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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20231238.tiff
RESOLUTION RE: APPROVE CONFIDENTIAL DOCUMENT LICENSE AGREEMENT FOR USE OF COLORADO FAMILY SUPPORT ASSESSMENT (CFSA) 2.0 TOOL FOR COLORADO COMMUNITY RESPONSE GRANT AND AUTHORIZE DEPARTMENT OF HUMAN SERVICES TO SUBMIT ELECTRONICALLY - FAMILY RESOURCE CENTER ASSOCIATION 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 Confidential Document License Agreement for Use of Colorado Family Support Assessment (CFSA) 2.0 Tool for the Colorado Community Response Grant 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, and Family Resource Center Association, with further terms and conditions being as stated in said license agreement, and WHEREAS, after review, the Board deems it advisable to approve said license agreement, 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 the Confidential Document License Agreement for Use of Colorado Family Support Assessment (CFSA) 2.0 Tool for the Colorado Community Response Grant 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, and Family Resource Center Association, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Julie Witkowski, Family Resource Division Head, be, and hereby is, authorized to electronically submit said license agreement. cc: {-(S D, AcT(cv/cD) 061. 1123 2023-1238 HR0095 CONFIDENTIAL DOCUMENT LICENSE AGREEMENT FOR USE OF COLORADO FAMILY SUPPORT ASSESSMENT (CFSA) 2.0 TOOL FOR COLORADO COMMUNITY RESPONSE GRANT - FAMILY RESOURCE CENTER ASSOCIATION PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of May, A.D., 2023. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ddi544) W ;e1 Weld County Clerk to the Board BY: Lori Saine ounty Attorney Date of signature: O5/09 /23 ott K. James evin D. Ross faf-k., 3-e- Mik man, Chair k.101,24 p erry L. Bu k, Pro-Tem 2---_O T --)- 2023-1238 HR0095 ac+ 11)thfis9 1 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: April 25, 2023 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Confidential Document License Agreement with the Family Resource Center Association (FRCA) 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 Confidential Document License Agreement with the Family Resource Center Association (FRCA). The Department's Family Resource Division (FRD) is a recipient of the Colorado Community Response Grant, known to the Board as Tyler IDs 2021-1651 and 2022-1792. As part of work related to the grant, FRD uses Family Resource Center Association's (FRCA) documents, assessment tools, and other written materials. This year, FRCA has requested that the Department sign a confidential document license agreement to outline how these resources may be used. I do not recommend a Work Session. I recommend approval of this License Agreement and delegate the authority to the Family Resource Division Head to sign and submit electronically. 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; April 25, 2023 - CMS ID 6891 2023-1238 Family Resource Center Association Confidential Document License Agreement This License Agreement explains how your agency may use the documents, assessment tools, and other written materials of Family Resource Center Association ("FRCA"). By signing this document, your agency agrees to be bound by the terms of this Agreement. Once you have completed this form, you will receive a finalized copy to the email you provide below. Please save a copy for your agency's records. witkowjx@gmail.com Switch account * Indicates required question Email witkowjx@weld.gov ✓f S Draft saved FRCA's Mission and Confidential Documents. FRCA"s goal is to provide families with resources and services that strengthen their ability to achieve their goals. In support of this mission, FRCA has developed effective and unique methodologies and tools to assess potential outcomes for families and to organize support services for those families_ These tools include the Colorado Family Support Assessment 2.0 ("CFSA 2.0') tool, Administration Guidelines and FAGS for the CFSA 2.0 tool, and the Colorado Family Resource Centers — and may also include other copyrights, trade secrets, and documents owned by FRCA_ Under this Agreement, your agency will receive the Colorado Family Support Assessment 2.0 tool and the following additional FRCA documents (collectively, the 'Confidential Documents"). 0 I agree o2 0,2 3 2. Your Use of FRCA's Confidential Documents. 2a. Completion of FRCA's certification program. Your agency agrees that each of its employees or individuals who will administer the CFSA 2.0 tool must first complete FRCA's tool assessment certification program (the "Certification Program'), which will provide instruction on the methods by which to administer the CFSA 2.0 tool correctly; before making any use of the Confidential Documents. If multiple employees or individuals will administer the CFSA 2.0 tool on behalf of your agency you agree that each of these employees and individuals must separately complete the Certification Program before they may use the Confidential Documents; and that one employee or individual cannot train other individuals on the use of the CFSA 2.0 tool. You also agree that FRCA is the sole source of the Certification Program, and that your agency will not teach any other party how to use the Confidential Documents or the CFSA 2.0 tool. 2b. Use of the Confidential Documents. Subject to Section 2a above; this Agreement grants your agency a non-exclusive, non-transferrable license to use FRCA's Confidential Documents; and to administer the CFSA 2.0 tool, specifically for the purposes of organizing and providing social assistance and support services to families. You agree not to make use of the Confidential Documents for any other purpose or to share them with any other party without FRCA's prior written consent. Your agency agrees to ensure that only the most recent version provided by FRCA each July is administered. 2c. Management of the Confidential Documents. Your agency agrees only to make copies of the Confidential Documents for its own internal use in providing social assistance and support services to families. © I agree 3. Term of License to Use FRCA's Confidential Documents. Your agency may make use of the Confidential Documents according to the terms of Section 2 above (the Term of Use") following the Agreement date of signature below. If FRCA makes changes to the certification program and/or Confidentiality Documents, your agency must enter into a subsequent license agreement with FRCA, which may require your employees to complete updated Certification Programs, to continue using the Confidential Documents. If you do not enter into a subsequent license at that time, your Term of Use expires, and your agency must cease use of and destroy all copies of the Confidential Documents in your possession. 0 I agree 4. Fee to License FRCA's Confidential Documents. In exchange for receipt of the Certification Program and the Confidential Documents, your agency agrees to pay FRCA a one-time licensing fee of $150.00. Once FRCA receives payment of your fee, it will provide the Certification Program registration information and Confidential Documents. Q I agree O My organization is an active FRCA member 5. Modification of FRCA's Confidential Documents. Your agency agrees to make no modifications to the Confidential Documents without FRCA's prior written consent_ If FRCA permits your agency in writing to modify the Confidential Documents, you agree to do so only to the extent authorized by FRCA and in accordance with FRCA's modification instructions. C) I agree Current Agency Name: Weld County Department of Human Services Electronic Signature and Job Title of Authorized Official. Authorized Official is defined as an officer or employee responsible for GO!?tracting, program management audit. inspection. investigation or enforcement of regulations for their organization. Julie Witkowski This Agreement is entered into and made effective as of the date below: Please enter today's date/month/year. 4/20/2023 \ copy of your responses will be emailed to the address you provided. Submit Jever submit passwords through Google Forms. Clear form Mariah Higgins From: Sent: To: Cc: Subject: Attachments: Follow Up Flag: Flag Status: Good morning Cheryl! Lesley Cobb Thursday, May 18, 2023 9:31 AM Cheryl Hoffman HS -Contract Management; CTB RE: Confidential Document License Agreement - Family Resource Center Association FW: Family Resource Center Association Confidential Document License Agreement Follow up Flagged As a Communication Item and follow up to CMS 86891 (Tyler ID#2023-1238), attached please find the email that contains the submitted Family Resource Center Association Confidential Document License Agreement for the official record. Please let me know if you have any questions. Thank you! Lesley Cobb Contract Management and Compliance Supervisor Weld County Dept. of Human Services 315 N. 11th Ave., Bldg A PO Box A Greeley, CO 80632 i'(970) 400-6512 A (970) 353-5212 cobbxxlk@weld.gov Confidentiality Notice: This electronic transmission and any attached documents or other writings am 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: Cheryl Hoffman <choffman@weld.gov> Sent: Wednesday, May 3, 2023 10:46 AM To: HS -Contract Management <HS-ContractManagement@co.weld.co.us> Cc: Cheryl Hoffman <choffman@weld.gov> Subject: Confidential Document License Agreement - Family Resource Center Association Good morning, ladies, This agreement was approved by the BOCC during this morning's hearing. It did not require the Chair's signature, so would you send CTB some kind of submission proof once submitted so I can finalize this one in OnBase? 1 Thanks so much! Cheryl L. Hoffman Deputy Clerk to the Board 1150 O Street/P.O. Box 758 Greeley, CO 80632 Tel: (970) 400.4227 choffman@weld.gov 2 Mariah Higgins From: Sent: To: Subject: Julie Witkowski Wednesday, May 10, 2023 10:17 AM HS -Contract Management FW: Family Resource Center Association Confidential Document License Agreement I went ahead and did the user agreement to get one thing checked off the list for CCR. Thank you, juCie Witkowsk , J1 PA Family Resource Division Head Weld County Department of Human Services 315 N. 11th Avenue, Building A Greeley, CO 80631 (970)-400-6777 State Child Abuse Hotline 1-844-CO-4Kids (1-844-264-5437) Vision: The people of Weld County are connected to the resources needed to thrive in the community and feel safe and empowered. Mission: Engaging and partnering with the community to improve the safety, health and well-being of individuals and families through the delivery of responsive and collaborative services. 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: Google Forms <forms-receipts-noreply@google.com> Sent: Wednesday, May 10, 2023 10:13 AM To: Julie Witkowski <WITKOWJX@weld.gov> Subject: Family Resource Center Association Confidential Document License Agreement Caution This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. J Thanks for filling out Family Resource Center Association Confidential Document License Agreement 1 Here's what was received. Family Resource Center Association Confidential Document License Agreement This License Agreement explains how your agency may use the documents, assessment tools, and other written materials of Family Resource Center Association ("FRCA"). By signing this document, your agency agrees to be bound by the terms of this Agreement. Once you have completed this form, you will receive a finalized copy to the email you provide below. Please save a copy for your agency's records. Email witkowjx@weld.gov 1. FRCA's Mission and Confidential Documents. FRCA's goal is to provide families with resources and services that strengthen their ability to achieve their goals. In support of this mission, FRCA has developed effective and unique methodologies and tools to assess potential outcomes for families and to organize support services for those families. These tools include the Colorado Family Support Assessment 2.0 ("CFSA 2.0") tool, Administration Guidelines and FAQs for the CFSA 2.0 tool, and the Colorado Family Resource Centers - and may also include other copyrights, trade secrets, and documents owned by FRCA. Under this Agreement, your agency will receive the Colorado Family Support Assessment 2.0 tool and the following additional FRCA documents (collectively, the "Confidential Documents"). I agree 2. Your Use of FRCA's Confidential Documents. 2 2a. Completion of FRCA's certification program. Your agency agrees that each of its employees or individuals who will administer the CFSA 2.0 tool must first complete FRCA's tool assessment certification program (the "Certification Program"), which will provide instruction on the methods by which to administer the CFSA 2.0 tool correctly, before making any use of the Confidential Documents. If multiple employees or individuals will administer the CFSA 2.0 tool on behalf of your agency, you agree that each of these employees and individuals must separately complete the Certification Program before they may use the Confidential Documents, and that one employee or individual cannot train other individuals on the use of the CFSA 2.0 tool. You also agree that FRCA is the sole source of the Certification Program, and that your agency will not teach any other party how to use the Confidential Documents or the CFSA 2.0 tool. 2b. Use of the Confidential Documents. Subject to Section 2a above, this Agreement grants your agency a non-exclusive, non-transferrable license to use FRCA's Confidential Documents, and to administer the CFSA 2.0 tool, specifically for the purposes of organizing and providing social assistance and support services to families. You agree not to make use of the Confidential Documents for any other purpose or to share them with any other party without FRCA's prior written consent. Your agency agrees to ensure that only the most recent version provided by FRCA each July is administered. 2c. Management of the Confidential Documents. Your agency agrees only to make copies of the Confidential Documents for its own internal use in providing social assistance and support services to families. I agree 3. Term of License to Use FRCA's Confidential Documents. Your agency may make use of the Confidential Documents according to the terms of Section 2 above (the "Term of Use") following the Agreement date of signature below. If FRCA makes changes to the certification program and/or Confidentiality Documents, your agency must enter into a subsequent license agreement with FRCA, which may require your employees to complete updated Certification Programs, to continue using the Confidential Documents. If you do not enter into a subsequent license at that time, your Term of Use expires, and your agency must cease use of and destroy all copies of the Confidential Documents in your possession. 3 I agree 4. Fee to License FRCA's Confidential Documents. In exchange for receipt of the Certification Program and the Confidential Documents, your agency agrees to pay FRCA a one-time licensing fee of $150.00. Once FRCA receives payment of your fee, it will provide the Certification Program registration information and Confidential Documents. I agree My organization is an active FRCA member 5. Modification of FRCA's Confidential Documents. Your agency agrees to make no modifications to the Confidential Documents without FRCA's prior written consent. If FRCA permits your agency in writing to modify the Confidential Documents, you agree to do so only to the extent authorized by FRCA and in accordance with FRCA's modification instructions. I agree Current Agency Name: Weld County Department o} Human Services Electronic Signature and Job Title of Authorized Official. Authorized Official is defined as an officer or employee responsible for contracting, program management, audit, inspection, investigation or enforcement of regulations for their organization. 4 Julie Witkowski This Agreement is entered into and made effective as of the date below: Please enter today's date/month/year. 5/10/23 Create your own Google Form Report Abuse Contract Form New Contract Request Entity Information Entity Name. FAMILY RESOURCE CENTER Entity ID* OO0029128 ❑ New Entity? Contract Name. Contract ID FAMILY RESOURCE CENTER ASSOCIATION CONFIDENTIAL 6891 DOCUMENT LICENSE AGREEMENT) Contract Status CTB REVIEW Contract Lead. APEGG Contract Lead Email apeggC cweld gov. com: co bbx xlkAtweldgov.com Parent Contract ID Requires Board Approval YES Department Project # Contract Description. AN AGREEMENT OUTLINING HOW WE MAY USE THE DOCUMENTS, ASSESSMENT TOOLS, AND OTHER WRITTEN MATERIAL OF FAMILY RESOURCE CENTER ASSOCIATION. RELATED TO THE CCR GRANT FOR FAMILY RESOURCE DIVISION (TYLER IDS 2021- 1323 & 2021-0809) Contract Description 2 PA IS ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB: 4; 27 23. REQUESTING DELEGATION TO FAMILY RESOURCE DIVISION HEAD TO SIGN AND SUBMIT ELECTRONICALLY. Contract Type. AGREEMENT Amount. $0.00 Renewable NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices Oweldgov.co Department Head Email CM-HumanServices- DeptHead 1aveldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORN EYca WELDG OV,COM Requested ItOCC Agenda Date. 05:03/2023 Due Date 04:29 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 MA 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 Termination Notice Period Contact Information Contact Info Contact Name Purchasing Review Date. 05/01/2024 Committed Delivery Date Renewal Date Expiration Date* 06"28 28,2 024 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date Approval Process Department Head JAMIE ULRICH DH Approved Date 04/24/2023 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05,03/2023 Originator APEGG Finance Approver CHERYL PATTELL€ Legal Counsel BYRON HOWELL Finance Approved Date Legal Counsel Approved Date 04,25'2023 04;'25;`2023 Tyler Ref It AG 050323
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