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Home My WebLink About20211582.tiffCix4'aaf lP*(Olbele PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: March 28, 2023 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Protection Agreement Amendments for 2021-22 Core/Non-Core Contracted Services B2100042 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 Child Protection Agreement Amendments for 2021-22 Core/Non-Core Contracted Services B2100042. The Department entered into Agreements with various Child Welfare Service Providers through the 2021-22 Request for Proposal (RFP), Bid Number: 82100042, identified as Tyler ID 2021-0307. These Agreements were issued for a period of three (3) years with the option to renew annually. The Department is requesting to renew the current Agreements with no changes for twelve (12) Providers reflected in the attached list. Agreements will be renewed for the third and final year, for the period of June 1, 2023 through May 31, 2024. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Upon Board approval of this pass -around, signed Agreement Amendments will be obtained from Providers and submitted to the Board for approval and Chair signature. I do not recommend a Work Session. I recommend approval of these Agreement Amendments and authorize the Chair to sign. Perry L. Buck, Pro -Tern Mike Freeman, Chair Scott K. James Kevin D. Ross Lori Saine Comin+ oiz coit3 Approve Schedule Recommendation Work Session ‘14 Pass -Around Memorandum; March 28, 2023 — CMS ID Vaiops -\ Page 1 /1 ■ 1 Other/Comments: zoZl --- ISw___ H12 -0b9 3 `y PRIVILEGED AND CONFIDENTIAL CMS ID M ID # BID YEAR TYLER ID Behavior Services of the Rockies B2100042 2021-22 2021-1581 Centennial Mental Health Center, Inc. B2100042 2021-22 2021-1579 Colorado State University B2100042 2021-22 2021-1583 Jones, Dr. Jacob B2100042 2021-22 2021-1470 Northern Horizon Behavioral Health - Nikki Tolle B2100042 2021-22 2021-1436 Reaching Hope B2100042 2021-22 2021-1547 Reece, Alison B2100042 2021-22 2021-1438 Sovereignty CounselinqL Annette Brown B2100042 2021-22 2021-1439 pecialty Counseling & Consulting B2100042 . 2021-22 . 2021-1466 The Hope Initiative _ B2100042 2021-22 2021-1582 1 t /�4.+Iitari. V italCa e 62100042 i flnnA LUL I fl -G2 nnnA LUG 1 w - 1 400 n j Withers Whisper - Andrea Hall B2100042 , 2021-22 2021-A 471 Pass -Around Memorandum; March 28, 2023 — CMS ID Various Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND THE HOPE INITIATIVE, LLC This Agreement Amendment, made and entered into Z It'day of Ill l , 2023 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 The Hope Initiative, LLC, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2021- 1582, approved on June 16, 2021. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terns 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 May 31, 2022. • The Original Agreement was amended on: • May 18, 2022 to extend the term date through May 31, 2023. • The Amendment is identified by the Weld County Clerk to the Board of County Commissioners as document number 2021-1582. • 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: 1. Term This agreement is being renewed for the third and final year, for the period of June 1, 2023 through May 31, 2024. • All other terms and conditions of the Original Agreement remain unchanged. o2c2l -/0 )--- IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTES BY ArsAkidg4) JCL ;‘,e• Deputy Cl COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ike Freeman, Chair APR 2 6 2D23 NTRACTOR: he HOPE Initiative, LLC P.O. Box 350458 Westminster, Colorado 80035 �sar�ini By: KSaurini (Apr 16, 2023 16:35 MOT) Kris L. Saurini, Director Date: Apr 16, 2023 02002/, /51,2_d SIGNATURE REQUESTED: Weld/The Hope Initiative Amendment #2 Final Audit Report 2023-04-16 Created: 2023-04-14 By: Windy Luna (wluna@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAoO7RrufRlpxwS077w7j1-e3z6S-aBMV5 "SIGNATURE REQUESTED: Weld/The Hope Initiative Amendm ent #2" History IJ Document created by Windy Luna (wluna@co.weld.co.us) 2023-04-14 - 8:57:26 PM GMT P. Document emailed to kris.saurini@thehopeinitiative.org for signature 2023-04-14 - 8:58:14 PM GMT It Email viewed by kris.saurini@thehopeinitiative.org 2023-04-16 - 10:34:33 PM GMT 05j Signer kris.saurini@thehopeinitiative.org entered name at signing as KSaurini 2023-04-16 - 10:35:42 PM GMT Gee Document e -signed by KSaurini (kris.saurini@thehopeinitiative.org) Signature Date: 2023-04-16 - 10:35:44 PM GMT - Time Source: server 0 Agreement completed. 2023-04-16 - 10:35:44 PM GMT Names and email addresses are entered into the Acrobat Sign service by Acrobat Sign users and are unverified unless otherwise noted. Powered by Adobe Acrobat Sign Contract Form Request format on Entity Name. THE HOPE INITIATIVE Entity ID* @00043874 Contract Name * Contract ID THE HOPE INITIATIVE (BID #B2100042) (CHILD PROTECTION 6858 AGRMT AMENDMENT #2) Contract Status CTB REVIEW Contract Lead* WLUNA ❑ New Entity? Parent Contract ID 20211582 Requires Board Approval YES Contract Lead Email Department Project wluna weldgov.com;cobbx xlkgweldgov.com Contract Description (CONSENT) THE HOPE INITIATIVE (BID #62100042) CHILD PROTECTION AGREEMENT AMENDMENT #2. TERM 06/01/2023 THROUGH 05/31/2024. Contract Description 2 PROVIDER WAS LISTED ON APPROVED VENDOR LIST PRESENTED TO THE BOCC ON 03,28;`2023 AND AS A COMMUNICATION ITEM i PA SENT TO CTB ON 03/30;2023. Contract Type. AGREEMENT Amount* $0.00 Renewable. NO Automatic Renewal Grant Department HUMAN SERVICES Department Email CM- HumanSery cest@weldgov.co m Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORN EY@WELDG OV.COM Requested BOCC Agenda Date* 04,26/2023 Due Date 04/22,2023 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 ilf this �s of a enter Co act ID 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* 03/29/2024 Renewal Date Termination Notice Period Contact Type Contact Email Contact Phone 1 Contact Phone 2 Contact Name Purchasing Department Head JAMIE ULRICH DH Approved Date 04/17/2023 Final ►pprtnral BOCC Approved B©CC Signed Date BUCC Agenda Date 04/25/2023 Originator WLUNA Committed Delivery Date Finance Approver CHERYL PATTELLI Expiration Date* 05/31/2024 Purchasing Approved Date Finance Approved Date 04/18/2023 Tyler Ref # AG 042623 Legal Counsel BYRON HOWELL Legal Counsel Approved Date 04,18/2023 05/ 3122 Coydh ac -f- 1Dot58'Z- PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: March 29, 2022 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Protection Agreement Amendments for 2021-22 Core/Non-Core Contracted Services B2100042 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 Child Protection Agreement Amendments for 2021- 22 Core/Non-Core Contracted Services B2100042. The Department entered into Agreements with various Child Welfare service providers through the 2021-2022 Request for Proposal (RFP), Bid Number: B2100042, identified as Tyler ID 2021-0307. These Agreements were issued for a period of three (3) years with the option to renew annually. The Department is requesting to renew the current Agreements with no changes for sixteen (16) providers reflected in the attached list. Agreements will be renewed for the second year for the period of June 1, 2022 through May 31, 2023. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Upon Board approval of this pass -around, signed Agreement Amendments will be obtained from providers and submitted to the Board for approval and Chair signature. I do not recommend a Work Session. I recommend approval of these Agreement Amendments and authorize the Chair to sign. Perry L. Buck Mike Freeman, Pro -Tern Scott K. James, Chair Steve Moreno Lori Saine Approve Schedule Recommendation Work Session Other/Comments: ymaiL Pass -Around Memorandum; March 29, 2022 - CMS ID - Various Page 1 e6: atSV .//q;ate Zoz,l-15gZ H-vo3 PRIVILEGED AND CONFIDENTIAL Centennial Mental Health B2100042 2021-22 2021-1579 ve"r B21i 2021-2 Hartshorn, Mandee dba Creative Nursing LLC B2100042 2021-22 2021-1437 acl Northern Colorado Counseling (Rascon, Christina) B211 B2100042 2021-22 2021-22 2021-1467 or t Behavioral Health - Nikki Tolle Reaching Hope 2100042 82100042 2021-22 2021-22 2021-1547 Alison B2100042 2021-22 Rocky Mountain Kids Sovereig B2100042 2021-22 2021-1465 - Annette Brown B2100042 2021-22 Specialty Counseling & Consulting B2100042 2021-22 2021-1466 nitiative B21.0001 2021-22. Tindall and Associates B2100042 2021-22 2021-1606 B2100042 2021-22 Withers Whisper - Andrea Hall B2100042 2021-22 2021-1471 Pass -Around Memorandum; March 29, 2022 - CMS ID — Various Page 2 Karla Ford From: Sent: To: Subject: yes Lori Saine Tuesday, March 29, 2022 11:34 AM Karla Ford RE: Please Reply - PA FOR ROUTING: CW Core Non -Core 2021-22 Renewals B2100042 (CMS Various) 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: lsaine@weldgov.com► Website: www.co.weld.co.us In God We Trust • 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, March 29, 2022 10:45 AM To: Lori Saine <Isa ine@we ldgov.com> Subject: Please Reply - PA FOR ROUTING: CW Core Non -Core 2021-22 Renewals B2100042 (CMS Various) Importance: High Please advise if you approve recommendation. Thank you! 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 :: kfordAweldgov.coni :: www.weldgov,com **Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.m.** 11 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND THE HOPE (INITIATIVE, LLC This Agreement Amendment, made and entered into 0 d.14r1ay of , 2022 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Sr eres, hereinafter referred to as the "Department", and The HOPE Initiative, LLC, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2021-1582, approved on June 16, 2021. 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 May 31, 2022. • 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: 1. Term This agreement is being renewed for the second year, for the period of June 1, 2022 through May 31, 2023. • 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 BY: COUNTY: BOARD OF COUNTY COMMISSIONERS WEL COUNTY COLORADO Deputy Cle % tote + ; ��f ,+`` �G„ � �� K. James, Chair CONTRACTOR: The HOPE Initiative, LLC P.O. Box 350458 Westminster, Colorado 80035 By: % de Kristy L. Saurini, Director Date: May 11, 2022 MAY 18 2022 02‘0,24 Contract Form New Contract Request Entity Information Entity Names THE HOPE INITIATIVE Entity ID* .00043874 Contract Name* THE HOPE INITIATIVE (AGREEMENT AMENDMENT PY 2022- 23) Contract Status CTB REVIEW Contract Description * BID# B2100042. TERM 6. 1'22-5; 31 ,23. 23. Contract Description 2 CONSENT: PA WAS SENT TO CTB ON: 3,'30'2022. Contract Type AMENDMENT Amount* s0.00 Renewable* NO Automatic Renewal Grant ICA Department HUMAN SERVICES Department Email CM - H u manse rvi ce s Awe I dgov. co m Department Head Email CM-HumanServices- DeptHead}weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM - C OU NTYATTORN EY��WELDG OV.COM ❑ New Entity? Contract ID 5824 Contract Lead* APEGG Contract Lead Email apegggweldgov.com:cobbx xlkAweldgov.com Requested BOCC Agenda Date* 05 25 2022 Parent Contract ID 20211582 Requires Board Approval YES Department Project # Due Date 05/21,2022 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 Dumber and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* 04,0312023 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JAMIE ULRICH DH Approved Date 05;13/2022 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05;1812022 Originator APEGG Committed Delivery Date Expiration Date* 05(3112023 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Finance Approver CONSENT Purchasing Approved Date 05,13!2022 Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 05/13/2022 05/13/2022 Tyler Ref # AG 051822 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND THE HOPE INITIATIVE, LLC This Agreement, made and entered into the/Ce day of 2021, by and between the Board of Weld County Commissioners, on behalf of the Weld County epartment of Human Services, hereinafter referred to as the "Department' and The HOPE Initiative, LLC, herei fter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule. Exhibit B, C, and D are attached hereto and incorporated herein by this reference. Exhibit A is Weld County's Request for Proposal Number B2100042 which is incorporated into this agreement by reference and will be provided upon request to the Department. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services or other funding to the Department for Life Skills. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2021, upon proper execution of this Agreement and shall expire May 31, 2022, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Response to Request for Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing aid Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Quality Assurance Team (HS-CWOualitvAssurance(a,weldgov.com). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation by the 7th of the month, following the month of service, utilizing billing forms required by the Department. Contractor agrees to utilize the Client Verification Form for all scheduled and unscheduled face-to-face services with the exception of home studies and monitored sobriety testing. Contractor agrees that original complete Client Verification Forms are to be submitted with the Request for Reimbursement. Requests for Reimbursement and Client Verification Forms received e;OnAC4-e'(/4Z) 2021-1582 after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet 60 -day deadline may result in termination of the Agreement. d. Contractor agrees to submit a monthly report by the 7th of the month, following the month of service, for each client receiving ongoing services. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Date and time of service b. Where the service took place c. Clinician/therapist name d. Clients participating e. What interventions were used, recommendations and/or goals discussed f. Any and all safety concerns One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will be the test result. A completed home study may be a full, partial or denied study, as determined by the Department. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management 2 At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit a State of Colorado direct deposit enrollment form, which will be provided by the Department, with a voided check. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the 3 Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor 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 Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor 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 Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor 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. Contractor shall not terminate the contract if within three days the subcontractor provides 4 information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. 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 Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor 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. Contractor shall deliver to the Department, 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 Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor 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 Contractor 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. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, insurance coverage listed in this agreement. The Board of County Commissioners of Weld County and its Officers/Employees shall be named as additional insured. 5 a. General Requirements: Contractors 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. Contractors 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 required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. 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. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. iii.Automobile Liability: 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. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. 6 v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") 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. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor 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. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured. f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, 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 Department. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the 7 Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at (970) 336-7235 and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). 8 For Department: For Contractor: Heather Walker, Child Welfare Director Kristy L. Saurini, Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Jamie Ulrich, Director P.O. Box A Greeley, Colorado 80632 (970) 400-6510 18. Litigation For Contractor: Kristy L. Saurini, Director P.O. Box 350458 Westminster, Colorado 80035 (303) 421-8193 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement 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. 21. 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 of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more 9 sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all 10 such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A, provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence 11 and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by the Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and 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 Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. 24-18-201 et seq. and .$24-50-507 The signatories to this Agreement aver 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. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. 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. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 36. Attorney's Fees/Legal Costs 12 In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 38. 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. 39. 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. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: Weld C ty Clerk to the Board WELD COUNTY, COLORADO By: Deputy Clerk to ?e Bo ddd•A) 13 BOARD OF COUNTY COMMISSIONERS Steve Moreno, Chair JUN 1 6 2021 CONTRACTOR: The HOPE Initiative, LLC P.O. Box 350458 Westminster, Colorado 80035 (303) 421-8193 By: Date: Kristy L. Saurini, Director Jun 1, 2021 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page intentionally left blank. Exhibit B Contractor's response to the Request for Proposal Exhibit B contains the following documents: • Attachment B — Provider Information Form (PIF) • Attachment C — Proposal • Attachment D — Staff Data Sheet • Certificate of Insurance (COI) ATTACHMENT B WELD COUNTY DEPARTMENT OF HUMAN SERVICES — PROVIDER INFORMATION FORM (PIF) AGENCY INFORMATION Agency Name: The HOPE Initiative Trails Provider ID (if known): Provider Contact Full Name: Kristy L. Saurini Title: Director Primary Phone Number (so digit): 303-362-0990 Ext.: Kris.Saurini@TheH0PElnitiative.org Primary Contact Email: Agency Location Address (Street city, state, zip): 1527515 fax Number (so digit): Web Address: N/A 303.421-8193 • Agency Mailing Address (Street, city, state, zip); P. O. Box 350458, Westminster, CO 80035 Agency Type (pict one): n Public Company I I Private Non -Profit Private for Profit Referral Contact Name: Send Referrals for Service to: Kris Saurini Referral Phone Number (so -digit►: 303-362-0990 Ext.: Title: Director Email: Kris.Saurini@TheHOPElnitiatiue.org Billing Contact Billing Contact Name: Kris Saurini Billing Phone Number (10 digt): 303-362-0990 Ext.: Air Title: Director Kris.saurini@TheHOPElnitiative.org Email: CERTIFICATION ! I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the i specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any Informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases iwhere the bids are competitive in price and quality. i Kristy L. Saurini I Authorized Rep. Full Name: Title: Director Authorized Rep. Email: Kris.Saurini@TheHOPElnitiative.org Authorized Rep. Address )street, city, state, zip): Signature of Authorized Rep.: Phone Ito-digt): 303-362-0990 Ext.: P. O. Box 350458, Westminster, CO 80035 Date: 01/27/21 i REV. NOVEMBER 2O20 ATTACHMENT C PROPOSAL Please type your answers in the b xes beg w r check the appropriate box. Bidder's Legal Name: Program Area: SECTION 1— Provider and Program Area Information The HOPE Initiative Life Skills Number of services offered on this Attachment C (max 5): Program Areas are listed in column 1 of the table located in item XI of the Request You may complete another Attachment C if you have more than 5. for Proposal starting on page 13. 1 SECTION 2 — Service Name(s) a =id f _ rmatifyn If the service is a monthly package, please offer different levels. All monthly packages must state a specific minimum number of direct service hours. Service #1 Name: ,i1� �j Parenting Education and Life Skills Training 2.1a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): ✓ Relationship Building - Although typical for most providers, it is essential for success with our population. Our clients have a lifetime of negative experiences due to their disability. They typically are not very trusting. A trusting relationship with a caring professional, with direct parenting experience, promotes learning opportunities. V ✓ ✓ Strength Based Interventions - The parents we work with are used to struggling with what appears to be effortless for others. This often leads to low self-esteem and a belief that they will fail. Through our supportive relationship we help them see what they are doing well. We focus on these areas and help them expand these skills with education and support. We support parents in learning/developing the skills necessary to provide for the needs of their children safely. Weekly Visits in the Home - A qualified parent educator provides individualized parent education, and life skills training. The parent educator uses hands-on demonstration, repetition, modeling, role play, and "teaching moments" that arise within the context of real life experiences making information more relevant. Visits take place in the community when it facilitates learning opportunities. If home visits are not possible or the children are in placement, visits can take place at DHS visitation rooms or other designated location, until the skills are developed to allow visits to take place safely in the home. HOPE PARENTING CURRICULUM —The HOPE Initiative has developed an in -home parenting curriculum. During weekly home visits, the parent educator presents a variety of materials from the curriculum covering parenting and life skills. Topics include: Budgeting, Child Development Part 1 (birth —1 year), Child Development Part 2 (1 — 3 years), Child Development Part 3 (4 — 7 years), Child Development Part 4 (7 —10 years), Leveling, Communication Skills, Decision Making, Discipline, First Aid, Germ Warfare, Nutrition, Positive Parenting, Routine and Structure, Safety Inside the Home, Safety Outside the Home, Selecting Child Care, Stress Management, Sexuality and Family Planning. ✓ Attend FTM Meetings, Medical Appointments, IEP Staffings, and Court Hearings - Parent Educators attend Family Team Meetings, staffings, medical appointments, IEP staffings, Social Security appointments, and court hearings. This allows us to ensure the parents understand what is discussed, provide further education, and identify and assist with obstacles to compliance if needed. ✓ Attend Medical Appointments and IEP Staffings By attending medical appointments with parents, we are able to observe the parent's ability to provide for the medical and health needs of their children. We provide education to the parent about medical issues and interactions with medical professionals. By attending IEP Staffings we are able to understand the educational/developmental needs of the children and provide education to the parent about how to support REV. NOV 2020 i ATT •1y C ENT C e POPOSAL ✓ their children in their education and school environment. Parents are also provided education about interacting with school personnel and their rights as parents when their child has an IEP. Safety 'including safety proofing & equipment) - The parent educator provides education on safety both inside and outside the home. Education is provided on appropriate supervision outside the home or in the community. This includes education regarding appropriate child care and relationship choices. The parent educator reviews and comple:es the HOPE Safety Checklist. Safety proofing for the home is completed within 60 days of intake, when children are in the home. If parents do not lave the funds to purchase safety equipment, incluc ing car seats, The HOPE Initiative uses our Client Assistance Fund to purchase the items at no cost to the parents. Client Assistance Fund — The HOPE Initiative maintains a small fund used for client assistance. The funds are provided within the context of the education being provided. For example, organizational supplies and calendars are provided with instruction. Other items such as bus passes are provided along with budgeting education and education on the bus system if needed. The fund is primarily used _o replace birth certificates, social security cards and I.D.'s after homelessness in order to apply for housing or other services. These funds have also been used to purchase medication, groceries, and rent assistance. The fund is accessed by a recommendation from the parent educator and approval of the director. I Finding and Applying for Resources - Parent educators assist parents with locating other resources that may benefit the family. Parent educators provide assistance filling out applications, attending meetings, and providing education on the requirements needed to obtain or maintain the resource. ✓ After Hours Crisis Intervention - Parent Educators are available to parents by phone after hours to provide assistance with problem solving and crisis intervention, when the children are in the home. ✓ Service Coordination - Ongoing communication with caseworker and other service providers to ensure continuity of service and assistance to DHS in providing appropriate accommodations for the disability. ✓ Supervised Visitation Parent Educators can use weekly visits to provide court ordered supervision of visits between parents and their children in foster care placement, when appropriate. This allows tie parent educator to provide in -the -moment education and modeling, which increases the parent's opportunities to improve their skills. Supervised visits can take place in the home, community, or DHS facility (negotiated on a case by case basis and in accordance with overall parent education plan) ✓ Transport children or parents to supervised visits (negotiated on a case by case basis) In cases wiere oaren_s are unable to demonstrate skills that would allow them to provide for their children, termination of parental rights or relinquishment becomes necessary. HOPE Parent Educators qualify as experts in parenting with special emphasis on intellectual/developmental disabilities. The HOPE Initiative substantiates to the courts that parents received educational support and opportunities in a manner that accommodates their individual learning style and level of understanding; and that the Department made reasonable efforts to reunite the family. In these cases, The HOPE Initiative supports the parent through the process and assists them with writing a letter or making a life book for their child, if they are interested. 2.1b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours//week:. if the service has levels, be specific for each level° Low Treatment Pkg — One visit per week approximately 2 hrs. in length depending on client need and tolerance. High Treatment Pkg — Two visits per week approximately 2 hrs. in length depending on client need and tolerance. REV. NOV 2020 2 ATTACH ENT C ® PROPOSAL 2.1c Anticipated duration of service f ine. 3-4 months): This is an "individualized" service for parents with I/DD; therefore the duration for each client varies greatly. The average is 9 months. Loi.d Three (3) or more, specific goals o the service O use bullet points): 1) Focus on tie family strengths by directing intensive services that support and strengthen the family and protect the child: working closely with parents in the home allows us to identify strengths and help the parents build upon them. The education we provide is tailored to the parent's individual learning style, level of understanding, and family circumstances. Education is broken down in to smaller pieces so that the parent doesn't become overwhelmed. The family is strengthened as the Parent develops or improves their skills. This results in a safer environment for the children. 2) Prevent out -of -home placement: with parenting skills training, parents learn skills to meet the needs and provide for their children and prevent out of home placement. We provide education on life skills as well in order to assist the family i remaining stable. When families are referred to our program with the children in the home, 87% of the children are still in the home at discharge. 3) Return children in placement to their own home: when parents with intellectual/developmental disabilities are given appropriate services that accommodate their learning limitations, they are better able to comply with and benefit from their court ordered treatment plan, which allows them to reunite with their children. Education is provided to the parent on the necessity of other requirements of their treatment plan. The parent educator assists the parent with problem solving and addressing obstacles that may be interfering with their ability to comply with treatment plan requirements. Often parents, who have been non -compliant, become compliant after receiving our services. Education is provided to the parent that will enable them to provide safety, stability, and meet the medical and developmental needs of their children. We recommend transition plans to the court that are individualized to tie parent's disability, tolerance, and family circumstance. 4) Unite children with their permanent families: In situations where a parent with an intellectual disability is not able to parent their children, education is provided around looking at the next best solution. Parents are taught about their need to provide for their children's developmental, medical, emotional, educationa , and protection needs, even iP they are not able �o provide it themselves. We teach our parents that it is good parenting to allow a family member or other appropriate care giver to provide for the child if they are unable to dso. The HOPE initiative assists parents with identifying alternative ways to provide for these needs through family members or others when necessary. At times, parents are unable to provide for the needs of their children, and have difficulty accepting this. Termination of parental rights may become necessary. In those cases, services provided by Tie HOPE Initiative substantiates that the parents received services that accommodated their disability and that reasonable efforts were made by the county. This facilitates the court process so that there is less delay for children slaving permanency with another family member or adoptive home. 5) Provide services that protect the child: working closely with families in the home allows us to observe the children in their natural environment. When there is a problem, we are often the first to see it. When parents are engaged in services they can develop the skills necessary to protect their children independently. Parents are taught how to provide for the safety needs of their children, in the home, community, with medication, appropriate child care, and appropriate relationship choices. REV. Nov 2020 3 ATTACHMENT C - PROPOSAL 2.1e Three (3), or more, specific outcomes of service: 1. Children appear to be safe and stable with the parents, or family of origin. 2. Children obtain permanency with another appropriate caregiver if the parent is unable to safely provide for their needs. 3. Parents received opportunities to learn skills through education, training, and support that accommodated their disability as measured by percentage of parenting goals achieved during participation regardless of whether or not their children are in the home. 2.1f Target population of the service, including age and gender: 1/ At least one parent must have an intellectual/developmental disability (I/DD), or other cognitive impairment. Intellectual disability involves impairments of general mental abilities that impact adaptive functioning in three domains that determine how well an individual copes with everyday tasks: • Conceptual skills (language and literacy; money, time, number concepts; reasoning, and memory) • Social Skills (interpersonal skills, social judgment, self-esteem, friendships and similar abilities) • Practical skills (daily living skills, occupational skills, money management, organizing schedules/routines and tasks, and recreation) V The HOPE Initiative does not require testing, since many parents with intellectual disability have never been identified. We accept any parent who appears would benefit from a hands-on, individualized learning environment with information presented one-on-one, in a concrete repetitive manner. Parents with intellectual disabilities often do not disclose their difficulties and present as though they understand when they do not. This is usually due to a lifetime of negative experiences. A list of common qualities is included to assist you in identifying clients that can benefit from our services. Parents that qualify for HOPE services may have had special education services while in school. 17 The HOPE Initiative accepts any parent with a cognitive impairment or learning limitation regardless of age or gender. 2.1g Languages service is available in (please list proficiency and if interpreter services are available): At present, our service is provided in English. We always seek Spanish speaking providers when hiring but have not been able to hire parent educators that speak Spanish. We have had successful outcomes on cases with interpreters provided by the county. 2.1h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Medicaid is a medical service. We are a social service and therefore do not qualify as a Medicaid provider Service #2 Name: N/A 2.2a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): 2.2b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2.2c Anticipated duration of service (Le. 3-4 months): 2.2d Three (3), or more, specific goals of the service (DO use bullet points): 2.2e Three (3), or more, specific outcomes of service: 2.2f Target population of the service: 2.2g Languages service is available in (please list proficiency and if interpreter services are available): 2.2h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: REV. NOV 2020 4 E T C ® PROPOSAL Service #3 Nam N/A 2.3a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): 2O3b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2.3c Anticipated duration of service (i.e. 3-4 months): 2.3d Three (3), or more, specific goals of the service (DO use bullet points): 2.3e Three (3), or m re, specific utcomes of serice: 2.3f Target population of the service: 2.3g Languages service is available in (please list proficiency and if interpreter services are available): 2.3h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Service #4 Name: N/A 2.4a Midalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): 204b Anticipated frequency f direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2.4c Anticipated duration of service (i.e. 304 months): 2.4d Three (3), or more, specific goals of the service (DO use bullet points): 2.4e Three (3), r more, specific outcomes of service: 2.4f Target population f the service: 2.4g La ngu ag s service is available in (please list proficiency and if interpreter services are available): 2.4h Medicaid eligibility ® list whether the service is eligible for Medicaid in whole or in part: Service #5 Name: N/A 23a M:*dalities, curriculum, tools used in delivery of service (DO NOT list c mpany history; DO use bullet points): 2.5b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: 2.5c Anticipated duration of service (i.e. 3-4 months): 2.5d Three (3), or more, specific goals f the service (DO use bullet points): 2.5e Three (3), or more, specific outcomes of service: 2.5f Target population of the service: 2.5g Languages service is available in (please list proficiency and if interpreter services are available): 2.5h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part REV. NOV 2020 5 ATTACHMENT C - PROPOSAL Section 3 — Service Access and Transportation 3.1 Will you charge Weld County for transporting clients or mileage? Check one: 3.2 Will you conduct services in a client's home or in the community? Check one: 3.3 Will you transp t rt clients to and/or from services? Check one: YES ■ NO YES ■ NO YES ■ NO (occasional transport) 3.4 How many miles are you willing t:•: travel r•-und trip? List a specific number of miles. 3.5 When you calculate mileage, hat is your starting point address? 50 Miles Varies - The parent educator's location SECTIO 4 - SERVICE RATES All rates need to include administrative work (i.e. scheduling or report writing) and overhead. Rates cannot be per episode, except for home studies and monitored sobriety testing. Only hourly or monthly rates will be accepted for services, except for those listed above. • For hourly rates complete section(s) 4.1-4.S. ® For monthly rates complete section 4.6. • For Home study providers complete section 4.7. • For monitored sobriety testing providers complete section 4.830 4.1 Hourly Service #1 Name: N/A 4.1a In-Office/Video: 4.1b In -Office with Transportation: In -Home or Community: 4.1c FTM, TDM, Prof. Staffing: 4.1d No show: 4.1e Mileage rate: $ Amount Unit Type per Hour per Hour per Hour per Hour per No Show per Mile No. of miles included in rate: N o. of miles included in rate: This is paid after the miles listed above. miles miles 4.2 Hourly Service #2 Name: N/A 4.2a In-Office/Video: 4.2b IIn-Office with Transportation: 4.2c In -Home or Community: 4.2d FTM, TDM, Prof. Staffing: 4.2e No show: 4.2f Mileage rate: $ Amount Unit Type per Hour per Hour per Hour per Hour per No Show per Mile N o. of miles included in rate: N o. of miles included in rate: This is paid after the miles listed above. miles miles 4.3 Hourly Service #3 Name: N/A 4.3a In-Office/Video: 4.3b In -Office with Transportation: 4.3c In -Home or Community: 4.3d FTM, TDM, Prof. Staffing: 4.3e No show: 4.3f Mileage rate: $ Amount Unit Type per Hour per Hour per Hour per Hour per No Show per Mile N o. of miles included in rate: N o. of miles included in rate: This is paid after the miles listed above. miles miles 4.4 Hourly Service #4 Name: N/A 4.4a In-Office/Video: 4.4b In -Office with Transportation: $ Amount Unit Type per Hour per Hour N o. of miles included in rate: miles REV. NOV 2020 6 ATTACHMENT C P /�j 4.4c _c 4 a 4 d 4eD 6n -Home or Ctrrnmunit j: FTM, TDM, Prof. Staffin No show: Mileage rat�-�: Als per Hour per Hour per No Show per mile f miles included in rat This is paid after the miles listed above. miles 405 Hourly S rvice #5 Name: N/A 4.5a 1n-Office/Vide 4a5b 6n -Office with Transportation: 4.5c 6n -Home t r Cfommunity: 4.5d FTM, TDM, Prof. Staffin 4.5e No show: 4.5f i, l i leage rate: tt $ Amount knit Typ per H*ur per Hour per Hour per Hour per No Show perMile No. of miles included in rate: No. 4f males included hi rate: This is paid after the miles listed above. miles miles 4.6 Monthly Service Rates (each level must be listed): Service Name with Level Rate per Month No. f Direct Srvice Hours: Parenting Education & Life Skills Training = Low Treatment Pkg $1,440.00 Apprdimately 6 a Parenting Education & Life Skills Training High Treatment P $2,880.00 ximately 9 - 16 hrs. 4.7 Home Study Providers m List your rates in t he box bel w. a N/A 4.8 M'•;nitored Sobriety Providers = Dist your rates hi the bc.x below. N/A Prc•vid -�r special notes: We prop*se an additional rate treatment packges. f$100.00per h ur for extra or unforeseen activities that fall outside what is pr visaed in the This is a specialized service individualized to client need and tolerance. There is a goad amount of preparatin for educati nal sessions that takes place prior to visiting the family. There is also a considerable any*unt of ti- -,e spent utside of visits for reminders and problem slying with parents. This allows education to be provided in the moment'. so parents are able t:* benefit. Parents are encturaged to call in between visits if they are struggling with something and we will provide education and walk them through it. The avc"rage hosie visit is 2 hours in length. "le use this as a starting point and allow f at least a two h* ur visit. Often visits run longer and occasionally, visits are shorter if the client bec ;mes overwhelm ad. At times more than one visit during a week is needed. There is no additional charge f*tr occasional extra visits or attendance at c eurc hearings, FTM's, professional staffings, or other needed meetings. Parents often find curt hearings and FTM9s overwhelming due to the number of participants and material covered. We consider these educational sessions as well. Parent Educ,,tins review the information on a one -*n -one basis, break information down into smaller pieces, and provide education, clarification, and repetitkrn to the parent for information discusses` at these activities. Unless there is a specific need identified for two visits per week at the time of referral, we rec 0 nnmend that he services start with the low treatment p ckage t* assess if there is a true need fir the high treatment packa e0 Often parents hi this ppulatin become verwhelrned with tmany services, mascing it difficult to benefit. An example of a true neec, fr the high treatment package is one visit to supervise a parent/child visit c; nd one visit to wore; with the parent on life skills. REV. NOV 2020 7 ATTACHMENT D - STAFF DATA SHEET Bidder Must List All Staff Who Will Administer the Proposed Service(s) BIDDER'S LEGAL NAME (As it appears on the W-9): Y AGENCY CONTACT: Kris Saurini The HOPE Initiative PHONE NUMBER: 303-362-0990 EMAIL: Kris.Saurini©TheHOPEInitiative.org PROPOSED SERVICE(S): Home Based Life Skills Legal Last Name Middle Initial Previous Name Legal Last (If applicable) Legal First Name Service Type Licensure/ Credentials DORA # (If applicable) , • Collins 0 N/A Barbara Parent Ed/Life Skills N/A N/A -. .. a Donahue -Fitch J N/A Kelley Parent Ed/Life Skills N/A N/A Fretthold I E N/A Amy Parent Ed/Life Skills N/A N/A Martin I M N/A Shana Parent Ed/Life Skills N/A N/A Tobey J N/A Cecile Parent Ed/Life Skills N/A N/A 1 SUPERVISOR: II Saurini I L N/A Kristy Director/Owner N/A N/A , , , r CHILD WELFARE REQUEST FOR PROPOSAL 2021-22 - VARIOUS SERVICES BID NO. B2100042 A c o® CERTIFICATE OF LIABILITY INSURANCE DATE,(Mo2"0") THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CenterPoint Insurance Group 8400 E Prentice Ave Suite 735 Greenwood Village CO 80111 CCWTAc Allyson Ingram NAME PHONE (303) 333-0375 FAX IAIC, No (303) 333-1391 • Extt E-MAIL ADDRESS allysoningram@cptins corn INSURER(S)AFFORDING COVERAGE RAC # INSURER A Philadelphia Insurance Companies 006 INSURED The HOPE Initiative LLC, Attn: Kris Saurini P 0 Box 350458 Westminster CO 80035 INSURER B Pinnacol Assurance INSURER C Brown & Riding INSURER D INSURER E INSURERF CATE NUMBER: 2020-2021 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS t TYPE OF INSURANCE AWL INSD SUL WVD POLICY NUMBER POLICY EFF IMM/DD/TYYY) POLICY EXP (MMIDOIYYYY) 11MIT5 A X COMMERCIAL GENERALLIABILRY PHPK2139073 07/01/2020 07/01/2021 EACH OCCURRENCE $ 1.000,000 uAMAGETOTZEFITED PREMISES (Ca occurrence) $ 100,000 I CLAIMS -MADE >14 OCCUR MED EXP (Any one person) $ 5,000 X Prof Liabiity $1 MM/$3MM PERSONAL BADVINJURY $ 1.000,000 X Sex Abuse $100K/$300K GENERAL AGGREGATE $ 3,000,000 GENI.AGGREGATE X POLICY OTHER: UNIT APPLIES PRO - JECT PER: LOC PRODUCTS-COMP/OPAGG $ 3,000,000 $ AUTOMOBILE _ X UABIUTY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY - _ X SCHEOLLED AUTOS NOV-OWNED AUTOS ONLY PHPK2139073 07/01/2020 07/01/2021 COMBINED SINGLE LIMIT (Ea accident) s 1,000,000 BODLY INJURY (Per person) $ BODLY INJURY (Per accident) $ PROPERTY DAMAGE (Per acadenn $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S $ OED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE I OFFICERIMEMBEREXCLUDED. J (Mandatory in NH) H) If yes, describe under DESCRIPTION OF OPERATIONS Delft, N/A 4082039 06/01/2020 06/01/2021 STATUTE I I FOR E.L. EACH ACCIDENT 100,000 S E.DISEASE - EA EMPLOYEE S 100,000 E.L. DISEASE - POLICY LIMIT 500,000 $ C Cyber/Privacy Liablility ESI0118300014 06/11/2020 06/11/2021 Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Board of County Commissioners of Weld County and its Officers/Employees are named as an additional insured with regards to the General Liability CERTIFICATE HOLDER CANCELLATION Weld County 1150 O Street Greeley CO 80631 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ALIT HORIZJ D REPRESENTATIVE "112. t�v.n ACORD 25 (2016103) O1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EXHIBIT C SCOPE OF SERVICES Contractor will provide Life Skills, as referred by the Department. 1. Parenting Education and Life Skills Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Relationship Building: A trusting relationship with a caring professional, with direct parenting experience, promotes learning opportunities. ii. Strength Based Interventions: Through supportive relationship Contractor helps clients see what they are doing well. Contractor focus on these areas and help them expand these skills with education and support. Contractor supports clients in learning/developing the skills necessary to provide for the needs of their children safely. iii. In Home visits: A qualified parent educator provides individualized education, and life skills training. The parent educator uses hands-on demonstration, repetition, modeling, role play, and "teaching moments" that arise within the context of real -life experiences making information more relevant. Visits take place in the community when it facilitates learning opportunities. If home visits are not possible or the children are in placement, visits can take place at Department's visitation rooms or other designated locations, until the skills are developed to allow visits to take place safely in the home. iv. HOPE PARENTING CURRICULUM: Contractor has developed an in -home parenting curriculum. During weekly home visits, the parent educator presents a variety of materials from the curriculum covering parenting and life skills. Topics include: budgeting, Child Development Part 1 (birth -1 year), Child Development Part 2 (1-3 years), Child Development Part 3 (4-7 years), Child Development Part 4 (7-10 years), Leveling, Communication Skills, Decision Making, Discipline, First Aid, Germ Warfare, Nutrition, Positive Parenting, Routine and Structure, Safety Inside the Home, Safety Outside the Home, Selecting Child Care, Stress Management, Sexuality and Family Planning. v. Attend Family Team Meetings (FTM), Medical Appointments, Individualized Educational Plan (IEP) Staffings, and Court Hearings: Parent Educators attend FTMs, staffings, medical appointments, IEP staffings, Social Security appointments, and court hearings. vi. Safety (including safety proofing & equipment): The parent educator provides education on safety both inside and outside the home. Education is provided on appropriate supervision outside the home or in the community. This includes education regarding appropriate childcare and relationship choices. The parent educator reviews and completes the HOPE Safety Checklist. Safety proofing for the home is completed within 60 days of intake, when children are in the home. If clients do not have the funds to purchase safety equipment, including car seats, Contractor uses the Client Assistance Fund to purchase the items at no cost to the clients. vii. Client Assistance Fund: Contractor maintains a small fund used for client assistance. The funds are provided within the context of the education being provided. For example, organizational supplies and calendars are provided with instruction. Other items such as bus passes are provided along with budgeting education and education on the bus system if needed. The fund is primarily used to replace birth certificates, social security cards and Identification cards after homelessness in order to apply for housing or other services. These funds have also been used to purchase medication, groceries, and rent assistance. The fund is accessed by a recommendation from the parent educator and approval of the director. viii. Finding and Applying for Resources: Parent educators assist clients with locating other resources that may benefit the family. Parent educators provide assistance filling out 1 applications, attending meetings, and providing education on the requirements needed to obtain or maintain the resource. ix. After Hours Crisis Intervention: Parent Educators are available to clients by phone after hours to provide assistance with problem solving and crisis intervention, when the children are in the home. x. Service Coordination: Ongoing communication with caseworker and other service providers to ensure continuity of service and assistance to Department in providing appropriate accommodations for the disability. xi. Supervised Visitation: Parent Educators can use weekly visits to provide court ordered supervision of visits between clients and their children in foster care placement, when appropriate. This allows the parent educator to provide in -the -moment education and modeling, which increases the client's opportunities to improve their skills. Supervised visits can take place in the home, community, or a Department facility (negotiated on a case by case basis and in accordance with overall parent education plan). xii. Termination of Parental Rights or Relinquishment: In cases where clients are unable to demonstrate skills that would allow them to provide for their children, termination of parental rights or relinquishment becomes necessary. Contractor's Parent Educators qualify as experts in parenting with special emphasis on intellectual/developmental disabilities. Contractor substantiates to the courts that clients received educational support and opportunities in a manner that accommodates their individual learning style and level of understanding; and that the Department made reasonable efforts to reunite the family. In these cases, Contractor supports the client through the process and assists them with writing a letter or making a life book for their child, if they are interested. b. Anticipated Frequency of Services: i. Low Treatment Package: One (1) visit per week approximately two (2) hours in length depending on client need and tolerance. ii. High Treatment Package: Two (2) visit per week approximately two (2) hours in length depending on client need and tolerance. c. Anticipated Duration of Services: i. Average duration of services is nine (9) months. d. Goals of Services: i. Focus on the family strengths by directing intensive services that support and strengthen the family and protect the child. Working closely with clients in the home allows Contractor to identify strengths and help the clients build upon them. The education Contractor provides is tailored to the client's individual learning style, level of understanding, and family circumstances. Education is broken down into smaller pieces so that the client doesn't become overwhelmed. The family is strengthened as the client develops or improves their skills. This results in a safer environment for the children. ii. Prevent out -of -home placement. With parenting skills training, clients learn skills to meet the needs and provide for their children and prevent out of home placement. Contractor provides education on life skills in order to assist the family in remaining stable. When families are referred to Contractor's program with the children in the home, 87% of the children are still in the home at discharge. iii. Return children in placement to their own home. When clients with intellectual/developmental disabilities are given appropriate services that accommodate their learning limitations, they are better able to comply with and benefit from their court ordered treatment plan, which allows them to reunite with their children. Education is provided to the client on the necessity of other requirements of their treatment plan. The parent educator assists the client with problem solving and addressing obstacles that may be interfering with their ability to comply with treatment plan requirements. Often clients, who have been non -compliant, become compliant after receiving Contractor's services. Education is provided to the client that will enable them to provide safety, stability, and meet the medical and developmental needs of their children. Contractor recommends 2 transition plans to the court that are individualized to the client's disability, tolerance, and family circumstance. iv. Unite children with their permanent families. In situations where a client with an intellectual disability is not able to parent their children, education is provided around looking at the next best solution. Clients are taught about their need to provide for their children's developmental, medical, emotional, educational, and protection needs, even if they are not able to provide it themselves. Contractor teaches clients that it is good parenting to allow a family member or other appropriate care giver to provide for the child if they are unable to do so. Contractor assists clients with identifying alternative ways to provide for these needs through family members or others when necessary. 1. At times, clients are unable to provide for the needs of their children, and have difficulty accepting this outcome. Termination of parental rights may become necessary. In those cases, services provided by Contractor substantiates that the clients received services that accommodated their disability and that reasonable efforts were made by the Department. This facilitates the court process so that there is less delay for children having permanency with another family member or adoptive home. v. Provide services that protect the child. Working closely with families in the home allows Contractor to observe the children in their natural environment. When there is a problem, Contractor is often the first to see it. When clients are engaged in services they can develop the skills necessary to protect their children independently. Clients are taught how to provide for the safety needs of their children, in the home, community, with medication, appropriate childcare, and appropriate relationship choices. e. Outcomes of Services: i. Children appear to be safe and stable with the parents, or family of origin. ii. Children obtain permanency with another appropriate caregiver if the client is unable to safely provide for their needs. iii. Clients received opportunities to learn skills through education, training, and support that accommodated their disability as measured by percentage of parenting goals achieved during participation regardless of whether or not their children are in the home. iv. By attending medical appointments with clients, Contractor is able to observe the client's ability to provide for the medical and health needs of their children. Contractor provides education to the client about medical issues and interactions with medical professionals. By attending IEP Staffings Contractor is able to understand the educational/developmental needs of the children and provide education to the client about how to support their children in their education and school environment. Clients are also provided education about interacting with school personnel and their rights as parents when their child has an IEP. f. Target Population: i. At least one (1) parent must have an intellectual/developmental disability (I/DD), or other cognitive impairment. Intellectual disability involves impairments of general mental abilities that impact adaptive functioning in three domains that determine how well an individual copes with everyday tasks: 1. Conceptual skills (language and literacy; money, time, number concepts; reasoning, and memory) 2. Social Skills (interpersonal skills, social judgment, self-esteem, friendships and similar abilities) 3. Practical skills (daily living skills, occupational skills, money management, organizing schedules/routines and tasks, and recreation) ii. Contractor does not require testing, since many parents with intellectual disability have never been identified. Contractor accepts any parent who would benefit from a hands-on, individualized learning environment with information presented one-on-one, in a concrete repetitive manner. 3 iii. Contractor accepts any parent with a cognitive impairment or learning limitation regardless of age or gender. g. Language: i. English. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Contractor can provide transportation to the client on a case by case basis. ii. Contractor is willing to travel 50 miles round trip with a starting point of parent educator's location. Terms 1. Contractor will respond to the Quality Assurance Team (HS-CWQualityAssurance(azweldgov.com within three (3) business days regarding the ability to accept the received referral. 2. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team HS- CW QualityAssurance(a,weldgov.com. 3. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understands that the Department will not reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the part of case participants who cancel without 24 hour notice. After three (3) "no-shows", Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team HS-CWQualityAssurance(a)weldgov.com. 4. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team HS-CWQualityAssurance(a,weldgov.com immediately via email, to discuss service continuation. 5. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 6. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 4 7. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 8. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Quality Assurance Team. Any changes to visitation referrals will be approved by the caseworker, their supervisor, or the Family Support and Visitation Center. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 9. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as there is written authorization from the Quality Assurance Team, and the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. The Facilitator will be responsible for filling out the time attended on the Client Verification Form. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 10. Contractor will notify the Quality Assurance Team HS-CWQualitvAssurance()weldgov.com of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 5 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2022. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Life Skills Rate Unit Type Service Name $100.00 Hour Additional Activities as approved by the Department $2,880.00 Month Parenting Education & Life Skills Training - High Treatment Package approximately 9-16 hours $1,440.00 Month Parenting Education & Life Skills Training - Low Treatment Package approximately 6-8 hours 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Form New Contract Request Entity Name THE HOPE INITIATIVE Contract Name* Entity ID* 0043874 Contract ID THE HOPE INITIATIVE (CHILD PROTECTION AGREEMENT) 4840 Contract Status CTB REVIEW Contract Description* BI 2100042. TERM: 6/1/21-5,31:22. Contract Le APEGG Contract Email apeggc weldgov.com.cobbx xlIcvveidgov.cam Contract Description 2 MEMO WAS PRESENTED TO THE 8OCC BY PURCHASING ON 4,7/2021 TYLER ID: 2021-0307, Contract Type AGREEMENT Amount $ 0.00 Renewable YES Automatic Renewal Grant Department HUMAN SERVICES nt Email CM- HumanServices veldgov.co rn ttment Head Email CM-HumanServices- DeptHead1'weIdgay.com County Attorney GENERAL COUNTY Al IORNEY EMAIL County Attorney Email CM- COUNTYA I I ORNEYOWELDG OV.COM s a ren. enter previous Contract ID If this is prat of a MSA enter MSA Contract ID Requested BOCC Agend Date* 06/16,2021 Parent Contract. ID 2021 g3©7 Requires Board Approval YES Department Project # Due Date 06,` 12 2021 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 Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing •'.+ +; r CONSENT Approval Process Department Head JAMIE ULRICH OH Approved Date 06(11/'2021 Final Approval BO?CC Approved BOCC Signed Date BOCC Agenda Date 06`16/2021 Originator APEGG Review Date 04 01, 2022 Committed Delivery Date Renewal Date' 051`3112022 Expiration Date Contact Type Contact Email Contact Phone 1 Cotntao t e 2 Finance Approver CONSENT Purchasing Approved Date 06 1 1 ,' 2021 Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 06,•'11,'2021 06,'11,+'2021 Tyler Ref # AG 061621 Hello