incidental material(s)furnished under this Agreement shall not in any way relieve Contractor of responsibility for the quality and accuracy of the project. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor,and County's action or inaction when any such breach or default exists shall not impair or prejudice any right or remedy available to County with respect to such breach or default. No assent,expressed or implied,to any breach of any one or more covenants,provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the County of,or payment for,the Work completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance. Contractor must secure, before the commencement of the Work, the following insurance covering all operations, goods,and services provided pursuant to this Agreement,and shall keep the required insurance coverage in force at all times during the term of the Agreement,or any extension thereof,and during any warranty period.For all coverages, Contractor's insurer shall waive subrogation rights against County. a. Types of Insurance. 4 Workers'Compensation/Employer's Liability Insurance as required by state statute, covering all of the Contractor's employees acting within the course and scope of their employment. The policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contractor or subcontractor is exempt under Colorado Workers'Compensation Act.,AND when such Contractor or subcontractor executes the appropriate sole proprietor waiver form. Commercial General Liability Insurance including public liability and property damage, covering all operations required by the Work.Such policy shall include minimum limits as follows:$1,000,000 each occurrence;$1,000,000 general aggregate;$1,000,000 Personal injury;$50,000 any 1 fire,$5,000 Medical payment per person. Automobile Liability Insurance:Contractor shall maintain limits of$1,000,000 for bodily injury per person,$1,000,000 for bodily injury for each accident,and$1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned,hired,and non-owned vehicles used in the performance of this Contract. Professional Liability (Errors and Omissions Liability): The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contractor shall maintain limits for all claims covering wrongful acts,errors and/or omissions,including design errors,if applicable,for damage sustained by reason of or in the course of operations under this Contract resulting from professional services.In the event that the professional liability insurance required by this Contract is written on a claims-made basis,Contractor warrants that any retroactive date under the policy shall precede the effective date of this Contract;and that either continuous coverage will be maintained or an extended discovery period will be exercised for a period of two(2)years beginning at the time work under this Contract is completed. Minimum Limits:$1,000,000 Per Loss;$2,000,000 Aggregate. Privacy Insurance Liability Insurance covering all loss of County and State Confidential Information,such as Personal Identifiable Information(PII),Protected Health Information (PHI), Payment Card Information (PCI), Tax Information, and Criminal Justice Information(CJI),and claims based on alleged violations of privacy rights through improper use or disclosure of protected information with minimum limits as follows: $1,000,000 each occurrence; and $2,000,000 general aggregate. Notwithstanding if Contractor has Confidential Information for 10 or fewer individuals or revenue of $250,000 or less, Contractor shall maintain limits of not less than $50,000. Notwithstanding if Contractor has Confidential Information for 25 or fewer individuals or revenue of$500,000 or less,Contractor shall maintain limits of not less than$100,000. b. Proof of Insurance. Upon County's request, Contractor shall provide to County a certificate of insurance,a policy,or other proof of insurance as determined in County's sole discretion.County may require Contractor to provide a certificate of insurance naming Weld County,Colorado,its elected officials,and its employees as an additional named insured. 5 c. Subcontractor Insurance. Contractor hereby warrants that all subcontractors providing services under this Agreement have or will have the above described insurance prior to their commencement of the Work,or otherwise that they are covered by the Contractor's policies to the minimum limits as required herein.Contractor agrees to provide proof of insurance for all such subcontractors upon request by the County. d. No limitation of Liability. The insurance coverages specified in this Agreement are the minimum requirements,and these requirements do not decrease or limit the liability of Contractor.The County in no way warrants that the minimum limits contained herein are sufficient to protect the Contractor from liabilities that might arise out of the performance of the Work under by the Contractor, its agents, representatives, employees, or subcontractors.The Contractor shall assess its own risks and if it deems appropriate and/or prudent,maintain higher limits and/or broader coverages. The Contractor is not relieved of any liability or other obligations assumed or pursuant to the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts,duration,or types. The Contractor shall maintain,at its own expense,any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. e. Certification of Compliance with Insurance Requirements.The Contractor stipulates that it has met the insurance requirements identified herein.The Contractor shall be responsible for the professional quality,technical accuracy,and quantity of all services provided,the timely delivery of said services,and the coordination of all services rendered by the Contractor and shall,without additional compensation,promptly remedy and correct any errors,omissions,or other deficiencies. 14. Indemnity. The Contractor shall defend,indemnify and hold harmless County and the State of Colorado,its officers,agents,and employees,from and against any and all injury,loss, damage,liability,suits,actions,claims,or willful acts or omissions of any type or character arising out of the Work done in fulfillment of the terms of this Agreement or on account of any act,claim or amount arising or recovered under workers'compensation law or arising out of the failure of the Contractor to conform to any statutes,ordinances,regulation,judicial decision,or other law or court decree. The Contractor shall be fully responsible and liable for any and all injuries or damage received or sustained by any person,persons,or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement.It is agreed that the Contractor will be responsible for primary loss investigation,defense and judgment costs where this contract of indemnity applies. In consideration of the award of this contract,the Contractor agrees to waive all rights of subrogation against the County its associated and/or affiliated entities,successors,or assigns,its elected officials,trustees,employees,agents,and volunteers for losses arising from the work performed by the Contractor for the County.A failure to comply with this provision shall result in County's right to immediately terminate this Agreement. 15. Non-Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder,without the prior written approval of County.Any attempts by Contractor to assign or transfer its rights hereunder without such prior approval by County shall, 6 at the option of County,automatically terminate this Agreement and all rights of Contractor hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. 16. Examination of Records. To the extent required by law,the Contractor agrees that an duly authorized representative of County,including the County Auditor,shall have access to and the right to examine and audit any books,documents,papers and records of Contractor,involving all matters and/or transactions related to this Agreement. Contractor agrees to maintain these documents for three years from the date of the last payment received. 17. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement,where such failure is due to any cause beyond its reasonable control,including but not limited to Acts of God,fires,strikes,war,flood,earthquakes or Governmental actions. 18. Notices. County may designate, prior to commencement of Work, its project representative("County Representative")who shall make,within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations,change orders,and other clarification or instruction shall be directed to County Representative. All notices or other communications made by one party to the other concerning the terms and conditions of this contract shall be deemed delivered under the following circumstances: (a)personal service by a reputable courier service requiring signature for receipt;or (b)five(5)days following delivery to the United States Postal Service,postage prepaid addressed to a party at the address set forth in this contract;or (c)electronic transmission via email at the address set forth below,where a receipt or acknowledgment is required and received by the sending party;or Either party may change its notice address(es)by written notice to the other.Notice may be sent to: TO CONTRACTOR: Name: Kim Collins Position: Chief Executive Officer Address: 1300 North 17'Avenue Address: Greeley,Colorado 80631_ E-mail: kim.collins(afnorthrange.org Phone: 970-347-2120 TO COUNTY: Name: Jamie Ulrich Position: Director of Human Services Address: 315 North 11th Avenue,Building A Address: Greeley,Colorado 80634 E-mail: ulrichjj(ayweld.gov Phone: 970-400-6510 7 19. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws,rules and regulations in effect or hereafter established,including without limitation, laws applicable to discrimination and unfair employment practices. 20. Non-Exclusive Agreement. This Agreement is nonexclusive and County may engage or use other Contractors or persons to perform services of the same or similar nature. 21. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein,contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations,and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 22. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 23. Employee Financial Interest/Conflict of Interest—C.R.S.§§24-18-201 et seq.and§24- 50-507. The signatories to this Agreement state that to their knowledge,no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. 24. Survival of Termination. The obligations of the parties under this Agreement that by their nature would continue beyond expiration or termination of this Agreement(including, without limitation,the warranties,indemnification obligations,confidentiality and record keeping requirements)shall survive any such expiration or termination. 25. Severability. If any term or condition of this Agreement shall be held to be invalid,illegal, or unenforceable by a court of competent jurisdiction,this Agreement shall be construed and enforced without such provision,to the extent that this Agreement is then capable of execution within the original intent of the parties. 26. Governmental Immunity. No term or condition of this Agreement shall be construed or interpreted as a waiver,express or implied,of any of the immunities,rights,benefits,protections or other provisions, of the Colorado Governmental Immunity Act§§24-10-101 et seq.,as applicable now or hereafter amended. 27. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement,and all rights of action relating to such enforcement,shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the 8 undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 28. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 29. Choice of Law/Jurisdiction.Colorado law,and rules and regulations established pursuant thereto,shall be applied in the interpretation,execution,and enforcement of this Agreement.Any provision included or incorporated herein by reference which conflicts with said laws,rules and/or regulations shall be null and void.In the event of a legal dispute between the parties,Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 30. Attorney's Fees/Legal Costs. In the event of a dispute between County and Contractor concerning this Agreement,the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 31. Binding Arbitration Prohibited.Weld County does not agree to binding arbitration by any extra judicial body or person.Any provision to the contrary in this Agreement or incorporated herein by reference shall be null and void. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms.Both parties further agree that this Agreement, with the attached Exhibits,is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or-written, and any other communications between the parties relating to the subject matter of this Agreement. 9 IN WITNESS WHEREOF,the parties hereto have duly executed the Agreement as of the day,month,and year first above written. ,��t� ' �/`�,,�/� COUNTY: ATTEST: V..Q'js/t/`"j`�""';""' BOARD OF COUNTY COMMISSIONERS C erk to the Board WELD COUNTY,COLORADO BY: Cs. ��►'^'"',Deputy Clery/oth-::#'1 I ike Freeman,Chair it ' MAY 1 5 2323 1 0,• „.% 1E61 Misiv 11114 r NTRACTOR: orth Range Behavioral Health 1300 North 17th Avenue Greeley,Colorado 80631 kfwr CcGG1ns By:Kim Collins(May4,2023 10:42 MDT) Kim Collins,Chief Executive Officer Date: May 4,2023 to 5a6-i3t4 Exhibit A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department) This page is intentionally left blank Exhibit B • Area Agency on Aging Grant Application Packet Attachment A - Fiscal Packet This workbook contains the following tabs , all of which must be completed : Enter amounts in whole dollars . Do not override grayed out formula cells . Cover Sheet Information regarding the application agency , and funding requesting . Proposed budget of direct expenditures for the operation of the program Program Expenditures for which the applicant agency is seeking funding . Proposed budget of direct sources of funding anticipated to be generated by the program , for which the applicant agency will be operating . ( NOTE : Program Sources of Complete Local Cash Match and In - Kind tabs prior to completing the Funding Program Sources of Funding tab . ) Itemized list of local cash to be generated and used in the operation of the program . ( NOTE : Complete this tab prior to completing Program Sources of Funding tab , as the amounts from this tab will transfer to the Local Cash Match Program Sources of Funding tab . ) Itemized list of in - kind contributions to be generated and used in the operation of the program . ( NOTE : Complete this tab prior to completing Program Sources of Funding tab , as the amounts from this tab will In - Kind Match transfer to the Program Sources of Funding tab . ) Summary of projected service units , clients , and unit costs for FY 2020 Services & Clients ( July 1 , 2019 - June 30 , 2020 ) The following items must also be attached to the grant application : Annual financial statements , reflecting the operations of the applicant agency for the most recently completed 12 month fiscal year . Applicant agency ' s current year to date financial statements for its current fiscal year . Applicant Agency ' s current fiscal year operating budget . Exhibit B Older American Act Grant Application Packet - Fiscal Cover Sheet Project Period : July 1 , 2023 - June 30 , 2024 County to be Served : Weld Applicant Agency ' s Program Title for Services to be Provided : First Time Applicant I X ' Prior Applicant ( " X " one ) Category of Service to be Provided ( "X " only one box . A separate application must be completed for each service in which funding is sought . ) Access Services I ' Nutrition Services X Community Services Amount of Program Funding Requested : ( Enter the amount from line h of the Program - Expenditures tab . ) $ I 130 , 000I Applicant Agency ' s Information Agency Name : I North Range Behavioral Health I Agency Director ' s Name : Kim Collins Phone Number : 970 - 347 - 2120 Program Director ' s Name : Dee McClure Title : Peer Counseling , Coordination Phone Number : 970 - 347 - 2120 Agency Type : Public Agency Private For Profit Agency X Non - Profit Agency Other : Mailing Address : 1300 N 17th Ave Greeley , CO 80631 Physical Address : ( If different 1306 11th Ave from Mailing Address ) Greeley , CO 80631 Terms and Conditions : It is understood and agreed by the undersigned that : 1 ) . Funds granted as a result of this request are to be expended for the purpose set forth herein and in accordance with all applicable laws , regulations , policies , and procedures of the WCAAA , the State of Colorado , and the Older Americans Act ; 2 ) . any proposed changes in the proposal will be submitted in writing by the applicant and upon notification of approval by the WCAAA Aging Services Division shall become part of this agreement ; and 3 ) . funds awarded as a result of this application may be terminated at any time for violations of any terms or requirements of this agreement , or for any unanticipated funding modifications . Signature : ( Must be that of Applicant Agency Representative lawfully authorized to enter into agreements on behalf of the agency and bind the agency to such agreements . ) i rn Cull ins CEO Name : Title : l I Email : Kim . Col l i ns@NorthRange . org 6014n4, February 9 , 2023 Signature Date Exhibit B Proposed Program Budget - Expenditures Applicant Agency : North Range Behavioral Health Program : 3401 Peer Counselors Program Expense ( Round to Whole Description Number ) Personnel ( Salary & Wages ) ( List each position directly working on this program separately , specifying annual salary and percentage of time expended on this program . ) Program Coordinator . 4 FTE 18 , 000 Peer Support Speciailists 2 FTE 80 , 000 ( a ) . TOTAL Personnel Expenditures $ 98 , 000 Fringe Benefits ( List each position directly working on this program separately , specifying annual fringe benefit and percentage of time expended on this program . ) Program Coordinator . 4 FTE 2 , 500 Peer Support Speciailists 2 FTE 7 , 000 ( b ) . TOTAL Fringe Benefit Expenditures $ 9 , 500 Travel - Mileage ( Itemize mileage expense reimbursed to staff and volunteers for mileage incurred while directly working on this program , including the number of miles and the reimbursement rate . For other types of program travel costs , specify the nature of the expense and the need . ) Mileage for meetings and to see clients @ $ . 62 - approximately 44 , 000 miles 9 , 700 ( c ) . TOTAL Travel Expenditures $ 9 , 700 Supplies ( Itemize supply costs used for direct operations of this program . ) Various office supplies I Page 3 of 9 Exhibit B- (d)TOTAL Supply Expenditures $‘r>'?yt, Other (Itemize all other program costs directly used in the operations of this program and not already included any other above category) Professional/General Liability Insurance 982 (e)TOTAL Other Expenditures $_' ;982, (f)TOTAL DIRECT PROGRAM EXPENDITURES(Sum of lines a through e) ,$ :4218;182, (g)Allowable Indirect Expenditures(Enter 10%of Line f) : .1,818 (h)TOTAL PROPOSED PROGRAM EXPENDITURES(Sum of lines f and g) - b' (Equals the amount of Older Americans Act Funding requested) $/ 130;000 Page 4 of 9 Exhibit B Proposed Program Budget - Sources of Funding Applicant Agency : North Range Behavioral Health Program : 3401 Peer Counselors , Match Area Agency on Aging Funding Requested ( Amount from tine h of Proposed Program Budget - Expenditures ) $ 130 , 000 Match Requirement : Cash and In - kind contributions must be verifiable from the applicant agency ' s records ; Not be included as match for any other federally assisted project or program ; Be reasonable and necessary for proper and efficient accomplishment of the program objectives ; Be allowable under applicable federal cost principles ; Be provided for in the overall budget; and , conform to federal matching requirements . ( a ) . Minimum Required Match : 10 % of Older Americans Act Funding I $ 13 , 000 Local Cash Match ( Enter Amount from Local Cash Match tab ) 13 , 000 In - Kind Match ( Enter - Amount from In - Kind Match tab ) 0 ( b ) . Total Match Contributed $ 13 , 000 Match Requirement Met ( Line b minus line a - Cannot be a Negative Number ) : I $ ( 0 ) Program I ncome Program Income ( Enter any income generated by the applicant agency that is from activities , for which part or all of the cost of which is borne by the program . Include voluntary client contributions received directly from clients, for services or goods provided by the program . NOTE : Charging a fee for clients to receive program services or goods is prohibited . In addition , , all program income is to be expended for program costs . ) Description Amount Medicaid 145 , 000 TOTAL Program Income $ 145 , 000 Exhibit B Proposed Program Budget - Local Cash Match Applicant Agency : North Range Behavioral Health Program : 3401 Peer Counselors Local Cash Match ( Local Cash Match are sources of cash to be received from non - Federal and non - State sources passing to the control of the applicant agency , or those of the applicant agency, which are to be used for the payment of allowable program expenditures . ) Commitment Agreement Source of Funds ( Name of contributor or if applicant Existing Relationship with in Place to Provide Amount of Cash Match agency , list applicant agency name ) Contributor in Place Y / N Contribution Y / N to be Contributed Mist non - federal , non - county dollars Oil and gas proceeds , other mist income yes no 13000 If this money doesn ' t continue , we sold a building a few years back that netted a large profit and we can use savings from that TOTAL Cash Match ( Transfer Amount to Proposed Program Budget - Sources of Funding Worksheet) 13 , 000 Exhibit B Proposed Program Budget - In - Kind Match Applicant Agency : North Range Behavioral Health Program : 3401 Peer Counselors In - Kind Match ( ! n - Kind Match are services , goods , and property to be donated by the applicant agency or a third party , which are allowable costs of the program for which no cash reimbursement is required . ) Commitment Source of Funds ( Name of contributor or Agreement in Place to Value of In - Kind if applicant agency , list applicant agency Description of Goods or Services to be Provide Contribution Goods or Services name ) Contributed Y / N Contributed NA • TOTAL In - Kind Match ( Transfer Amount to Proposed Program Budget - Sources of Funding Worksheet ) 0 Exhibit B Summary of Projected Unit Costs , Service Units , and Clients Applicant Agency : North Range Behavioral Health Program : 3401 Peer Counselors Projected Unit Costs : Provide Unit Cost using Federal / State requested amounts only Federal / State Grant Funds Requested Estimated Unit Cost $ 130 , 000 $ 31 . 94 Projected Service Units and Clients : Projected Service Units and Clients - Instructions Below ( A ) ( B ) ( C ) ( D ) Unduplicated Clients by Primary Target Category TOTAL Unduplicated ( 2 ) . Low Services to be Provided Units of Service Clients ( 1 ) . Rural Income ( 3 ) . Minority ( 4 ) . Frail ( 5 ) . Other Peer Counseling 4070 184 50 40 ( A ) . Services to be Provided List the name of the services or services per program service descriptions . ( B ) . Units of Service In most instances one hour equals one unit of services . Refer to each service category description for unit of service value . ( C ) . Total Unduplicated Clients Total of all persons receiving services through this program for the contract year . Each person receiving services is to be counted only one time , regardless of how many times he / she utilizes the service . ( D ) . Unduplicated Clients by Primary Target Category Allocate the unduplicated clients identified in ( C ) into one of the following categories , based on the client ' s primary category classification . Note : The sum of ( D ) 1 - 5 = ( C ) . ( 1 ) . Rural List the number of adults age 60 and older who wil be rural . Definition of Rural : Persons who reside in an area that 1 ) is not urbanized , and 2 ) is determined based on RUCA classification of client ' s zip code . An urbanized area has a Exhibit B population concentration of at least 50,000 inhabitants,generally consisting of a central city and the surrounding closely-settled contiguous territory(suburbs) (2)Low Income List the number of adults age 60 and older who will beat or below the poverty threshold established by the Bureau of the Census (3)Minority List the number of adults 60 and older to be served by ethnic/racial group Asian/Pacific Islander A person having origins in any of the original peoples of the Far East,Southeast Asia, the India subcontinent or the Pacific Islands including China,India,Japan,Korea,the Philippine Islands and Samoa Black(Not of Hispanic Origin) A person having origins in any black racial group of Africa American Indian/Alaskan Native A person having origins in any of the original people of North America,and who maintains cultural identification through tribal affiliation or community recognition Hispanic A person of Mexican,Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race (4)Frail List the number of older adults who will be frail/disabled Definition of Frail Persons having a physical or mental impairment that affects his/her ability to perform normal daily tasks or that threatens the capacity of an individual to live independently A frail/disabled person has functional limitations in two or more of activities of daily living (5)Other List the number of older adults identified in(C)that are not included in category 1-4 Exhibit B The undersigned,by his or her signature,hereby acknowledges and represents that: I The proposal proposed herein meets all of the conditions,specifications and special provisions set I forth in the Request for Proposal for Request No,#B2300042! 2. The quotations set forth herein are exclusive of any federal excise taxes and all other state and local taxes 3 He or she is authonzed to bind the below-named Vendor for the amount shown on the accompanying proposal sheets 4 The signed proposal submitted,all of the documents of the Request for Proposal contained herein (including,but not limited to,product specifications and scope of services),and the formal acceptance of the proposal by Weld County,together constitutes a contract,with the contract date being the date of formal acceptance of the proposal by Weld County 5 Weld County reserves the right to reject any and all proposals,to waive any informality in the proposals,and to accept the proposal that,in the opinion of the Board of County Commissioners,is in the best Interest of Weld County The proposal(s)may be awarded to more than one vendor FIRM NORTH RANGE BEHAVIORAL HEALTH BY KIM COLLINS,CEO (Please print) - BUSINESS ADDRESS 1300 NORTH 17TH AVENUE DATE February 9, 2023 CITY, GREELEY STATE, CO ZIP 80631 CODE TELEPHONE NO 9703472120 FAX 9703003127 TAX ID# 84-0622660 SIGNATURE ''"` E-MAILet'ain4' Kim Collins@NorthRange org , WELD COUNTY IS EXEMPT FROM COLORADO SALES TAXES.THE CERTIFICATE OF EXEMPTION NUMBER IS#98-03551-0000.YOU'D()NOT'NEED TO SEND BACK PAGES 1--8. ATTEST BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board WELD COUNTY,COLORADO BY* Deputy Clerk to the Board Mike Freeman,Chair APPROVED AS TO SUBSTANCE' Elected Official or Department Head Controller PSRFP1022 PROPOSAL REQUEST#B2300042 Page 22 Exhibit B Board of Directors ijdNORTH RANGE FY 2022 - 23 BEHAVIORAL HEALTH Updated October 26 2022 p , Board President Board Vice President Board Secretary Board Treasurer At- Large Officer Jim Riesberg Brent Beichle Deirdre Pilch Rick Jenkins Kaycee Lytle Retired ; Colo Ins Commissioner AVP - Portfolio Manager Superintendent Retired , Flood and Peterson Market President Appointed Date : 6 / 2014 Independent Financial Weld School District 6 Appointed Date : 1 / 2014 Bank of Colorado rd Appointed Date : 4 / 2016 Appointed Date : 2 / 2020 Appointed Date : 7 / 2019 Term End : June 2023 ( 3 ) Term End : June 2025 ( 3rd ) Term End : June 2023 ( 1st ) Term End : June 2023 ( 3rd ) Term End : June 2025 ( 2nd ) Board Members in alpha order Jay Borgman Rick Brandt Thea Carrasco Merrie Garner Kyle Holman Coordinator ; NAMI Weld County Chief of Police Attorney Emergency Manager Director of Health Grants Metal Health Advocate Evans Police Department Grant & Hoffman Law Firm Frederick - Firestone Fire Dist The Weld Trust Representative Frontier House Appointed Date : 2 / 2020 Appointed Date : 7 / 2021 Carbon Valley Emer Mgmt Agcy Appointed Date : 6 / 2022 Appointed Date : 9 / 2016 ( 1st ) Appointed Date : 10 / 2022 Term End : June 2023 ( 2 � ' d ) Term End : June 2023 ( 1 ) Term End : June 2024 ( 1st ) Term End : June 2025 ( 1st ) Term End : June 2025 ( 1st ) Mandy Mullen Nalleli Valverde Event Organizer & CEO . Occupational Safety run . Windsor Race Series NVP Management Appointed Date : 8 / 2022 Appointed Date : 9 / 2021 Term End : June 2025 ( 1st ) Term End : June 2024 ( 1st ) Exhibit B NORTH RANGE BEHAVIORAL HEALTH Balance Sheet For the Six Months Ending 12/31/2022 Current Prior Unaudited June 2022 Variance Month ASSETS CASH PETTY CASH 4,075 4,575 (500) 4,075 CASH IN CHECKING (167,916) (331,613) 163,697 (172,129) CASH IN SAVINGS/MM/CDs 25,645,772 22,000,456 3,645,316 26,064,909 TOTAL UNRESTRICTED CASH 25,481,931 21,673,418 3,808,513 25,896,855 PAYEESHIP NET ASSETS 138,232 138,232 138,232 ACCOUNTS RECEIVABLE,NET SELF PAY 10,090 13,000 (2,910) 11,846 COMMERCIAL INSURANCE 528,593 569,100 (40,507) 504,701 MEDICARE 16,291 21,500 (5,209) 20,000 MEDICAID 33,457 28,186 5,271 39,448 A/R CLEARING 2,283 2,009 274 3,008 A/R OBH 839,983 827,001 12,982 839,499 A/R OTHER (3,215,796) (764,975) (2,450,821) (2,941,551) TOTAL ACCOUNTS RECEIVABLE (1,785,099) 695,821 (2,480,920) (1,523,049) OTHER CURRENT ASSETS PREPAIDS 973,590 560,165 413,425 974,300 DEPOSITS/OTHER 600 600 600 TOTAL CURRENT ASSETS 24,809,254 23,068,236 1,741,018 25,486,938 PROPERTY,PLANT&EQUIPMENT LAND 2,485,562 2,485,562 2,485,562 BUILDING&IMPROVEMENTS 24,834,368 24,687,932 146,436 24,834,368 FURNITURE,EQUIPMENT 5,049,714 4,897,823 151,891 5,049,714 CONSTRUCTION IN PROGRESS 30,000 (30,000) ACCUMULATED DEPRECIATION (14,120,006) (13,333,460) (786,546) (13,989,324) TOTAL FIXED ASSETS 18,249,638 18,767,857 (518,219) 18,380,320 OTHER ASSETS INVESTMENT IN SUBS 2,483,144 2,483,144 2,483,144 INVESTMENT-STOCK IN GREELEY IRRIGATION 25,000 25,000 25,000 TOTAL OTHER ASSETS 2,508,144 2,508,144 2,508,144 TOTAL ASSETS 45,56/,036 44,344,23/ 1,222,/9, 46,3/5,492 LIABILITIES AND FUND BALANCE CURRENT LIABILITIES ACCOUNTS PAYABLE 228,063 230,095 (2,032) 803,025 ACCRUED SALARIES PAYABLE 807,665 753,798 53,867 807,500 PAYROLL TAXES PAYABLE 307,315 306,560 755 606,506 VACATION PAYABLE 1,215,576 1,215,576 1,215,576 OTHER ACCRUED LIABILITIES 105,218 96,608 8,610 101,335 CLIENT TRUST FUNDS 138,232 138,232 138,232 DEFERRED INCOME 454,974 426,829 28,145 416,028 TOTAL CURRENT LIABILITIES 3,257,043 3,167,698 89,345 4,088,202 LONG-TERM DEBT NOTE PAYABLE 2,388,790 2,435,887 (47,097) 2,396,829 TOTAL LONG-TERM DEBT 2,388,790 2,435,887, (47,097) 2,396,829 TOTAL LIABILITIES 5,645,833 5,603,585 42,248 6,485,031 FUND BALANCE UNRESTRICTED 39,921,203 38,740,652 1,180,551 39,890,369 TOTAL FUND BALANCE 39,921,203 38,740,652 1,180,551 39,890,369 TOTAL LIABILITIES AND FUND BALANCE 45,567,036 44,344,237 1,222,799 46,375,400 hibit NORTH RANGE ExBEHAVIB ORAL HEALTH Statement of Revenue&Expenses Current Period For the Six Months Ending Saturday,December 31,29g3r-to-Date Prior Year Actual Budget Variance Actual Budget Variance %of Budget Actual Diff W/Prior Yr REVENUES CLIENT SERVICES SELF-PAY 6,876 29,000 (22,124) 93,699 174,000 (80,301) 53.85% 170,279 (76,580) COMMERCIAL INSURANCE 55,229 70,417 (15,188) 348,151 422,500 (74,349) 82.40% 428,966 (80,815) OTHER RAE 484,202 419,226 64,976 2,509,878 2,515,354 (5,476) 99.78% 2,339,236 170,642 MEDICARE 17,809 22,767 (4,958) 134,199 136,600 (2,401) 98.24% 152,459 (18,260) MEDICAID CAPITATED RAE 2,104,830 1,867,000 237,830 11,193,996 11,202,000 (8,004) 99.93% 9,445,999 1,747,997 FEE FOR SERVICE 51,113 37,307 13,806 263,147 223,844 39,303 117.56% 209,134 54,013 MEDICAL INJECTABLE 0.00% 2,580 (2,580) TOTAL CLIENT SERVICES REVENUE 2,720,059 2,445,717 274,342 14,543,070 14,674,298 (131,228) 99.11% 12,748,653 1,794,417 GOVERNMENTAL FEDERAL 307,677 382,731 (75,054) 2,230,369 2,296,386 (66,017) 97.13% ° 2,360,851 (130,482) STATE-OBH AND SIGNAL 345,935 321,490 24,445 2,008,498 1,928,939 79,559 104.12% 1,918,464 90,034 STATE-OTHER 164,489 180,874 (16,385) 1,037,767 1,085,244 (47,477) 95.63% 966,952 70,815 COUNTY 152,972 152,185 787 747,512 913,112 (165,600) 81.86% 730,164 17,348 OTHER LOCAL 9,916 10,000 (84) 66,555 60,000 6,555 110.93% 66,555 TOTAL GOVERNMENTAL 980,989 1,047,280 (66,291) 6,090,701 6,283,681 (192,980) 96.93% 5,976,431 114,270 OTHER REVENUE CONTRACTS&GRANTS 175,631 158,762 16,869 937,394 927,758 9,636 101.04% 817,539 119,855 RENTAL INCOME 17,726 18,575 (849) 102,738 111,450 (8,712) 92.18% 122,460 (19,722) MANAGEMENT FEES 0.00% 651,030 (651,030) INVESTMENT INCOME 51,938 2,775 49,163 129,480 16,650 112,830 777.66% 25,421 104,059 CONTRIBUTIONS 2,673 4,167 (1,494) 14,364 25,000 (10,636) 57.46% 19,496 (5,132) CONTRIBUTIONS-IN KIND OTHER MISCELLANEOUS 17,667 17,483 184 126,722 104,897 21,825 120.81% 3,498,910 (3,372,188) TOTAL OTHER REVENUES 265,635 201,762 63,873 1,310,698 1,185,755 124,943 110.54% 5,134,856 (3,824,158) TOTAL REVENUES 3,966,683 3,694,759 271,924 21,944,469 22,143,734 (199,265) 99.10% 23,859,940 (1,915,471) EXPENSES SALARIES 2,707,029 2,540,436 (166,593) 13,546,698 13,954,982 408,284 97.07% 12,759,933 (786,765) EMPLOYEE BENEFITS 636,966 671,318 34,352 3,324,852 3,969,945 645,093 83.75% 3,292,489 (32,363) CONTRACT PHYSICIAN/CLINICAL SERVICE 2,858 5,917 3,059 36,721 35,500 (1,221) 103.44% 32,958 (3,763) CLIENT SERVICE COSTS 38,083 46,224 8,141 243,901 277,342 33,441 87.94% 254,602 10,701 OCCUPANCY COSTS 259,966 279,968 20,002 1,769,060 1,679,811 (89,249) 105.31% 1,700,611 (68,449) OTHER OPERATING COSTS 290,945 333,256 42,311 1,842,685 2,023,914 181,229 91.05% 1,635,559 (207,126) TOTAL EXPENSES 3,935,847 3,877,119 (58,728) 20,763,917 21,941,494 1,177,577 94.63% 19,676,152 (1,087,765) EXCESS REVENUE OVER EXPENSES $30,83b ($182,360) $213,196 $1,180,552 $202,240 $9/8,312 583.74% $4,183,788 ($3,00.3,23b) Exhibit B f7/ NORTH RANGE BEHAVIORAL HEALTH ECMH Annual Budget 22-23 Summary ECMH Budget 22-23 REVENUES CLIENT SERVICES SELF-PAY COMMERCIAL INSURANCE MEDICARE MEDICAID CAPITATED 70,000 OTHER RAE MEDICAID 45,000 FEE FOR SERVICE MEDICAL INJECTIBLES TOTAL CLIENT SERVICES REVENUE 115,000 GOVERNMENTAL FEDERAL 445,700 STATE COUNTY/LOCAL 120,000 TOTAL GOVERNMENTAL 565,700 OTHER REVENUE CONTRACTS&GRANTS 62,500 RENTAL INCOME INTEREST/INVESTMENT INCOME CONTRIBUTIONS OTHER MISCELLANEOUS TOTAL OTHER REVENUES 52,500 743,200 EXPENSES SALARIES 426,400 EMPLOYEE BENEITS 121,100 CONTRACT PHYSFICIAN/CLINICAL SERVICE - CLIENT SERVICE COSTS 15,050 OCCUPANCY COSTS • 44,800 OTHER OPERATING COSTS 68,500 G&A 67,585 743,435 "eE l ER ($235) Exhibit B NORTH RANGE BEHAVIORAL HEALTH FINANCIAL STATEMENTS Years Ended June 30,2022 and 2021 ANdERSON WhITNEy ..... Exhibit B TABLE OF CONTENTS Independent Auditors'Report 2 STATEMENTS OF FINANCIAL POSITION 5 STATEMENTS OF ACTIVITIES 7 STATEMENTS OF CHANGES IN NET ASSETS 8 STATEMENTS OF FUNCTIONAL EXPENSES 9 STATEMENTS OF CASH FLOWS 11 NOTES TO FINANCIAL STATEMENTS 12 SUPPLEMENTARY INFORMATION: Schedule of Revenue 26 Schedule of Expenditures of Federal Awards 27 Independent Auditors'Report on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of the Financial Statements Performed in Accordance with Government Auditing Standards 29 Independent Auditors'Report on Compliance for Each Major Federal Program and Report on Internal Control Over Compliance Required by Uniform Guidance 31 Schedule of Findings and Questioned Costs 34 Exhibit B ANdERSON A Professional Corporation of Certified Public Accountants ©WI IITNE y ..... Independent Auditors'Report Board of Directors North Range Behavioral Health Greeley,Colorado Opinion We have audited the financial statements of North Range Behavioral Health(North Range) which comprise the statements of financial position as of June 30,2022, and the related statements of activities,changes in net assets,functional expenses,and cash flows for the year then ended, and the related notes to the financial statements (collectively, the financial statements). In our opinion,the accompanying financial statements present fairly,in all material respects,the financial position of North Range Behavioral Health as of June 30,2022,and the results of its operations and its cash flows for the year then ended in accordance with accounting principles generally accepted in the United States of America. Basis for Opinion We conducted our audit in accordance with auditing standards generally accepted in the United States of America (GAAS) and the standards applicable to financial audits contained in Government Auditing Standards,issued by the Comptroller General of the United States.Our responsibilities under those standards are further described in the Auditor's Responsibilities for the Audit of the Financial Statements section of our report.We are required to be independent of North Range and to meet our other ethical responsibilities,in accordance with the relevant ethical requirements relating to our audit.We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Responsibilities of Management for the Financial Statements Management is responsible for the preparation and fair presentation of the financial statements in accordance with accounting principles generally accepted in the United States of America,and for the design,implementation and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement,whether due to fraud or error. In preparing the financial statements,management is required to evaluate whether there are conditions or events, considered in the aggregate,that raise substantial doubt about North Range's ability to continue as a going concern within one year after the date that the financial statements are issued or available to be issued. -2- 5801 West 11th Street.Suite 300 (970)352-7990 Greeley,Colorado 80634-4813 www.awhitney.com Exhibit B Board of Directors North Range Behavioral Health Page 2 Auditor's Responsibilities for the Audit of the Financial Statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement,whether due to fraud or error,and to issue an auditor's report that includes our opinion.Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS will always detect a material misstatement when it exists.The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error,as fraud may involve collusion,forgery,intentional omissions,misrepresentations,or the override of internal control.Misstatements are considered material if there is substantial likelihood that, individually or in the aggregate,they would influence the judgment made by a reasonable user based on the financial statements. In performing an audit in accordance with GAAS and Government Auditing Standards,we: • Exercise professional judgment and maintain professional skepticism throughout the audit. • Identify and assess the risks of material misstatement of the financial statements,whether due to fraud or error,and design and perform audit procedures responsive to those risks. Such procedures include examining,on a test basis,evidence regarding the amounts and disclosures in the financial statements. • Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances,but not for the purpose of expressing an opinion on the effectiveness of North Range's internal control.Accordingly,no such opinion is expressed. • Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management,as well as evaluate the overall presentation of the financial statements. • Conclude whether, in our judgment,there are conditions or events,considered in the aggregate,that raise substantial doubt about North Range's ability to continue as a going concern for a reasonable period of time. We are required to communicate with those charged with governance regarding,among other matters,the planned scope and timing of the audit,significant audit findings,and certain internal control—related matters that we identified during the audit. Report on Summarized Comparative Information We have previously audited North Range's 2021 financial statements,and we expressed an unmodified audit opinion on those audited financial statements in our report dated November 26, 2021.In our opinion,the summarized comparative information presented herein as of and for the year ended June 30,2021 is consistent,in all material respects,with the audited financial statements from which it has been derived. -3- Exhibit B Board of Directors North Range Behavioral Health Page 3 Emphasis of Matter The Organization adopted the provisions of Accounting Standards Update 2020-07,Not-for- Profit Entities (Topic 958): Presentation and Disclosures by Not-for-Profit Entities for Contributed Nonfinancial Assets.Our opinion is not modified in regard to this matter. Other Matter Our audit was conducted for the purpose of forming an opinion on the financial statements as a whole. The accompanying schedule of expenditures of federal awards is presented for purposes of additional analysis as required by Title 2 U.S.Code of Federal Regulations Part 200 and is not a required part of the financial statements. Such information is the responsibility of management and was derived from and relates directly to the underlying accounting and other records used to prepare the financial statements. The information has been subjected to the auditing procedures applied in the audits of the financial statements and certain additional procedures,including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the financial statements or to the financial statements themselves,and other additional procedures in accordance with auditing standards generally accepted in the United States. In our opinion,the information is fairly stated in all material respects in relation to the financial statements as a whole. Other Reporting Required by Government Auditing Standards In accordance with Government Auditing Standards,we have also issued our report dated November 29,2022,on our consideration of North Range's internal control over financial reporting and on our tests of its compliance with certain provisions of laws,regulations,contracts and grant agreements and other matters. The purpose of that report is solely to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing,and not to provide an opinion on the effectiveness of the internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards in considering North Range's internal control over financial reporting and compliance. (1),-.ckAAA-o-,-,1+-L.\1,37,,-*.-\d,' ? ' November 29,2022 -4- Exhibit B NORTH RANGE BEHAVIORAL HEALTH STATEMENTS OF FINANCIAL POSITION June 30 2022 2021 ASSETS Current Assets: Cash and cash equivalents $19,222,265 $13,161,756 Bank certificates of deposit 2,453,162 2,210,827 Restricted cash 138,232 194,043 Accounts receivable: Client fees 652,976 726,354 Public agencies and other 3,349,673 2,154,939 Due from affiliates 12,163 985,047 Prepaid expenses and other 560,765 552,239 Total Current Assets 26,389,236 19,985,205 Property and Equipment: Land and improvements 2,736,179 2,383,179 Buildings and improvements 24,437,315 22,403,958 Furniture and equipment 4,027,614 3,773,290 Vehicles 870,209 775,644 Construction in progress 30,000 243,061 32,101,317 29,579,132 Less:Accumulated depreciation 13,333,460 11,937,879 Net Property and Equipment 18,767,857 17,641,253 Other Assets: Investments in other entities 2,508,144 2,639,811 Total Other Assets 2,508,144 2,639,811 TOTAL ASSETS $47,665,237 $40,266,269 Continued on next page. -5- Exhibit B NORTH RANGE BEHAVIORAL HEALTH STATEMENTS OF FINANCIAL POSITION-continued June 30 2022 2021 LIABILITIES Current Liabilities: Accounts payable $ 229,532 $ 207,946 Accrued expenses and other liabilities 2,373,105 2,703,551 Refundable advances 426,829 417,677 Provider relief funds - 1,802,257 Due to affiliates 3,321,000 - Client trust funds 138,232 194,043 Current portion of long-term debt 95,436 304,182 Total Current Liabilities 6,584,134 5,629,656 Interest Rate Swap Liability - 120,329 Long-Term Debt 2,340,451 3,684,677 Total Liabilities 8,924,585 9,434,662 NET ASSETS Without Donor Restriction: Investment in property and equipment 16,331,970 13,532,065 Undesignated 22,359,728 17,254,479 With Donor Restriction 48,954 45,063 Total Net Assets 38,740,652 30,831,607 TOTAL LIABILITIES AND NET ASSETS $47,665,237 $40,266,269 See Accompanying Notes to Financial Statements. -6- Exhibit B NORTH RANGE BEHAVIORAL HEALTH STATEMENTS OF ACTIVITIES Years Ended June 30 2022 2021 Revenues and Support Without Donor Restriction: Net client service revenue $ 28,881,628 $23,543,052 Government revenue 15,293,100 11,499,739 Non-government grants and contracts 723,803 1,080,441 Public support 153,382 180,585 Contributions of nonfinancial assets 1,575,000 - Other 1,080,325 6,670,781 Net assets released from restrictions 914 3,887 Total Revenues and Support Without Donor Restriction 47,708,152 42,978,485 Expenses: Personnel 32,770,485 29,401,218 Client 599,811 509,074 Occupancy 1,835,661 1,748,218 Operating 3,196,307 2,756,823 Depreciation and amortization 1,500,390 1,276,250 Professional fees 315,420 280,292 Donated items 118,901 111,119 Total Expenses 40,336,975 36,082,994 Operating Income(Loss) 7,371,177 6,895,491 Other Income: Equity in operations of investees 368,332 506,250 Investment income 45,317 84,702 Total Other Income 413,649 590,952 Excess of Revenues Over Expenses 7,784,826 7,486,443 Change in fair value of interest rate swap agreement 120,328 54,531 Increase in Net Assets Without Donor Restriction $ 7,905,154 $ 7,540,974 See Accompanying Notes to Financial Statements. -7- Exhibit B NORTH RANGE BEHAVIORAL HEALTH STATEMENTS OF CHANGES IN NET ASSETS Years Ended June 30 2022 2021 Net Assets Without Donor Restriction: Excess of revenue over expenses $ 7,784,826 $ 7,486,443 Change in fair value of interest rate swap agreement 120,328 54,531 Increase in Net Assets Without Donor Restriction 7,905,154 7,540,974 Net Assets With Donor Restriction: Contributions 4,805 9,340 Net assets released from restriction (914) (3,887) Increase(Decrease)in Net Assets With Donor Restriction 3,891 5,453 Increase(Decrease)in Net Assets 7,909,045 7,546,427 Net Assets,Beginning of Year 30,831,607 23,285,180 Net Assets,End of Year $38,740,652 $30,831,607 See Accompanying Notes to Financial Statements. -8- Exhibit B NORTH RANGE BEHAVIORAL HEALTH STATEMENTS OF FUNCTIONAL EXPENSES Mental Health General and Year Ended June 30,2022 Services Administrative Fundraising Total Personnel $30,221,270 $ 2,549,215 $ - $32,770,485 Client 573,241 26,570 - 599,811 Occupancy 1,558,054 277,607 - 1,835,661 Operating 2,206,788 989,519 - 3,196,307 Depreciation and amortization 163,281 1,337,109 - 1,500,390 Professional fees 190,057 125,363 - 315,420 Donated items - 118,901 - 118,901 TOTAL EXPENSES $34,912,691 $ 5,424,284 $ - $40,336,975 See Accompanying Notes to Financial Statements. -9- Exhibit B NORTH RANGE BEHAVIORAL HEALTH STATEMENTS OF FUNCTIONAL EXPENSES Mental Health General and Year Ended June 30,2021 Services Administrative Fundraising Total Personnel $27,452,147 $ 1,949,071 $ - $29,401,218 Client 2,918 506,156 - 509,074 Occupancy 251,921 1,496,297 - 1,748,218 Operating 648,410 2,108,413 - 2,756,823 Depreciation and amortization 119,931 1,156,319 - 1,276,250 Professional fees 136,356 143,936 - 280,292 Donated items - 111,119 - 111,119 TOTAL EXPENSES $28,611,683 $ 7,471,311 $ - $36,082,994 See Accompanying Notes to Financial Statements. -10- Exhibit B NORTH RANGE BEHAVIORAL HEALTH STATEMENTS OF CASH FLOWS Years Ended June 30 2022 2021 Cash Flows from Operating Activities: Change in net assets $ 7,909,045 $ 7,546,427 Items not requiring cash: Forgiveness of PPP loan - (5,071,042) Depreciation and amortization 1,500,390 1,276,251 Change in fair value of interest rate swap agreement (120,328) (54,531) Reinvested interest in certificates of deposit - - Equity in operations of investees (368,332) (506,250) Donated building (1,575,000) - Changes in: Accounts receivable (1,121,356) (203,031) Other current assets (8,526) (412,695) Due from affiliates 972,884 (1,281,664) Due to affiliates 3,321,000 - Accounts payable 21,585 (101,202) Accrued liabilities (330,446) 244,073 Refundable advances (1,793,105) 1,282,112 Net Cash Provided(Used)by Operating Activities 8,407,811 2,718,448 Cash Flows from Investing Activities: Maturity of bank certificates of deposit 1,197,665 2,643,860 Purchase of bank certificates of deposit (1,440,000) (480,000) Return of capital from NHP 500,000 - Acquisition of property and equipment (1,051,994) (1,063,966) Net Cash Provided(Used)by Investing Activities (794,329) 1,099,894 Cash Flows from Financing Activities: Change in client trust funds (55,811) 21,656 Payments on long-term debt (1,552,973) (283,307) Net Cash Provided(Used)by Financing Activities (1,608,784) (261,651) Net Increase in Cash 6,004,698 3,556,691 Cash,cash equivalents,and restricted cash,Beginning of Year 13,355,799 9,799,108 Cash,cash equivalents,and restricted cash,End of Year $19,360,497 $13,355,799 Supplemental Cash Flow Information: Interest paid $ 218,419 $ 163,589 See Accompanying Notes to Financial Statements. -11- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 1-Summary of Significant Accounting Policies: The accounting and reporting policies of North Range Behavioral Health(North Range) conform to accounting principles generally accepted in the United States and the accounting principles prescribed in the Accounting and Auditing Guidelines of the Office of Behavioral Health,Colorado Department of Human Services.The following summary of significant accounting policies is presented to assist the reader in evaluating North Range's financial statements. Nature of Operations: North Range is a Colorado nonprofit corporation incorporated in 1971 to provide comprehensive community behavioral health services and substance abuse services to the public in Weld County,Colorado. Basis of Accounting: The financial statements of North Range conform with the reporting guidelines issued by the Office of Behavioral Health, Colorado Department of Human Services, including guidance provided in the Audit and Accounting Guide for Health Care Organizations issued by the American Institute of Certified Public Accountants. Use of Estimates: The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Cash and Cash Equivalents: North Range considers all liquid investments with original maturities of three months or less to be cash equivalents. At June 30,2022 and 2021,cash equivalents consisted of an overnight repurchase agreement. The repurchase agreement is secured by obligations collateralized by securities that are the direct obligation of,or the principal and interest of which are fully guaranteed by the United States,one of its agencies or one of its government-sponsored enterprises. The repurchase agreement is in accordance with North Range's investment policy;therefore,management believes no significant credit risk exists related to these uninsured balances. At times,North Range's bank account balances(including certificates of deposit)may exceed federally insured limits. -12- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 1-Summary of Significant Accounting Policies-Continued: Accounts Receivable: North Range provides behavioral health counseling services to individuals in Weld County, Colorado. Fees for these services are billed to third-party insurance companies,Medicaid,Medicare,or the individuals. The fees billed to individuals (consisting of the original charge for clients without insurance coverage or the co-pay and deductible of billings to third-party insurance companies)are adjusted on a sliding scale according to the client's ability to pay. North Range does not attempt to collateralize its accounts receivable and does not charge interest on delinquent accounts. An allowance is provided in the accompanying financial statements in order to state the accounts receivable at the amount management anticipates to ultimately receive. The allowance is determined on the basis of collection experience,known and inherent risk in the receivables,and current economic conditions. Charity Care: North Range provides care without charge or at amounts less than its established rates to clients meeting certain criteria under its charity care policy. Because North Range does not pursue collection of amounts determined to qualify as charity care,these amounts are not reported as net patient service revenue. Property and Equipment: Property and equipment acquisitions are recorded at cost and are depreciated using the straight-line method over the estimated useful life of each asset. The estimated useful lives for each major depreciable classification of property and equipment are as follows: Buildings and improvements 5-35 years Office furniture,equipment and vehicles 3-10 years Donations of property and equipment are reported at fair value as an increase in unrestricted net assets unless use of the assets is restricted by the donor. -13- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 1-Summary of Significant Accounting Policies-Continued: Revenue Recognition: North Range has adopted Accounting Standards update (ASU) No. 2014-09 — Revenue from Contracts with Customers(Topic 606),as amended as management believes the standard improves the usefulness and understandability of North Range's financial reporting.Analysis of various provisions of this standard resulted in no significant changes in the way revenues were recognized,and therefore,no changes to the previously issued audited financial statements were required on a retrospective basis.The presentation and disclosure of revenue have been enhanced in accordance with the standard. Net client service revenue is reported at the estimated net realizable amounts from clients, third-party payers and others for services rendered including estimated retroactive adjustments under reimbursement agreements with third-party payers. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. Unconditional promises to give cash and other assets are accrued at estimated fair value at the date each promise is received. The gifts are reported as temporarily restricted support if they are received with donor stipulations that limit the use of the donated assets. When a donor restriction expires,that is,when a stipulated time restriction ends or purpose restriction is accomplished,temporarily restricted net assets are reclassified as unrestricted net assets and reported as an increase in unrestricted net assets. Donor-restricted contributions whose restrictions are met within the same year as received,are reported as unrestricted contributions. A portion of the North Range's revenue is derived from cost-reimbursable federal and state contracts and grants, which are conditioned upon certain performance requirements and/or the incurrence of allowable qualifying expenses. Amounts received are recognized as revenue when the organization has incurred expenditures in compliance with specific contract or grant provisions.Amounts received prior to incurring qualifying expenditures are reported as refundable advances in the statement of financial position.North Range received cost-reimbursable grants of$426,829 that have not been recognized at June 30,2022 because qualifying expenditures have not yet been incurred,with an advance payment of$426,829 recognized in the statements of financial position as a refundable advance. -14- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 1-Summary of Significant Accounting Policies-Continued: Payment terms for goods and services to grantors are billed monthly and are typically due in 30 days.In instances where the timing of revenue recognition differs from the timing of the right to invoice,North Range has determined that a significant financing component does not exist.The primary purpose of North Range's invoicing terms is to provide grantors and contractors with simplified and predictable ways of purchasing products and services and not to receive financing from or provide financing to the grantor. Practical expedients: North Range does not disclose the value of unsatisfied performance obligations for(i)contracts with an original expected length of one year or less,or(ii)contracts for which the amount of revenue recognized is based on the amount to which the organization has the right to invoice the customer for services performed. North Range's expenses costs to obtain contracts as incurred as contracts are generally less than one year.Beginning balances of receivables and contract assets and liabilities as of July 1, 2020 were $2,678,262 of accounts receivable and $937,822 of refundable advances. Changes in contract assets and liabilities primarily relate to either party's performance under the contracts. Basis of Presentation: The accompanying financial statements have been prepared on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States. Net assets and revenue,expenses,gains,and losses are classified based on the existence or absence of donor-imposed restrictions. Accordingly, net assets and changes therein are classified and reported as follows: Net assets without donor restrictions: Net assets that are not subject to donor- imposed restrictions and may be expended for any purpose in performing the primary objectives of the organization.These net assets may be used at the discretion of the organization's management and board of directors. -15- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 1-Summary of Significant Accounting Policies-Continued: Net assets with donor restrictions: Net assets subject to stipulations imposed by donors and grantors. Some donor restrictions are temporary in nature; those restrictions will be met by actions of the organization or passage of time.Other donor restrictions are perpetual in nature,whereby the donor has stipulated the funds be maintained in perpetuity. Donor restricted contributions are reported as increases in net assets with donor restrictions.When a restriction expires,net assets are reclassified from net assets with donor restrictions to net assets without donor restrictions in the Statements of Operations. Excess of Revenues Over Expenses: The statements of activities include excess of revenues over expenses. Other changes in unrestricted net assets are excluded from the excess of revenues over expenses, consistent with industry practice,and include the change in the fair value of the interest rate swap agreement. Functional Expense Cost Allocations: For calculating unit costs of services,North Range allocates direct and traceable expenses from cost centers to service programs based on the ratio of clinician time and compensation in each program to total clinician time and compensation. Units of service are determined on a programmatically distinct basis. General and administrative costs are allocated for unit cost calculations based on a percentage of expenses to total expenses as required by the Office of Behavioral Health,Colorado Department of Human Services Accounting and Auditing Guidelines. Income Taxes: North Range is exempt from income taxes under Section 501(c)(3)of the Internal Revenue Code and a similar provision of state law. With a few exceptions,North Range is no longer subject to U.S.federal examination by tax authorities for years before 2019. -16- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 1-Summary of Significant Accounting Policies-Continued: Recently issued accounting pronouncements In September 2020,the FASB issued ASU 2020-07,Not-for-Profit Entities(Topic 958): Presentation and Disclosures by Not-for-Profit Entities for Contributed Nonfinancial Assets, which requires a not-for-profit entity to present contributed nonfinancial assets in the statement of operations as a line item that is separate from contributions of cash or other financial assets. North Range recognized contributed nonfinancial assets within revenue,including a contributed building and services.Contributed nonfinancial assets did not have donor- imposed restrictions. Other than services,North Range typically does not receive significant contributed nonfinancial assets and as such,does not have a policy on whether the asset should be utilized or monetized.This would depend on the type of asset and reason it was given to North Range. The contributed building will be used for general and administrative activities.In valuing the contributed building,which is located in Greeley,North Range estimated the fair value on the basis of an appraisal received. Contributed services recognized comprise professional services from interns working on various administrative matters.Contributed services are valued and are reported at the estimated fair value in the financial statements based on current rates for similar services. Reclassifications: Certain reclassifications have been made to the 2021 financial statements to conform to the 2022 financial statement presentation. These reclassifications had no effect on the change in net assets. Subsequent Events: Subsequent events have been evaluated through the date the financial statements were available to be issued,which is the date of the Independent Auditors'Report. NOTE 2-Accrued Expenses and Other Liabilities: June 30 2022 2021 Accrued vacation and sick pay $1,215,576 $1,223,236 Accrued payroll,related taxes and withholding 1,159,644 1,436,660 Other accrued expenses (2,115) 43,655 $2,373,105 $2,703,551 -17- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 3—Investments in Equity Investees and Related-party Transactions: Northeast Health Partners,LLC(NHP): North Range has a 25%interest in this limited liability company formed in 2017 with three other nonprofit providers of behavioral health or primary medical care services in Northeastern Colorado. NHP has been awarded the Medicaid contract with the State of Colorado to serve as the Regional Accountable Entity(RAE)for Northeastern Colorado effective July 1,2018. As the RAE,NHP will be responsible for connecting Medicaid members with both primary care and behavioral care services. North Range's initial investment at June 30,2021 was$500,000 and the entire amount of$500,000 was returned to North Range prior to June 30,2022,leaving the investment at$0 as of June 30,2022.The investment is accounted for under the equity method.North Range's share of NHP's earnings for the year ended June 30,2022 was$368,332. Progressive Health Options,LLC: North Range has a 5.88%interest in this limited liability company formed in 2015 with sixteen other Colorado behavioral health providers to develop,form and operate an integrated,collaborative and coordinated provider network to foster innovation in health care delivery while reducing costs and enhancing accountability,outcomes and savings. North Range's initial investment through June 30,2022 is$25,000 and the investment is accounted for on the cost method. NOTE 4—Long-Term Debt: June 30 2022 2021 Series 2007 Revenue Bonds issued by Wells Fargo Bank in the amount of$3,500,000 dated June 2007,payable in escalating monthly principal payments starting at$8,850 plus interest at a variable rate based on the one-month LIBOR times.6631 plus 1.23%(subject to interest rate swap agreement), final payment due June 2027, collateralized by office building in Greeley, Colorado, underlying financing provided by Weld County,Colorado Revenue Bonds(North Range Behavioral Health Project). $-- $1,461,200 Less current portion: -- 212,280 $-- $1,248,920 -18- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 4—Long-Term Debt-Continued: In connection with the note payable to Wells Fargo Bank,North Range entered into an interest rate swap agreement that effectively converts the interest rate on the note to a fixed rate. Under the swap contract,North Range pays interest at 5.27%. The swap is designed to hedge the risk of changes in interest payments on the debt obligation caused by changes in LIBOR. The swap expires in June 2027,consistent with the maturity of the related debt.The swap was issued at market terms so that it had no fair value at inception. The carrying amount of the swap has been adjusted to its fair value at the end of the year,which because of changes in forecasted levels of LIBOR resulted in reporting a liability for the fair value of the future net payments forecasted under the swap. Since the critical terms of the swap and the debt obligation are the same,the swap is assumed to be completely effective as a hedge,and none of the change in its fair value is included in the change in net assets from operations. North Range paid the note payable to Wells Fargo in full during the current year. June 30 2022 2021 Bank loan issued by Bank of Colorado in the amount of $2,610,000 dated August 2019,at an annual interest rate of 3.78%,payable in monthly principal payments of$15,515 until August 1,2030,collateralized by property. $2,435,887 $2,527,659 Less current portion 95,436 91,902 $2,340,451 $2,435,757 As of June 30,2022,annual maturities of long-term debt for each of the next five years and thereafter are as follows: Annual Years Ending June 30 Maturity 2023 $ 95,436 2024 99,107 2025 102,919 2026 106,877 2027 110,988 Thereafter to 2030 1,920,560 $2,435,887 -19- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 5—Restricted Cash: North Range Behavioral Health receives and holds personal funds of some residential clients. These funds are reported as restricted cash and an offsetting liability(client trust funds)in the accompanying statements of financial position.Restricted cash related to these funds was$138,232 and$194,043 at June 30,2022 and 2021,respectively. NOTE 6-Net Assets: Net assets are classified according to the nature of external donor restrictions on the use of funds.These restrictions as of June 30,2022 and 2021 are as follow: June 30 2022 2021 Net assets with donor restrictions: Supportive Housing and Homeless Programs $48,954 $45,063 $48,954 $45,063 NOTE 7—Functional Expenses: Functional expenses consist of the following classifications and amounts: Year Ended June 30 2022 2021 Behavioral health services $34,912,691 $28,611,683 General and administrative 5,424,284 7,471,311 Total $40,336,975 $36,082,994 NOTE 8-Retirement Plan: North Range has a defined contribution plan (the Plan) covering employees who complete three consecutive months of service and who work twenty hours per week. The Plan became effective October 1, 1996 and is qualified under Section 403(b)of the Internal Revenue Code.North Range makes a contribution to the Plan each year equal to 2%of all participants'compensation,regardless of employee contributions. In addition, North Range matches 50%of the first 4%of a participant's voluntary contribution to the Plan. The total contributions to the Plan by North Range for the years ended June 30, 2022 and 2021 was approximately$670,359 and$652,337,respectively. -20- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 9—Commitments and Contingencies: Harmony Way Restricted Use: In July 2004,North Range purchased a group of town homes to provide housing for its homeless and low-income clients. North Range received$200,000 from the Colorado Division of Housing(CDH)to assist in the acquisition of this property and$400,000 from the U.S. Department of Housing and Urban Development(HUD)under the Supportive Housing Program to assist with the acquisition and rehabilitation of the property. Under the terms of these grants,North Range must refund a portion of the funds if the project ceases to be used as supportive housing within 20 years for the HUD funds and 50 years for the CDH funds. Operating Leases: NRBH leases a vehicle under an operating lease agreement over a five-year term that commenced on February 26,2018. The lease requires monthly payments of$512. Rent expense under the lease for the years ended June 30,2022 and 2021 was$6,144 and$6,144,respectively. NRBH leases 12 credit card readers under operating lease agreements over a three-year term that commenced on September 1,2020.Rent expense under the leases for the year ended June 30,2022 and 2021 was$4,004 and$3,472. Future minimum obligations under lease commitments are as follows: Year Ending June 30 Amount 2023 $8,100 2024 667 $8,767 NOTE 10—Disclosures About Fair Values of Assets and Liabilities: Fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date.Fair value measurements must maximize the use of observable inputs and minimize the use of unobservable inputs.There is a hierarchy of three levels of inputs that may be used to measure fair value: -21- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 10—Disclosures About Fair Values of Assets and Liabilities-Continued: Level 1 Quoted prices in active markets for identical assets or liabilities Level 2 Observable inputs other than Level 1 prices,such as quoted prices for similar assets or liabilities;quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities Level 3 Unobservable inputs supported by little or no market activity and significant to the fair value of the assets or liabilities Recurring Measurements: The following table presents the fair value measurements of assets and liabilities recognized in the accompanying balance sheets measured at fair value on a recurring basis and the level within the fair value hierarchy in which the fair value measurements fall at June 30: Carrying Fair Value Measurements at Reporting Date Using Description Value Level 1 Level 2 Level 3 Bank CD's: June 30,2022 $2,453,162 $ -- $2,453,162 $ -- June 30,2021 2,210,827 -- 2,210,827 -- Interest rate swap agreement: June 30,2022 -- -- -- -- June 30,2021 120,329 -- 120,329 -- Following is a description of the valuation methodologies and inputs used for assets and liabilities measured at fair value on a recurring basis and recognized in the accompanying balance sheets,as well as the general classification of such assets and liabilities pursuant to the valuation hierarchy. There have been no significant changes in the valuation techniques during the years ended June 30,2022 and 2021. Bank Certificates of Deposit: Bank certificates of deposit generally have a maturity of less than two years and fair value generally approximates cost plus accrued interest. -22- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 10—Disclosures About Fair Values of Assets and Liabilities-Continued: Interest Rate Swap Agreement: The fair value is the estimated amount that would be received to sell the contract in an asset position or paid to transfer the contract in a liability position,calculated using forward-looking interest rate curves and a discounted cash flow approach. North Range managed counterparty risk by entering into a contract with a financial institution that it believes presents a low risk of credit loss resulting from nonperformance. As of June 30,2022,North Range had not recorded a credit value adjustment related to the interest rate swap agreement. NOTE 11—Significant Estimates and Concentrations: Accounting principles generally accepted in the United States of America require disclosure of certain significant estimates and current vulnerabilities due to certain concentrations.Those matters include the following: Allowances for Net Client Service Revenue Adjustments: Estimates of allowances for adjustments included in net client service revenue are described in Note 1. Professional Liability Coverage and Claims: North Range pays fixed premiums for annual professional liability insurance coverage under an occurrence basis. North Range accrues the expense of its share of asserted and unasserted claims occurring during the year by estimating the probable ultimate cost of any such claim and the related insurance receivable. Such estimates are based on North Range's own claims experience. Accordingly,no accrual for claims has been included in the financial statements for 2022 and 2021. Revenue Concentration: Approximately 37%and 38%of North Range's revenue for the years ended June 30, 2022 and 2021,respectively,was the result of the subcapitation managed care contract to provide mental health managed care services for Medicaid recipients. Under the subcapitation agreement,North Range is required to provide all mental health services for any clients(covered persons)participating under the Colorado Medicaid program within the covered area for fixed,monthly prepaid contracted amounts based on Medicaid recipient categories for all covered persons. Starting July 1, 2018, the subcapitation contract is with Northeast Health Partners,LLC. -23- Exhibit B NORTH RANGE BEHAVIORAL HEALTH NOTES TO FINANCIAL STATEMENTS NOTE 12—Information Regarding Liquidity and Availability: NRBH strives to maintain liquid financial assets sufficient to cover 90 days of general expenditures. Financial assets in excess of daily cash requirements are invested in money market funds and other short-term investments. The following table reflects NRBH's financial assets as of June 30,2022 and 2021, reduced by amounts that are not available to meet general expenditures within one year of the Statements of Financial Position date. Amounts not available to meet general expenditures within one year also may include net assets with donor restrictions. June 30 2022 2021 Financial Assets at Year-End: Cash and Bank C.D.'s $21,675,427 $15,372,583 Accounts receivable 4,014,812 3,866,340 25,690,239 19,238,923 Net Assets with Donor Restrictions (48,954) (45,063) Financial Assets Available to Meet General Expenditures Over the Next Twelve Months $25,641,285 $19,193,860 -24- Exhibit B SUPPLEMENTARY INFORMATION -25- Exhibit B NORTH RANGE BEHAVIORAL HEALTH Schedule of Revenue Mental Health General and Year Ended June 30,2022 Services Administrative Total Net Client Service Revenue: Medicaid capitation $21,915,434 $21,915,434 Medicaid fee for service: ACF 198,559 - 198,559 Special Connections - - - Other 280,217 - 280,217 Medicare 283,661 - 283,661 Medical injectibles 2,580 - 2,580 Other BHO 4,984,200 - 4,984,200 Client fees 365,819 - 365,819 Insurance and third-party 851,158 - 851,158 Total Net Client Service Revenue 28,881,628 - 28,881,628 Government: Federal revenue 7,125,744 - 7,125,744 State Revenue: State OBH&Signal 3,843,183 - 3,843,183 Crisis Intervention 952,442 - 952,442 Other state revenue 1,083,889 - 1,083,889 Total State Revenue 5,879,514 - 5,879,514 County Revenue 2,287,842 - 2,287,842 Total Government 15,293,100 - 15,293,100 Non-government grants and contracts 723,803 - 723,803 Public Support: Contributions 14,197 20,284 34,481 Volunteer services 118,901 - 118,901 Total Public Support 133,098 20,284 153,382 Other Revenue: Rental income 221,548 5,398 226,946 Other income 207,136 - 207,136 Contributions of nonfinancial assets 1,575,000 - 1,575,000 Administrative service fees 646,243 - 646,243 Total Other Revenue 2,649,927 5,398 2,655,325 Net assets released from restrictions 914 - 914 TOTAL REVENUE $47,682,470 $ 25,682 $47,708,152 -26- Exhibit B North Range Behavioral Health Schedule of Expenditures of Federal Awards Year Ending June 30,2022 Federal Grantor/ Pass-Through Grantor/ Federal CFDA Grantor's Identification Program Grant Title Number Number Expenditures Department of Health and Human Services Substance Abuse and Mental Health Services Administration Direct Programs: CCBHC 93.829 1H79SM083147-01 $ 2,244,560 HHS STIMULUS CARES 93.498 no award number $ 1,802,258 Pass-Through Grantor-Sunrise.: HRSA Grant 93.224 no award number $ 79,764 Pass-Through Grantor-Signal Behavioral Health System,Inc.: Outpatient 93.959 no award number $ 237,185 Residential 93.959 no award number $ 197,461 Treatment Enhanced Services 93.959 no award number $ 47,587 Withdrawal Mgmt(Detox) 93.959 no award number $ 521,100 Specialized Women's Services 93.959 no award number $ 51,174 AFS 93.959 no award number $ 312 SSC QIP 93.959 no award number $ 3,595 Enhanced Case Management/Involuntary Commitment Transports 93.959 no award number $ 10,328 Recovery Living Support 93.959 no award number $ 14,673 Total CFDA#93.959$ 1,083,414 Pass-Through Grantor-Signal Behavioral Health System,Inc.: CARES COVID Relief Funding 93.003 no award number $ 16,659 Total CFDA#93.003$ 16,659 CSU 93.958 no award number $ 41,002 Recovery Peer Navigator 93.788 no award number $ 51,164 Family Support Services 93.788 no award number $ 34,104 Total CFDA#93.788$ 85,268 Total Pass-Through Grantor-Signal Behavioral Health System,Inc. $ 1,226,343 Pass-Through Grantor-Colorado Department of Human Services: Office of Behavioral Health First Pyschotic Episode 93.958 22 IHJA 167022 $ 235,562 Total CFDA#93.958$ 235,562 Office of Behavioral Health American Rescue Plan Act Covid-19 School-Based Funding 21.027 22 IHJA 167022 $ 100,400 Beacon Compassion 21.027 $ 14,675 Total CFDA#21.027$ 115,075 Pass-Through Grantor-Colorado Department of Human Services: FEMA 97.036 2021*2124 $ 320,688 Path Grant 93.150 21 IHJA 159889/168577 $ 77,422 Office of Early Childhood Early Childhood Specialists 93.575 22 IHIA 169535 $ 299,219 Office of Early Childhood Early Childhood Specialists Warm Line 93.434 22 IHIA 169752 $ 99,057 Total Pass-Through Grantor-Colorado Department of Human Services $ 1,147,023 Continued on next page -27- Exhibit B North Range Behavioral Health Schedule of Expenditures of Federal Awards Year Ended June 30,2022 Pass-Through Grantor-Colorado Department of Public Health and Environment CDPHE Preventen Service Office of Suicide Prevention 93.243 2020.2678 $ 62,171 CDPHE Mental Health Disaster Assistance and Emergency Mental Health 93.069 PO FAAA 20180002784 $ 5,500 Total Pass-Through Grantor-Colorado Department of Public Health and Environment $ 67,671 Pass-Through Grantor-Colorado Department of Labor and Employment Division of Vocational Rehabilitation: DVR 84.126A CT KAVA 2017-3984 $ 59,400 Total CFDA#84.126A$ 59,400 Pass-Through Grantor-Weld County: AAA 93.044 no award number $ 23,777 Total Pass-Through Grantor-Weld County: $ 23,777 Total Department of Health and Human Services $ 6,650,796 Pass-Through Grantor-CEEN CEEN 93.600 no award number $ 30,065 Total Pass-Through Grantor-CEEN $ 30,065 Department of Local Affairs Pass-Through Grantor Colorado Division of Local Affairs: Division of Housing-HCV Programs 14.871 CMS#109966 $ 29,372 Total Department of Local Affairs $ 29,372 Department of Housing and Urban Development Direct Program: Permanent Supportive Housing Program 14.235 CO0008L8T051912 $ 94,559 FFPSA/Families First 93.556 no award number $ 25,000 Total Department of Housing and Urban Development $ 119,559 Total Expenditures of Federal Awards $ 6,829,792 Notes to Schedule: 1.This schedule includes the federal awards activity of North Range Behavioral Health and is presented on the accrual basis of accounting.The information in this schedule is presented in accordance with the requirements of Title 2 U.S.Code of Federal Regulations Part 200,Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards(Uniform Guidance).Therefore,some amounts presented in this schedule may differ from amounts presented in,or used in the preparation of,the basic financial statements. 2.North Range Behavioral Health generally does utilize the de-minimis method for indirect costs. 3.North Range Behavioral Health has no significant sub-recipients. -28- Exhibit B ANdERSON A Professional Corporation of Certified Public Accountants WhiTNEy ..... Independent Auditors'Report on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards Board of Directors North Range Behavioral Health Greeley,Colorado We have audited,in accordance with the auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards,issued by the Comptroller General of the United States,the financial statements of North Range Behavioral Health(North Range)which comprise the balance sheet as of June 30,2022 and the related statements of operations,changes in net assets, functional expenses,and cash flows for the year then ended,and the related notes to the financial statements,and have issued our report thereon dated November 29,2022. Internal Control Over Financial Reporting In planning and performing our audit,we considered North Range's internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances for the purpose of expressing our opinion on the financial statements,but not for the purpose of expressing an opinion on the effectiveness of North Range's internal control. Accordingly,we do not express and opinion on the effectiveness of North Range's internal control. A deficiency in internal control exists when the design or operation of a control does not allow management or employees,in the normal course of performing their assigned functions,to prevent or detect and correct misstatements on a timely basis. A material weakness is a deficiency,or a combination of deficiencies,in internal control such that there is a reasonable possibility that a material misstatement of the financial statements will not be prevented or detected and corrected on a timely basis. A significant deficiency is a deficiency, or a combination of deficiencies,in internal control that is less severe than a material weakness,yet important enough to merit attention by those charged with governance. Our consideration of internal control was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control that might be material weaknesses or significant deficiencies. Given these limitations,during our audit we did not identify any deficiencies in internal control that we consider to be material weaknesses.However,material weaknesses may exist that have not been identified. -29- 5801 West 11th Street.Suite 300 (970)352-7990 Greeley,Colorado 80634-4813 www.awhitney.corn Exhibit B Board of Directors North Range Behavioral Health Page 2 Compliance and Other Matters As part of obtaining reasonable assurance about whether North Range's financial statements are free of material misstatement,we performed tests of its compliance with certain provisions of laws,regulations,contracts and grant agreements,noncompliance with which could have a direct and material effect on the financial statements. However,providing an opinion on compliance with those provisions was not an objective of our audit and,accordingly,we do not express such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards. Purpose of this Report The purpose of this report is solely to describe the scope of our testing of internal control and compliance and the results of that testing,and not to provide an opinion on the effectiveness of the entity's internal control or compliance. This communication is an integral part of an audit performed in accordance with Government Auditing Standards in considering entity's internal control and compliance.Accordingly,this communication is not suitable for any other purpose. ems-,`E-l�.) November 29,2022 -30- Exhibit B ANdERSON A Professional Corporation of Certified Public Accountants WhiTNEy Independent Auditors'Report on Compliance for Each Major Federal Program and Internal Control Over Compliance Required by the Uniform Guidance Board of Directors North Range Behavioral Health Greeley,Colorado Report on Compliance for Major Federal Programs Opinion on Each Major Federal Program We have audited North Range Behavioral Health's compliance with the types of compliance requirements described in the OMB Compliance Supplement that could have a direct and material effect on each of its major federal programs for the year ended June 30,2022. North Range Behavioral Health's major federal programs are identified in the summary of auditors'results section of the accompanying schedule of findings and questioned costs. In our opinion,North Range Behavioral Health complied,in all material respects,with the types of compliance requirements referred to above that are applicable to its major federal program for the year ended June 30,2022. Basis for Opinion on Each Major Federal Program We conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America(GAAS);the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States(Government Auditing Standards);and the audit requirements of Title 2 U.S.Code of Federal Regulations Part 200,Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards (Uniform Guidance). Our responsibilities under those standards and the Uniform Guidance are further described in the Auditor's Responsibilities for the Audit of Compliance section of our report. We are required to be independent of North Range Behavioral Health and to meet our other ethical responsibilities,in accordance with relevant ethical requirements relating to our audit.We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion on compliance for each major federal program.Our audit does not provide a legal determination of North Range Behavioral Health's compliance with the compliance requirements referred to above. -31- 5801 West 11tt'Street.Suite 300 (970)352-7990 Greeley,Colorado 80634-4813 www.awhitney.com Exhibit B Board of Directors North Range Behavioral Health Page 2 Responsibilities of Management for Compliance Management is responsible for compliance with the requirements referred to above and for the design,implementation,and maintenance of effective internal control over compliance with the requirements of laws,statutes,regulations,rules and provisions of contracts or grant agreements applicable to North Range Behavioral Health's federal programs. Auditor's Responsibilities for the Audit of Compliance Our objectives are to obtain reasonable assurance about whether material noncompliance with the compliance requirements referred to above occurred,whether due to fraud or error,and express an opinion on North Range Behavioral Health's compliance based on our audit. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS, Government Auditing Standards,and the Uniform Guidance will always detect material noncompliance when it exists. The risk of not detecting material noncompliance resulting from fraud is higher than for that resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations,or the override of internal control.Noncompliance with the compliance requirements referred to above is considered material,if there is a substantial likelihood that, individually or in the aggregate,it would influence the judgment made by a reasonable user of the report on compliance about North Range Behavioral Health's compliance with the requirements of each major federal program as a whole. In performing an audit in accordance with GAAS,Government Auditing Standards,and the Uniform Guidance,we: • exercise professional judgment and maintain professional skepticism throughout the audit. • identify and assess the risks of material noncompliance,whether due to fraud or error, and design and perform audit procedures responsive to those risks.Such procedures include examining,on a test basis,evidence regarding North Range Behavioral Health's s compliance with the compliance requirements referred to above and performing such other procedures as we considered necessary in the circumstances. • obtain an understanding of North Range Behavioral Health's internal control over compliance relevant to the audit in order to design audit procedures that are appropriate in the circumstances and to test and report on internal control over compliance in accordance with the Uniform Guidance,but not for the purpose of expressing an opinion on the effectiveness of North Range Behavioral Health's internal control over compliance.Accordingly,no such opinion is expressed. We are required to communicate with those charged with governance regarding,among other matters,the planned scope and timing of the audit and any significant deficiencies and material weaknesses in internal control over compliance that we identified during the audit. -32- Exhibit B Board of Directors North Range Behavioral Health Page 3 Report on Internal Control over Compliance A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees,in the normal course of performing their assigned functions,to prevent,or detect and correct,noncompliance with a type of compliance requirement of a federal program on a timely basis.A material weakness in internal control over compliance is a deficiency,or a combination of deficiencies,in internal control over compliance,such that there is a reasonable possibility that material noncompliance with a type of compliance requirement of a federal program will not be prevented,or detected and corrected,on a timely basis.A significant deficiency in internal control over compliance is a deficiency,or a combination of deficiencies,in internal control over compliance with a type of compliance requirement of a federal program that is less severe than a material weakness in internal control over compliance,yet important enough to merit attention by those charged with governance. Our consideration of internal control over compliance was for the limited purpose described in the Auditor's Responsibilities for the Audit of Compliance section above and was not designed to identify all deficiencies in internal control over compliance that might be material weaknesses or significant deficiencies in internal control over compliance.Given these limitations, during our audit we did not identify any deficiencies in internal control over compliance that we consider to be material weaknesses,as defined above.However,material weaknesses or significant deficiencies in internal control over compliance may exist that were not identified. Our audit was not designed for the purpose of expressing an opinion on the effectiveness of internal control over compliance.Accordingly,no such opinion is expressed. The purpose of this report on internal control over compliance is solely to describe the scope of our testing of internal control over compliance and the results of that testing based on the requirements of the Uniform Guidance.Accordingly,this report is not suitable for any other purpose. November 29,2022 -33- Exhibit B NORTH RANGE BEHAVIORAL HEALTH SCHEDULE OF FINDINGS AND QUESTIONED COSTS Year Ended June 30,2022 SUMMARY OF AUDITORS'RESULTS ➢ Type of report issued on financial statements Unmodified ➢ Internal control over financial reporting: Material weaknesses identified No Significant deficiencies identified None reported ➢ Noncompliance material to the financial statements noted No ➢ Internal control over federal awards: Material weaknesses identified No Significant deficiencies identified None reported ➢ Type of report issued on major programs Unmodified ➢ Audit findings disclosed None under 2 CFR 200.516(a) ➢ Major programs 93.498 Provider Relief Fund(PRF)and American Rescue Plan(ARP)Rural Distribution 93.829 SAMHSA Grant ➢ Dollar threshold between Type A and Type B programs $750,000 ➢ Low-risk auditee Yes FINDINGS RELATED TO FINANCIAL STATEMENTS ➢ None Reported FINDINGS AND QUESTIONED COSTS RELATED TO FEDERAL AWARDS ➢ None Reported SCHEDULE OF PRIOR FINDINGS ➢ None Reported -34- Exhibit B r 1 1S/2/I\II 1'17 050/ BEHAVIORAL HEALTH PEER COUNSELING—CONSUMER COMPLAINT RELIC'," POLICY: Clients of the.Peer Counseling Program normall},are nct open clients for North Range Behavioral Health's psychi.stric or adult c.ounseling programs.However,if the Peer Counseling client is an open client to North Range Behavioral Health,NRBH's policy on consumer complaints will take precedenc-e.A process\sill be established SD 311 to consumers of the Peer Counseling Program can make formal complaints with respect to ser,-ise pro,•ided. PURPOSE: To establish a process for all CO CIS M,rs of the Peer Counseling Program for the purpose of mal.ing forrnal complaints with respect to SerViCES provided and to en,re all consumers 3,made.av,•are of the process. PROCESS: 1. Consumer receives a copy of the disclost,e statement during Co intai.e process,On the statement,information is dven of whom to contact if a problem should arise. 2 Consumer needs to so m:act the Poor Counselor Coordinator I,/calling S70-247-2120. 3. Pe,Counselor Coordinator will respond to Co complaint in a timely manner,not.to e.xceed 4S how,. 4. Peer Counselor Coordlnator will keep Adult Recovery Program Director informed of the complaint and progress tov,rd resolUtiOn. 5. Follow up will be done by the Adult Recovery Program Director with the Peer Counselor Coordinator in 1 month to ensure the issue has been resolved in a satisfactory manner. 6. lf the consumer disagrees with the resolution of-the complaint,a written appeal can be submitted to the Director of the Weld County Area Agency on Aging,PO Box 1805,Greeley, Colorado.This appeal needs to be submitted within 30 working days of the action being appealed. CONCLUSION: It is the policy of the Peer Counselors to provide supportive outreach for consumers over the age of BO in Weld County.In doing so,they strive to help consumers deal with physical and emotional stress related to the aging process.Co complaint policy is in place to ensure consumers receive effective support that best fits their need. - . — • - -•.- ' ' — . Exhibit B • • North Range Behavioral Health Name: • Policy and Date Approved: Client Grievance Process Procedure#: 8/27/08; 07/01/13 CLINICAL 004 - Due for Review: 07/01/16 Background/Purpose: NBH and Signal Behavioral Health Systems,Inc.have a policy and procedure for the • management of concerns and complaints made by clients and/or their representatives. In the event that the concern or complaint can not be resolved by the client and/or representative and the NRBH Consumer Representative,a third party will become involved,as specified by the client's payer source or oversight entity. - Non-Medicaid behavioral health clients will have a third-party resolution conducted by Colorado Office of Behavioral Health(OBH)or Signal Behavioral Health Systems. • • - Non-Medicaid clients being treated for Substance Use Disorders will have a third-party resolution conducted by the Colorado Alcohol and Drug Abuse Department(ADAD). - Medicaid clients will have a third-party resolution conducted by Health Care Policy and Finance(HCPF)or Signal Behavioral Health Systems. Definitions: CR—The Consumer Representative and Client Advocate are emplpyeas of WREN who receive and respond to grievances made by adult clients and are not involved in the direct service provision to the client. Grievance-An oral or written expression of dissatisfaction about any behavioral health or substance use disorder service: A grievance may include,but is not limited to, access to care, quality of care, services provided, or aspects of interpersonal relationships such as rudeness,or failure to respect a client's rights. Designated Consumer Representative - Any person, including a treating health professional,family member or other person,authorized in writing by the client to represent his/her interests related to grievances or appeals about health care benefits and services. PFA—The Parent/Family Advocate is an employee of NRBH who receives and responds to grievances made by the parent or guardian of a child and/or family. Quality of Care Grievance-Any grievance made in regards to the professional competence and/or conduct of.a physician or other behavioral health care provider that could adversely affect the health or welfare of a client. CLIENT GRIEVANCE PROCESS Date:0/27/08;07/01/13 Exhibit B Rationale: • While the grievance process is a requirement of our contracts,it is also an important resource for our clients to ensure that they have an avenue to address concerns. It also ensures that our services have the opportunity to benefit from observations and • • feedback from the individuals for whom they are intended. Policy: • A grievance about any aspect of behavioral health care may be fled by any interested party including the client, legal guardian, or Designated Consumer Representative within twenty(20)calendar days of the date of the incident. NBH has delegated the responsibility for Medicaid grievances to NRBH through CR and PFA staff. A grievance may be filed with a CR or PFA or the NBH Director of Consumer and . Family Affairs by phone,in person,or in writing. • Procedure: • Designated.Client Representative 1. If someone other than the client or legal guardian files a grievance,the client or guardian Will be contacted in order to obtain permission to investigate and • resolve the grievance.All aspects of the grievance procedure are confidential.If a person filing a grievance on behalf of a client is not a legal guardian,a valid Release of Information and a form approving the,individusl as the Designated Consumer Representative must be obtained before any action is taken. 2.-No person receiving services may be terminated from services during the time the Complaint/Grievance resolution process is occurring unless continuation of services presents a risk to that parson or others. In the event that risk does exist,the provider will make a reasonable effort to transfer that person to another provider. • Resolution Steps 1. The CR,PFA,or Director of Consumer and Family Affairs will confirm the details of the grievance and fill out a grievance form. Any written documentation submitted will be attached to the written record along with the requested resolution. Permission will be requested from the client to take the steps necessary to inves.igate and work to resolve the issues. These may include contacting relevant parties,obtaining access to records that may show evidence of the particular sitoation,coordinating a mediation session between parties,or contacting supervisory parties. • CLIENT GRIEVANCE PROCESS Date:e!27/os;07/01/13 Exhibit B • 2. The CR,PFA,or Director of Consumer and Family Affairs will send a written • acknowledgement of the grievance within two(2)working days of the receipt of the grievance. 3. The CR,PFA or Director of Consumer and Family Affairs tn►ill investigate the grievance,formulate a resolution and provide notice as expeditiously as the client's behavioral health condition requires,not to exceed fifteen(15)working days from the filing of a behavioral health grievance. If the grievance pertains to substance use disorder services,the timeline is seven(7)calendar days. 4. The timeframe for resolving the grievance may be extended for up to fourteen (14)more calendar days for a behavioral health grievance if the client requests more time to provide additional information,or if more information is needed and the delay is in the client's best interest.The client will be sent a written notice of the reason for the delay if the time is extended.. 5. The written resolution of a behavioral health grievance will be sent within two(2) working days of the decision. For a substance use disorder service grievance,a written copy of the proposed resolution will be provided within 10 calendar days of the receipt of the grievance and the decision will be reviewed with the client It will include the date of the completion of the process,results of the disposition, signature,and credentials of the reviewer,the fact that there will be no retaliation for filing a grievance,information about asking for further review of the grievance at HCPF or Signal for Medicaid clients and OBH.or Signal for non-Medicaid,and that the HCPF,OBH or Signal decision will be final. Consumers of substance abuse service,their family members,and ail interested parties have the right to • appeal a decision or actions by or on•behalf of any Signal provider to Signal,the • Alcohol and Drug Abuse Division of the Colorado Department of Human services or when.appropriate,the Department of Regulatory Agencies Mental Health Grievance Beard. 6. The client will be requested to contact the CR,PFA,or Director of Consumer and Family Affairs to register satisfaction or dissatisfaction with the resolution or any experience of retaliation by the person complained about, which will be documented. • - Grievance Category Process 1. For Grievances from Medicaid clients:After receiving a grievance,the grievance will be evaluated to determine the category. These categories are required to be reported to the state and are: Access and Availability;Clinical Care;Customer Service;Financial/Billing;Rights/Legal;or Benefits Package. 2. If the grievance was reported to a CR or PFA, the CR or PFA will consult with the manager identified to determine the method of resolution a)Access and Availability - Grievances about access and availability will be reported to NRBH's Deputy Director and then to the Program Director for consultation and resolution. CLIENT GRIEVANCE PROCESS Dais:8/27/03;07/01,13 Exhibit B b)Clinical Care-Grievances about clinical care issues covering professional conduct or competence; coordination/continuity. of care; medication issue; -diagnosis issue; service plan issue; service delivery issue; or denial of an expedited resolution of an appeal will be reported to NRBH's Deputy Director and/or Program Director. Agreement will be reached on-the best method of resolving the grievance depending on the wishes of the client. A second opinion may be offered without a grievance being filed. If a clinical review and corrective action is needed,then a clinical peer uninvolved in the original problem will be appointed to review the issue and provide a resolution.• - c) Customer Service (1)A grievance about discourteous/rude treatment by any NBH staff person • will be resolved with the NBH Executive Director; (2)A grievance about discourteous/rude treatment by NRBH administrative staff will be resolved with the supervisor of the staff person involved; . (3)A grievance about discourteous/rude treatment by any NRBH clinical staff will be resolved with the Program Director-of the staff person involved; (4)A grievance about an appointment scheduling error will be resolved with the Program Director of the staff person involved; (5)A grievance about a facility issue will be resolved with the Deputy Director; (6)A grievance about inaccurate information provided will be resolved with - the Program Supervisor of the staff person involved. d)Financial/Billing: (1)A grievance about a billing error will be resolved with the Billing Supervisor; (2)A grievance about a Payeeship issue will be resolved with the Program Director where the Payeeship is held;. (3)A grievance about benefits acquisition and maintenance will be resolved with the appropriate Program Director. a)Rights/Legal-All grievances about client or legal rights will be resolved with the Deputy Director. f} Benefits Package-All grievances about the benefits package will be resolved with the Deputy Director. g) Quality of Care-Quality of Care concerns not filed as formal grievances: CRs and PFAs who have been told about quality of clinical care concerns,but asked not to file a grievance,will report the concerns on a form provided by the NBH Quality Improvement Committee. 3. Conflict of Interest Situations-After receiving a grievance from a personal friend,or a person well known by the local CR or PFA that results in a conflict of interest is presented, the grievance will be logged in,-the details confirmed, and then immediately turned over to another CR or PFA in the local behavioral health center to acknowledge receipt, complete the investigation, consult with supervisors, determine a resolution,send the resolution letter and report to the NBH Director of Consumer and Family Affairs. If another local representative is not immediately available,then the grievance will be turned over to the NBH Director of Consumer CLIENT GRIEVANCE PROCESS. Dote:8/27/08;07/n i/i 3 Exhibit B • and Family Affairs to complete. The person receiving the original complaint will immediately inform his/her supervisor that a conflict of interest situation has arisen and that another person will be completing the investigation and reporting the resolution. 4. Monitoring Process—NBH will regularly monitor NRBH's grievance process to ensure compliance with NBH Policy and Procedure. NRBH will include the results of this review in the annual review of the CR or PFA. 5. Training-Ongoing training for CRs and PFAs regarding the Grievance Procedures will occur at least annually and on an individual basis as needed. • NBH Director of Consumer and Family Affairs Patrice Marqui,1300 Not ih 1 7t''Avenue, Greeley,CO 80631 (970)347-2367 • Crisis Stabilization Services Site Client Advocates TED TED • 1 . Other: • See Section 5 of the NBH P&P manual for related forms and letters Ke3,4ords:Consumer Representative,Client-Representative,Parent/Family Advocate, Grievance,Complaint,Concern,Designated Consumer Representative • CLIENT GRIEVANCE PROCESS Dote:a/7/00;07101/13 Exhibit B A�o® CERTIFICATE OF LIABILITY INSURANCE DATE(LAM/WNW, 2/21/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dionne Pere. NAME: Professional Risk LLC (7210.E., (970)356-8030 (A/c,NO):(970)356-9032 8213 W.20th St ADDREE-MAIL SS:dionne.perez@proriskllc.com INSURER(S)AFFORDING COVERAGE NAIL Greeley CO 80634 INSURER A:Philadelphia Insurance Co 18058 INSURED INSURER B:Pinnacol Assurance 41190 North Range Behavioral Health wsuRERc:Lloyds of London 1300 N 17th Avenue INSURER D: INSURER E Greeley CO 80631 INSURER F: COVERAGES CERTIFICATE NUMBER:22-23 Excess 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) frIVISYNWI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A I CLAIMS-MADE E OCCUR PREMSES(EaEo cur0rence) $ 1,000,000 X PROFESSIONAL LIABILITY X PHPK2433392 7/1/2022 7/1/2023 MED EXP(Any one person) $ 20,000 PERSONAL 8,ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY El TNT E LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED PHPK2433392 7/1/2022 7/1/2023 BODILY INJURY(Per accident)$ _AUTOS _AUTOS NON-OWNED PROPERTYDAMAGE HIRED AUTOS AUTOS (Per accident) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X IRETENTION$ 10,000 P1.3821581 7/1/2022 7/1/2023 WORKERS COMPENSATION X I STATUTE I I EORH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? Y❑NIA (Mandatory in NH) 4049331 7/1/2022 7/1/2023 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,descrihe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C PRIVACY/CYBER LIABILITY ESL0639483052 7/1/2022 7/1/2023 LIMIT $ 5,000,000 A HIPAA VIOLATION PHSD1725077 7/1/2022 7/1/2023 LIMIT $ 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Board of County Commissioners of Weld County and its Officers/Employees are listed as additional insured as pertains to the General Liability policy,per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Weld County THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 1150 0 St ACCORDANCE WITH THE POLICY PROVISIONS. Greeley, CO 80631 AUTHORIZED REPRESENTATNE �\ -..._�� Dionne Perez/DP � e000_oo rc� .I o..oa.S! I �J' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(zolaol) EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement("Agreement")between the County and Contractor is agreed to in connection with,and as an exhibit to,the Contract.For purposes of this Agreement,the County is referred to as "Covered Entity"and the Contractor is referred to as"Business Associate".Unless the context clearly requires a distinction between the Contract and this Agreement,all references to"Contract"shall include this Agreement. 1. PURPOSE Covered Entity wishes to disclose information to Business Associate,which may include Protected Health Information("PHI").The Parties intend to protect the privacy and security of the disclosed PHI in compliance with the Health Insurance Portability and Accountability Act of 1996("HIPAA"),Pub.L.No.104-191(1996)as amended by the Health Information Technology for Economic and Clinical Health Act("HITECH Act")enacted under the American Recovery and Reinvestment Act of 2009("ARRA")Pub.L.No.111-5(2009),implementing regulations promulgated by the U.S.Department of Health and Human Services at 45 C.F.R.Parts 160,162 and 164(the"HIPAA Rules")and other applicable laws,as amended.Prior to the disclosure of PHI,Covered Entity is required to enter into an agreement with Business Associate containing specific requirements as set forth in,but not limited to,Title 45,Sections 160.103,164.502(e)and 164.504(e)of the Code of Federal Regulations("C.F.R.") and all other applicable laws and regulations,all as may be amended. 2. DEFINITIONS The following terms used in this Agreement shall have the same meanings as in the HIPAA Rules:Breach,Data Aggregation,Designated Record Set,Disclosure,Health Care Operations,Individual,Minimum Necessary,Notice of Privacy Practices,Protected Health Information,Required by Law,Secretary,Security Incident,Subcontractor, Unsecured Protected Health Information,and Use. The following terms used in this Agreement shall have the meanings set forth below: a. Business Associate."Business Associate"shall have the same meaning as the term"business associate" at 45 C.F.R.160.103,and shall refer to Contractor. b. Covered Entity."Covered Entity"shall have the same meaning as the term"covered entity"at 45 C.F.R. 160.103,and shall refer to the County. c. Information Technology and Information Security."Information Technology"and"Information Security"shall have the same meanings as the terms"information technology"and"information security",respectively,in§24-37.5-102,C.R.S. Capitalized terms used herein and not otherwise defined herein or in the HIPAA Rules shall have the meanings ascribed to them in the Contract. 3. OBLIGATIONS AND ACTIVITIES OF BUSINESS ASSOCIATE a. Permitted Uses and Disclosures. i. Business Associate shall use and disclose PHI only to accomplish Business Associate's obligations under the Contract. Page 1 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT ii. To the extent Business Associate carries out one or more of Covered Entity's obligations under Subpart E of 45 C.F.R.Part 164,Business Associate shall comply with any and all requirements of Subpart E that apply to Covered Entity in the performance of such obligation. iii. Business Associate may disclose PHI to carry out the legal responsibilities of Business Associate,provided,that the disclosure is Required by Law or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that: A. the information will remain confidential and will be used or disclosed only as Required by Law or for the purpose for which Business Associate originally disclosed the information to that person,and; B. the person notifies Business Associate of any Breach involving PHI of which it is aware. iv. Business Associate may provide Data Aggregation services relating to the Health Care Operations of Covered Entity.Business Associate may de-identify any or all PHI created or received by Business Associate under this Agreement,provided the de-identification conforms to the requirements of the HIPAA Rules. b. Minimum Necessary.Business Associate,its Subcontractors and agents,shall access,use,and disclose only the minimum amount of PHI necessary to accomplish the objectives of the Contract,in accordance with the Minimum Necessary Requirements of the HIPAA Rules including,but not limited to,45 C.F.R.164.502(b)and 164.514(d). c. Impermissible Uses and Disclosures. i. Business Associate shall not disclose the PHI of Covered Entity to another covered entity without the written authorization of Covered Entity. ii. Business Associate shall not share,use,disclose or make available any Covered Entity PHI in any form via any medium with or to any person or entity beyond the boundaries or jurisdiction of the United States without express written authorization from Covered Entity. d. Business Associate's Subcontractors. i. Business Associate shall,in accordance with 45 C.F.R.164.502(e)(1)(ii)and 164.308(b)(2), ensure that any Subcontractors who create,receive,maintain,or transmit PHI on behalf of Business Associate agree in writing to the same restrictions,conditions,and requirements that apply to Business Associate with respect to safeguarding PHI. ii. Business Associate shall provide to Covered Entity,on Covered Entity's request,a list of Subcontractors who have entered into any such agreement with Business Associate. iii. Business Associate shall provide to Covered Entity,on Covered Entity's request,copies of any such agreements Business Associate has entered into with Subcontractors. e. Access to System.If Business Associate needs access to a Covered Entity Information Technology system to comply with its obligations under the Contract or this Agreement,Business Associate shall request,review,and comply with any and all policies applicable to Covered Entity regarding such Page 2 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT system including,but not limited to,any policies promulgated by the Office of Information Technology and available at http://oit.state.co.us/about/policies. f. Access to PHI.Business Associate shall,within ten days of receiving a written request from Covered Entity,make available PHI in a Designated Record Set to Covered Entity as necessary to satisfy Covered Entity's obligations under 45 C.F.R.164.524. g. Amendment of PHI. i. Business Associate shall within ten days of receiving a written request from Covered Entity make any amendment to PHI in a Designated Record Set as directed by or agreed to by Covered Entity pursuant to 45 C.F.R.164.526,or take other measures as necessary to satisfy Covered Entity's obligations under 45 C.F.R.164.526. ii. Business Associate shall promptly forward to Covered Entity any request for amendment of PHI that Business Associate receives directly from an Individual. h. Accounting Rights.Business Associate shall,within ten days of receiving a written request from Covered Entity,maintain and make available to Covered Entity the information necessary for Covered Entity to satisfy its obligations to provide an accounting of Disclosure under 45 C.F.R.164.528. i. Restrictions and Confidential Communications. i. Business Associate shall restrict the Use or Disclosure of an Individual's PHI within ten days of notice from Covered Entity of: A. a restriction on Use or Disclosure of PHI pursuant to 45 C.F.R.164.522;or B. a request for confidential communication of PHI pursuant to 45 C.F.R.164.522. ii. Business Associate shall not respond directly to an Individual's requests to restrict the Use or Disclosure of PHI or to send all communication of PHI to an alternate address. iii. Business Associate shall refer such requests to Covered Entity so that Covered Entity can coordinate and prepare a timely response to the requesting Individual and provide direction to Business Associate. j. Governmental Access to Records.Business Associate shall make its facilities,internal practices,books, records,and other sources of information,including PHI,available to the Secretary for purposes of determining compliance with the HIPAA Rules in accordance with 45 C.F.R.160.310. k. Audit,Inspection and Enforcement. i. Business Associate shall obtain and update at least annually a written assessment performed by an independent third party reasonably acceptable to Covered Entity,which evaluates the Information Security of the applications,infrastructure,and processes that interact with the Covered Entity data Business Associate receives,manipulates,stores and distributes.Upon request by Covered Entity,Business Associate shall provide to Covered Entity the executive summary of the assessment. Page 3 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT ii. Business Associate,upon the request of Covered Entity,shall fully cooperate with Covered Entity's efforts to audit Business Associate's compliance with applicable HIPAA Rules. If, through audit or inspection,Covered Entity determines that Business Associate's conduct would result in violation of the HIPAA Rules or is in violation of the Contract or this Agreement,Business Associate shall promptly remedy any such violation and shall certify completion of its remedy in writing to Covered Entity. 1. Appropriate Safeguards. i. Business Associate shall use appropriate safeguards and comply with Subpart C of 45 C.F.R. Part 164 with respect to electronic PHI to prevent use or disclosure of PHI other than as provided in this Agreement. ii. Business Associate shall safeguard the PHI from tampering and unauthorized disclosures. iii. Business Associate shall maintain the confidentiality of passwords and other data required for accessing this information. iv. Business Associate shall extend protection beyond the initial information obtained from Covered Entity to any databases or collections of PHI containing information derived from the PHI.The provisions of this section shall be in force unless PHI is de-identified in conformance to the requirements of the HIPAA Rules. m. Safeguard During Transmission. i. Business Associate shall use reasonable and appropriate safeguards including, without limitation,Information Security measures to ensure that all transmissions of PHI are authorized and to prevent use or disclosure of PHI other than as provided for by this Agreement. ii. Business Associate shall not transmit PHI over the interne or any other insecure or open communication channel unless the PHI is encrypted or otherwise safeguarded with a FIPS- compliant encryption algorithm. n. Reporting of Improper Use or Disclosure and Notification of Breach. i. Business Associate shall,as soon as reasonably possible,but immediately after discovery of a Breach,notify Covered Entity of any use or disclosure of PHI not provided for by this Agreement,including a Breach of Unsecured Protected Health Information as such notice is required by 45 C.F.R.164.410 or a breach for which notice is required under§24-73-103, C.R.S. ii. Such notice shall include the identification of each Individual whose Unsecured Protected Health Information has been,or is reasonably believed by Business Associate to have been, accessed,acquired,or disclosed during such Breach. iii. Business Associate shall,as soon as reasonably possible,but immediately after discovery of any Security Incident that does not constitute a Breach,notify Covered Entity of such incident. iv. Business Associate shall have the burden of demonstrating that all notifications were made as required,including evidence demonstrating the necessity of any delay. Page 4 of 9 EXHIBIT C IIIPAA BUSINESS ASSOCIATE AGREEMENT o. Business Associate's Insurance and Notification Costs. i. Business Associate shall bear all costs of a Breach response including,without limitation, notifications,and shall maintain insurance to cover: A. loss of PHI data; B. Breach notification requirements specified in HIPAA Rules and in§24-73-103,C.R.S.; and C. claims based upon alleged violations of privacy rights through improper use or disclosure of PHI. ii. All such policies shall meet or exceed the minimum insurance requirements of the Contract or otherwise as may be approved by Covered Entity(e.g.,occurrence basis,combined single dollar limits, annual aggregate dollar limits, additional insured status, and notice of cancellation). iii. Business Associate shall provide Covered Entity a point of contact who possesses relevant Information Security knowledge and is accessible 24 hours per day,7 days per week to assist with incident handling. iv. Business Associate,to the extent practicable,shall mitigate any harmful effect known to Business Associate of a Use or Disclosure of PHI by Business Associate in violation of this Agreement. p. Subcontractors and Breaches. i. Business Associate shall enter into a written agreement with each of its Subcontractors and agents,who create,receive,maintain,or transmit PHI on behalf of Business Associate.The agreements shall require such Subcontractors and agents to report to Business Associate any use or disclosure of PHI not provided for by this Agreement,including Security Incidents and Breaches of Unsecured Protected Health Information,on the first day such Subcontractor or agent knows or should have known of the Breach as required by 45 C.F.R.164.410. ii. Business Associate shall notify Covered Entity of any such report and shall provide copies of any such agreements to Covered Entity on request. q. Data Ownership. i. Business Associate acknowledges that Business Associate has no ownership rights with respect to the PHI. ii. Upon request by Covered Entity,Business Associate immediately shall provide Covered Entity with any keys to decrypt information that the Business Association has encrypted and maintains in encrypted form,or shall provide such information in unencrypted usable form. r. Retention of PHI.Except upon termination of this Agreement as provided in Section 5,below,Business Associate and its Subcontractors or agents shall retain all PHI throughout the term of this Agreement, Page 5 of 9 EXIIIBIT C IIIPAA BUSINESS ASSOCIATE AGREEMENT and shall continue to maintain the accounting of disclosures required under Section 3.h,above,for a period of six years. 4. OBLIGATIONS OF COVERED ENTITY a. Safeguards During Transmission.Covered Entity shall be responsible for using appropriate safeguards including encryption of PHI,to maintain and ensure the confidentiality,integrity,and security of PHI transmitted pursuant to this Agreement,in accordance with the standards and requirements of the HIPAA Rules. b. Notice of Changes. i. Covered Entity maintains a copy of its Notice of Privacy Practices on its website.Covered Entity shall provide Business Associate with any changes in,or revocation of,permission to use or disclose PHI,to the extent that it may affect Business Associate's permitted or required uses or disclosures. ii. Covered Entity shall notify Business Associate of any restriction on the use or disclosure of PHI to which Covered Entity has agreed in accordance with 45 C.F.R.164.522,to the extent that it may affect Business Associate's permitted use or disclosure of PHI. 5. TERMINATION a. Breach. i. In addition to any Contract provision regarding remedies for breach,Covered Entity shall have the right,in the event of a breach by Business Associate of any provision of this Agreement,to terminate immediately the Contract,or this Agreement,or both. ii. Subject to any directions from Covered Entity,upon termination of the Contract,this Agreement,or both,Business Associate shall take timely,reasonable,and necessary action to protect and preserve property in the possession of Business Associate in which Covered Entity has an interest. b. Effect of Termination. i. Upon termination of this Agreement for any reason,Business Associate,at the option of Covered Entity,shall return or destroy all PHI that Business Associate,its agents,or its Subcontractors maintain in any form,and shall not retain any copies of such PHI. ii. If Covered Entity directs Business Associate to destroy the PHI,Business Associate shall certify in writing to Covered Entity that such PHI has been destroyed. iii. If Business Associate believes that returning or destroying the PHI is not feasible,Business Associate shall promptly provide Covered Entity with notice of the conditions making return or destruction infeasible.Business Associate shall continue to extend the protections of Section 3 of this Agreement to such PHI,and shall limit further use of such PHI to those purposes that make the return or destruction of such PHI infeasible. Page 6 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT 6. INJUNCTIVE RELIEF Covered Entity and Business Associate agree that irreparable damage would occur in the event Business Associate or any of its Subcontractors or agents use or disclosure of PHI in violation of this Agreement,the HIPAA Rules or any applicable law.Covered Entity and Business Associate further agree that money damages would not provide an adequate remedy for such Breach.Accordingly,Covered Entity and Business Associate agree that Covered Entity shall be entitled to injunctive relief,specific performance,and other equitable relief to prevent or restrain any Breach or threatened Breach of and to enforce specifically the terms and provisions of this Agreement. 7. LIMITATION OF LIABILITY Any provision in the Contract limiting Contractor's liability shall not apply to Business Associate's liability under this Agreement,which shall not be limited. 8. DISCLAIMER Covered Entity makes no warranty or representation that compliance by Business Associate with this Agreement or the HIPAA Rules will be adequate or satisfactory for Business Associate's own purposes.Business Associate is solely responsible for all decisions made and actions taken by Business Associate regarding the safeguarding of PHI. 9. CERTIFICATION Covered Entity has a legal obligation under HIPAA Rules to certify as to Business Associate's Information Security practices.Covered Entity or its authorized agent or contractor shall have the right to examine Business Associate's facilities,systems,procedures,and records,at Covered Entity's expense,if Covered Entity determines that examination is necessary to certify that Business Associate's Information Security safeguards comply with the HIPAA Rules or this Agreement. 10.AMENDMENT a. Amendment to Comply with Law.The Parties acknowledge that state and federal laws and regulations relating to data security and privacy are rapidly evolving and that amendment of this Agreement may be required to provide procedures to ensure compliance with such developments. i. In the event of any change to state or federal laws and regulations relating to data security and privacy affecting this Agreement,the Parties shall take such action as is necessary to implement the changes to the standards and requirements of HIPAA,the HIPAA Rules and other applicable rules relating to the confidentiality,integrity,availability and security of PHI with respect to this Agreement. ii. Business Associate shall provide to Covered Entity written assurance satisfactory to Covered Entity that Business Associate shall adequately safeguard all PHI,and obtain written assurance satisfactory to Covered Entity from Business Associate's Subcontractors and agents that they shall adequately safeguard all PHI. Page 7 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT iii. Upon the request of either Party,the other Party promptly shall negotiate in good faith the terms of an amendment to the Contract embodying written assurances consistent with the standards and requirements of HIPAA,the HIPAA Rules,or other applicable rules. iv. Covered Entity may terminate this Agreement upon 30 days'prior written notice in the event that: A. Business Associate does not promptly enter into negotiations to amend the Contract and this Agreement when requested by Covered Entity pursuant to this Section;or B. Business Associate does not enter into an amendment to the Contract and this Agreement,which provides assurances regarding the safeguarding of PHI sufficient, in Covered Entity's sole discretion,to satisfy the standards and requirements of the HIPAA,the HIPAA Rules and applicable law. b. Amendment of Appendix.The Appendix to this Agreement maybe modified or amended by the mutual written agreement of the Parties,without amendment of this Agreement. Any modified or amended Appendix agreed to in writing by the Parties shall supersede and replace any prior version of the Appendix. 11.ASSISTANCE IN LITIGATION OR ADMINISTRATIVE PROCEEDINGS Covered Entity shall provide written notice to Business Associate if litigation or administrative proceeding is commenced against Covered Entity,its directors,officers,or employees,based on a claimed violation by Business Associate of HIPAA,the HIPAA Rules or other laws relating to security and privacy or PHI.Upon receipt of such notice and to the extent requested by Covered Entity,Business Associate shall,and shall cause its employees, Subcontractors,or agents assisting Business Associate in the performance of its obligations under the Contract to, assist Covered Entity in the defense of such litigation or proceedings.Business Associate shall,and shall cause its employees,Subcontractor's and agents to,provide assistance,to Covered Entity,which may include testifying as a witness at such proceedings.Business Associate or any of its employees,Subcontractors or agents shall not be required to provide such assistance if Business Associate is a named adverse party. 12.INTERPRETATION AND ORDER OF PRECEDENCE Any ambiguity in this Agreement shall be resolved in favor of a meaning that complies and is consistent with the HIPAA Rules.In the event of an inconsistency between the Contract and this Agreement,this Agreement shall control.This Agreement supersedes and replaces any previous,separately executed HIPAA business associate agreement between the Parties. 13.SURVIVAL Provisions of this Agreement requiring continued performance,compliance,or effect after termination shall survive termination of this contract or this agreement and shall be enforceable by Covered Entity. Page 8 of 9 EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENT APPENDIX TO HIPAA BUSINESS ASSOCIATE AGREEMENT This Appendix("Appendix")to the HIPAA Business Associate Agreement("Agreement")is s an appendix to the Contract and the Agreement.For the purposes of this Appendix,defined terms shall have the meanings ascribed to them in the Agreement and the Contract.Unless the context clearly requires a distinction between the Contract,the Agreement,and this Appendix,all references to"Contract"or"Agreement"shall include this Appendix. 1. PURPOSE This Appendix sets forth additional terms to the Agreement. Any sub-section of this Appendix marked as "Reserved"shall be construed as setting forth no additional terms. 2. ADDITIONAL TERMS a. Additional Permitted Uses. In addition to those purposes set forth in the Agreement,Business Associate may use PHI for the following additional purposes: i. Reserved. b. Additional Permitted Disclosures. In addition to those purposes set forth in the Agreement,Business Associate may disclose PHI for the following additional purposes: i. Reserved. c. Approved Subcontractors. Covered Entity agrees that the following Subcontractors or agents of Business Associate may receive PHI under the Agreement: i. Reserved. d. Definition of Receipt of PHI.Business Associate's receipt of PHI under this Contract shall be deemed to occur,and Business Associate's obligations under the Agreement shall commence,as follows: i. Reserved. e. Additional Restrictions on Business Associate.Business Associate agrees to comply with the following additional restrictions on Business Associate's use and disclosure of PHI under the Contract: i. Reserved. f. Additional Terms.Business Associate agrees to comply with the following additional terms under the Agreement: i. Reserved. Page 9 of 9 Exhibit D Modified Scope and Rates Exhibit D addresses the funding,specific Scope of Services,Rates,and Performance Measurements based on the awarded grant monies issued by the County. 1. Funding Contractor will receive the following award as noted in the table below for the period July 1,2023 to June 30,2024 for Peer Counseling services: $130,000.00 Total Grant Award The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s)specified in Section 2,Services and Rates. Payment pursuant to this Agreement,whether in whole or in part,is subject to and contingent upon the continuing availability of said funds for the purposes hereof.In the event that said funds,or any part thereof,become unavailable as determined by the County,the County may immediately terminate the Agreement or amend it accordingly. 2. Service and Rates County agrees to pay Contractor for services outlined below,not to exceed the total grant award as noted in Section 1,Funding. Unit Rate Service Description $31.68 CIMESE Contractor agrees to provide 4,153 units to approximately 184 unduplicated older adults with the goal of reaching 40 minority older adults,and 50 rural older adults. 3. Terms Contractor agrees to commence services within thirty(30)days after the signing of the Agreement and assure completion of all services under this agreement by the end of the period dated in Section 1,Funding. Contractor agrees to document and report any program income received as a result of services provided under the Agreement. Contractor agrees to include the following statement in any written materials(pamphlets, brochures,announcements,websites,etc.)or in any verbal presentations:Contractor is supported,in part by funds provided by the Weld County Area Agency on Aging through the Older Americans Act. Exhibit D Modified Scope and Rates Contractor understands that County is required to conduct periodic evaluations of the activities conducted under this Agreement and to monitor on an ongoing basis the performance of Contractor to insure that the funds made available by the Agreement are expended in keeping with the purposes for which they were awarded;and Contractor accordingly agrees to cooperate fully with the County in the conduct of such evaluation and monitoring,including the keeping and supplying of such information,and providing access to documents and records to the County for the purpose of audit;and further agrees to do all things necessary to enable County to fulfill its obligation to the State of Colorado and the United States Government. Any changes,including any increase or decrease in the amount of Contractor's compensation,and including changes in budget allocations which are mutually agreed upon by and between the County and Contractor,shall be incorporated in written amendments to this Agreement and in appropriate revisions to the grant proposal. Contractor understands and agrees that the following provisions are part of the official application and as such become binding upon commencement of the project: a. This Agreement and the provisions of services hereunder shall be subject to the laws of Colorado and be in accordance with the policies,procedures,and practices of the County,the Older Americans Act,Volume 10 Code of Colorado Regulations and the policies and procedures established by the State Unit on Aging,and the terms and conditions of the project application approved by the County. b. Understands that if there is Federal/State program income unearned at the time the project is terminated,this amount must be returned to the County unless the County otherwise stipulates. c. Understands that the project's fiscal affairs are subject to audit.If costs are disallowed,the proportion of Federal/State funds disallowed must be returned to the County. d. Understands that this award is made for the period amounts stated in this Agreement.This Agreement in no way implies further funding which is contingent upon the availability of funds and approval of future project applications. e. Agrees to keep records and make reports on the forms required by the County and in accordance with guidelines issued by the State of Colorado and the Administration on Aging,specifically, i. To submit monthly financial invoices and programmatic reports to the County by the 10th of the following month; ii. To submit other reports to the County as requested; iii. Maintain a computer system that will be able to manage all required Exhibit D Modified Scope and Rates County reporting software; iv. Maintain internet access in order to transfer all required data to the County. f. Agrees to advise the County of needed program and financial changes and await approval from the County prior to change implementation. g. Agrees to have policies and procedures for complaint/appeal tracking,timely disposition of complaints/appeals and documentation of such processes. h. Agrees to have a client grievance policy,which will address any alleged infractions of any Federal,State or Local laws by Contractor against recipients of or applicants for services. i. Agrees to have a policy and procedure for wait lists that meets the requirements set forth by the Contractor. j. Agrees to provide recipients receiving services the opportunity to contribute to all or part of the cost of the services received. Each recipient shall be given the opportunity to determine if they are able to contribute to all or part of the cost of services.No recipient shall be denied a service because of an inability and/or choice not to contribute to all or part of the cost of the service.All contributions shall be considered program income.All contributions shall be used to expand the services for which the contributions were given. k. Agrees that local cash or in-kind contributions have not been used to satisfy or match another federal grant or funds. Supplies,volunteer services,and other in- kind contributions shall be valued as described under 45 C.F.R.874.5.All matching contributions,including cash and in-kind shall be verifiable from agency records. 1. Agrees to perform background checks of all employees,volunteers or subcontractors pursuant to C.R.S.27-1-110 and in accordance with the policy of the County and the State Unit on Aging. Exhibit D Modified Scope and Rates 4. Performance Measures a. The Performance Measures Process. As set forth and defined herein,"Performance Focus"is a performance-based analysis strategy the Parties shall use in association with the Contractor's performance hereunder that allows the Parties to better focus on and improve performance outcomes to obtain maximum benefits from the work of the Contractor under this Contract.By identifying areas of focus,the Parties shall determine what aspects of the Contractor's performance hereunder are working and what aspects of said performance need improvement.By measuring the impact of day-to-day work of the Contractor hereunder,the Parties will be able to make more informed collaborative decisions to align the work of the Contractor to affect more positive performance outcomes and change for the purposes served through this Contract. b. Performance Measures Reports. Performance Measures Reports shall reflect relevant report data for the Performance Measures identified hereunder to be tracked on an ongoing basis through the Contract Performance Focus process. Performance Measures shall continue to evolve to meet the objective of measuring key performance outcome indicators for the work of the Contractor hereunder.Performance Measures may be changed via a contract amendment. c. Contract Performance Measures The Contractor agrees on the following initial Performance Measures: i. Measure:The Contractor shall increase unduplicated consumers served in comparison to the same month in the previous fiscal year. ii. Measure:In a consumer satisfaction survey provided by the State Unit on Aging(SUA)the contractor shall provide surveys to one hundred percent(100%)of registered consumers within the contractor's region during the month of February.The results shall be summarized by the contractor and submitted to the County by May 1st,unless otherwise requested by the County by a different date.The summarized results shall show the following measures: iii. Consumer Satisfaction Survey results shall show a minimum of ninety percent(90%)positive response. SIGNATURE REQUESTED: Weld/NRBH Agreement for AAA Peer Counseling Services Final Audit Report 2023-05-04 Created: 2023-05-04 By: Lesley Cobb(cobbxxlk@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAARwcrOIZCLv4YIUAJwgE8xUCnsmpLQicS "SIGNATURE REQUESTED: Weld/NRBH Agreement for AAA Peer Counseling Services"History in Document created by Lesley Cobb(cobbxxlk@co.weld.co.us) 2023-05-04-2:23:26 PM GMT-IP address:204.133.39.9 2,Document emailed to kim.collins@northrange.org for signature 2023-05-04-2:24:07 PM GMT 15 Email viewed by kim.collins@northrange.org 2023-05-04-4:35:06 PM GMT-IP address:63.145.75.130 G30 Signer kim.collins@northrange.org entered name at signing as Kim Collins 2023-05-04-4:42:21 PM GMT-IP address:63.145.75.130 4,Document e-signed by Kim Collins(kim.collins@northrange.org) Signature Date:2023-05-04-4:42:23 PM GMT-Time Source:server-IP address:63.145.75.130 Agreement completed. 2023-05-04-4:42:23 PM GMT r Powered by Adobe Acrobat Sign Contract Form New Contract Request Entity Information Entity Name* Entity ID* ❑New Entity? NORTH RANGE BEHAVIORAL HEALTH 0U000£661 Contract Name. Contract ID Parent Contract ID NORTH RANGE BEHAVIORAL HEALTH(PROFESSIONAL 6955 20230507 SERVICES AGREEMENT FOR PEER COUNSELING SERVICES FOR Contract Lead" Requires Board Approval BID#62300042) CORBXXLK YES Contract Status CTB REVIEW Contract Lead Email Department Project# cobbxxlk=.uco.weld.co.us Contract Description CONSENT-PROFESSIONAL SERVICES CONTRACT FOR PEER COUNSELING SERVICES FROM BID#B2 300042 REFERENCED AS TYLER ID#20230507.TERM 7,'1 r 23 TO 6 30 24 AND MAY BE RENEWED FOR.THREE ADDITIONAL ONE-YEAR TERMS UPON MUTUAL WRITTEN AGREEMENT. Contract Description 2 REFERENCE BID#62300042 AWARD ON 3 t 1 5,�2 3 TYLER ID#2023-0507.PEER COUNSELING=S 130,000.00 Contract Type Department Requested BOCC Agenda Due Date AGREEMENT HUMAN SERVICES Date* 05113 2023 05 1 7,2023 Amount* Department Email 31 30,000.00 CM- Will a work session with BOCC be required?* Human5ecvlces0weldgov.co NO Renewable m NO Does Contract require Purchasing Dept.to be included? Department Head Email Automatic Renewal Ch1 HunnanServices DeptHeadAweldgou.cem Grant County Attorney GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COUNTSATTORNEYa WELDG OV.COM If this is a renewal enter previous Contract ID If this is part of a MA enter&RSA Contract ID Note the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Bose Contract Dates Effective Date Review Date Renewal Date 04 30 2024 Termination Notice Period Committed Delivery Date Expiration Date" 06 28 2024 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing• over Purchasing Approved Date CONSENT 05 09 2023 Approval Process Department Head Finance Approver Legal Counsel IAMIE ULRICH CONSENT CONSENT DH Approved Date Finance Approved Date Legal Counsel Approved Date 05,09,2023 05 09 2023 05 09 2023 Final Approval MCC Approved Tyler Ref# AG 051523 BOCC Signed Date ROCC Agenda Date 05 15,12023 Originator COttXSLK Hello