HomeMy WebLinkAbout20230511.tiffRESOLUTION
RE: APPROVE STANDARD FORM OF AGREEMENT FOR RECREATIONAL /
EDUCATIONAL SERVICES FOR COLORADO WORKS SUMMER ACTIVITIES
PROGRAM, AND RELEASE OF LIABILITY AND AGREEMENT TO HOLD HARMLESS
AND INDEMNIFY BETWEEN DEPARTMENT OF HUMAN SERVICES AND VARIOUS
PROVIDERS, AND AUTHORIZE CHAIR TO SIGN AGREEMENTS CONSISTENT WITH
SAID FORM
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board, sitting as the Weld County Board of Human Services, has been
presented with the Standard Form of Agreement for Recreational/Educational Services for the
Colorado Works Activities Program, and Release of Liability and Agreement to Hold Harmless
and Indemnify between the Department of Human Services and various providers, and
WHEREAS, after review, the Board deems it advisable to approve the Standard Form of
said agreement, a copy of which is attached hereto and incorporated herein by reference, and to
delegate standing authority to the Chair of the Board of County Commissioners to execute
individual agreements between the Department of Human Services and various providers.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, sitting as the Weld County Board of Human Services, that the Standard Form
of Agreement for Recreational/Educational Services for the Colorado Works Activities Program,
and Release of Liability and Agreement to Hold Harmless and Indemnify between the Department
of Human Services and various providers, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign agreements consistent with said form.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 27th day of February, A.D., 2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ddetv,O 4eks;4
Weld County Clerk to the Board
BY:
eputy Clerk
APPROVED AS TO FOR
County Attorney
Date of signature: 03/09/23
Mikeman, Chair
Lori Sain
CC;�-ISD
.3/10/23
2023-0511
HR0095
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: February 14, 2023
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Summer Youth Activities Voucher Program
Anticipated Providers, Agreement Template and
Release of Liability
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 Summer Youth Activities Voucher Program
Anticipated Providers, Agreement Template, and Release of Liability. The Department is
requesting to enter into Agreements with various educational and recreational entities to provide
activities through the Colorado Works Summer Youth Activities Program, also known as the
Summer Voucher Program (SVP). This program allows eligible children to receive a $175.00
voucher to be used for summer education or recreational activities. The goals of the program
include:
I. Preventing youth from entering the child welfare system.
2. Supporting County Certified Foster Care Parents and Adoptive Parents with summer
activities for foster and adoptive children.
3. Promoting a continuum of educational, physical activity and community experiences
through established recreation or education programs in the summer.
These agreements will be for the period of March 6, 2023, through June 9, 2023.
The following list of providers have expressed interest in participating, however, this is not an
exhaustive list and additional providers may be added.
Aims Community College — C4K Program
Boys and Girls Club of Weld County
Carbon Valley Parks and Recreation District
City of Greeley, including the Rodarte Center
City of Evans Recreation Department
City of Fort Lupton Recreation Department
Cheap FX, LLC dba Code Ninjas
Eaton Park and Recreation Center
- Greeley Evans Youth League, Inc.
- Kersey Recreation Department
Town of Platteville - Platteville Recreation
Pass -Around Memorandum; February 14, 2023 — Not in CMS Page I
2023-0511
2/Z-1
OV_0()q5
PRIVILEGED AND CONFIDENTIAL
Thompson Rivers Parks and Recreation District
Town of LaSalle
Town of Platteville
YMCA of Northern Colorado
The agreement template and Release of Liability that parents/caregivers of participating youth
will be required to sign, have been reviewed and approved by Legal (K. McDougal).
I do not recommend a Work Session. I recommend approval of the listed providers and potential
additional providers, agreement template, Release of Liability form, and authorize the Chair to sign the
agreements.
Pony L. Buck, Pro-Tem
Mike Freeman, Chair
Scott K. James
Kevin D. Ross
Lori Saine
Schedule
Work Session
Other/Comments:
Pass -Around Memorandum; February 14, 2023 — Not in CMS Page 2
Cheryl Hoffman
From:
Sent:
To:
Subject:
Yes
Kevin Ross
Kevin Ross
Tuesday, February 14, 2023 12:48 PM
Cheryl Hoffman
Re: PA FOR ROUTING: ES Summer Youth Activities Voucher Program (Not in CMS).
From: Cheryl Hoffman <choffman@weld.gov>
Sent: Tuesday, February 14, 2023 2:31:13 PM
To: Kevin Ross <kross@weld.gov>
Subject: FW: PA FOR ROUTING: ES Summer Youth Activities Voucher Program (Not in CMS).
Approve?
Cheryl L. Hoffman
Deputy Clerk to the Board
1150 O Street/P.O. Box 758
Greeley, CO 80632
Tel: (970) 400.4227
choffman@weld.gov
From: Lesley Cobb <cobbxxlk@weldgov.com>
Sent: Tuesday, February 14, 2023 12:09 PM
To: Cheryl Hoffman <choffman@weld.gov>
Cc: Karla Ford <kford@weldgov.com>; Bruce Barker <bbarker@weldgov.com>; Cheryl Pattelli <cpattelli@weld.gov>;
Chris D'Ovidio <cdovidio@weld.gov>; Esther Gesick <egesick@weld.gov>; Lennie Bottorff <bottorli@weldgov.com>; HS -
Contract Management <HS-ContractManagement@co.weld.co.us>
Subject: PA FOR ROUTING: ES Summer Youth Activities Voucher Program (Not in CMS).
Good morning Cheryl,
Please see the attached PA approved for routing: ES Summer Youth Activities Voucher Program (Not in CMS).
Thank you!
Lesley Cobb
Contract Management and Compliance Supervisor
Weld County Dept. of Human Services
315 N. 11th Ave., Bldg A
PO Box A
Greeley, CO 80632
S (970) 400-6512
?4 (970) 353-5212
><cobbxxlk@weldgov.com
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AGREEMENT FOR RECREATIONAL/EDUCATION SERVICES
FOR COLORADO WORKS SUMMER ACTIVITIES PROGRAM
BETWEEN WELD COUNTY
AND
[NAME]
THIS AGREEMENT is made and entered into this [DATE] day of [MONTH], 2023, by and between the
County of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County
Commissioners, whose address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County,"
and [NAME], who whose address is [ADDRESS], hereinafter referred to as "Provider".
WHEREAS, the County provides supportive services to eligible children and juveniles who need
educational and/or recreational activities as outlined in its Colorado Works Plan for Weld County, and
WHEREAS, the County is in need of recreational and educational providers to assist County in providing
Summer Activity Programs to eligible children and juveniles,
WHEREAS, the Provider has educational or recreational activities available for eligible children and
juveniles of County at fees, which is set forth within this Agreement.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the
parties hereto agree as follows:
1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibit
A, Scope of Services and Rate Schedule, and Attachment A, Release of Liability, which forms an integral part
of this Agreement. Exhibit A and Attachment A are specifically incorporated herein by this reference.
2. Service or Work. Provider agrees to diligently provide all services, labor, personnel, and materials necessary
to perform and complete the work described in the attached Exhibit. Provider shall further be responsible for
the timely completion and acknowledges that a failure to comply with the standards and requirements of work
within the time limits prescribed by the County may result in the County's decision to withhold payment or
to terminate this Agreement.
3. Term. The term of this Agreement shall be from March 6, 2023, through June 9, 2023, or Provider's
completion of the responsibilities described in Exhibit A.
4. Termination; Breach; Cure. County may terminate this Agreement for its own convenience upon thirty
(30) days written notice to Provider. Either Party may immediately terminate this Agreement upon material
breach of the other party, however the breaching party shall have fifteen (15) days after receiving such notice
to cure such breach. If this Agreement is terminated by County, Provider shall be compensated for, and such
compensation shall be limited to, (1) the sum of the amounts contained in invoices which it has submitted and
which have been approved by the County; (2) the reasonable value to County of the services which Provider
provided prior to the date of the termination notice, but which had not yet been approved for payment; and
(3) the cost of any work which the County approves in writing which it determines is needed to accomplish
an orderly termination of the work. County shall be entitled to the use of all material generated pursuant to
this Agreement upon termination. Upon termination of this Agreement by County, Provider shall have no
claim of any kind whatsoever against the County by reason of such termination or by reason of any act
incidental thereto, except for compensation for work satisfactorily performed and/or materials described
herein properly delivered.
5. Extension or Amendment. Any amendments or modifications to this Agreement shall be in writing signed
by both parties. No additional services or work performed by Provider shall be the basis for additional
compensation unless and until Provider has obtained written authorization and acknowledgement by County
for such additional services. Accordingly, no claim that the County has been unjustly enriched by any
additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase
in the compensation payable hereunder. In the event that written authorization and acknowledgment by the
County for such additional services is not timely executed and issued in strict accordance with this Agreement,
Provider's rights with respect to such additional services shall be deemed waived and such failure shall result
in non-payment for such additional services or work performed. Any claims by the Provider for adjustment
hereunder must be made in writing prior to performance of any work covered in the anticipated Amendment,
unless approved and documented otherwise by the County Representative. Any change in work made without
such prior Amendment shall be deemed covered in the compensation and time provisions of this Agreement,
unless approved and documented otherwise by the County Representative.
6. Compensation/Contract Amount. County agrees to pay an amount no greater than $175.00 per participant
for the term of this Agreement, as set forth in Paragraph 3. County agrees to pay Provider through an invoice
process during the course of this Agreement in accordance with the terms described in Exhibit A. Provider
agrees to submit invoices which detail the work completed by Provider. The County will review each invoice
and if it agrees Provider has completed the invoiced items to the County's satisfaction, it will remit payment
to Provider.
Provider agrees to work within the confines outlined in Exhibit A.
County will not withhold any taxes from monies paid to the Provider hereunder and Provider 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.
7. Independent Provider. Provider agrees that it is an independent contractor and that Provider's officers,
agents or employees .� ill not become employees of County, entitled to employee benefits from County
V.�..., , nor any employee � -
as a result of the execution of this Agreement. Provider shall perform its duties hereunder as an independent
contractor. Provider shall be solely responsible for its acts and those of its agents and employees for all acts
performed pursuant to this Agreement. Provider, 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 or any of its agents or employees. Unemployment
insurance benefits will be available to Provider and its employees and agents only if such coverage is
made available by Provider or a third party. Provider shall pay when due all applicable employment
taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement.
8. Subcontractors. Provider acknowledges that County has entered into this Agreement in reliance upon the
particular reputation and expertise of Provider. Provider shall not enter into any subcontractor agreements for
the completion of the Work without County's prior written consent, which may be withheld in County's sole
discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the
work during the performance of this Agreement and no personnel to whom County has an objection, in its
reasonable discretion, shall be assigned to the work. Provider shall require each subcontractor, as approved
by County and to the extent of the Work to be performed by the subcontractor, to be bound to Provider by the
terms of this Agreement, and to assume toward Provider all the obligations and responsibilities which
Provider, by this Agreement, assumes toward County. County shall have the right (but not the obligation) to
enforce the provisions of this Agreement against any subcontractor hired by Provider and Provider shall
cooperate in such process. The Provider shall be responsible for the acts and omissions of its agents,
2
employees and subcontractors.
9. Ownership. All work and information obtained by Provider under this Agreement or individual work order
shall become or remain (as applicable), the property of County. In addition, all reports, documents, data,
plans, drawings, records and computer files generated by Provider in relation to this Agreement and all reports,
test results and all other tangible materials obtained and/or produced in connection with the performance of
this Agreement, whether or not such materials are in completed form, shall at all times be considered the
property of the County. Provider shall not make use of such material for purposes other than in connection
with this Agreement without prior written approval of County.
10. Confidentiality. Confidential information of the Provider should be transmitted separately from non -
confidential information, clearly denoting in red on the relevant document at the top the word,
"CONFIDENTIAL." However, Provider is advised that as a public entity, Weld County must comply with
the provisions of the Colorado Open Records Act (CORA), C.R.S. 24-72-201, et seq., with regard to public
records, and cannot guarantee the confidentiality of all documents. Provider agrees to keep confidential all
of County's confidential information. Provider 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 agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of
this confidential information and of the restrictions imposed by this Agreement.
11. Warranty. Provider 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
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.
12. Acceptance of Services Not a Waiver. Upon completion of the Work, Provider shall submit to County
originals of all test results, reports, etc., generated during completion of this work. Acceptance by County of
reports and incidental material(s) furnished under this Agreement shall not in any way relieve Provider of
responsibility for the quality and accuracy of the project. In no event shall any action by County hereunder
constitute or be construed to be a waiver by County of any breach of this Agreement or default which may
then exist on the part of Provider, and County's action or inaction when any such breach or default exists shall
not impair or prejudice any right or remedy available to County with respect to such breach or default. No
assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the
Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the County of, or
payment for, the work completed under this Agreement shall not be construed as a waiver of any of the
County's rights under this Agreement or under the law generally.
13. Indemnity. The Provider shall defend, indemnify and hold harmless County, 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 Provider to conform to any statutes, ordinances, regulation, judicial decision, or other
law or court decree. The Provider 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 Provider 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 Provider 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 Provider for the County. A failure
3
to comply with this provision shall result in County's right to immediately terminate this Agreement.
14. Non -Assignment. Provider may not assign or transfer this Agreement or any interest therein or claim
thereunder, without the prior written approval of County. Any attempts by Provider 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 hereunder. Such consent may be granted or denied at the sole and
absolute discretion of County.
15. Examination of Records. To the extent required by law, the Provider agrees that an duly authorized
representative of County, including the County Auditor, shall have access to and the right to examine and
audit any books, documents, papers and records of Provider, involving all matters and/or transactions related
to this Agreement. Provider agrees to maintain these documents for three years from the date of the last
payment received.
16. 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.
17. Compliance with Law. Provider 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.
18. Non -Exclusive Agreement. This Agreement is nonexclusive, and County may engage or use other Providers
or persons to perform services of the same or similar nature.
19. Entire Agreement/Modifications. This Agreement including the Exhibit 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
with respectto subject mattercontained in this Agreement This may be changed
agreements the _b.,......e_.t. Agreemento--
or supplemented only by a written instrument signed by both parties.
20. 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.
21. 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.
22. Survival of Termination. The obligations of the parties under this Agreement that by their nature would
continue beyond expiration or termination of this Agreement (including, without limitation, the warranties,
indemnification obligations, confidentiality and record keeping requirements) shall survive any such
expiration or termination.
23. 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.
4
24. 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.
25. 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.
26. Force Majeure. Neither the Provider nor the County shall be liable for any delay in, or failure of performance
of, any covenant or promise contained in this Agreement, nor shall any delay or failure constitute default or
give rise to any liability for damages if, and only to extent that, such delay or failure is caused by "force
majeure." As used in this Agreement, "force majeure" means acts of God, acts of the public enemy, unusually
severe weather, fires, floods, epidemics, quarantines, strikes, labor disputes and freight embargoes, to the
extent such events were not the result of, or were not aggravated by, the acts or omissions of the non-
performing or delayed party.
27. No Third -Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and
conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved
to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action
whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned
parties that any entity other than the undersigned parties receiving services or benefits under this Agreement
shall be an incidental beneficiary only.
28. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it
has been approved by the Board of County Commissioners of Weld County, Colorado or its designee.
29. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be
applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or
incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and
void. In the event of a legal dispute between the parties, Provider agrees that the Weld County District Court
shall have exclusive jurisdiction to resolve said dispute.
30. Attorney's Fees/Legal Costs. In the event of a dispute between County and Provider concerning this
Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal
costs incurred by or on its own behalf.
31. Binding Arbitration Prohibited. Weld County does not agree to binding arbitration by any extra judicial
body or person. Any provision to the contrary in this Agreement or incorporated herein by reference shall be
null and void.
32. Acknowledgment. County and Provider acknowledge that each has read this Agreement, understands it and
agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached 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.
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IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month,
and year first above written.
COUNTY:
ATTEST: BOARD OF COUNTY COMMISSIONERS
Clerk to the Board WELD COUNTY, COLORADO
BY:
Deputy Clerk to the Board Mike Freeman, Chair
PROVIDER:
(Provider)
(Address)
(City, State Zip)
By:
(Provider's Representative), (Title)
Date:
6
Exhibit A
Scope of Services and Rate
1. Services
Provider agrees to provide educational and/or recreational services for eligible children
and youth involved in the Summer Activities Program according to enrollment activities
of the Provider.
Parents/caregivers of participating youth are required to sign a Release of Liability Form,
see Attachment A.
2. Compensation
County agrees to pay Provider for services performed pursuant to this Agreement at the
rate not to exceed $175.00 per participant per the term of this Agreement and at the rate
charged to other non -County participants receiving the same recreational or educational
services. The parties agree that the service rate as contemplated herein shall constitute the
entire amount of compensation due to the Provider for any work performed hereunder.
3. Submittal of Invoice
Provider shall prepare and submit an invoice certifying that services were provided
pursuant to the terms and conditions of this Agreement, and
Provider shall submit invoices with copies of the redeemed vouchers to the County no
later than June 16, 2023, and can be:
a) Emailed to SVP@weldgove.com
b) Dropped off at:
315 North 11th Avenue, Building B
Greeley, Colorado 80631
Attention: Nadia Avian
All requests for reimbursement after June 16, 2023, will not be honored.
If funds for future credited activities are not used, the Provider shall return the unused
funds by September 30, 2023, to the:
Weld County Department of Human Services Fiscal Department
315 North 11th Avenue, Building C
Greeley, Colorado 80631
The Contractor must not pursue participants for reimbursement due to late reimbursement
requests.
RELEASE OF LIABILITY
AND AGREEMENT TO HOLD HARMLESS AND INDEMNIFY
THIS RELEASE OF LIABILITY AND AGREEMENT TO HOLD HARMLESS AND INDEMNIFY,
is signed by
("Today's Date") ("Parent or Guardian")
on behalf of
("Participant or Child's Name")
The Participant will be participating in the Weld County Department of Human Services'
Colorado Works in Weld County Summer Program ("Programs"). This will involve the Participant
participating in summer recreational, educational, or athletic programs offered by vendors approved
through the Weld County Department of Human Services. Such participation may require the
Participant to travel to the site(s) where the Programs are conducted. I understand and acknowledge
that the Programs are not responsible for the Participant's travel to or from the site(s). I hereby accept
such responsibility.
I also understand and acknowledge that the Programs may involve having the Participant
participate in various activities which could pose a risk to the Participant's personal safety. Such risks
may stem from the Participant being involved in physical sports or activities and/or from traveling to
the site(s) where the Programs activities are held.
With such knowledge, the Participant and /or his or her Parent or Guardian, on behalf of
himself or herself, and on behalf of his or her heirs, successors, and assigns, voluntarily releases and
agrees to hold harmless and indemnify the County of Weld; the Board of County Commissioners of the
County of Weld; the Weld County Department of Human Services; and their employees and officers
(the "Releasees"), from any and all claims and liability, past, present, or future, for any injury or
damage to Participant or to his or her property, resulting form any cause whatsoever occurring in the
course of the Participant's participation in the Programs, including, without limitation, his or her travel
to and from the activities site(s) and involvement in any of the activities, excepting only any such
injury or damage resulting from the willful and wanton acts of the Releasees. The Participant and/or
his or her Parent or Guardian also agrees to hold harmless and indemnify the Releasees from any and
all claims and liability, past, present or future, for any injury or damage to third parties, resulting from
the negligent or intentional acts of the Participant occurring in the course of such participation.
Participant and/or his or her Parent or Guardian understands and agrees that the Releasees may
be immune from liability pursuant to § 24-10-101, C.R.S. et. seq. by virtue of Releasees governmental
status. This Release of Liability and Agreement to Hold Harmless and Indemnify is not intended to
circumvent or replace such immunities.
By signing this Release and Agreement to Hold Harmless and Indemnify the Participant and/or
Parent or Guardian acknowledges that he or she has read and understands all of the provisions stated
herein.
Parent or Guardian (Printed Name)
Witness Date
Hello