HomeMy WebLinkAbout20201490.tiffConivael- tp(o (ol
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: May 2, 2023
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Fiscal Year 2023-24 Purchase of Service
Agreement Amendments with Area Agency on
Aging In -Home Services Voucher Program Partner
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Fiscal Year 2023-24 Purchase of Service
Agreement Amendments with Area Agency on Aging In -Home Services Voucher Program
Partner. The Weld County Area Agency on Aging (AAA) In -Home Services Voucher Program
provides assistance to eligible Weld County residents 60 years of age or older who require
assistance with personal care and homemaking services. Personal care services include, but are
not limited to, bathing, dressing, mobility, and hygiene assistance. Homemaking services
include, but are not limited to, laundry assistance, dusting, vacuuming, and bathroom cleaning.
Agreements with the nine (9) providers noted in the table below have been amended to reflect
the following:
• Extend the term date through June 30, 2024, for an effective term of July 1, 2023 through
June 30, 2024.
• Updated Paragraph 19: Insurance and Indemnification to reflect current County insurance
requirements and to add the State of Colorado to the indemnification clause.
1 A Hors Care 2020-1489
2
Andrea's Angels Inc. 2020-1450
3 Thousand Peaks Healthcare Inc., dba Elevate Home Care 2020-1490
4
5
6
7
Britin, LLC DBA FirstLight HomeCare Boulder 2020-1451
LiveFully, LLC, dba FirstLight Home Care of Greeley 2020-1454
Mile High Seniors, Inc., dba Home Helpers 2020-1456
Choice City Home Care LLC dba Senior Helpers 2020-1453
8 Compassionate Connections LLC dba SENIORS Helping SENIORS 2020-1452
9 Bykota Loves LLC.,jDBA Visiting Angels of Loveland 2020-1455
Upon approval by the Board, individual Amendments will be issued and processed through
CMS.
Pass -Around Memorandum; May 2, 2023 - CMS Various,
(fits'. i'�6�
Con n PI�da- ,s /7 a3
zA5/Z3
Page 1
Zoo -taco
tlzooTZ
PRIVILEGED AND CONFIDENTIAL
I do not recommend a Work Session. I recommend approval of these providers, their Amendments, and
authorize the Chair to sign.
Approve
Recommendation
Perry L. Buck, Pro-Tem
Mike Freeman, Chair
Scott K. James
Kevin D. Ross
Lori Saine
Schedule
Work Session Other/Comments:
Pass -Around Memorandum; May 2, 2023 - CMS Various Page 2
AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND
THOUSAND PEAKS HEALTHCARE INC., DBA ELEVATE HOME CARE
This Agreement Amendment, made and entered into (lit" day of 1 `CO2023 by and
between the Board of Weld County Commissioners, on behalf of the Weld County Deparnt of Human
Services, hereinafter referred to as the "Department", and Thousand Peaks Healthcare Inc., dba Elevate Home Care,
hereinafter referred to as the "Contractor".
WHEREAS the parties entered into an Agreement for In -Home Services, (the "Original Agreement")
identified by the Weld County Clerk to the Board of County Commissioners as document No.2020-1490, approved
on May 18, 2020.
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, 2021.
The Original Agreement was amended on:
• April 28, 2021 to extend the term date through June 30, 2022 and update contractor
requirements.
• June 15, 2022 to extend the term date through June 30, 2023 and to amend paragraphs 1 and
8(d).
• These Amendments are identified by the Weld County Clerk to the Board of County
Commissioners as document number 2020-1490.
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, 2023:
1. Paragraph 9. Term:
This agreement is being renewed for the fourth and final year, for the period of July 1, 2023 through
June 30, 2024.
2. Paragraph 19: Insurance and Indemnification:
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.
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 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.
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.
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.
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:
did.%) ..(ch,;„i
BOARD OF COUNTY COMMISSIONERS
Weld C . n , erk to the Boa d WELD COUNTY, COLORADO
By:
Deputy Clerk
Freeman, Chair
MAY 1 5 2323
TRACTOR:
usand Peaks Healthcare Inc.,
a Elevate Home Care
310 Lashley Street #109
Longmont, Colorado 80504
Tei-esa E 1QeG
By: Ter,. Engel (May4, 02312:31 MDT)
Date:
Teresa Engel, Executive Director
May 4, 2023
aoao- /i°
SIGNATURE REQUESTED: Weld/Elevate
Home Care 2023-2024 Amendment
Final Audit Report
2023-05-04
Created: 2023-05-04
By: Lesley Cobb (cobboodk@co.weld.co.us)
Status: Signed
Transaction ID: CBJCHBCAABAAI8OgA3-OXaXFg9YtjWogweKilpQzYsur
"SIGNATURE REQUESTED: Weld/Elevate Home Care 2023-2
024 Amendment" History
,t Document created by Lesley Cobb (cobbxxlk@co.weld.co.us)
2023-05-04 - 1:19:35 PM GMT- IP address: 204.133.39.9
SC, Document emailed to teresa.engel@elevateourcare.com for signature
2023-05-04 - 1:20:17 PM GMT
5 Email viewed by teresa.engel@elevateourcare.com
2023-05-04 - 6:27:54 PM GMT- IP address: 104.47.59.254
d55 Signer teresa.engel@elevateourcare.com entered name at signing as Teresa Engel
2023-05-04 - 6:31:33 PM GMT- IP address: 136.179.16.4
6p Document e -signed by Teresa Engel(teresa.engel@elevateourcare.com)
Signature Date: 2023-05-04 - 6:31:35 PM GMT - Time Source: server- IP address: 136.179.16.4
Agreement completed.
2023-05-04 - 6:31:35 PM GMT
Powered by
Adobe
Acrobat Sign
Contract Form
New Contract Request
Entity Information
Entity Name*
ELEVATE HOME CARE
Entity ID
O0040216
❑ New Entity?
Contract Name" Contract ID
ELEVATE HOME CARE (AMENDMENT IN -HOME SERVICES) 6961
Contract Status
CTB REVIEW'
Contract Lead*
COBBXXLK
Contract Lead Email
cobbxxlkTco.weld.co.us
Parent Contract ID
20201490
Requires Board Approval
YES
Department Project #
Contract Description
CONSENT - AMENDMENT IN -HOME VOUCHER PROGRAM. ADD CHANGE LANGUAGE AND EXTEND TERM (07x01 23-
06 30,24).
Contract Description 2
PA ROUTED THROUGH NORMAL APPROVAL PROCESS. SENT TO CTB 05 4 23.
Contract Type*
AMENDMENT
Amount *
50.00
Renewable*
NO
Automatic Renewal
Grant
Department
HUMAN SERVICES
Department Email
CM-
HumanServicesc0weldgov.co
r1t
Department Head Email
CM-HumanServir_es-
DeptHeadSeweldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY WELDG
OV,COM
if this is a renewal enter previous Contract ID
if this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date
05.1 7 2023
Due Date
05 13 2023
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
Note. the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Review Date.
04/30/2024
Renewal Date
Effective Date
Termination Notice Period
Contact Informal
Committed Delivery Date
Expiration Date*
06/2812024
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver
CONSENT
Approval Process
Department Head Finance Approver
JAMIE ULRICH CONSENT
Purchasing Approved Date
05 10'2023
Legal Counsel
CONSENT
DH Approved Date Finance Approved Date Legal Counsel Approved Date
05:' 101202 3 05,10, 202 3 05'10 2023
Final Approval
ROCC Approved
BOCC Signed Date
IBOCC Agenda Date
05;'15,£2023
Originator
COBBXXLK
Tyler Ref #
AG 051523
CoryoeHva595-9
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: June 6, 2022
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Fiscal Year 2022-23 Purchase of Service
Agreement Amendments with Area Agency on
Aging In -Home Services Voucher Program Partners
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Fiscal Year (FY) 2022-23 Purchase of
Service Agreement Amendments for the Area Agency on Aging (AAA) In -Home Services
Voucher Program Partners. The Weld County Area Agency on Aging (AAA) In -Home
Services Voucher Program provides assistance to eligible Weld County residents 60 years of age
or older who require assistance with personal care and homemaking services. Personal care
services include, but are not limited to, bathing, dressing, mobility, and hygiene assistance.
Homemaking services include, but are not limited to, laundry assistance, dusting, vacuuming,
and bathroom cleaning.
Agreements with the nine (9) providers noted below have been amended to reflect the following:
• Extend the term through June 30, 2023, for an effective term of July 1, 2022 through June
30, 2023.
• Amend Paragraph 1 to reflect:
The Department hereby agrees to reimburse the Contractor for services at the rate
of $29.00 per unit of service (1 unit of service = 1 hour of personal care and/or
homemaker services).
• Amend Paragraph 8(d) to reflect:
iii. Contractor may not require a client to pay for private pay hours in order to
receive hours provided by the Department.
iv. Contractor may not require a client to pay for hours the Department has
agreed to pay.
All other terms and conditions of the original agreements remain unchanged.
Pass -Around Memorandum; June 7, 2022 - CMS ID arious) Page 1
Cones+ ZULU
�sZZ a�
H-v_C)092
PRIVILEGED AND CONFIDENTIAL
In -Home Providers:
1
Altitude Home Care
2020-1489
2
Andrea's Angels Inc.
2020-1450
3
Thousand Peaks Healthcare Inc., dba Elevate Home Care
2020-1490
4
Britin, LLC DBA FirstLight HomeCare Boulder
2020-1451
5
LiveFully, LLC, dba FirstLight Home Care of Greeley
2020-1454
6
Mile High Seniors, Inc., dba Home Helpers
2020-1456
7
Choice City Home Care LLC dba Senior Helpers
2020-1453
8
Compassionate Connections LLC dba SENIORS Helping
SENIORS
2020-1452
9
D&T Enterprises, Inc. dba Visiting Angels Living
Assistance Services of Windsor
2020-1455
I do not recommend a Work Session. I recommend approval of these Amendments and authorize the
Chair to sign.
Approve
Recommendation
Perry L. Buck
Mike Freeman, Pro -Tern
Scott K. James, Chair
Steve Moreno
Lon Saine
Schedule
Work Session Other/Comments:
Pass -Around Memorandum; June 7, 2022 — CMS ID (Various) Page 2
Karla Ford
From:
Sent:
To:
Subject:
yes
Lori Saine
Weld County Commissioner, District 3
1150 O Street
PO Box 758
Greeley CO 80632
Phone: 970-400-4205
Fax: 970-336-7233
Email: Isaine@weldgov.com
Website: www.co.weld.co.us
In God We Trust
I
Lori Saine
Tuesday, June 7, 2022 1:28 PM
Karla Ford
RE: Please Reply - DHS 6 PA FOR ROUTING: AAA FY2022-23 In -Home Services
Amendments (CMS Various)
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Karla Ford <kford@weldgov.com>
Sent: Tuesday, June 7, 2022 9:03 AM
To: Lori Saine <Isaine@weldgov.com>
Subject: Please Reply - DHS 6 PA FOR ROUTING: AAA FY2022-23 In -Home Services Amendments (CMS Various)
Importance: High
Please advise if you approve recommendation. Thanks.
Karla Ford f
Executive Assistant & Office Manager, Board of Weld County Commissioners
1150 0 Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kfordjweldgov.com :: www.weldgov.corn
**Please note my working hours are Monday -Thursday 7:00a.m.-5:OOp.m.**
1
AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND THOUSAND PEAKS HEALTHCARE INC., DBA ELEVATE HOME CARE
This Agreement Amendment, made and entered into I�� ,
day of j(k UCH 2022 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 Thousand Peaks Healthcare Inc., dba Elevate Home Care, hereinafter referred to as the "Contractor".
WHEREAS the parties entered into an Agreement for In -Home Services, (the "Original Agreement") identified by the Weld
County Clerk to the Board of County Commissioners as document No. 2020-1490, approved on May 18, 2020.
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, 2021.
• The Original Agreement was amended on:
April 28, 2021 to extend the term date through June 30, 2022 and update contractor requirements.
The Amendment is identified by the Weld County Clerk to the Board of County Commissioners as
document number 2020-1490.
• 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, 2022:
1. Paragraph 1, is hereby amended as follows:
The Department hereby agrees to reimburse the Contractor for services at the rate of $29.00 per unit of service (1 unit
of service = 1 hour of personal care and/or homemaker services).
2. Paragraph 8(d), is hereby amended as follows:
iii. Contractor may not require a client to pay for private pay hours in order to receive hours provided by the
Department.
iv. Contractor may not require a client to pay for hours the Department has agreed to pay.
3. Paragraph 9. Term:
This agreement is being renewed for the third year, for the period of July 1, 2022 through June 30, 2023.
• All other terms and conditions of the Original Agreement remain unchanged.
02,4002o - /4190
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above
written.
COUNTY:
ATTEST: di"" """ -;ti BOARD OF COUNTY COMMISSIONERS
Weld Co ty ' lerk to the Bo. + WELD COUNTY, COLORADO
By:
Deputy Clerk t•� a Bo: d �j j' " ' ' '�Sc4t'K. James, Chair
JUN 1 5 2022
housand Peaks Healthcare Inc., dba Elevate Home Care
310 Lashley Street #109
Longmont, Colorado 80504
By:
Date:
7Nefa i:rr
Teresa Engel (Jun 3, 022 14:29 MDT)
Teresa Engel, Executive Director
Jun 3, 2022
Contract Form
New Contract Reques
Entity Name*
ELEVATE HOME CARE
Entity ID*
'x'00040216
tract Name* Contract ID
❑ New Entity?
Parent Contract ID
ELEVATE HOME CARE (AMENDMENT - IN -HOME SERVICES) 5959 20201490
Contract Status
CTB REVIEW
Contract Lead*
COBBXXLK
Requires Board Approval
YES
Contract Lead Email Department Project #
cobbxxlk@co.weld.ca.us
Contract Description*
CONSENT - AMENDMENT OF EXISTING AGREEMENT TO UPDATE TERM, CHANGE RATE, AND ADD LANGUAGE. TERM: JULY 1,
2022 JUNE 30, 2023.
Contract Description 2
APPROVED PA PREVIOUSLY ROUTED TO CTB 06;08'22.
Contract Type
AMENDMENT
Amount *
$0.00
Renewable*
NO
Automatic Renewal
Grant
Department
HUMAN SERVICES
nt Email
CM-
HumanServices@vveldgay.ca
rn
D rnent Head Email
CM-HumanServir_es-
De ptH ead'wel dgov.com
County Attorney
GENERAL COUNTY
A I I ORNEY EMAIL
County Attorney Email
CM-
COUNTYA I I ORNEY'WELDG
OV.COM
If this is a ren er us Contract ID
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date*
06;2932022
Due Date
06,'25,2022
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept to be included?
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Effective Date
Review Date*
04,28 2023
Renewal Date
Termination Notice Period
Purchasing Approved Date
06,r 0912022
CONS ENT
De p nt Head
JAMIE ULRICH
Finance Approver
CONSENT
DH Approved Date
06{092022
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06,15,"2022
Originator
COBBXXLK
Committed Delivery Date
Expiration Date
06,30,2023
Legal Counsel
CONSENT
Contact Phone 2
Finance Approved Date Legal Counsel Approved Date
06/0912022
Tyler Ref #
AG 061522
06.:09;2022
efx-tt-g-e- /17# )/-7 of
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: March 30, 2021
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Fiscal Year 2021-22 Purchase of Service Agreement
Amendments with Area Agency on Aging In -Home
Services Voucher Program Partners
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Fiscal Year (FY) 2021-22 Purchase of
Service Agreement Amendments for the Area Agency on Aging (AAA) In -Home Services
Voucher Program Partners. The Weld County Area Agency on Aging (AAA) In -Home
Services Voucher Program provides assistance to eligible Weld County residents 60 years of age
or older who require assistance with personal care and homemaking services. Personal care
services include, but are not limited to, bathing, dressing, mobility, and hygiene assistance.
Homemaking services include, but are not limited to, laundry assistance, dusting, vacuuming,
and bathroom cleaning.
Agreements with the nine (9) providers noted below have been amended to extend the term
through June 30, 2022, for an effective term of July 1, 2021 through June 30, 2022. Additionally,
the following language is added to each agreement:
The provider agency is required to notify the Program Coordinator when a client is
without services for more than 30 days.
All other terms and conditions of the original agreements remain unchanged.
1. Altitude Home Care
2. Andrea's Angels, Inc.
3. Britin, LLC dba FirstLight HomeCarc of Boulder
4. Choice City Home Care LLC dba Senior Helpers
5. Compassionate Connections LLC dba SENIORS Helping SENIORS
6. D & T Enterprises, Inc. dba Visiting Angels Living Assistance Services of Windsor
7. Livefully, LLC dba FirstLight Home Care
8. Mile High Seniors, Inc. dba Home Helpers
9. Thousand Peaks Healthcare Inc. dba Elevate Home Care
Pass -Around Memorandum; March 30, 2021 — CMS Various
<
oz9AO- /4190
PRIVILEGED AND CONFIDENTIAL
I do not recommend a Work Session. I recommend approval of these Amendments and authorize
the Chair to sign.
Approve
Recommendation
Perry L. Buck
Mike Freeman
Scott K. James, Pro-Tem
Steve Moreno, Chair
Lori Saine
Schedule
Work Session Other/Comments:
Pass -Around Memorandum; March 30, 2021 — CMS Various
AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND THOUSAND PEAKS HEALTHCARE INC. DBA ELEVATE HOME CARE
il
This Agreement Amendment, made and entered into Ot O
day o
of Weld County Commissioners, on behalf of the Weld County Department of Hu ' an Services, hereinafter referred to as the
"Department", and Thousand Peaks Healthcare Inc. dba Elevate Home Care, hereinafter referred to as the "Contractor".
2021 by and between the Board
WHEREAS the parties entered into an Agreement for In -Home Services, (the "Original Agreement") identified by the Weld
County Clerk to the Board of County Commissioners as document No. 2020-1490, approved on May 18, 2020.
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, 2021.
• 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, 2021:
1. The term of the agreement is extended through June 30, 2022, for an effective term of July 1, 2021 -June 30, 2022.
2. The following requirement is added to the agreement:
Provider agency is required to notify the Program Coordinator when a client is without services for more than thirty
(30) days.
• 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.
ATTES
Weld
By:
..0040A) Cam • � �
lerk to the Bo. rd
ie„oloismorsoir
Deputy Clerk f�• e : •and r(Td
COUNTY;,
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
r
Steve Moreno, Chair
IONTRACTOR:
APR 282021
Thousand Peaks Healthcare Inc. dba Elevate Home Care
310 Lashley Street, #109
Longmont, Colorado 80504
(303) 357-5631
By:
Date:
Te`efa cifieG
Teresa Engel (Apr 1 , 2021 12:52 MDT)
Teresa Engel, Executive Director
Apr 16, 2021
2 o - //-90
Contract Form
New Contract Request
Entity Information
Entity Name*
ELEVATE HOME CARE
Contract Name*
Entity ID*
010040216
❑ New Entity?
Contract ID
ELEVATE HOME CARE (AMENDMENT - IN -HOME SERVICES) 4708
Contract Status
CTB REVIEW
Contract Lead*
CULLINTA
Contract Lead Email
cullintacillco.weld.co.us:cobb
xxlk'€oco.weid.co.us
Parent Contract ID
20201490
Requires Board Approval
YES
Department Project it
Contract Description*
AMENDMENT OF EXISTING AGREEMENT TO UPDATE TERM AND ADD LANGUAGE. TERM: JULY 1, 2021 -JUNE 30, 2022.
Contract Description 2
APPROVED PA PREVIOUSLY ROUTED TO CTB 03/31;21.
Contract Type
AGREEMENT
Amount*
50.00
Renewable*
NO
Automatic Renewal
Grant
Department
HUMAN SERVICES
Department Email
CM -
H umanServicesweldgov. co
rn
Department Head Email
CM-HumanServir_es-
DeptHead veldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY. WELDG
OV.COM
Requested BQCC Agenda
Date*
05'05.2021
Due Date
05 01 2021
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
Onaase
Contract Dates
Effective Date
Review Date*
34/29/2022
Renewal Date
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Committed Delivery Date
Expiration Date*
06:30:2022
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
CONSENT 04'22'2021
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
04/22/2021
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
04 28./2021
Originator
CULLINTA
LLI NTA
Finance Approver
CONSENT
Legal Counsel
CONSENT
Finance Approved Date Legal Counsel Approved Date
04,22;'2021 04'22!2021
Tyler Ref #
AG 042821
C -rat -P 3619'
PURCHASE OF SERVICE AGREEMENT
THIS AGREEMENT, made and entered into this le of I' 2020 by and between
the Board of County Commissioners of Weld County, State of Colorado, on behalf of the Weld
County Department of Human Services' Area Agency on Aging, hereinafter referred to as
"AAA" or "County" and Thousand Peaks Healthcare, Inc. dba Elevate Home Care, hereinafter
referred to as "Elevate Home Care" or Provider agency.
WITNESSETH:
WHEREAS, In -Home Services for older adults, as defined by the 12 CCR 2510-1, Colorado
Older Americans Act, Volume 10, are widely recognized as valued services that assist
individuals who experience difficulty performing activities of daily living to remain in their
homes and to live independently.
WHEREAS, AAA serves as the advocate and focal point for older persons with the greatest
economic and social need, and
WHEREAS, Elevate Home Care is an organization existing for the purpose of providing
homemaker and personal care services to residents of Weld County, and
WHEREAS, AAA desires to purchase homemaker and personal care services for low-income
seniors from Elevate Home Care.
NOW THEREFORE, it is mutually agreed:
1. The AAA hereby agrees to reimburse Provider agency for services at the rate of $27.00
per unit of service (1 unit of service = 1 hour of personal care and/or homemaker
services).
2. Provider agency agrees to commence services within thirty (30) days after the signing of
the Agreement and assure completion of all services required hereunder by
June 30, 2021.
3. Provider agency will not accept donations related to the services provided in this
agreement. All donations received related to the services provided under this agreement
must be referred to AAA.
4. Provider agency understands that AAA is required to conduct an on -site evaluation of the
activities conducted under this Agreement and to monitor on an ongoing basis the
performance of Provider agency. The evaluations ensure that the funds made available by
this Agreement are expended in keeping with the purposes for which they were awarded.
Provider agency accordingly agrees to cooperate fully with the AAA 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 AAA for audit
1
2020-1490
cc : HSO On(;Sare.
1 -goto q2
purposes. Provider agency further agrees to do all things necessary to enable AAA to
fulfill its obligation to the State of Colorado and the United States Government.
5. Any changes, including any increase or decrease in the amount of Provider agency's
compensation, and including changes in budget allocations, which are mutually agreed
upon by and between AAA and Provider agency shall be incorporated in written
amendments to this Agreement and in appropriate revisions to the grant proposal.
6. Provider agency understands and agrees that the following provisions are part of the
official application 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, the policies and procedures
established by the State Unit on Aging, and the terms and conditions of the
project application approved by AAA.
b. This award is made for the initial term stated in the Agreement. This Agreement
in no way implies that further funding beyond the initial term is available.
Funding for future terms is contingent upon the availability of funds and approval
of future project applications.
c. Provider agency agrees to keep records and make reports on the forms required by
the AAA and in accordance with guidelines issued by the State of Colorado and
the Administration on Aging, specifically,
i. To submit monthly financial and programmatic reports to the AAA by the
10th of the following month;
ii. To submit other reports to the AAA as requested;
iii. Maintain a computer system that will be able to manage all required AAA
reporting software;
iv. Maintain internet access in order to transfer all required data to the AAA.
d. Agrees to advise the AAA of needed program and financial changes and await
approval from the AAA prior to change implementation.
e. Agrees to have policies and procedures for complaint/appeal tracking, timely
disposition of complaints/appeals and documentation of such processes that
include all information in Exhibit C. A complaint log shall be kept on file and
shall be available for AAA review as requested. Recipients must also be provided
the AAA complaints and appeal process.
2
f. Agrees to have a client grievance policy, which will address any alleged
infractions of any federal state or local laws by Provider agency against recipients
of or applicants for services
g.
Agrees to perform background checks of all employees, volunteers or
subcontractors pursuant to C.R.S. 27-90-111 and in accordance with the policy of
AAA and the State Unit on Aging.
h. Agrees to be licensed by the State of Colorado to perform the services provided.
i. Agrees to follow all policies of the Health Insurance Portability and
Accountability Act of 1996 (HIPAA) regarding privacy of records.
j. AAA reserves the right to conduct an investigation on a complaint received by a
consumer.
7. Performance Measures
a. As part of the State's Unit on Aging performance -based requirement, the AAA
will survey recipients in the month of February. During this time, provider
agencies will not be allowed to survey clients. This month is subject to change
each fiscal year.
8. Scope of Work
a. Definitions (Volume 10 Older Americans Act State Unit on Aging Policy and
Procedure Manual 8-12-2019)
i. "Frail" means an older adult who is determined to be functionally
impaired due to inability to perform at least two Activities of Daily Living
without substantial human assistance, including verbal reminding,
physical cueing, or supervision; or, a cognitive or other mental
impairment, requiring substantial supervision because the individual
behaves in a manner that poses a serious health or safety hazard to self or
others.
ii. "Homemaker Services" means providing assistance to persons who meet
the eligibility requirements for in -home services and who are unable to
perform two or more of the following Instrumental Activities of Daily
Living: preparing meals, laundry, shopping for personal items, managing
money, using the telephone or doing light housework.
iii. "Homemaker Eligibility" is restricted to those persons who are unable to
perform at least two Instrumental Activities of Daily Living without
substantial human assistance, including verbal reminding, physical cueing,
or supervision; or due to a cognitive or other mental impairment, requires
substantial supervision because the individual behaves in a manner that
poses a serious health or safety hazard to the individual or to another
individual.
1. Instrumental Activities of Daily Living (IADL) shall include:
3
a. Meal Preparation
b. Housework
c. Laundry
d. Shopping
e. Medication Management
f. Appointment Management
g. Money Management
h. Accessing Resources/Transportation
i. Telephone
iv. "Personal Care" means providing personal assistance, stand-by assistance,
supervision or cues for persons who meet the requirements for in -home
services.
v. "Personal Care Eligibility" is restricted to those persons who fit the
definition of "frail" within the Older Americans Act.
1. Activities of Daily Living (ADL) shall include:
a. Mobility
b. Transfers
c. Bladder Care
d. Bowel Care
e. Bathing
f. Dressing
g. Eating
h. Hygiene
vi. All Weld County adults age sixty and older who meet the necessary
definitions in this section shall be eligible for services. If resources are not
available to serve eligible older adults who require services, preference
and priority shall be given to those eligible persons at greatest social and
economic need with particular attention to low-income minority, frail, and
older adults residing in rural areas. In -home services shall be made
available to individuals with Alzheimer's disease and related disorders or
with neurological and organic brain dysfunction and their families.
b. General Guidelines
i. Upon referral to the AAA recipients will be assessed by the Community
Services Coordinator using the standard Title III NAPIS Intake form at the
time of the initial enrollment and each six-month period thereafter. In the
event the coordinator is not available, assessments may be completed by
authorized AAA staff.
ii. Recipients must be 60 years of age or older and live in Weld County.
iii. Recipients must meet the criteria for homemaker/personal care services as
outlined in regulations. AAA will follow Older Americans Act and target
populations with greatest economic need; greatest social need: low-income
minority; frail; and older individuals residing in rural areas.
4
iv. Vouchers will be prioritized and awarded on a first -come, first -served
basis contingent on funding. Funding for this program is based on a fiscal
year July 1 through June 30.
v. If funding is not available at time of request, the applicant will be placed
on a wait list for the next funding cycle or referred to other resources if
waiting list is full.
vi. Recipients are required to use a home health care provider from the list of
agencies contracted with AAA for in -home services. If the recipient does
not indicate a preference, AAA staff will assign a Provider agency based
on a rotating schedule to assure equal distribution of hours and units of
services. If Provider agency selected is not able to meet the need, staff will
choose next agency on the list.
vii. Any homemaker or personal care costs incurred prior to receipt of a
voucher or after voucher expires will not be covered by the In -Home
Services Voucher Program.
viii. Vouchers will be submitted by Provider agency to the AAA for payment
(see Exhibit B).
ix. Only approved services listed on the award voucher will be honored. Any
costs or services incurred above and beyond the authorized services and
hours/units will be the responsibility of the recipient.
x. Concerns or complaints about services should be reported to the AAA. All
recipients will be made aware of the AAA grievance procedures at time of
enrollment (see Exhibit C). Please refer to Volume 10 and the State Unit
on Aging Policy and Procedures for regulation guidance.
xi. If homemaker or personal care services are not used for sixty (60) day
period, the voucher may be withdrawn with notice by the AAA and
assigned to another recipient.
xii. Any unused hours/units of authorized services cannot be carried over into
the next funding cycle.
xiii. Assigned providers must contact AAA Community Services Coordinator
immediately upon any changes in status of assigned recipients (i.e. fall,
hospitalization, move, death) or to request additional hours due to change
in recipient status or a termination of services.
xiv. Recipients and their assigned provider agencies will need to track the
hours/units of service they receive to avoid exceeding authorized
hours/units of service.
xv. Recipients will be given information regarding donations at time of
enrollment. All donations for In -Home Services Voucher Program will be
sent to AAA and used by the program for service delivery.
xvi. Applicants on Long -Term Care Medicaid are not eligible for the In -Home
Services Voucher Program; however, pending applicants may be eligible
until approval is granted.
c. Referral, Assessment and Follow-up Guideline
i. Referrals may be accepted from other agencies, caseworkers, providers,
professionals, self -referral, and family members of the applicants. All
referrals for the In -Home Services Voucher Program will be processed by
the AAA. The Community Services Coordinator will obtain basic
recipient information such as name, contact information, age, general care
needs, housing situation and other programs or agencies involved. As
appropriate, the Community Services Coordinator will schedule a home
visit to complete the full assessment using the Title III NAPIS Intake.
ii. Upon approval or denial of application, the Community Services
Coordinator will notify applicant via United States Postal Services of the
eligibility status and include hours/units of service information, guidelines
and instructions. The Community Services Coordinator will notify
assigned Provider agency by electronically sending or faxing recipient
Assessment, Task Sheet, Release of Information, and Voucher including
assigned hours/units. The Community Services Coordinator will follow-up
with agency and/or recipients to assure services begin within one week.
Community Services Coordinator will be available to problem solve as
needed.
d. Reimbursement for Services
i. Reimbursement for services will be monthly. See Exhibit B for complete
instructions. All questions and concerns regarding reimbursements will be
directed to the Community Services Coordinator.
ii. Only approved services listed on the award voucher will be honored. Any
costs or services incurred above and beyond the authorized hours/units
will not be reimbursed and will be the responsibility of the recipient or
assigned agency. Provider agency may not request reimbursement for
services unless services have been rendered, if a client is not home at the
scheduled time, the cost is not reimbursable. Travel time to the recipient's
residence is not a reimbursable service.
e. Hours/Units of Service
i. Applicants qualifying for the In -Home Services Voucher Program will be
limited to a maximum number of hours/units of service. AAA will
reimburse the Provider agency for services at the rate of $27.00 per unit of
service (one unit of service = one hour of personal care or homemaker
services). AAA is not guaranteeing a minimum number of units or
recipients. Travel will not be reimbursed. The general guidelines for
homemaker and/or personal care services are a total of 12 hours/units of
service per month based on funding availability and need. Exceptions to
these guidelines will be reviewed on a case by case basis.
f. Changes in Service Hours
i. All changes to services or hours/units must be approved by the
Community Services Coordinator and a new voucher will be generated
that reflects the changes.
ii. Provider agency will not be paid for any changes in services or hours/units
6
J.
unless prior approval is received by the Community Services Coordinator
and a new voucher is issued.
iii. Payment for any services provided upon the request of the recipient, which
are in addition to the services or hours/units approved by the AAA will be
the responsibility of the recipient.
g. Withdrawal of Service Request
i. A recipient may withdraw a request for homemaker and/or personal care
services. A request to end services must be reported by the recipient or
their legal representative by contacting AAA.
h. Denial or Termination of a Service Request
i. AAA makes every effort to be fair to both recipients and service providers
and meet the needs of older adults who need homemaker or personal care
services. The following rules for denial or termination were developed as
guidelines for receiving services with the In -Home Services Voucher
Program.
ii. When the AAA or Provider agency determines that the In -Home Services
Voucher Program cannot meet the needs of the recipient requesting
homemaker or personal care services, the AAA must be notified by the
Provider agency within two (2) business days of the last day of services
being offered, if services cannot be provided and why.
i. Reasons for Denial or Termination of Services
i. The AAA or Provider agency has determined that the recipient no longer
meets the program eligibility requirements (Age 60+, deficit in 2 IADLs,
or 2 ADLs, with a focus on recipients with greatest economic need,
greatest social need, low-income, minority, frail, older individuals residing
in rural areas as defined by Volume 10).
ii. The recipient is unavailable for scheduled appointments (same day and
time) and is requesting a variable schedule that creates undue hardship for
service providers.
iii. The recipient is not home for scheduled appointments on two (2) or more
occasions and has failed to notify the Provider agency 24 hours in
advance.
iv. The recipient has cancelled three (3) or more consecutive appointments
without due cause (i.e. hospitalization, temporary out -of -home placement,
illness).
v. The recipient is verbally or physically abusive to provider.
vi. Provider agency has the right to refuse service to recipients when provider
health safety is deemed to be at risk and the recipient home is unsafe.
Training for Staff
i. Homemaker provider agencies shall document that all homemakers have
received a minimum of eight hours of training or have passed a skills
validation test prior to delivery of services in the provision of Homemaker
Services, to include at a minimum the following:
1. Basic techniques in light housecleaning including, but not limited
to dusting, vacuuming, mopping, and cleaning of bathroom and
7
kitchen areas.
2. Basic nutritional requirements including shopping, meal
preparation, and proper food handling and storage techniques.
3. Dishwashing, bed making, and laundry.
4. Basic techniques of identifying and correcting potential safety
hazards in the home.
5. First aid and emergency procedures and basic infection control
techniques, including universal precautions.
6. Screening for situations requiring assistance.
ii. A person, who at a minimum, has received the eight (8) hours of training
listed herein or passed the skills validation test required of homemakers,
shall be considered qualified to supervise other employees. Supervision
shall include, but not be limited to:
1. Arrangement and documentation of training.
2. Informing staff of policies concerning advance directives and
emergency procedures.
3. Oversight of scheduling and notification to clients of changes.
4. Meetings and conferences with staff as necessary.
5. Investigation of complaints.
6. Counseling with staff on difficult cases and potentially dangerous
situations.
7. Communication with case managers as necessary.
8. Oversight of record keeping by staff.
9. Supervisory visits shall be made to the participant's home at least
every six months or more often as necessary for problem
resolution, skills validation of staff, observation of the home's
condition, and assessment of participant's satisfaction with
services.
iii. Personal Care provider agencies shall document that all staff rendering
personal care services to older adults shall receive at least 20 hours of
training or pass a skills validation test prior to service delivery in the
following:
1. Basic personal care procedures, including bathing, skin care, hair
care, nail care, mouth care, shaving, dressing, and feeding.
2. Assistance with ambulation, exercises, and transfers.
3. Bowel and bladder care.
4. Medication.
5. Homemaking and protective oversight.
6. Basic nutritional requirements, including meal planning, shopping
and food storage.
7. Basic first aid, training in infection control, and emergency
procedures.
8. Basic techniques of identifying and correcting potential safety
hazards in the home.
9. Techniques in lifting.
8
iv. A person who, at a minimum, has received the 20 hours of training listed
herein or passed the skills validation test required of personal care staff
shall be considered qualified to supervise all employees giving personal
care. Supervision shall include, but is not limited to:
1. Orientation of staff to agency policies and procedures.
2. Arrangement and documentation of training.
3. Informing staff of policies concerning advance directives and
emergency procedures.
4. Oversight of scheduling, and notification to clients of changes, or
close communication with scheduling staff.
5. Written assignment of duties on a client -specific basis.
6. Meetings and conferences with staff as necessary.
7. Investigation of complaints and critical incidents.
8. Counseling with staff on difficult cases, and potentially dangerous
situations.
9. Communication with case managers, the physicians, and other
providers on the service plan, as necessary, to assure appropriate
and effective care.
10. Supervisory visits shall be made to the participant's home at least
every three months or more often as necessary, for problem
resolution, skills validation of staff, participant specific or
procedure -specific training of staff, observation of the participant's
condition and care, and assessment of satisfaction with services. At
least one of the assigned personal staff shall be present at
supervisory visits.
9. Term. This Agreement shall become effective on July 1, 2020, upon proper execution of
this Agreement, and shall expire on June 30, 2021 unless sooner terminated as provided
herein. This Agreement is for a period of four years subject to annual renewal by written
mutual agreement of the parties.
10. Termination. County has the right to terminate this Agreement, with or without cause on
thirty (30) days written notice. Furthermore, this Agreement may be terminated at any
time without notice upon a material breach of the terms of the Agreement.
Upon termination of this Agreement by County, Provider agency 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.
9
11. Extension or Modification. Any amendments or modifications to this agreement shall be
in writing signed by both parties. No additional services or work performed by Provider
agency shall be the basis for additional compensation unless and until Provider agency
has obtained written authorization and acknowledgement by County for such additional
services.
12. Compensation/Contract Amount. In no event shall County be required to pay Provider
agency more than the available grant funds contemplated in this Agreement, nor more
than that amount stated in paragraph 1. Provider agency acknowledges no payment in
excess of that amount will be made by County unless a "change order" authorizing such
additional payment has been specifically approved by Weld County, or by formal
resolution of the Weld County Board of County Commissioners, as required pursuant to
the Weld County Code.
Provider agency shall provide invoices to County on a monthly basis. Monthly supporting
documentation shall match units of service in the data reporting system to the monthly
invoice. County shall pay all such invoices, unless in dispute, within 30 days of receipt.
County will not withhold any taxes from monies paid to the Provider agency
hereunder and Provider agency 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.
The Parties understand that this Agreement is wholly funded by State funds, and the County
shall have no obligation to expend any funds not appropriated by the State for purposes
related to this Agreement.
13. Independent Contractor. Provider agency agrees that it is an independent Provider
agency and that Provider agency's officers, agents or employees will not become
employees of County, nor entitled to any employee benefits from County as a result of
the execution of this Agreement. Provider agency shall perform its duties hereunder as an
independent Provider agency. Provider agency shall be solely responsible for its acts and
those of its agents and employees for all acts performed pursuant to this Agreement.
Provider agency, 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 Provider agency or any of its agents
or employees. Unemployment insurance benefits will not be available to Provider
agency, its employees and agents for services provided.
14. Subcontractors. Provider agency acknowledges that County has entered into this
Agreement in reliance upon the particular reputation and expertise of Provider agency.
Provider agency shall not enter into any subcontractor agreements for the completion of
this Project without County's prior written consent, which may be withheld in County's
sole discretion.
10
15. Ownership. All work and information obtained by Provider agency under this
Agreement or individual work order shall become or remain (as applicable), the property
of County.
16. Confidentiality. Confidential financial information of Provider agency should be
transmitted separately from the main bid submittal, clearly denoting in red on the
financial information at the top the word, "CONFIDENTIAL." Provider agency is
advised that as a public entity, Weld County must comply with the provisions of C.R.S.
24-72-201, et seq., with regard to public records. Confidential commercial or financial
data is not subject to inspection pursuant to C.R.S. 24-72-204. Provider agency agrees to
keep confidential all of County's confidential information. Provider agency 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. Provider agency 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.
17. Warranty. Provider agency warrants that the services performed under this Agreement
will be performed in a manner consistent with the standards governing such services and
the provisions of this Agreement. Provider agency further represents and warrants that all
services shall be performed by qualified personnel in a professional and workmanlike
manner, consistent with industry standards, and that all services will conform to
applicable specifications.
18. Acceptance of Services Not a Waiver. 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 Provider agency. Acceptance by the County
of, or payment for, the services 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.
19. Insurance and Indemnification.
General Requirements: Provider agency must secure, at or before the time of execution of
any agreement or commencement of any work, the following insurance covering all
operations, goods or services provided pursuant to this request. Provider agency 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.
The insurance coverages specified in this Agreement are the minimum requirements, and
these requirements do not decrease or limit the liability of Provider agency. The County in
no way warrants that the minimum limits contained herein are sufficient to protect the
Provider agency from liabilities that might arise out of the performance of the work under
this Contract by the Provider agency, its agents, representatives, employees, or
subcontractors.
11
The Provider agency stipulates that it has met the insurance requirements identified herein.
The Provider agency 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 Provider agency and shall, without additional
compensation, promptly remedy and correct any errors, omissions, or other deficiencies.
INDEMNITY: The Provider agency shall defend, indemnify and hold harmless County, its
officers, agents, and employees, from and against injury, loss damage, liability, suits,
actions, or claims of any type or character arising out of the work done in fulfillment of the
terms of this Contract or on account of any act, claim or amount arising or recovered under
workers' compensation law or arising out of the failure of the Provider agency to conform
to any statutes, ordinances, regulation, law or court decree. The Provider agency 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. This paragraph shall survive
expiration or termination hereof.
Types of Insurance: The Provider agency shall obtain, and maintain at all times during the term
of any Agreement, insurance in the following kinds and amounts:
Workers' Compensation Insurance as required by state statute, and Employer's
Liability Insurance covering all of the Provider agency's employees acting within the
course and scope of their employment. Policy shall contain a waiver of subrogation
against the County. This requirement shall not apply when a Provider agency or
subcontractor is exempt under Colorado Workers' Compensation Act., AND when such
Provider agency or subcontractor executes the appropriate sole proprietor waiver form.
Commercial General Liability Insurance with the minimum limits as follows:
$1,000,000 each occurrence;
$1,000,000 general aggregate;
$1,000,000 products and completed operations aggregate; and
$50,000 any one fire
Professional Liability: Professional liability insurance with minimum limits of liability
of not less than $1,000,000, unless waived by the State.
Privacy Insurance: If this Contract includes a HIPAA Associates Addendum exhibit,
Provider agency shall obtain and maintained during the term of this Contract liability
insurance covering all loss of Protected Health Information data and claims based upon
alleged violations of privacy rights through improper use or disclosure of Protected
Health Information (PHI) with a minimum annual limit of $1,000,000.
Automobile Liability: Provider agency 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.
12
Provider agency shall secure and deliver to the County at or before the time of execution
of this Agreement, and shall keep in force at all times during the term of the Agreement
as the same may be extended as herein provided, a commercial general liability
insurance policy, including public liability and property damage, in form and company
acceptable to and approved by said Administrator, covering all operations hereunder set
forth in the related Bid or Request for Proposal.
Proof of Insurance: County reserves the right to require the Provider agency to provide a
certificate of insurance, a policy, or other proof of insurance as required by the
County's Risk Administrator in his sole discretion.
Additional Insureds: For general liability, excess/umbrella liability, pollution legal
liability, liquor liability, and inland marine, Provider agency's insurer shall name County
as an additional insured.
Waiver of Subrogation: For all coverages, Provider agency's insurer shall waive
subrogation rights against County.
Subcontractors: All subcontractors, including independent Contractors, sub -vendors,
suppliers, or other entities providing goods or services required by this Agreement shall be
subject to all of the requirements herein and shall procure and maintain the same
coverages required of Contractor. Contractor shall include all such subcontractors,
independent Contractors, sub -vendors suppliers or other entities as insureds under its policies
or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to
provide proof of insurance for all such subcontractors, independent Contractors, sub -
vendors suppliers or other entities upon request by the County.
20. Non -Assignment. Provider agency may not assign or transfer this Agreement or any
interest therein or claim there under, without the prior written approval of County. Any
attempts by Provider agency to assign or transfer its rights hereunder without such prior
approval by County shall, at the option of County, automatically terminate this
Agreement and all rights of Provider agency hereunder. Such consent may be granted or
denied at the sole and absolute discretion of County.
21. Examination of Records. To the extent required by law, the Provider agency agrees that
a duly authorized representative of County, including the County Auditor, shall have
access to and the right to examine and audit any books, documents, papers and records of
Provider agency, involving all matters and/or transactions related to this Agreement. The
Provider agency agrees to maintain these documents for three years from the date of the
last payment received.
13
22. 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.
23. 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. The County Representative for purposes of this
Agreement is hereby identified as, Kelly Morrison. All notices or other communications
(including annual maintenance 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 by the sending party; or
d. transmission via facsimile, at the number set forth below, where a receipt or
acknowledgment is required by the sending party.
Either party may change its notice address by written notice to the other.
Notification Information:
Provider: Elevate Home Care
Attn.: Braden Curtright, Branch Manager
Address: 310 Lashley Street, #109
Longmont, CO 80504
E-mail: bcurtright@elevateourcare.com
County:
Name: Kelly Morrison
Position: Weld County Area Agency on Aging Division Head
Address: 315 North 11th Ave Building C
PO Box 1805
Greeley, Colorado 80631
E-mail: kmorrison@weldgov.com
Facsimile: 970-400-6786
24. 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.
14
25. Non -Exclusive Agreement. This Agreement is nonexclusive, and County may engage or
use other Provider agencies or persons to perform services of the same or similar nature.
26. Entire Agreement/Modifications. This Agreement including Attachment A and the
Exhibits A, B, and C, 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.
27. 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.
28. 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.
29. 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.
30. Governmental Immunity. No term or condition of this contract 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.
31. 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 undersigned parties receiving services or benefits
under this Agreement shall be an incidental beneficiary only.
32. 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.
15
33. 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, Provider agency agrees that the Weld County District Court
shall have exclusive jurisdiction to resolve said dispute.
34. Public Contracts for Services C.R.S. §8-17.5-101. Provider agency certifies, warrants,
and agrees that it does not knowingly employ or contract with an illegal alien who will
perform work under this contract. Provider agency will confirm the employment
eligibility of all employees who are newly hired for employment in the United States to
perform work under this Agreement, through participation in the E -Verify program or the
State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contractor
shall not knowingly employ or contract with an illegal alien to perform work under this
Agreement or enter into a contract with a subcontractor that fails to certify with Provider
agency that the subcontractor shall not knowingly employ or contract with an illegal alien
to perform work under this Agreement. Provider agency shall not use E -Verify Program
or State of Colorado program procedures to undertake pre -employment screening or job
applicants while this Agreement is being performed. If Provider agency obtains actual
knowledge that a subcontractor performing work under the public contract for services
knowingly employs or contracts with an illegal alien Provider agency shall notify the
subcontractor and County within three (3) days that Provider agency has actual
knowledge that a subcontractor is employing or contracting with an illegal alien and shall
terminate the subcontract if a subcontractor does not stop employing or contracting with
the illegal alien within three (3) days of receiving notice. Provider agency shall not
terminate the contract if within three days the subcontractor provides information to
establish that the subcontractor has not knowingly employed or contracted with an illegal
alien. Provider agency shall comply with reasonable requests made in the course of an
investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department
of Labor and Employment. If Provider agency participates in the State of Colorado
program, Provider agency shall, within twenty days after hiring an new employee to
perform work under the contract, affirm that Provider agency has examined the legal
work status of such employee, retained file copies of the documents, and not altered or
falsified the identification documents for such employees. Provider agency shall deliver
to County, a written notarized affirmation that it has examined the legal work status of
such employee and shall comply with all of the other requirements of the State of
Colorado program. If Provider agency fails to comply with any requirement of this
provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for
breach, and if so terminated, Provider agency shall be liable for actual and consequential
damages.
Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-
103(3), if Provider agency receives federal or state funds under the contract, Provider
agency must confirm that any individual natural person eighteen (18) years of age or
older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such
individual applies for public benefits provided under the contract. If Provider agency
16
operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it:
(a) is a citizen of the United States or is otherwise lawfully present in the United States
pursuant to federal law, (b) shall produce one of the forms of identification required by
C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification
required by C.R.S. § 24-76.5-103 prior to the effective date of the contract.
35. Acknowledgment. County and Provider agency acknowledge that each has read this
Agreement, understands it and agrees to be bound by its terms. Both parties further agree
that this Agreement, including attachment Exhibit A, 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.
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the
day, month, and year first above written.
COUNTY:
ATTEST: dit11OO fD•ri"
Weld County Clerk to the Board
By: a.
Depu y Clerk to the Board
17
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Mike Freeman, Chair
CONTRACTOR:
MAY 18 2020
Thousand Peaks Healthcare, Inc. dba
Elevate Home Care
310 Lashley Street, Suite 109
Longmont, CO 80504
(303) 357-5631
Broc D Wallace (May 5, 2020)
By:
Braden Curtright, Branch Manager
May 5, 2020
Date:
�0Q0 - t H q'O
Exhibit A
HIPAA BUSINESS ASSOCIATE ADDENDUM
This Business Associate Addendum ("Addendum") is a part of the Contract dated
July 1, 2020 between the Department of Human Services Weld County Area Agency on Aging
and Elevate Home Care. For purposes of this Addendum, the Weld County Department of
Human Services Area Agency on Aging is referred to as "Covered Entity" or "CE" and Elevate
Home Care is referred to as "Associate". Unless the context clearly requires a distinction
between the Contract document and this Addendum, all references herein to "the Contract" or
"this Contract" include this Addendum.
RECITALS
A. CE wishes to disclose certain information to Associate pursuant to the terms of the
Contract, some of which may constitute Protected Health Information ("PHI") (defined
below).
B. CE and Associate intend to protect the privacy and provide for the security of PHI
disclosed to Associate pursuant to this Contract in compliance with the Health Insurance
Portability and Accountability Act of 1996, 42 U.S.C. § 1320d — 1320d-8 ("HIPAA") as
amended by the American Recovery and Reinvestment Act of 2009 ("ARRA")/HITECH
Act (P.L. 111-005), and its implementing regulations promulgated by the U.S.
Department of Health and Human Services, 45 C.F.R. Parts 160, 162 and 164 (the
"HIPAA Rules") and other applicable laws, as amended.
C. As part of the HIPAA Rules, the CE is required to enter into a written contract containing
specific requirements with Associate prior to the disclosure of PHI, 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 contained in this Addendum.
The parties agree as follows:
1. Definitions.
a. Except as otherwise defined herein, capitalized terms in this Addendum shall have
the definitions set forth in the HIPAA Rules at 45 C.F.R. Parts 160, 162 and 164, as amended.
In the event of any conflict between the mandatory provisions of the HIPAA Rules and the
provisions of this Contract, the HIPAA Rules shall control. Where the provisions of this
Contract differ from those mandated by the HIPAA Rules, but are nonetheless permitted by the
HIPAA Rules, the provisions of this Contract shall control.
b. "Protected Health Information" or "PHI" means any information, whether oral or
recorded in any form or medium: (i) that relates to the past, present or future physical or mental
condition of an individual; the provision of health care to an individual; or the past, present or
future payment for the provision of health care to an individual; and (ii) that identifies the
18
individual or with respect to which there is a reasonable basis to believe the information can be
used to identify the individual, and shall have the meaning given to such term under the HIPAA
Rules, including, but not limited to, 45 C.F.R. Section 164.501.
c. "Protected Information" shall mean PHI provided by CE to Associate or created
received, maintained or transmitted by Associate on CE's behalf. To the extent Associate is a
covered entity under HIPAA and creates or obtains its own PHI for treatment, payment and
health care operations, Protected Information under this Contract does not include any PHI
created or obtained by Associate as a covered entity and Associate shall follow its own policies
and procedures for accounting, access and amendment of Associate's PHI.
d. "Subcontractor" shall mean a third party to whom Associate delegates a function,
activity, or service that involves CE's Protected Information, in order to carry out the
responsibilities of this Agreement.
2. Obligations of Associate.
a. Permitted Uses. Associate shall not use Protected Information except for the
purpose of performing Associate's obligations under this Contract and as permitted under this
Addendum. Further, Associate shall not use Protected Information in any manner that would
constitute a violation of the HIPAA Rules if so used by CE, except that Associate may use
Protected Information: (i) for the proper management and administration of Associate; (ii) to
carry out the legal responsibilities of Associate; or (iii) for Data Aggregation purposes for the
Health Care Operations of CE. Additional provisions, if any, governing permitted uses of
Protected Information are set forth in Attachment A to this Addendum. Associate accepts full
responsibility for any penalties incurred as a result of Associate's breach of the HIPAA Rules.
b. Permitted Disclosures. Associate shall not disclose Protected Information in any
manner that would constitute a violation of the HIPAA Rules if disclosed by CE, except that
Associate may disclose Protected Information: (i) in a manner permitted pursuant to this
Contract; (ii) for the proper management and administration of Associate; (iii) as required by
law; (iv) for Data Aggregation purposes for the Health Care Operations of CE; or (v) to report
violations of law to appropriate federal or state authorities, consistent with 45 C.F.R. Section
164.502(j)(1). To the extent that Associate discloses Protected Information to a third party
Subcontractor, Associate must obtain, prior to making any such disclosure: (i) reasonable
assurances through execution of a written agreement with such third party that such Protected
Information will be held confidential as provided pursuant to this Addendum and only disclosed
as required by law or for the purposes for which it was disclosed to such third party; and that
such third party will notify Associate within two (2) business days of any breaches of
confidentiality of the Protected Information, to the extent it has obtained knowledge of such
breach. Additional provisions, if any, governing permitted disclosures of Protected Information
are set forth in Attachment A.
c. Appropriate Safeguards. Associate shall implement appropriate safeguards as are
necessary to prevent the use or disclosure of Protected Information other than as permitted by
19
this Contract. Associate shall comply with the requirements of the HIPAA Security Rule at 45
C.F.R. Sections 164.308, 164.310, 164.312, and 164.316. Associate shall maintain a
comprehensive written information privacy and security program that includes administrative,
technical and physical safeguards appropriate to the size and complexity of the Associate's
operations and the nature and scope of its activities. Associate shall review, modify, and update
documentation of, its safeguards as needed to ensure continued provision of reasonable and
appropriate protection of Protected Information.
d. Reporting of Improper Use or Disclosure. Associate shall report to CE in writing
any use or disclosure of Protected Information other than as provided for by this Contract within
five (5) business days of becoming aware of such use or disclosure.
e. Associate's Agents. If Associate uses one or more Subcontractors or agents to
provide services under the Contract, and such Subcontractors or agents receive or have access to
Protected Information, each Subcontractor or agent shall sign an agreement with Associate
containing the same provisions as this Addendum and further identifying CE as a third party
beneficiary with rights of enforcement and indemnification from such Subcontractors or agents
in the event of any violation of such Subcontractor or agent agreement. The Agreement between
the Associate and Subcontractor or agent shall ensure that the Subcontractor or agent agrees to at
least the same restrictions and conditions that apply to Associate with respect to such Protected
Information. Associate shall implement and maintain sanctions against agents and
Subcontractors that violate such restrictions and conditions and shall mitigate the effects of any
such violation.
f. Access to Protected Information. If Associate maintains Protected Information
contained within CE's Designated Record Set, Associate shall make Protected Information
maintained by Associate or its agents or Subcontractors in such Designated Record Sets
available to CE for inspection and copying within ten (10) business days of a request by CE to
enable CE to fulfill its obligations to permit individual access to PHI under the HIPAA Rules,
including, but not limited to, 45 C.F.R. Section 164.524. If such Protected Information is
maintained by Associate in an electronic form or format, Associate must make such Protected
Information available to CE in a mutually agreed upon electronic form or format.
g. Amendment of PHI. If Associate maintains Protected Information contained
within CE's Designated Record Set, Associate or its agents or Subcontractors shall make such
Protected Information available to CE for amendment within ten (10) business days of receipt of
a request from CE for an amendment of Protected Information or a record about an individual
contained in a Designated Record Set, and shall incorporate any such amendment to enable CE
to fulfill its obligations with respect to requests by individuals to amend their PHI under the
HIPAA Rules, including, but not limited to, 45 C.F.R. Section 164.526. If any individual
requests an amendment of Protected Information directly from Associate or its agents or
Subcontractors, Associate must notify CE in writing within five (5) business days of receipt of
the request. Any denial of amendment of Protected Information maintained by Associate or its
agents or Subcontractors shall be the responsibility of CE.
20
h. Accounting Rights. If Associate maintains Protected Information contained
within CE's Designated Record Set, Associate and its agents or Subcontractors shall make
available to CE within ten (10) business days of notice by CE, the information required to
provide an accounting of disclosures to enable CE to fulfill its obligations under the HIPAA
Rules, including, but not limited to, 45 C.F.R. Section 164.528. In the event that the request for
an accounting is delivered directly to Associate or its agents or Subcontractors, Associate shall
within five (5) business days of the receipt of the request forward it to CE in writing. It shall be
CE's responsibility to prepare and deliver any such accounting requested. Associate shall not
disclose any Protected Information except as set forth in Section 2(b) of this Addendum.
i. Governmental Access to Records. Associate shall keep records and make its
internal practices, books and records relating to the use and disclosure of Protected Information
available to the Secretary of the U.S. Department of Health and Human Services (the
"Secretary"), in a time and manner designated by the Secretary, for purposes of determining
CE's or Associate's compliance with the HIPAA Rules. Associate shall provide to CE a copy of
any Protected Information that Associate provides to the Secretary concurrently with providing
such Protected Information to the Secretary when the Secretary is investigating CE. Associate
shall cooperate with the Secretary if the Secretary undertakes an investigation or compliance
review of Associate's policies, procedures or practices to determine whether Associate is
complying with the HIPAA Rules, and permit access by the Secretary during normal business
hours to its facilities, books, records, accounts, and other sources of information, including
Protected Information, that are pertinent to ascertaining compliance.
j. Minimum Necessary. Associate (and its agents or subcontractors) shall only
request, use and disclose the minimum amount of Protected Information necessary to accomplish
the purpose of the request, use or disclosure, in accordance with the Minimum Necessary
requirements of the HIPAA Rules including, but not limited to 45 C.F.R. Sections 164.502(b)
and 164.514(d).
k. Data Ownership. Associate acknowledges that Associate has no ownership rights
with respect to the Protected Information.
1. Retention of Protected Information. Except upon termination of the Contract as
provided in Section 4(d) of this Addendum, Associate and its Subcontractors or agents shall
retain all Protected Information throughout the term of this Contract and shall continue to
maintain the information required under Section 2(h) of this Addendum for a period of six (6)
years.
m. Associate's Insurance. Associate shall maintain insurance to cover loss of PHI
data and claims based upon alleged violations of privacy rights through improper use or
disclosure of PHI. All such policies shall meet or exceed the minimum insurance requirements
of the Contract (e.g., occurrence basis, combined single dollar limits, annual aggregate dollar
limits, additional insured status and notice of cancellation).
21
n. Notice of Privacy Practices. Associate shall be responsible for reviewing CE's
Notice of Privacy Practices, available on CE's external website, to determine any requirements
applicable to Associate per this Contract.
o. Notification of Breach. During the term of this Contract, Associate shall notify
CE within two (2) business days of any suspected or actual breach of security, intrusion or
unauthorized use or disclosure of PHI and/or any actual or suspected use or disclosure of data in
violation of any applicable federal or state laws or regulations. Associate shall not initiate
notification to affected individuals per the HIPAA Rules without prior notification and approval
of CE. Information provided to CE shall include the identification of each individual whose
unsecured PHI has been, or is reasonably believed to have been accessed, acquired or disclosed
during the breach. Associate shall take (i) prompt corrective action to cure any such deficiencies
and (ii) any action pertaining to such unauthorized disclosure required by applicable federal and
state laws and regulations.
p. Audits, Inspection and Enforcement. Within ten (10) business days of a written
request by CE, Associate and its agents or subcontractors shall allow CE to conduct a reasonable
inspection of the facilities, systems, books, records, agreements, policies and procedures relating
to the use or disclosure of Protected Information pursuant to this Addendum for the purpose of
determining whether Associate has complied with this Addendum; provided, however, that: (i)
Associate and CE shall mutually agree in advance upon the scope, timing and location of such an
inspection; and (ii) CE shall protect the confidentiality of all confidential and proprietary
information of Associate to which CE has access during the course of such inspection. The fact
that CE inspects, or fails to inspect, or has the right to inspect, Associate's facilities, systems,
books, records, agreements, policies and procedures does not relieve Associate of its
responsibility to comply with this Addendum, nor does CE's (i) failure to detect or (ii) detection,
but failure to notify Associate or require Associate's remediation of any unsatisfactory practices,
constitute acceptance of such practice or a waiver of CE's enforcement rights under the Contract.
q. Safeguards During Transmission. Associate shall be responsible for using
appropriate safeguards, including encryption of PHI, to maintain and ensure the confidentiality,
integrity and security of Protected Information transmitted pursuant to the Contract, in
accordance with the standards and requirements of the HIPAA Rules.
r. Restrictions and Confidential Communications. Within ten (10) business days of
notice by CE of a restriction upon uses or disclosures or request for confidential communications
pursuant to 45 C.F.R. Section 164.522, Associate will restrict the use or disclosure of an
individual's Protected Information. Associate will not respond directly to an individual's requests
to restrict the use or disclosure of Protected Information or to send all communication of Protect
Information to an alternate address. Associate will refer such requests to the CE so that the CE
can coordinate and prepare a timely response to the requesting individual and provide direction to
Associate.
22
3. Obligations of CE.
a. Safeguards During Transmission. CE shall be responsible for using appropriate
safeguards, including encryption of PHI, to maintain and ensure the confidentiality, integrity and
security of Protected Information transmitted pursuant to the Contract, in accordance with the
standards and requirements of the HIPAA Rules.
b. Notice of Changes. CE maintains a copy of its Notice of Privacy Practices on its
website. CE shall provide Associate with any changes in, or revocation of, permission to use or
disclose Protected Information, to the extent that it may affect Associate's permitted or required
uses or disclosures. To the extent that it may affect Associate's permitted use or disclosure of
PHI, CE shall notify Associate of any restriction on the use or disclosure of Protected
Information that CE has agreed to in accordance with 45 C.F.R. Section 164.522.
4. Termination.
a. Material Breach. In addition to any other provisions in the Contract regarding
breach, a breach by Associate of any provision of this Addendum, as determined by CE, shall
constitute a material breach of this Contract and shall provide grounds for immediate termination
of this Contract by CE pursuant to the provisions of the Contract covering termination for cause,
if any. If the Contract contains no express provisions regarding termination for cause, the
following terms and conditions shall apply:
(1) Default. If Associate refuses or fails to timely perform any of the
provisions of this Contract, CE may notify Associate in writing of the non-performance, and if
not promptly corrected within the time specified, CE may terminate this Contract. Associate
shall continue performance of this Contract to the extent it is not terminated and shall be liable
for excess costs incurred in procuring similar goods or services elsewhere.
(2) Associate's Duties. Notwithstanding termination of this Contract, and
subject to any directions from CE, Associate shall take timely, reasonable and necessary action
to protect and preserve property in the possession of Associate in which CE has an interest.
(3) Compensation. Payment for completed supplies delivered and accepted
by CE shall be at the Contract price. In the event of a material breach under paragraph 4a, CE
may withhold amounts due Associate as CE deems necessary to protect CE against loss from
third party claims of improper use or disclosure and to reimburse CE for the excess costs
incurred in procuring similar goods and services elsewhere.
(4) Erroneous Termination for Default. If after such termination it is
determined, for any reason, that Associate was not in default, or that Associate's action/inaction
was excusable, such termination shall be treated as a termination for convenience, and the rights
and obligations of the parties shall be the same as if this Contract had been terminated for
convenience, as described in this Contract.
23
b. Reasonable Steps to Cure Breach. If CE knows of a pattern of activity or practice
of Associate that constitutes a material breach or violation of the Associate's obligations under
the provisions of this Addendum or another arrangement and does not terminate this Contract
pursuant to Section 4(a), then CE shall take reasonable steps to cure such breach or end such
violation. If CE's efforts to cure such breach or end such violation are unsuccessful, CE shall
either (i) terminate the Contract, if feasible or (ii) if termination of this Contract is not feasible,
CE shall report Associate's breach or violation to the Secretary of the Department of Health and
Human Services. If Associate knows of a pattern of activity or practice of a Subcontractor or
agent that constitutes a material breach or violation of the Subcontractor's or agent's obligations
under the written agreement between Associate and the Subcontractor or agent, Associate shall
take reasonable steps to cure such breach or end such violation, if feasible.
c. Judicial or Administrative Proceedings. Either party may terminate the
Contract, effective immediately, if (i) the other party is named as a defendant in a criminal
proceeding for a violation of the HIPAA Rules or other security or privacy laws or (ii) a finding
or stipulation that the other party has violated any standard or requirement of the HIPAA Rules
or other security or privacy laws is made in any administrative or civil proceeding in which the
party has been joined.
d. Effect of Termination.
(1) Except as provided in paragraph (2) of this subsection, upon termination
of this Contract, for any reason, Associate shall return or destroy all Protected Information that
Associate, or its agents or Subcontractors still maintain in any form and shall retain no copies of
such Protected Information. If Associate elects to destroy the PHI, Associate shall certify in
writing to CE that such PHI has been destroyed.
(2) If Associate believes that returning or destroying the Protected
Information is not feasible, Associate shall promptly provide CE notice of the conditions making
return or destruction infeasible. Associate shall continue to extend the protections of Sections
2(a), 2(b), 2(c), 2(d) and 2(e) of this Addendum to such Protected Information and shall limit
further use of such PHI to those purposes that make the return or destruction of such PHI
infeasible.
5. Injunctive Relief. CE shall have the right to injunctive and other equitable and legal
relief against Associate or any of its Subcontractors or agents in the event of any use or
disclosure of Protected Information in violation of this Contract or applicable law.
6. No Waiver of Immunity. No term or condition of this Contract shall be construed or
interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protection,
or other provisions of the Colorado Governmental Immunity Act, CRS 24-10-101 et seq. or the
Federal Tort Claims Act, 28 U.S.C. 2671 et seq. as applicable, as now in effect or hereafter
amended.
24
7. Limitation of Liability. Any limitation of Associate's liability in the Contract shall be
inapplicable to the terms and conditions of this Addendum.
8. Disclaimer. CE makes no warranty or representation that compliance by Associate with
this Contractor the HIPAA Rules will be adequate or satisfactory for Associate's own purposes.
Associate is solely responsible for all decisions made by Associate regarding the safeguarding of
PHI.
9. Certification. To the extent that CE determines an examination is necessary in order to
comply with CE's legal obligations pursuant to the HIPAA Rules relating to certification of its
security practices, CE or its authorized agents or contractors, may, at CE's expense, examine
Associate's facilities, systems, procedures and records as may be necessary for such agents or
contractors to certify to CE the extent to which Associate's security safeguards comply with the
HIPAA Rules or this Addendum.
10. Amendment.
a. Amendment to Comply with Law. The parties acknowledge that state and federal
laws relating to data security and privacy are rapidly evolving and that amendment of this
Addendum may be required to provide for procedures to ensure compliance with such
developments. The parties specifically agree to take such action as is necessary to implement the
standards and requirements of the HIPAA Rules and other applicable laws relating to the
confidentiality, integrity, availability and security of PHI. The parties understand and agree that
CE must receive satisfactory written assurance from Associate that Associate will adequately
safeguard all Protected Information and that it is Associate's responsibility to receive satisfactory
written assurances from Associate's Subcontractors and agents. Upon the request of either party,
the other party agrees to promptly enter into negotiations concerning the terms of an amendment
to this Addendum embodying written assurances consistent with the standards and requirements
of the HIPAA Rules or other applicable laws. CE may terminate this Contract upon thirty (30)
days written notice in the event (i) Associate does not promptly enter into negotiations to amend
this Contract when requested by CE pursuant to this Section, or (ii) Associate does not enter into
an amendment to this Contract providing assurances regarding the safeguarding of PHI that CE,
in its sole discretion, deems sufficient to satisfy the standards and requirements of the HIPAA
Rules.
b. Amendment of Attachment A. Attachment A may be modified or amended by
mutual agreement of the parties in writing from time to time without formal amendment of this
Addendum.
11. Assistance in Litigation or Administrative Proceedings. Associate shall make itself, and
any Subcontractors, employees or agents assisting Associate in the performance of its obligations
under the Contract, available to CE, at no cost to CE up to a maximum of 30 hours, to testify as
witnesses, or otherwise, in the event of litigation or administrative proceedings being
commenced against CE, its directors, officers or employees based upon a claimed violation of
25
the HIPAA Rules or other laws relating to security and privacy or PHI, except where Associate
or its Subcontractor, employee or agent is a named adverse party.
12. No Third -Party Beneficiaries. Nothing express or implied in this Contract is intended to
confer, nor shall anything herein confer, upon any person other than CE, Associate and their
respective successors or assigns, any rights, remedies, obligations or liabilities whatsoever.
13. Interpretation and Order of Precedence. The provisions of this Addendum shall prevail
over any provisions in the Contract that may conflict or appear inconsistent with any provision in
this Addendum. Together, the Contract and this Addendum shall be interpreted as broadly as
necessary to implement and comply with the HIPAA Rules. The parties agree that any
ambiguity in this Contract shall be resolved in favor of a meaning that complies and is consistent
with the HIPAA Rules. This Contract supersedes and replaces any previous separately executed
HIPAA addendum between the parties.
14. Survival of Certain Contract Terms. Notwithstanding anything herein to the contrary,
Associate's obligations under Section 4(d) ("Effect of Termination") and Section 12 ("No Third -
Party Beneficiaries") shall survive termination of this Contract and shall be enforceable by CE as
provided herein in the event of such failure to perform or comply by the Associate. This
Addendum shall remain in effect during the term of the Contract including any extensions.
15. Representatives and Notice.
a. Representatives. For the purpose of the Contract, the individuals identified
elsewhere in this Contract shall be the representatives of the respective parties. If no
representatives are identified in the Contract, the individuals listed below are hereby designated
as the parties' respective representatives for purposes of this Contract. Either party may from
time to time designate in writing new or substitute representatives.
b. Notices. All required notices shall be in writing and shall be hand delivered or
given by certified or registered mail to the representatives at the addresses set forth below.
State/Covered Entity Representative:
Name: Kelly Morrison
Title: Division Head
Department and
Division:
Address:
Contractor/Business
Name:
Title:
Department and
Division:
Address:
Weld County Department of Human
Area Agency on Aging
315 North 11th Avenue, Building C
PO Box 1805
Greeley, Colorado 80631
Associate Representative:
Braden Curtright
Branch Manager
Services
Thousand Peaks Healthcare, Inc. dba Elevate Home Care
310 Lashley Street, Suite 109
Longmont, CO 80504
26
ATTACHMENT A
This Attachment sets forth additional terms to the HIPAA Business Associate
Addendum, which is part of the Contract dated , 2020, between Weld County
Department of Human Services Area Agency on Aging and Thousand Peaks Healthcare, Inc. dba
Elevate Home Care, ("Contract") and is effective as of July 1, 2020 (the "Attachment Effective
Date"). This Attachment may be amended from time to time as provided in Section 10(b) of the
Addendum.
1. Additional Permitted Uses. In addition to those purposes set forth in Section 2(a) of the
Addendum, Associate may use Protected Information as follows:
2. Additional Permitted Disclosures. In addition to those purposes set forth in Section 2(b)
of the Addendum, Associate may disclose Protected Information as follows:
3. Subcontractor(s). The parties acknowledge that the following subcontractors or agents of
Associate shall receive Protected Information in the course of assisting Associate in the
performance of its obligations under this Contract:
4. Receipt. Associate's receipt of Protected Information pursuant to this Contract shall be
deemed to occur as follows, and Associate's obligations under the Addendum shall commence
with respect to such PHI upon such receipt:
5. Additional Restrictions on Use of Data. CE is a Business Associate of certain other
Covered Entities and, pursuant to such obligations of CE, Associate shall comply with the
following restrictions on the use and disclosure of Protected Information:
28
6. Additional Terms. [This section may include specifications for disclosure format,
method of transmission, use of an intermediary, use of digital signatures or PKI, authentication,
additional security of privacy specifications, de -identification or re -identification of data and
other additional terms.)
29
Exhibit B
Weld County Area Agency on Aging In -Home Services Voucher Program
Instructions for completing voucher
1. When a consumer is awarded units/hours of service, the AAA will generate a voucher
that includes the name and contact information of the consumer, invoice number, date of
approval, number of units/hours awarded, and expiration date of the voucher.
2. Vouchers are valid for a six-month period of time unless otherwise indicated. At the end
of voucher period, the consumer will be reassessed by the AAA for the program and if
applicable, they will be issued a new voucher for ongoing units of service.
3. Consumers will be notified advising them of the number of units/hours awarded and the
expiration date of the voucher.
4. AAA will confirm with consumers which Provider agency they have chosen to provide
services. AAA will contact the Provider agency and provide them with a copy of the
voucher. The voucher will be used by providers for reimbursement during that voucher
period (expiring every six months during a fiscal year July 1 -June 30. If consumer is
approved in September, the voucher will expire December 31 and may be eligible for
another six months beginning January 1 expiring June 30).
5. Provider agency is responsible for obtaining and verifying with the AAA that the
consumer has a valid voucher before providing services.
6. The Provider agency will need to complete and submit the voucher each month to be
reimbursed for units of service rendered.
• Vouchers must be received no more than bi-monthly and no less than monthly for
processing. For services rendered in the month of June, vouchers and invoices
shall be received no later than July 5th of that same year.
• In addition to individual vouchers, Provider agency will submit an invoice for the
services delivered for the month. Invoices shall include the Provider Agency and
contact information; name of consumer served, date(s) of service; service
provided and unit rate for service provided.
• If provider agency has more than one consumer receiving services through the
AAA In -Home Services Voucher Program, all may be listed on one company
invoice with each consumer name, date(s) of service, service provided, unit rate,
and number of hours/units provided with corresponding vouchers attached.
• The submission of the completed voucher and invoice by the Provider agency is
the request for payment.
7. In the event of a program audit, Provider agency must be able to show proof that a visit
and services were provided.
8. All information inside the center box of the voucher should be completed by the Provider
agency each month, and the voucher must be signed by an authorized agency
representative in order for the voucher to be processed for payment.
9. Vouchers with missing information or signatures will be returned to Provider agency to
be completed and returned for payment.
10. Payments will be processed and mailed to provider upon receipt of completed voucher(s)
and invoice generally within three to four weeks.
30
11. Provider agency must track units/hours of service and will not be reimbursed for any
services other than those indicated on the Task Sheet without prior approval from the
AAA.
12. Provider agency will not be reimbursed for any units of service provided that exceeds
units/hours of service allocated on the voucher without prior approval from the AAA.
13. Only the homemaker/personal care services outlined in the In -Home Services Voucher
Program Eligibility Guidelines are reimbursable services.
14. Vouchers may be submitted by email or fax:
• Email: mshepard@weldgov.com
• FAX: (970) 400-6951 Attn: Michelle Shepard
31
Exhibit C
Weld County Area Agency on Aging (Region 2B)
Consumer Complaints, Appeals and Hearings Procedure
Updated May 2019
Consumer Complaint
Any older adult, his/her representative, or caregiver applying or receiving services under the Older
Americans Act or State Funding for Senior Services by the Weld County Area Agency on Aging (AAA),
or a contractor of the AAA, has the right to submit a complaint.
You may file your complaint in person, by telephone, email, or in writing within thirty (30) days of the
action or incident. Complaints shall be forwarded to the appropriate agency for follow-up and resolution.
Complaints shall be resolved at the lowest possible level. If the complaint cannot be resolved at the local
level, it may be appealed. The direct service provider receiving the complaint shall investigate and resolve
the complaint. The direct service provider may be the AAA or a contractor of the AAA.
Weld County Area Agency on Aging
(970) 400-6950
PO Box 1805
Greeley, CO 80632
Written notice of the resolution shall be sent to the complainant within fifteen (15) working days from the
time the agency receives the complaint.
Consumer Appeal
At any time, the complainant may contact that State Unit on Aging or if the complainant is dissatisfied
with the complaint resolution, a written appeal may be filed with the State Unit on Aging Director within
ten (10) calendar days of receipt of the decision at:
Colorado Department of Human Services, State Unit on Aging
1575 Sherman Street, 10th Floor
Denver, CO 80203-1702
(888) 866-4243 (Toll Free)
The State Unit on Aging Director or designee shall complete a review of the complaint and resolution of
that complaint, including all pertinent documentation or new information that may be available. The State
Unit on Aging will provide a written response, including notification of the complainant's rights to an
Administrative Law Judge hearing as described in Section 10.507 if he/she is dissatisfied with the
resolution of the appeal, to the complainant within thirty (30) calendar days of the receipt of appeal.
The appeal procedure may be terminated at any time if the individual and service provider
negotiate a written agreement that resolves the issue in question. Upon termination, the
complainant shall file with the AAA or the State Unit on Aging, whichever is applicable, a
written notice stating the reason for the termination.
32
Contract Form
New Contract Request
Entity Information
Entity Name*
ELEVATE HOME CARE
Entity ID*
@00040216
Contract Name*
THOUSAND PEAKS HEALTHCARE, INC. DBA ELEVATE HOME
CARE (PURCHASE OF SERVICE AGREEMENT)
Contract Status
CTB REVIEW
Contract ID
3619
Contract Lead*
CULLINTA
Contract Lead Email
cullinta@coweld.co.us
Contract Description*
PURCHASE OF SERVICE AGREEMENT FOR IN -HOME VOUCHER PROGRAM SERVICES
Contract Description 2
CONSENT. B2000079. APPROVED 03/18/20 (2020-0754).
Contract Type*
AGREEMENT
Amount*
$0 00
Renewable*
YES
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
C M-
HunianServices@weldgov corn
Department Head Email
CM-HumanServices-
DeptHead@weidgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WELD
GOV.COM
New Entity?
Requested BOCC Agenda
Date*
05/06/2020
Parent Contract ID
20200754
Requires Board Approval
YES
Department Project I
Due Date
05/02/2020
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
On Base
Contract Dates
Effective Date
Review Date*
05/01/2021
Termination Notice Period Committed Delivery Date
Renewal Date*
07101/2021
Expiration Date
Contact Information
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
JAMIE ULRICH
OH Approved Date
05)12/2020
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
05/18/2020
Originator
CULLINTA
Contact Type Contact Email
Finance Approver
BARB CONNOLLY
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
Finance Approved Date
05/13/2020
Tyler Ref #
AG 051820
Legal Counsel
GABE KALOUSEK
Legal Counsel Approved Date
05/13/2020
Submit
Hello