HomeMy WebLinkAbout20221456.tiffCn+rac+ % O 4 -7 I'-11
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: June 13, 2023
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Amendment #1 to the Memorandum of
Understanding (MOU) with United Way of Weld
County
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 Amendment #1 to the Memorandum of
Understanding (MOU) with United Way of Weld County. The Department is requesting to
Amend the current Covering Weld Diaper Bank MOU with United Way of Weld County (UWWC)
to add the distribution of surplus Temporary Assistance for Needy Families (TANF) funding.
Funding will be used by UWWC to purchase essential early childhood hygiene items for Weld
County Residents, which include pre-packaged bags of diapers and wipes.
The Department will provide a one-time payment of $20,000.00 to United Way of Weld County.
I do not recommend a Work Session. I recommend approval of this Amendment and authorize
the Chair to sign.
Approve
Recommendation
Perry L. Buck, Pro-Tem
Mike Freeman, Chair
Scott K. James
Kevin D. Ross
Lori Saine
Schedule
Work Session
Other/Comments:
Pass -Around Memorandum; June 13, 2023 - CMS ID 7147
2Qrtr A 44. 404,16&-4-01612)
om aco�a3 6/ /�3
Page 1
003D-1(4 5C.
I --t ROO l
Karla Ford
From:
Sent:
To:
Subject
Approve
Kevin Ross
Tuesday, June 13, 2023 11:46 AM
Karla Ford
Re: Please Reply - PA FOR ROUTING: FR United Way Weld County MOU Amend #1
(CMS TBD)
Kevin Ross
From: Karla Ford <kford@weld.gov>
Sent: Tuesday, June 13, 2023 12:18:32 PM
To: Kevin Ross <kross@weld.gov>
Subject: Please Reply - PA FOR ROUTING: FR United Way Weld County MOU Amend #1 (CMS TBD)
Please advise if you approve recommendation. Thank you.
Karla Ford A
Office Manager, Board of Weld County Commissioners
1150 0 Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford aA7weldgov,com :: www.weldtov com :.
**Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.m.**
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 hove 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: Windy Luna <wluna@weld.gov>
Sent: Tuesday, June 13, 2023 10:51 AM
To: Karla Ford <kford@weld.gov>
Cc: Bruce Barker <bbarker@weld.gov>; Chris D'Ovidio <cdovidio@weld.gov>; Lennie Bottorff <bottorll@weld.gov>;
Esther Gesick <egesick@weld.gov>; Cheryl Pattelli <cpattelli@weld.gov>; HS -Contract Management <HS-
ContractManagement@co.weld.co.us>
Subject: PA FOR ROUTING: FR United Way Weld County MOU Amend 61 (CMS TBD)
Good morning Karla,
Please see the attached PA that has been approved for routing: FR United Way Weld County MOU Amend #1
(CMS TBD).
Thank you,
Windy Luna
AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND UNITED WAY OF WELD COUNTY
This Agreement Amendment, made and entered into Z lO 1 day of ua1'Q, 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 United Way of Weld County, hereinafter referred to as the
"Contractor".
WHEREAS the parties entered into an Agreement for Covering Weld Diaper Bank, (the "Original
Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2022-
1456, approved on May 25, 2022.
WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with
the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference
herein, as well as the terms provided herein.
NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows:
• The Original Agreement will end on June 30, 2024.
• This Amendment, together with the Original Agreement, constitutes the entire understanding
between the parties. The following additional changes are hereby made to the current Agreement as
of June 1, 2023:
1. Contractor's Roles and Responsibilities
Paragraph IL Invoicing. Add as follows:
c. Contractor will submit a one-time invoice by June 23, 2023, to the Department for up to
$20,000.00 for utilization of 2022-23 program year TANF funds. These funds will be used
for:
i. Families with income less than $75,000.00 and
ii. Who have legally present children in the home under the age of 18 or legally present
and pregnant.
The Contractor agrees to collect data as indicated in Paragraph V Outcomes, Section b.(x.)
from each family to ensure that the invoiced funds are being used for TANF eligible families
meeting the criteria above. Funds that have been distributed without proper TANF eligibility
documentation may be subject to recovery by the Department.
Paragraph V. Outcomes. Amend as follows:
a. Contractor will collect and compile basic demographics (Exhibit A and/or Exhibit B) from
monthly distributions and partner agency distributions so that the Department can report back
to funders.
b. Contractor will report back on the following outcomes by January 30, 2024:
i. # of households served
ii. # of children served
iii. # of diapers distributed
iv. # of wipes distributed
v. # of car seats distributed
vi. # of pack -n -plays distributed
vii. # of Covering Weld Diaper Bank partner organizations
viii. % of families that reported Covering Weld Diaper Bank provided moderate or
significant financial relief
ix. % of families that reported Covering Weld Diaper Bank provided moderate or
significant emotional relief
x. # of TANF eligible families served with TANF allocated funds.
2. Department's Roles and Responsibilities
Add Paragraph as follows:
IX. The Department agrees to pay the contractor, upon receiving an invoice by June 23, 2023, a
one-time payment of up to $20,000.00 for 2022-23 program year TANF funds.
3. Exhibit B, Covering Weld Diaper Bank Client Application, is hereby added as attached.
• All other terms and conditions of the Original Agreement remain unchanged.
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and
year first above written.
COUNTY:
ATTES
BY:
Deputy C
BOARD OF COUNTY COMMISSIONERS
W ra CO NTY, COLOR
�k to th B� ii/�► ��„ Perry L. �;�,uck, Pro-Tem
ONTRACTOR:
JUN 2 6 2323
United Way of Weld County
814 9"" Street
Greeley, Colorado 80631
By: �� 026,,9
Melanie Woolman, Chief Executive Officer
Date: 6/22/2023
o2o 2 - ) 5Z
All information contained in this document is confidential and only for use by UWWC staff or trained volunteers. Any other
use is strictly forbidden. Toda la informacion contenida en este documento es confidencial y solo par el use de los empleados
de UWWC o los voluntarios entrenados. Cualquier otro use este: prohibido.
Exhibit B - Covering Weld Diaper Bank Client Application
Aplicacion para ser cliente del banco de panales
United Way of Weld County will not share your personal Information with anyone without your express consent. We collect
this information to determine eligibility for this program, and for grant reporting purposes. Your personal information will
never be connected to your demographic information.
United Way of Weld County no compartird su informacion personal con nadie sin el consentimiento expreso de usted.
Colectamos esa informacion para determiner elegibilidad de este programa, y con el proposito de reportacidn de becas. Su
informacion personal nunca estard conectado a su informacion demogrdfico.
Information about YOU :
Informacion sobre USTED:
1. Caregiver Name /Nombre del cuidador(a):
2. Caregiver Date of Birth / Fecha de nacimiento del cuidador(a): (month/ day/ year) (mes/dia/ano)
3. Telephone number / Numero del telefono:
4. Is it okay to text you at this number? / ZRecibe usted mensajes de texto a este numero? YES/S( NO
5. Address / Direccion: Zip Code / Codigo postal:
6. Email:
7. Relationship to child who needs diapers / su relacion con el nino que necesita pan"ales:
• Parent / Padre o madre
Ti Grandparent /Abuelo o abuela
❑ Other Family Member / otro miembro de la
familia
Li Foster or kinship provider/ proveedor de
cuidado foster
C Child Care Provider / Proveedor(a) de
cuidado infantil
E Other / otro:
8. What would you say your ethnicity is? Please check all that apply. / dCual considera usted que es su raze o
etnicidad? Por favor elige Codas que corresponden:
Li African American or Black / afroamericano a
negro
E Asian American / asiaticoamericano
E Hispanic or Latino / hispano o latino
i i White or Caucasian / baanco
• Native American Indian or Alaska Native /
americano indio nativo o nativo de Alaska
• Hawaii Native or other Pacific Islander /
nativo de Hawai'i u otra isla de pacifico
9. If you were not born in the USA, where were you born?//bSi no usted no nacio en los EEUU, donde nacio
usted? N/A
10. What language(s) does your family speak at home? / ZCual(es) idioma(s) habla su familia en casa?
All information contained in this document is confidential and only for use by UWWC staff or trained volunteers. Any other
use is strictly forbidden. Toda la informacion contenida en este documento es confidencial y solo por el use de los empleados
de UWWC o los voluntarios entrenados. Cualquier otro use estd prohibido.
Information about your household:
Informacion sobre su casa/familia:
11. How many people live in your home? / dCuontas personas viven en su casa?
adults/ adultos children/ nifios
12. Do you have legal custody of all the children living in your home? /dTiene usted custodia legal de todos los
ninos que viven en su casa? YES/ Si NO
13. Is your total household income less than $75,000 per year? (That is about $6,250 per month or $1,562 per
week.) / dEston los ingresos totales de su hogar menos de $75,000 al ado? (Esa cantidad es mos o menos $6,250
al mes, o $1,562 a la semana.) YES / Si NO
14. Does your family qualify for any of these programs? Please indicate all programs you qualify for. /
e Califica su familia para alguno de estos programas? indique todos los programas a cuales ustedes califiquen.
L Medicaid (Health First Colorado) TANF
• CHP+ H CCCAP
• WIC Other / otro:
Ei SNAP (food stamps/ estampillas) Ll I don't know / No lose
15. Does your family use any of these programs? Please indicate all programs you use. / also su familia alguno
de estos programas? lndique todos los programas a cuales ustedes califiquen.
`i Medicaid (Health First Colorado) E TANF
• CHP+ E CCCAP
H WIC Other / otro:
• SNAP (food stamps/ estampillas) E I don't know/ No to se
16. If you qualify for any of these programs but are not using them, why not? / Si usted califrcd pars cua/quier de
estos programas, pero no los esta usando, epor que no?
17. If you are not sure if you qualify for these services, do you give consent to let us refer you, to see if you
qualify? / Si usted no esta seguro si califique por estos servicios, nos da su consentimiento pars referirle, a ver si
califique?
YES/Si: (initials/ iniciales) NO N/A
18. Are there other economic factors your family is experiencing that you think we should know about?! dEsta
experimentando su familia otros factores econdmicos que usted piensa que debemos saber?
All information contained in this document is confidential and only for use by UWWC staff or trained volunteers. Any other
use is strictly forbidden. Toda la informacion contenida en este documento es confidencial y solo por el use de los empleados
de UWWC o los voluntarios entrenados. Cualquier otro use estb prohibido.
Each child who uses diapers needs a separate application. /Cada ninia que use pandales necesita una aplicacidn porseparado.
Information about the CHILD:
Informacion sobre su NINO/A:
19. Child's full name / Nombre complete del nino:
20. Child's date of birth / Fecha de nacimiento del nino: J J (month/day/year) (mes/dia/an"o)
*If you are pregnant, when is your due date? / Si usted estd embarazada, tcudl es la fecha esperada del parto?
(month/day/year) (mes/dia/ono)
21. What is the child's gender? / 4Que es el genera del nino/a?
LI Female/ Feminina
LI Male/ Masculino
22. Child's Health Insurance / Segura medico del nin"o/a:
I Medicaid
CHP+
ii OmniSalud
Unknown/ Desconocido
Other/ Otro
Private (through a job or military) / Privado
(por un trabajo o el military
L None / No tiene seguro
I don't know / No lose
23. Child's ethnicity (check all that apply) / etnicidad del nino (elige todos que apliquen):
African American or Black / afroamericano a
negro
i� Asian American / asiaticoamericano
i.:.l Hispanic or Latino / hispano o Latino
El White or Caucasian / blanco
Native American Indian or Alaska Native /
americano indio nativo o nativo de Alaska
Hawaii Native or other Pacific Islander /
nativo de Hawai'i u otra isla de pacifico
24. If this child was not born in the USA, where were they born?/ Si este nino/a no nacid en los EEUU, tdonde
nacid el o ella?
N/A
25. Does this child attend child care? Or, if this child hasn't been born yet, do you plan to use child care? / Asiste
a cuidado infantil este nino? 0, si este nino/a no ha nacido ya, planea usted usar cuidado infantil?
YES/Si NO
26. If yes, does the child care center or provider require you to bring diapers?/ Si respondio si, require que usted
traiga panales el centro o proveedor(a) de cuidado?
YES/Si NO
A Tar
vow van xw.a maeq
All information contained in this document is confidential and only for use by UWWC staff or trained volunteers. Any other
use is strictly forbidden. Toda la information contenida en este documento es confidencial y solo par el use de los empleados
de UWWC o los voluntarios entrenados. Cualquier otro use estd prohibido.
27. Does this child have any diagnosed disabilities or delays? If so, what? / dTiene este nino/a algun discapacidad
o retraso diagnosticado? Si si, c que?
YES/ Si NO
28. If this child was born prematurely, at how many weeks of pregnancy was the child born? / Si este nino/a
nacio prematuro/a, ea cuantas semanas nacid el o ella? weeks/ semanas N/A
29. *If you are pregnant, have you had any complications with this pregnancy? Please explain. /Si usted esta
embarazada, ha tenido usted cualquier complicacidn con el embarazo? YES/ Si NO N/A
30. If this child is at least 2.5 years old, have you begun to potty train? / Si este nino tiene por to menos 2.5 atlas,
ha empezado usted a entrenarle a usar el inodoro?
YES/Si NO
N/A
31. If anyone besides yourself is authorized to pick up diapers for this child, please list them here. Use first and
last names, please. /Si alguien ademas de usted esta autorizado/a pars llevar los paiiales para este nino, por
favor nombrarles aqui. Use nombres completes, por favor.
II
• AL
For UWWC use only: Solo pars el use del UWWC:
Exception?
All information contained in this document is confidential and only for use by UWWC staff or trained volunteers. Any other
use is strictly forbidden. Toda la information contenida en este documento es confidential y solo por el use de los empleados
de UWWC o los vo/untarios entrenados. Cualquier otro use estd prohibido.
Covering Weld Diaper Bank Client Agreement
Acuerdo de diente del Covering Weld Diaper Bank
I agree to the following statements: (please initial each one)
Estoy de acuerdo con las siguientes declaraciones: (pan sus iniciales en coda una por favor)
1. The child I need diapers for is less than 3 years old. I understand that on the child's 3. birthday they
are no longer eligible to receive diapers directly from Covering Weld Diaper Bank.
El nino pars quien necesito los pan"ales tiene menos de 3 arias. Entiendo que en cuando cumpla 3 arias, el nino ya
no puede recibir panales directamente del Covering Weld Diaper Bank.
2. Our family receives Medicaid or CHP+ and at least one of the following:
Nuestra familia recibe Medicaid o CHP+ y recibimos por to menos uno de los siguientes:
WIC SNAP
TANF SSI
Other/ otro:
3. If our family does not receive one of the above mentioned assistance programs, we may still qualify
for diaper bank services due to the following reason(s):
Si nuestra familia no recibe uno de los programas de asistencia mencionado arriba, todavia podriamos calificar
por los servicios del banco de panales a troves de las siguientes razones:
We are the parents or caregivers of The primary caregiver is a grandparent or
multiples (twins, triplets, etc.) / Somas los padres o other family member. / El/la cuidador(a) primaria es
cuidadores de mutiples (gemelos, triflizos, etc.) la abuela o el abuelo u otro familiar.
The parent is under age 18. / La madre o el
padre tiene menos de 18 alias.
One or more parents is active duty
military. / El padre y/o la madre estd actualmente
en el ejercito.
4. I will not sell or trade any items I receive from the Covering Weld Diaper Bank. I understand that if I do
attempt to re -sell any items I get from the diaper bank, I will no longer be able to receive diaper bank services. I
may, however, give or donate any unused items back to the diaper bank or to another family at no cost.
Yo prometo que no vendre o intercambiare ninguna Cosa que recibo del banco de panales. Entiendo que si yo
intentare vender cualquiera Cosa que recibo del banco de panales, no padre recibir mos los servicios del banco de
panales. Yo si puedo dar a donor cualquiera Cosa no usada de vuelta al banco de panales o a otra familia sin
costa alguno.
Signed/ firmado Date/ fecha
UWWC staff:
WWW11.0.
RVf1DNAP,KIVi
Contract Form
Entity Information
New Contract Request
Entity Name*
UNITED WAY OF WELD COUNTY
Entity ID*
;0.00001762
Contract Name*
UNITED WAY OF WELD COUNTY (DIAPER BANK MOU
AMENDMENT)
Contract Status
CTB REVIEW
Contract ID
7147
Contract Lead*
COBBXXLK
❑ New Entity?
Parent Contract ID
20221456
Requires Board Approval
YES
Contract Lead Email Department Project #
cobbxxlk:co.weld.co.us
Contract Description*
CONSENT - AMENDMENT TO MOU, ADD ADDITIONAL TANF SURPLUS FUNDING OF $20, 000.00 FOR DIAPERS FOR TANF
ELIGIBLE FAMILIES.
Contract Description 2
PA SENT TO CTB 6,20 23 REQUESTED CONSENT AGENDA DATE OF 6; 26r 23.
Contract Type.
AMENDMENT
Amount*
$20,000.00
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM -
Hu manServicesAweldgov.co
Department Head Email
CM-HumanServices-
DeptHeadGtweldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY gWELDG
OV.COM
Requested BOCC Agenda
Date*
06 26 2023
Due Date
06 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
If this is part of a MSA enter NSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
On Base
Contract Dates
Effective Date
Review Date*
04 30 2024
Renewal Date
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Committed Delivery Date
Expiration Date*
06:'28 2024
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
CONSENT 06,=23;202.3
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
06;23 2023
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06 26'2023
Originator
COBBXXLK
Finance Approver
CONSENT
Legal Counsel
CONSENT
Finance Approved Date Legal Counsel Approved Date
06 23 2023 06:`23 r' 2023
Tyler Ref #
AG 062623
RESOLUTION
RE: APPROVE MEMORANDUM OF UNDERSTANDING FOR ACCESS TO COMMUNITY
SERVICES BLOCK GRANT (CSBG) CARES ACT FUNDING FOR COVERING WELD
DIAPER BANK AND AUTHORIZE CHAIR TO SIGN - UNITED WAY OF WELD
COUNTY
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Memorandum of Understanding for
Access to the Community Services Block Grant (CSBG) Cares Act Funding for the Covering Weld
Diaper Bank between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, Division of
Family Resources, and United Way of Weld County, commencing July 1, 2022, and ending
June 30, 2024, with further terms and conditions being as stated in said memorandum of
understanding, and
WHEREAS, after review, the Board deems it advisable to approve said memorandum of
understanding, a copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that a Memorandum of Understanding for Access to the Community
Services Block Grant (CSBG) Cares Act Funding for the Covering Weld Diaper Bank between
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Department of Human Services, Division of Family Resources, and
United Way of Weld County, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said memorandum of understanding.
cc: HS O, Acr(cp/cD)
7/21/;.2
2022-1456
HR0094
MEMORANDUM OF UNDERSTANDING FOR ACCESS TO COMMUNITY SERVICES BLOCK
GRANT (CSBG) CARES ACT FUNDING FOR COVERING WELD DIAPER BANK — UNITED
WAY OF WELD COUNTY
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 25th day of May, A.D., 2022.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dim.,
Weld County Clerk to the Board
Deputy Clerk to the B
AP ED
Count ttorney
Date of signature:
c�4CK. James, Chair
Mike eman, Pr
erry L. Buck
Lori Sai
2022-1456
HR0094
CUndvac-F (1)4sB'Zio
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: May 17, 2022
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Diaper Bank Memorandum of Understanding
(MOU) with. United Way of Weld County
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 Diaper Bank Memorandum of Understanding
(MOU) with United Way of Weld County. The Departments' Family Resource Division wishes
to enter into a MOU with United Way Weld County to use Community Services Block Grant
(CSBG) Cares Act funding to pay for two (2) years of membership dues for access to the Covering
Weld Diaper Bank. The cost for a two (2) year membership is $33,848.00. This amount will pay
for membership dues for up to twenty (20) not -for-profit organizations serving Weld County.
Membership to this service will increase access to essential early childhood hygiene and safety
supplies for families across Weld County, allow Department staff 24/7 access to the Weld Diaper
Bank and to refer families to the regular Covering Weld Diaper Bank distributions that happen
monthly.
Additionally, through this MOU, the Depailiuent will provide up to five hundred (500) car seats, up to two
hundred (200) pack -n -plays, formula, and hygiene items to the Contractor to distribute to families.
The term of this MOU is July 1, 2022 through June 30, 2024.
Pass -Around Memorandum; May 17, 2022 - CMS ID 5826
Page 1
2022-1456
65/ZS 0120(R1
PRIVILEGED AND CONFIDENTIAL
I do not recommend a Work Session. I recommend approval of this Memorandum of Understanding and
authorize the Chair to sign.
Perry L. Buck
Mike Freeman, Pro -Tern
Scott K. James, Chair
Steve Moreno
Lori Saine
Approve
Recommendation
Via falai L
Schedule
Work Session Other/Comments:
Pass -Around Memorandum; May 17, 2022 - CMS ID 5826 Page 2
Karla Ford
From:
Sent:
To:
Subject:
Attachments:
Approve
Mike Freeman
Tuesday, May 17, 2022 2:01 PM
Karla Ford
Re: Please Reply - PA FOR ROUTING: FR UWWC Diaper Bank (CMS 5826)
image002.jpg; image001 jpg; 051722 FR UWWC Diaper Bank (CMS 5826).pdf
Sent from my iPhone
On May 17, 2022, at 2:46 PM, Karla Ford <kford@weldgov.com>wrote:
Please advise if you approve recommendation. Thank you.
Karla Ford
Executive Assistant & Office Manager, Board of Weld County Commissioners
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford(a weldgov.com :: www.weldgov.corr
**Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.m.**
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: Alison Pegg <apegg@weldgov.com>
Sent: Tuesday, May 17, 2022 1:35 PM
To: Karla Ford <kford@weldgov.com>
Cc: Bruce Barker <bbarker@weldgov.com>; Cheryl Pattelli <cpattelli@weldgov.com>; Chris D'Ovidio
<cdovidio@weldgov.com>; Esther Gesick <egesick@weldgov.com>; HS -Contract Management <HS-
ContractManagement@co.weld.co.us>; Lennie Bottorff <bottorll@weldgov.com>
Subject: PA FOR ROUTING: FR UWWC Diaper Bank (CMS 5826)
Good afternoon Karla,
Please see the attached PA that has been approved for routing: FR UWWC Diaper Bank (CMS 5826).
Thank you!
Alison Pegg
Contract Management and Compliance Coordinator
Weld County Dept. of Human Services
315 N. 11th Ave., Bldg A
PO Box A
MEMORANDUM OF UNDERSTANDING BETWEEN THE WELD COUNTY
DEPARTMENT OF HUMAN SERVICES AND UNITED WAY OF WELD COUNTY
ni THIS MEMORANDUM OF UNDERSTANDING is entered into this Z5ihday of
2022, by and between the Board of County Commissioners, on behalf of the Weld
County partment of Human Services, hereinafter referred to as "Department," United Way of
Weld County hereinafter referred to as "Contractor".
Purpose
The purpose of this Memorandum of Understanding (MOU) is to increase access to essential
early childhood hygiene and safety supplies for families across Weld County.
Term of this Memorandum of Understanding
This Memorandum of Understanding ("MOU" or "Agreement") shall be effective beginning July
1, 2022 through June 30, 2024.
Contractor's Roles and Responsibilities
I. Provide Access and Supplies
a. Contractor will provide two (2) keys to the Covering Weld Diaper Bank to the
County to ensure County staff have 24/7 access to the Covering Weld Diaper Bank.
In addition to this 24/7 access, Department staff will be able to refer families to the
regular Covering Weld Diaper Bank distributions that happen monthly.
b. Contractor will provide access (keys and/or a code to the alarm system) to 330 Park
Ave. in Fort Lupton, CO as a secondary storage location to make it easier for the
County to access these resources for families living in south Weld County.
c. Contractor will provide pre-packaged bags of diapers and wipes set aside in a
separate part of the Covering Weld Diaper Bank.
d. Contractor will attempt to fill every order not less than one (1) week from a supply
request from the Department.
e. Contractor may reject a supply request in the event that specific resources are not
available. Contractor is not responsible for going to local stores to purchase supplies
that are not in stock. Contractor will notify the County as soon as possible and no
longer than within one (1) business day if a supply request is unable to be fulfilled.
II. Invoicing
a. Contractor will submit a one-time invoice to the Department for $33,848.00 for two
(2) years of membership dues for the Covering Weld Diaper Bank.
b. This amount is calculated based on the volume of clients served and to offer 24/7
coverage of the Weld Diaper Bank.
III. Provide Access for Other Not -for -Profit Agencies in Weld County
a. Contractor will provide access to the Covering Weld Diaper Bank for not -for-profit
partners that the Department pays membership dues for. Access and benefits are
outlined in the Covering Weld Diaper Bank application.
IV. Collaborative Partnership
a. Contractor will work with the Department to ensure that families have immediate
access to essential early childhood hygiene and safety supplies. Contractor and
County staff will communicate in a timely and respectful manner.
V. Outcomes
a. Contractor will collect and compile basic demographics (Exhibit A) from monthly
distributions and partner agency distributions so that the Department can report back
to funders.
b. Contractor will report back on the following outcomes by January 30, 2023:
# of households served
ii. # of children served
# of diapers distributed
iv. # of wipes distributed
v. # of car seats distributed
vi. # of pack -n -plays distributed
vii. # of Covering Weld Diaper Bank partner organizations
viii. % of families that reported Covering Weld Diaper Bank provided moderate or
significant financial relief
ix. % of families that reported Covering Weld Diaper Bank provided moderate or
significant emotional relief
Department's Role and Responsibilities
I. Department will provide Contractor with updated supply requests not less than one (1) week
prior to when Department anticipates running out of pre-packaged bags of diapers and wipes.
II. Department will provide up to five -hundred (500) car seats, up to two -hundred (200) pack -n -
plays, formula and hygiene items to Contractor to distribute to families.
III. Department will provide basic demographics (Exhibit A) so that Contractor may report back
to Covering Weld Diaper Bank funders.
IV. Department will give supplies provided by Contractor to clients without charge.
V. Department will ensure that clients understand that items received from the Covering Weld
Diaper Bank may not be sold, bartered or exchanged.
VI. Department acknowledges that, while Contractor will make every attempt to fill an order,
Contractor may not be able to honor a supply request in the event that specific resources are
not available.
VII. Department will pay for two (2) years of Covering Weld Diaper Bank membership dues for
up to 20 not -for-profit organizations serving Weld County.
a. Community Services Block Grant (CSBG) Cares Act funding will be used to pay for
membership dues.
b. Financial obligations of the Department payable after the current fiscal year are
contingent upon funds for that purpose being appropriated, budgeted and otherwise
made available. Execution of this Agreement by Department does not create an
obligation on the part of Department to expend funds not otherwise appropriated in
each succeeding year.
c. The number of agencies provided access to the Covering Weld Diaper Bank is
dependent upon the following sliding scale fee structure (outlined in the Covering
Weld Diaper Bank Partner Application):
Annual Agency Budget
Annual Membership Dues
Less than $100,000
$100
$100,000 - $499,999
$350
$500,000 - $999,999
$750
$1,000,000 - $249,999
$1,250
$2,500,000 and up
$2,000
VIII. Upon receiving the invoice, the Department agrees to pay Contractor $33,848.00 for two (2)
years of membership dues for the Covering Weld Diaper Bank. This amount is calculated
based on the volume of clients served and to offer 24/7 coverage of the Weld Diaper Bank.
Modifications. This Agreement may be modified in writing, in whole or in part, upon approval
of the signers.
Termination. This Agreement may be terminated at any time by either party giving thirty (30)
days written notice to the signers. No portion of this MOU shall be deemed to create an
obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise
appropriated, as this MOU is subject to the availability of funding. Therefore, the Department
may terminate this MOU at any time if the source of funding for the services made available to
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.
Entire Agreement. This MOU contains the entire agreement and understanding between the
parties with respect to the subject matter hereof and may not be changed or modified except as
stated herein. This MOU shall be binding upon the parties hereto, their successors, heirs, legal
representatives, and assigns. Contractor and the Department may not assign any of its rights or
obligations hereunder without the prior consent of both parties.
No Third -Party Beneficiary. It is expressly understood and agreed that the enforcement of the
terms and conditions of this MOU, and all rights of action relating to such enforcement, shall be
strictly reserved to the undersigned parties and nothing in this MOU shall give or allow any claim
or right of action whatsoever by any other person not included in this MOU. It is the express
intention of the undersigned parties that any entity other than the undersigned parties receiving
services or benefits under this MOU shall be an incidental beneficiary only.
Governmental Immunity. No term or condition of this contract shall be construed or
interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections
or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as
applicable now or hereafter amended.
Independent Contractor. Contractor agrees that it is an Independent Contractor and that the
Contractor's officers, agents or employees will not become employees of the Department, nor
entitled to any employee benefits from the Department as a result of the execution of this MOU.
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 MOU. Contractor, its employees and agents are not entitled to
unemployment insurance or workers' compensation benefits through the Department and
the Department 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 MOU.
Severability. If any term or condition of this MOU shall be held to be invalid, illegal, or
unenforceable by a court of competent jurisdiction, this MOU shall be construed and enforced
without such provision, to the extent that this MOU 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: L'-' jd1.49;tk BOAOF COUNTY COMMISSIONERS
WEL ►"COUNTY, COLORADO
BY:
K. James, Chair MAY 2 5 2022
nited Way of Weld County
814 9th Street
Greeley, Colorado 80631
By:
Date:
c7eaxiaie 7kgsvea
Jeannine Truswell (May 13,2022 08:31 MDT)
Jeannine Truswell
President & Chief Executive Officer
May 13, 2022
United Way of Weld County mission statement:
To improve lives by mobilizing the caring power of our community.
Exhibit A — Demographic Reporting Form
% of Total Users by Geographic Location (must equal
100%)
% of Total Users by Age (must equal 100%)
Greeley, Evans, Garden City
Under age 1
Eaton, Galeton, Ault, Pierce, Nunn, Lucerne,
Carr
1-2 years old
Milliken, Johnstown
2-3 years old
Windsor, Severance
3-5 years old
LaSalle, Platteville, Gilcrest, Kersey, Gill
6-17 years old
Brighton, Fort Lupton, Hudson, Keenesburg,
Lochbuie
18+ years old
Briggsdale, Grover, New Raymer
Berthoud, Dacono, Erie, Firestone, Frederick,
Longmont, Mead, Northglenn, Thornton
Other
TOTAL 100%
TOTAL 100%
% of Total Users by Race/Ethnicity (must equal 100%)
White non -Hispanic
Hispanic/Latino
African American/Black
Asian
Native Hawaiian/ Pacific Islander
Native American/Alaska Native
Two or more races
Other
www.UnitedWay-Weld.org 1970-353-4300 I UWWC@UnitedWay-Weld.org
PO Box 1944 - Greeley, CO 80632 I 814 9th Street - Greeley 1330 Park Avenue - Fort Lupton
United Way of Weld County
TOTAL 100%
% of Total Diaper Users or Guardians by Disability
(must equal 100%)
% of Guardians with Military Status (must equal 100%)
With Diagnosed Disabilities
Veteran, Active -Duty, or Reserve
Without Diagnosed Disabilities
Non-military
Unknown
Unknown
TOTAL 100%
TOTAL 100%
% of Total Diaper Users or Guardians by Income
(must equal 100%)
Low Income*
Moderate or High Income
TOTAL 100%
*Determined by eligibility for benefits (WIC, CHP+, Medicaid, TANF, CCCAP, etc.); this may be estimated.
www.UnitedWay-Weld.org
United Way of Weld County
United Way of Weld County mission statement:
To improve lives by mobilizing the caring power of our community.
List of 2021-22 Covering Weld Diaper Bank Partners
• North Colorado Health Alliance — one program paid $100, but could expand access to the entire
Org if the full $2,000 was covered
• HPLD - $2,000
• IRCNoCO - $350
• GOAL Academy - $350
• Centennial BOCES - $350
• Greeley Vineyard Church — $350
• Lutheran Family Services Refugee & Asylee program - $100
• Arty's Pantry (Aims) - $100
o Currently partner with 8 Organizations; $5,600 (if full amount for NCHA was covered)
Two currently working on the Partnership Application with (before June 30):
• North Range Family Connects/WINGS - $350; could expand access to the entire Org if the full
$2,000 was covered
• Catholic Charities - $350
TOTAL for 2021-22 FY
10 Organizations; $7,950 (if full amount for NCHA and NRBH is covered)
www.UnitedWay-Weld.org 1970-353-4300 I UWWC@UnitedWay-Weld.org
PO Box 1944 - Greeley, CO 80632 I 814 9th Street - Greeley 1330 Park Avenue - Fort Lupton
United Way of Weld County
Contract Form
Contract Request
Entity Name*
UNITED WAY OF WELD COUNTY
Entity ID*
O3O01762
Contract Name*
UNITED WAY OF WELD COUNTY (DIAPER BANK MOU)
Contract Status
CTB REVIEW
Contract ID
5826
Contract Lead*
APEGG
Contract Lead Email
apegg@weldgov.coni;cobbx
xlk 'weldgov.com
Parent Contract ID
Requires Board Approval
YES
Contract Description*
NEW MOU. TERM: 7/1/22-6/30/24. FOR ACCESS TO THE WELD DIAPER BANK FOR ESSENTIAL EARLY CHILDHOOD HYGIENE
AND SAFETY SUPPLIES.
Contract Description 2
PA IS BRING ROUTED THROUGH THE NORMAL PROCESS. ETA TO CTB 5,19/22.
Contract Type
AGREEMENT
Amount *
$33,848.00
Renewable*
NO
Automatic Renewal
Department
HUMAN SERVICES
Department Email
CM-
HumanServices@vveldgov.co
m
Department Head Email
CM-HumanServices-
De ptHe ad woe l dg ov. co m
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@ WELDG
OV.COM
Requested BOCC Agenda
Date*
06715/2022
Due Date
06x'11/2022
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept_ to be induded?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Effective Date
Review Date*
05:01:2024
Renewal Date
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Committed Delivery Date
Expiration Date*
06 30 2024
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
05113/2022
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
05/'25/2022
Originator
APEGG
Finance Approver
CHERYL PA H ELLI
Legal Counsel
CAITLIN PERRY
Finance Approved Date Legal Counsel Approved Date
05/13:2022 05/1312022
Tyler Ref if
AG 052522
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