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Home My WebLink About20194524.tiffMariah Higgins From: Sent: To: Cc: Subject: Attachments: Thank you! Esther Gesick Thursday, July 27, 2023 3:35 PM Michael Knee Houstan Aragon; Carolyn Geisert; Mariah Higgins; Chloe White RE: Original approval letter for B2300144 Notice of Termination - Weld County, CO.pdf By copy on this email I am asking my team to include this letter in the Commissioners' records as an Addition to the original Bid #B1900131/Contract Doc ID #2019-4524. Regards, Esther E. Gesick Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970) 400-4226 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: Michael Knee <mknee@weld.gov> Sent: Thursday, July 27, 2023 3:17 PM To: Esther Gesick <egesick@weld.gov> Cc: Houstan Aragon <haragon@weld.gov>; Carolyn Geisert <cgeisert@weld.gov> Subject: RE: Original approval letter for B2300144 Here you go and I just re -read the letter so the last day is September 14tH Thanks Lieutenant Michael Knee Detentions Division Weld County Sheriff's Office (970)400-3939 From: Esther Gesick <egesick@weld.gov> Sent: Thursday, July 27, 2023 1:46 PM CoMMun:S 2.o1q - y Say S000 L1 O 08714/23 To: Michael Knee <mknee@weld.gov> Cc: Esther Gesick <egesick@weld.gov>; Houstan Aragon <haragon@weld.gov>; Carolyn Geisert <cgeisert@weld.gov> Subject: FW: Original approval letter for B2300144 Hello Lt. Knee, In proofing the 7/31 Agenda, your memo concerning the Emergency Bid B2300144 indicates you received notice of intent to terminate from Turnkey Medical. Please forward a copy of that letter as well, so we can add it to the file for the original agreement to close out that paper trail, which will also be cross-referenced to this new vendor contract as well. Thanks! Esther E. Gesick Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970) 400-4226 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: Houstan Aragon <haragon@weld.gov> Sent: Thursday, July 27, 2023 1:42 PM To: Esther Gesick <egesick@weld.gov> Subject: FW: Original approval letter for 52300144 Houstan Aragon Deputy Clerk to the Board Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4224 Email: haragon@weldgov.com 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. 2 From: Carolyn Geisert <cgeisert@weld.gov> Sent: Wednesday, July 26, 2023 12:19 PM To: Houstan Aragon <haragon@weld.gov> Subject: Original approval letter for B2300144 Houstan, Attached is the original approval letter for B2300144 submitted to purchasing before the emergency approval was submitted. Carolyn Geisert Buyer Weld County Purchasing Department 1150 "O" Street Greeley, CO 80631 (970) 400-4223 cgeisert@weldgov.com 3 Turn4(ey HEALTH June 15, 2023 Lt. Matt Elbe 2110 O Street Greeley, CO 80631 melbe@weldgov.com RE: NOTICE OF TERMINATION OF CONTRACT Lt. Elbe: 900 NW 12th Street Oklahoma City, OK 73106 (405) 516-0276 www.turnkeyhealthclinics.com Turn Key would like to begin by thanking Weld County for providing us with the opportunity to serve the Weld County Sheriffs Office and the citizens of Weld County. While we appreciate our partnership with Weld County, please accept this letter as a notice of our intent to terminate the current contract pursuant to the terms and conditions of Paragraph 4 of the Main Agreement. The effective date of termination, and the last day of service, will be September 14, 2023. Should an earlier exit date be preferred, we would be willing to discuss such an opportunity, if requested prior to July 15, 2023. During this transition time, we will continue to work with you for the benefit of, and the continuity of care of, our patients by providing a program that exceeds standards while providing exceptional care to your citizens at the Weld County Jail. Again, we thank you for the opportunity and we wish you nothing but continued success in the future. Please contact April Farmer at either afarmer@turnkeyhealthclinics.com or 214-674-9959 if there is anything else we can do to assist in this transition process. Sincerely, 1-3 Danny oneycutt,AO Turn Key Health Clinics Cor*acf I c*Ro57i BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Inmate Medical Services Extension - 2023 DEPARTMENT: Weld County Sheriff's Office DATE: 11/22/2022 PERSON REQUESTING: Lieutenant Kevin Halloran Brief description of the problem/issue: The Original Agreement between the County and the inmate medical services vendor, Turn Key Health Clinics, LLC ended December 31St, 2020 with the first extension agreement ending on December 31St, 2021 and the third extension ending on December 31St, 2022. As a result, this extension document is being submitted for approval which will end on December 31St, 2023. The extension for 2023 includes a 4% increase totaling ($181,637.17) for operational costs and an additional 4% increase totaling ($181,637.17) for wage increases to attract and maintain qualified staff The extension also includes an agreement if Turn Key Health fails to maintain staffing levels as agreed upon in the original agreement then Turn Key Health shall reimburse or credit the County for the time the unfilled positions are vacant. Therefore, the total contract amount for the period of January 1, 2023 — December 31St, 2023 is $5,019,203.64. Please note that this has been reviewed by Karin McDougal. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The board may either approve or deny this amendment. An approval would abide by the Original Agreement both in this yearly extension document and with the increase of 8% set by the Original Agreement. A denial would seemingly terminate this contract after the third year of the term and causing the Sheriff's Office to go out to bid for a new vendor. A denial would be a termination without cause. Recommendation: It is recommended the board approve this extension for the next year with the agreed upon increase set by the Original Agreement with Turnkey Health Clinics, LLC. Perry L. Buck Mike Freeman, Pro-Tem Scott K. James Steve Moreno Lori Saine Approve Recommendation Vik aro( _art Costein+ e&: (UM n atiAto 02A2sfr.v-. Schedule Work Session • Other/Comments: Zo tq q Z� s 0 Gott() Karla Ford From: Sent: To: Subject: Approve Mike Freeman Tuesday, December 6, 2022 3:35 PM Karla Ford Re: Please Reply - PA request for 2O23 Turnkey Medical Inmate contract extension Sent from my iPhone On Dec 6, 2O22, at 9:35 AM, Karla Ford <kford@weldgov.com>wrote: Please advise if you approve recommendation. Thanks. Karla Ford X Office Manager, Board of Weld County Commissioners 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kford@weldgov.com :: www.weldgov.com :: **Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.rn.** <imageOO3.jpg> 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: Sonja Kohlgraf <skohlgraf@weldgov.com> Sent: Monday, December 5, 2O22 1:58 PM To: Karla Ford <kford@weldgov.com> Cc: Kevin Halloran <khalloran@weldgov.com> Subject: PA request for 2O23 Turnkey Medical Inmate contract extension Hello Karla, Please find the PA for the 2O23 Turnkey Medical Contract extension for the jail and the extension document attached. Let me know if you have any questions, Thank you, Sonja Kohlgraf, MBA Budget Manager Weld County Sheriff's Office Ph: 970-400-2872 <imageOO1. jpg> <image002.png> 1 CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY SHERIFF'S OFFICE AND TURN KEY HEALTH CLINICS, LLC. J r , This Agreement Extension/Renewal ("Renewal"), made and entered into a O day of vecerny0022, by and between the Board of Weld County Commissioners, on behalf of the Weld County Sheriffs Office ("County") and Turn Key Health Clinics, LLC ("Contractor"). WHEREAS the parties entered into the Agreement identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-4524, approved on December 11, 2019. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, 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: 1. The initial term of the agreement expired on December 31, 2020. 2. The agreement was extended for additional one-year terms on January 1, 2021 and again on January 1, 2022. The Agreement was also amended on December 16, 2020 and again on November_, 2022. 3. The parties now agree to extend the Original Agreement for an additional 12 -month period, which will begin January 1, 2023, and will end on December 31, 2023. 4. This Extension/Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents, which shall be effective upon the expiration of the current term of the previous Extension Agreement: a. Paragraph 6 is amended with the following language: i. There is an increase in the base pricing for 2023 of 8.0% from the 2022 pricing of $4,540,929.30. The increase is comprised of a 4% annual increase ($181,637.17) and a 4% wage increase ($181,637.17) to attract and maintain qualified staff. Additionally, the Original Agreement was subsequently amended to provide an additional FTE for the provision of Medication Assisted Treatment services at a cost not to exceed $115,000. With these increases, the 2023 base pricing will be $5,019,203.64. If, at any time during or after the term beginning January 1, 2023, the County reasonably determines that Contractor is not maintaining agreed to staffing levels as described in the original agreement and any following amendments, the County will provide written notice to Contractor of such determination. If Contractor disagrees with the determination, it has fifteen (15) days from receipt of notification to provide any information rebutting this determination. If Contractor does not rebut the determination, it shall provide a plan to immediately increase staff levels to the agreed to levels and reimburse or credit the County for the time when the agreed to positions remain unfilled. If the open positions are not filled within 30 days from vacancy, it will be considered a breach of contract. 5. This Amendment, together with the original Agreement and any other agreed to Amendment, constitutes the entire understanding between the parties. 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. CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY SHERIFF'S OFFICE AND TURN KEY HEALTH CLINICS, LLC. BOARD OF COUNTY COMMISSIONERS CONTRACTOR: Flint Jt REd, CEO WELD c9UNTY, COLORADO Scdtt James, Chair CL -70 2 8 2822 dATTEST: v• .d�:A Contract Form New Contract Request Entity In Entity Name. TURN KEY HEALTH CLINICS LLC Entity ID. @O0041688 Contract Name. Contract ID 2023 TURN KEY HEALTH - JAIL MEDICAL CONTRACT 6577 EXTENSION Contract Status CTB REVIEW Contract Lead. KHALLORAN ❑ New Entity? Parent Contract ID 3297 Requires Board Approval YES Contract Lead Email Department Project khalloran@weldgov.com,s ko hlgrafi@weldgov.com Contract Description,' 3RD CONTRACT EXTENSION FOR MEDICAL SERVICES IN THE JAIL Contract Description 2 Contract Type. RENEWAL Amount' $5,019,203.64 Renewable YES Automatic Renewal Grant IGA Department SHERIFF Department Email CM -Sh eriff ttwe idgov.com Department Head Email CM-Sheriff- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORN EYS?SWELDG OV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Requested 11OCC Agenda Date 12128/2022 Due Date 12124;2022 Will a work session with BOCC be required?* HAD 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 Review Date. 09/01/2023 Renewal Date. 12/31(2023 Termination Notice Period Committed Delivery Date Expiration Date Contact Information Contact Info Contact Name tl rclt.asing Purchasing Approver Approval Process Department Head ESTHER GESICK DH Approved Date 12,1012022 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 12!28;2022 Originator SKOHLGRAF Contact Type Contact Ernai Finance Approver CHRIS D'OVIDIO Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 12x`191202: Tyler Ref # AG 122822 Legal Counsel BRUCE BARKER Legal Counsel Approved Date 12/20;+2022 Coniva c4-1 (1,51 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Inmate Medical Services Amendment DEPARTMENT: Weld County Sheriff's Office DATE: 11/14/2022 PERSON REQUESTING: Lieutenant Kevin Halloran Brief description of the problem/issue: This amendment clarifies language in the agreement regarding offsite medical care. Medical care shall only be considered offsite medical care if it is medical treatment provided to an inmate in the custody of the Weld County Jail at a hospital or community medical provider clinic and the inmate is not responsible for paying per Colorado Revised Statute 17-26-104.5. Offsite medical care shall not include laboratory fees, x-ray fees or other medical imaging fees which are the result of medical care provided to inmates in the custody of the Weld County Jail by the Contractor or any third -party specialty service provider contracting with the Contractor. The original Agreement includes $125,000.00 annually to cover offsite medical care costs and $50,000.00 annually to cover HIV related medication costs. The Contractor covers services up to these cap amounts. If the County exceeds the cap amounts, it will be charged for the additional costs. However, if services do not meet cap amounts, Contractor shall reimburse or credit the County for all unspent money from the two funds by the end of the first quarter of the subsequent contract year. The offsite medical care account is a separate account from the HIV related medication account and the accounting for each account shall not be commingled. Finally, unfunded mandates by the State of Colorado require a Medically Assisted Treatment (MAT) Program for inmates in county jails and is required by statute to implement by June of 2023. The amendment will require an additional nurse to solely focus on the MAT program. The total cost of salary and benefits will not exceed $115,000 per year. Please note the contract amendment has been reviewed by Karin McDougal. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The board may either approve or deny this amendment. An approval is a commitment to ensuring we follow state statute and receive monies in reimbursement for unspent funds from the cap funds. A denial would seemingly terminate this contract after the third year of the term and causing the Sheriff's Office to go out to bid for a new vendor. A denial would be a termination without cause. Recommendation: It is recommended the board approve this amendment so the contractor can provide adequate medical services by statute and for Weld County to be reimbursed for any unspent funds. Please note the contract amendment has been reviewed by Karin McDougal. Ce+'1S2f'1+ 1q5,2'1Cits-- � i iaoi 22 oit c..e-(Cco lll��1a� 2o1C1—y524 SO OOF{•0 ?Scott K. James, Chair Mike Freeman, Pro-Tem Lori Seine Steve Moreno 4, Perry Buck Approve Recommendation 11+� Schedule Work Session Other/Comments: CONTRACT AMENDMENT BETWEEN WELD COUNTY AND TURN KEY HEALTH CLINICS, LLC. This Amendment ("Amendment"), made and entered into 301 day of November, 2022, by and between the Board of Weld County Commissioners, on behalf of the Weld County Sheriffs Office ("County") and Turn Key Health Clinics, LLC ("Contractor"). WHEREAS the parties entered into the Agreement identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-4524, approved on December 11, 2019. WHEREAS the parties hereby agree to amend the Agreement, 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: 1. Amendments. The initial term of the agreement expired on December 31, 2020. The agreement was extended for additional one-year terms on January 1, 2021 and again on January 1, 2022. The Agreement was also amended on December 16, 2020. 2. Offsite Medical Care. This Amendment clarifies language in the Agreement regarding offsite medical care. Medical care shall only be considered offsite medical care if it is medical treatment provided to an inmate in the custody of the Weld County Jail at a hospital or community medical provider clinic and the inmate is not responsible for paying per Colorado Revised Statute 17-26- 104.5. Offsite medical care shall not include laboratory fees, x-ray fees or other medical imaging fees which are the result of medical care provided to inmates in the custody of the Weld County Jail by the Contractor or any third -party specialty service provider contracting with the Contractor for services rendered on -site. 3. Offsite Medical Care/HIV Related Medication Costs. The original Agreement includes $125,000.00 annually to cover offsite medical care costs and $50,000.00 annually to cover HIV related medication costs. The Contractor covers services up to these cap amounts. If the County exceeds the cap amounts, it will be charged for the additional costs. However, if services do not meet cap amounts, Contractor shall reimburse or credit the County for all unspent money from the two funds by the end of the first quarter of the subsequent contract year. The offsite medical care account is a separate account from the HIV related medication account and the accounting for each account shall not be commingled. 4. Additional Nursing FTE. This Amendment will add, beginning January 1, 2023, an additional Nursing FTE. This Nursing FE will be solely focused on implementing the Medically Assisted Treatment Program (MAT) that the County is required by statute to implement. The total cost of salary and benefits of this position will not exceed $115,000.00 per year. This will result in 1 additional Nursing FTE above the amount agreed to in the original agreement. 5. This Amendment, together with the original Agreement and any other agreed to Amendment, constitutes the entire understanding between the parties. 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. 020 /9- ��?� CONTRACT AMENDMENT BETWEEN WELD COUNTY AND TURN KEY HEALTH CLINICS, LLC. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO CONTRACTOR: Flint Ju , CEO Scott James, Chair N0V 3 0 x@22 a2a9 4L6,24- Contract Form New Contract Request Entity Information Entity Name. TURN KEY HEALTH CLINICS LLC Entity ID. x'00041688 Contract Name. AMENDMENT TO THE 2022 TURNKEY MEDICAL SERVICES CONTRACT Contract Status CTB REVIEW New Entity? Contract ID 6511 Contract Lead* KHALLORAN Contract Lead Email khal l Oran c7weldgov.com / s ko hlgraf8weldgov.com Parent Contract ID 3297 Requires Board Approval YES Department Project # Contract Description* AMENDMENT TO ADDRESS MED CAP AND ADDING 1 FEE NURSING STAFF TO ADMNISTER MAT SERVICES MANDATED BY SB21 - 137, ORIGINAL CONTRACT ONBASE#3297 Contract Description 2 MAT SREVICES NURSING COST CAN POTENTIALLY OFFSET WITH A REIMBURSEMENT THROUGH THE OPIOID COUNCIL FUNDS Contract Type* AMENDMENT Amount * $115,000.00 Renewable* YES Automatic Renewal Grant IGA Department SHERIFF Department Email CM-Sh e riffwe ldgov.corn Department Head Email CM-Sheriff- DeptHeadanweldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY, NELDG OV.COM Requested BDCC Agenda Date* 12 05,2022 Due Date 12/01/2022 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 Number and Master Services Agreement Number should be left blank if those contracts are not in Ontase Contract Dates Effective Date Review Date* 12,26/2022 Renewal Date* 12'31 2022 Termination Notice Period Committed Delivery Date Expiration Date Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel DONNIE PATCH CHERYL PATTELLI MATTHEW CONROY DH Approved Date Finance Approved Date Legal Counsel Approved Date 11/2812022 1 1; 2812022 11;2872022 Final Approval BOCC Approved Tyler Ref # AG 11 3022 BOCC Signed Date BOCC Agenda Date 11;3012022 Originator SKOHLGRAF Covri-K c 1- O14 -a435 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Inmate Medical Services Extension - 2022 DEPARTMENT: Weld County Sheriffs Office DATE: 11/24/2021 PERSON REQUESTING: Lieutenant Matt Elbe Brief description of the problem/issue: The Original Agreement between the County and the inmate medical services vendor, Turn Key Health Clinics, LLC ended December 31St, 2020 with the first extension agreement ending on December 31St, 2021. As a result, this extension document is being submitted for approval. There is a 2.95% increase between years two and three per the Original Agreement and this is reflected in the extension document. This increase is in the amount of $130,118.91 which brings the base cost of this contract for the period of January 1, 2022 — December 31St, 2022 to $4,540,929.30. It should be noted that the original agreement also includes $171,600 for medical staff to provide medical services at the Southwest Substation which is operational. Therefore, the total contract amount for the period of January 1, 2022 — December 31St, 2022 is $4,712,529.30. There have been no issues with the delivery of medical services during this current contract period. Please note that this has been reviewed by Karin McDougal. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The board may either approve or deny this amendment. An approval would abide by the Original Agreement both in this yearly extension document and with the increase of 2.95% set by the Original Agreement. A denial would seemingly terminate this contract after the second year of the term and causing the Sheriff's Office to go out to bid for a new vendor. A denial would be a termination without cause. Recommendation: It is recommended the board approve this extension for the next year with the agreed upon increase set by the Original Agreement with Turn Key Health Clinics, LLC. Approve R co mendation Perry L. Buck Mike Freeman Scott K. James Steve Moreno Lori Saine Consent Agenda-� 011 Schedule Work Session Other/Comments: Zola- 45Z4 ��oo4o Karla Ford From: Sent: To: Subject: Attachments: Approve Sent from my iPhone Mike Freeman Monday, December 6, 2021 11:07 AM Karla Ford Re: Please Reply : PA Request for 2022 Turnkey Contract Extension image005.jpg; image001 jpg; image004.png; 2022 TurnKey Extension kjm.docx; 2022 TurnKey Pass Around.doc On Dec 6, 2021, at 11:20 AM, Karla Ford <kford@weldgov.com>wrote: Please advise if you approve recommendation. Thank you! Karla Ford X Office Manager, Board of Weld County Commissioners 1150 O Street, P.0, Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kfer�d cx, �eidgoy.com :: www.weldgov.com **Please note my working hours are Monday -Thursday 7:OOa.m.-5:OOp.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: Sonja Kohlgraf <skohlgraf©weldgov.com> Sent: Monday, December 6, 2021 9:18 AM To: Karla Ford <kford@weldgov.com> Subject: PA Request for 2022 Turnkey Contract Extension Hello Karla, I have a couple PAs that I will be sending to you today or in the next couple of days. Attached is the PA Request for the 2022 Turnkey contract extension. This is the Inmate Medical Service provider. Please let me know if you have any questions. Thank you, Sonja Kohlgraf, . l[ LA Budget Manager Weld County Sheriffs Office Ph: 970-400-2872 1 CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY SHERIFF'S OFFICE AND TURN KEY HEALTH CLINICS, LLC. This Agreement Extension/Renewal ("Renewal"), made and entered into 10ay of December, 2021, by and between the Board of Weld County Commissioners, on behalf of the Weld County Sheriff's Office, hereinafter referred to as the "Department", and Turn Key Health Clinics, LLC, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-4524, approved on December 11`h, 2019. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, 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 ended on December 31St, 2020. • The first 12 -month Extension Agreement will end on December 31st, 2021. The parties now agree to extend the Original Agreement for an additional 12 -month period, which will begin 1/1/2022, and will end on 12/31/2022. • This Extension/Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents, which shall be effective upon the expiration of the current term of the previous Extension Agreement: 1. There is an annual increase in the base pricing for 2022 of 2.95% of the 2021 pricing of $4,410,810.39. This 2.95% increase ($130,118.91) is based on the Original Agreement for a price increase between years two and three of the contract period. With this increase, the 2022 base pricing will be $4,540,929.30. It should be noted that the original agreement also includes $171,600 for medical staff to provide medical services at the Southwest Substation. With this service being provided for 2022, the total 2022 Extension Agreement price is $4,712,529.30. 2. On December 16, 2020, two amendments were approved to the original contract. One amendment renewed and extended the contract. The other amendment (Contract ID 4290), titled "Contract Amendment Between Weld County and Turn Key Health Clinics, LLC." increased the amount of nurses staffing the Weld County Jail by 2.5 FTE for 12 months. This increase in services was successfully provided, but is no longer needed, therefore, the amendment is no longer binding on either party. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. CONTRACTOR: BOARD OF COUNTY COMMISSIONERS WELD COUNTY OLORADO K James, Chair JAN ATTEST: �� Weld C.0 y erk _ to the Board eputy C -' k t 0209_ ,1s,* Contract Form Entity Information New Contract Request Entity Name* TURN KEY HEALTH CLINICS LLC Entity ID* '00041688 ❑ New Entity? Contract Name* Contract ID 2022 INMATE MEDICAL SERVICES CONTRACT EXTENSION 5435 Contract Status CTB REVIEW Contract Lead* MELBE Contract Lead Email melbe@co.weld.co.us;skahl graf@weldgov.com Parent Contract ID 3297 Requires Board Approval YES Department Project # Contract Description* 2022 CONTRACT EXTENSION FOR INMATE MEDICAL SERVICES AT NORTH JAIL AND DEL CAMINO SW SUBSTATION; ORIGINAL ONBASE 3297 TYLER 2019-4524 2022 IS 3RD YEAR OF CONTRACT, WE WILL BE ABLE TO RENEW FOR 2 MORE YEARS IF SERVICE IS OK Contract Description 2 2.95% ANNUAL INCREASE FOR 2022 TO $4,410,810.39 PLUS $171,600 FOR MEDICAL STAFF AT SW SUB STATION Contract Type CONTRACT Amount * $4,712,529.30 Renewable* YES Automatic Renewal Department SHERIFF Department Email CM-Sheriff@weldgov.com Department Head Email CM-Sheriff- DeptHead'wweldgov.com County Attorney GENERAL COUNTY A I I ORNEY EMAIL County Attorney Email CM- COUNTYA I I O'RNEY. WELDG OV.COM Requested BOCC Agenda Date* O1 105`2022 Due Date 01/0112022 Will a work session with B©CC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Review Date* 08:01;2022 Committed Delivery Date Contact Type Contact Email Renewal Date* 12:3112022 Expiration Date Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date Approval Process Department Head DONNIE PATCH DH Approved Date 01!03/2022 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 01 '10 '2022 Originator SKOHLGRAF Finance Approver CHRIS D'OVIDIO Legal Counsel KARIN MCDOUGAL Finance Approved Date Legal Counsel Approved Date 01(03/2022 01;0312022 Tyler Ref AG 011022 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Inmate Medical Services Extension DEPARTMENT: Weld County Sheriff's Office PERSON REQUESTING: Lieutenant Matt Elbe DATE: 11/25/20 Brief description of the problem/issue: The Original Agreement between the County and the inmate medical services vendor, Turn Key Health Clinics, LLC is ending December 31St, 2020. As a result, this extension document is being submitted for approval. There is a 2.95% increase between years one and two per the Original Agreement and this is reflected in the extension document. This increase is in the amount of $126,390.39 which brings the cost of this contract for the period of January 1, 2021 — December 31St, 2021 to $4,410,810.39. There have been no issues with the delivery of medical services during this current contract period. Please note that this has been reviewed by Bob Choate. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The board may either approve or deny this amendment. An approval would abide by the Original Agreement both in this yearly extension document and with the increase of 2.95% set by the Original Agreement. A denial would seemingly terminate this contract after the first year of the term and causing the Sheriff's Office to go out to bid for a new vendor. A denial would be a termination without cause. Recommendation: It is recommended the board approve this extension for the next year with the agreed upon increase set by the Original Agreement with Turn Key Health Clinics, LLC. Approve Recommendation Mike Freeman, Chair Scott K. James Barbara Kirkmeyer Steve Moreno, Pro -Tern Kevin D. Ross Schedule Work Session &?tA21& On" It -020 -020 Other/Comments: J0/9- //50zi7t S poo�o CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY SHERIFF'S OFFICE AND TURN KEY HEALTH CLINICS, LLC. /�i� This Agreement Extension/Renewal ("Renewal"), made and entered into day of December 2020, by and between the Board of Weld County Commissioners, on behalf of the Weld County Sheriff's Office, hereinafter referred to as the "Department", and Tarn Key Health Clinieg,,l.I,T hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 70I9-424, approved on December 11t. 2019. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, 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 December 312, 202Q, • The parties agree to extend the Original Agreement for an additional twelve-month period, which will begin January 1a. 202 f. and will end on December 31a, 2021. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties, The following change is herebymade to the Contract Documents, which shall be effective upon the expiration of the current term of the Original Agreement 1. There is an annual increase in the base pricing for 2021 of 2.95% of the 2019 pricing of $4,284,420. This 2.95% increase ($126,390.39) is based on the Original Agreement for a price increase between years one and tvQ of the contract period. With this increase, the 2021 base pricing will be $4,410,810.39. It should be noted that the original agreement also includes $171,600 for medical staff to provide medical services at the Southwest Substation. While the Southwest. Substation is not operating during the COVID-19 pandemic, these funds will be used to support the additional 2.5 FTE medical staff to assist in managing COVID-19 in the jail. ▪ 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. CONTRACTOR: Vl6r, , CT --o Printed Name r _) Signature, BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair ATTEST. Weld BY: DEC 1 6 2020 dI l...de" o:ei Deputy Clerk to Boar Contract Form New Contract Request Entity Information Entity Name* TURN KEY HEALTH CLINICS LLC Contract Name* Entity ID* A110041688 ❑ New Entity? Contract ID 2021 INMATE MEDICAL SERVICES CONTRACT EXTENSION 4291 Contract Status CTB REVIEW Contract Lead* MELBE Contract Lead Email melbe«� co.weld.co.us; skohl graf.ITviieldgov.com Parent Contract ID 3297 Requires Board Approval YES Department Project It Contract Description* 2021 CONTRACT EXTENSION FOR INMATE MEDICAL SERVICES AT NORTH JAIL AND DEL CAMINO SW SUBSTATION Contract Description 2 Contract Type* CONTRACT Amount* 54,410,810.39 Renewable * YES Automatic Renewal Grant (GA Department SHERIFF Department Email CM-Sheriffweldgov.com Department Head Email CM-Sheriff- DeRtHeadweldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYA I I ORNEY:A WELDG OV'.COM If this is a renewal enter previous Contract ID 3297 If this is part of a MSA enter MSA Contract ID Requested BOCC Agenda Date* 12x'092020 Due Date 12.05 2020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? NO 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* 10;01. 2021 Renewal Date* 12 31 2021 Termination Notice Period Committed Delivery Date Expiration Date Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head DONNIE PATCH DH Approved Date 12;'09; 2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 12;`16; 2020 Originator SKOHLGRAF Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Legal Counsel BOB CHOATE Finance Approved Date Legal Counsel Approved Date 12110:2020 1211 2020 Tyler Ref # AG 121620 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Inmate Medical Services Amendment DEPARTMENT: Weld County Sheriffs Office DATE: 11/24/20 PERSON REQUESTING: Lieutenant Matt Elbe Brief description of the problem/issue: As a result of the COVID-19 pandemic, the subsequent lawsuit filed by the ACLU and ultimately the order from the federal court, Turn Key Health Clinics (the inmate medical services vendor) has been providing additional medical staff above and beyond the scope of the Original Agreement. This was done as a good faith effort on behalf of the Contractor to continue to provide appropriate medical services during a trying time which was perceived to be far more temporary than what it has ended up being. As a result of the continued pandemic, its effects on the jail, its effects on the inmate medical services delivery system and the continued need to satisfy a court order related to, in part, providing medical care to inmates, Turn Key Health Clinics is proposing a staff increase of 2.5 FTEs ($15,600 per month). This increase is to keep up with the demand for the assessment of medically vulnerable inmates, assessment of quarantined inmates/units, assessment of inmates waiting for transfer to DOC as well as to the state hospital and other counties/entities requiring longitudinal assessment, as well as ongoing testing efforts of the offender population. During the months of June — August 2020, Turn Key Health Clinics provided approximately 2000 hours of nursing above what was called for in the Original Agreement and this has continued during the previous few months. The need for these additional staff is not dissipating and we will have to ensure we are in compliance with guidelines associated with managing COVID- 19 in a jail setting as well as any court order/settlement related to COVID-19 and its management in the Weld County Jail. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The board may either approve or deny this amendment. An approval is a commitment to ensuring we are in compliance with current guidelines and any court order/settlement agreement as it relates to managing COVID- 19 and decreasing liability for the County. The cost of this amendment is absorbed by the Weld County Sheriff's Office not using the funds budgeted for the Southwest Substation medical services ($171,600) since this location has never opened. Furthermore, this location is likely not to be opened during the pandemic and therefore the cost of additional nurses proposed in this amendment and the cost of running medical services at the Southwest Substation will never be a concurrent cost and will offset each other. A denial of this amendment would increase the potential for failure of our contracted medical vendor to provide the necessary medical services that are well outside the scope of the Original Agreement and would place significant liability on the County. eAr e),„6,( -4-e( ,2,D/9 - /o2 -/G -tea SDod�D Recommendation: It is recommended the board approve this amendment as the Contractor has gone above and beyond what would be considered good faith in providing adequate medical services during the COVID-19 pandemic and as a result of the court order against the jail. They cannot sustain this level of service without just compensation. Considering that the budgeted funds for medical services at the Southwest Substation are not being utilized at this time and wouldn't be as long as COVID-19 is something the Weld County Jail is managing, the cost of these additional staff can be paid from the already approved funds. Please note that this amendment has been reviewed and approved by Bob Choate. Approve Recommendation Mike Freeman, Chair Scott K. James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin D. Ross Schedule Work Session Other/Comments: CONTRACT AMENDMENT BETWEEN WELD COUNTY AND TURN KEY HEALTH CLINICS, LLC. This Amendment ("Amendment") is made to the Original Agreement between Weld County ("County") and Turn key Health Clinics, LLC ("Contractor") which was made on December I1th, 2019 ("Agreement"). WHEREAS the parties entered into the Agreement identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019.4524, approved on December 11ti, 2019. WHEREAS the parties hereby agree to amend the Agreement, 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: I. Term. This First Amendment shall commence on the First Amendment Effective Date and shall remain in effect through the Tenn of the Agreement unless otherwise canceled, at any time, by the County with 30 days' notice. 2. Additional Nursing FTEs. This first .arnetidnient increases the nursing staff Contractor provides by 2.51• its. The addition of these staff members is in responseto the COVID-I9 pandemic and subsequent legal action taken against the County. There is a necessity for increased medical services as a result of these factors and this staff increase satisfies those needs. 3. Comnensation/Contract Amount. The cost of the additional 2.5 FTEs is $187,200 per year (January 1" — December 31"). 1/12 of this amount ($15,600) will be billed each month with the monthly invoice. This amount will be reflected on its own line on the monthly invoice. The first month of billing for these additional FTEs will be December 2020. 4. This Amendment, together with the Agreement, constitutes the entire understanding between the parties. All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF. the parties heroto have duly executed the Agreement as of the day, month, and year first above n7itten. CONTRACTOR: s% LNr�6 t:Fa Signa BOARD OF COUNTY COMMISSIONERS WE[,.D COUNTY, COLOMDO Mike Freeman, Chair ATTEST: Weld Cou 13Y: De DEC 1 0 2020 erk to the Contract Form Entity Information New Contract Request Entity Name' TURN KEY HEALTH CLINICS LLC Entity ID* 300041688 Contract Name* 2020 CONTRACT AMENDMENT TO 2019-4524 (ONBASE#3297) Contract Status CTB REVIEW Contract ID 4290 Contract Lead* MELBE ❑ New Entity? Parent Contract ID 3297 Requires Board Approval YES Contract Lead Email Department Project # melbe:nvco,weld.co.us,skohl graf.weldgov.com Contract Description* ADDING COST FOR 2.5FTE OR S 187.200 TO 2020 CONTRACT TO COVER MEDICAL SVC NEED IN NORTH JAIL DUE TO COVIDI 9. COST OFFSET WITH BUDGETED NURSING COST FOR SW BKG STATION (CLOSED DUE TO COVID19). Contract Description 2 Contract Type* CONTRACT Amount X187,200.00 Renewable* YES Automatic Renewal Grant IGA Department SHERIFF Department Email CM-SheriffMweldgov.com Department Head Email CM-Sheriff- DeptHead 3weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYA 1 I ORNEYWELDG OV.COM If this is a renewal enter previous Contract ID 3297 If this is part of a MSA enter MSA Contract ID Requested BOCC Agenda Date* 12 09 2020 Due Date 12/05 '2020 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 On Base Contract Dates Effective Date Review Date* 12,31:2020 Renewal Date* 12 31/2020 Termination Notice Period Committed Delivery Date Expiration Date Contact Information Contact Info Contact Name Purchasing Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date Approval Process Department Head DONNIE PATCH DH Approved Date 12 09r2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 12'16!2020 Originator SKOHLGRAF Finance Approver BARE CONNOLLY Legal Counsel BOB CHOATE Finance Approved Date Legal Counsel Approved Date 12;1012020 12'11'2020 Tyler Ref # AG 121620 1-rac+ =O # 3'`17 N covHVY STEVE REAMS TO: Weld County Board of County Commissioners FROM: Lieutenant Matt Elbe — Weld County Sheriff's Office SUBJECT: Inmate Medical Services Contract (B1900131) DATE: 12/06/19 In September 2019, the Weld County Sheriffs Office started a competitive RFP process for inmate medical services in the jail with these services to commence on January 1, 2020. Through this process and an objective review, Turn Key Health was recommended as the new vendor for inmate medical services. A Work Session with the BOCC took place on November 4th, 2019 to discuss the recommendation of Turn Key Health and a subsequent award of this contract was made to Turn Key Health on November 6th, 2019. This contract includes a base cost for inmate medical services at the Weld County North Jail Complex ($4,284,420/year) and also includes costs for expansion projects that the Weld County Sheriffs Office is currently in the process of facilitating; 2 West Jail expansion ($736,200/year @ 1000+ inmates) and Southwest Substation booking project ($171,600/year @ 10 hours/day 7 days/week and $457,200/year @ 24 hours/day 7 days/week). These costs will be paid in a monthly proportion of the annualized totals and only when such services commence. This contract is termed for three (3) years with the option of two (2) one (1) year extensions. This contract, as written, between Weld County and Turn Key Health has been approved by Bob Choate, signed by Turn Key Health President Job Echols and is ready for your review along with Exhibit A (Bid Specs) and Exhibit B (Turn Key Health's Proposal). Southwest Substation 4209 WCR 24 1/2 Longmont, Colorado 80504 (720) 652-2415 Fax (720) 652-4217 Qonsu0t G�gcn,eC.� 1W I I ill Headquarters /c -- 1950 O Street Greeley, Colorado 80631 (970)356-4015 Fax (970)304-6467 Toll Free (800)436-9276 www.weldsheriff.com /9 Southeast Substation 2950 9th Street Fort Lupton, Colorado 80621 (303) 857-2465 Fax (303) 637-2422 a014-tisay 500090 2 m¢ `��. _ M . FOR. PROFESSIONAL SERHCES 0.. THIS AGREEMENT is made and entered into this t t day of Decern 1r, 2011, by and between the County of Weld a 4zpody corporate and politic of the State of Colorado, by and through its Board of County Commissioners, whose address is 1150 "0" Street, Greeley, Colorado 80631. hereinafter referred to as "County," and Turn Key Health Clinics, LLC who whose address is 19 NE 50th Street Oklahoma City, OK 73105 hereinafter referred to as "Contract Professional". H E RE.. S, County -desires to retain Contract Professional as an independent Contract Professional to perform services as more particularly set forth below; and WHEREAS. Contract Professional has the ability, qualifications, and time available to timely perform the services, and is willing to perform the services according to the terms of this Agreement. WHEREAS, Contract Professional is authorized to do business in the State of Colorado and has the time. skill. expertise, and experience necessary to provide the services as set forth below; kJ. consideration a . � covenants � NOW, THEREFOR' 3 i� consideration of the mutual promises and co�� enants contained herein, the parties hereto agree as follows: Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibits A and B each of which forms an integral part of this Agreement. Exhibits A and B are specifically incorporated herein by this reference. nce. County and Contract Professional acknowledge and agree that this Agreement, including specifically A Exhibitsand B, define the performance obligations of Contract Professional and Contract Professional's willingness and ability to meet those requirements. Exhibit A consists of County's Request for Proposal (RFP) as set forth in "Proposal Package No. B1900131". The RFP contains all of the specific requirements of County. Exhibit B consists of contract Professional's Response to County's Request for Proposal., The Response coders Contract. Professional's obligations under this Agreement. . Service or Woska Contract Professional agrees to procure the materials, equipment and/or products necessary for the project and agrees to diligently provide all services, labor, personnel and materials necessary to :erfornand corn fete the project described. in Exhibit which is attached hereto and incorporated herein by P P reference. Contract Professional shallcoordinate with Weld County to performthe services described on attach..ed. E7rthibits A and B. Contract Professional shall faithfully perform the work in accordance with the standards of professional care, skill, training, diligence and judgment provided by highly competent Contract Professionals performing services of a similar nature to those described in this Agreement Contract Professional shalt further be responsible for the timely completion. and acknowledges that a failure to comply with the standards and requirements of .hibits .A and B within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Aueement°. 4 Term. The term of this Agreement begins upon the date of the execution of this Agreement by County, and shall continue through and until Contract Professional's completion of the responsibilities described in Exhibit A. Both of the parties to this Agreement understand and agree that the laws of the State of Colorado prohibit County from entering into Agreements which bind County for periods longer than one year. Therefore, within the thirty (30) days preceding the anniversary date of this Agreement, County shall notify Contract Professional if it wishes to renew this Contract. l'erminationCou.nty, and the Contract Professional, have the right to terminate this Agreement, with or without cause on ninety (90) days written notice. Furthermore, this Agreement may be terminated by the County at any time without notice upon a material breach of the terms of the Agreement. However, nothing hereinshall be construed as giving Contract Professional the right to provide services under this Agreement beyond the time when such services become unsatisfactory to the County, If this Agreement is terminated by. County, Contract Professional shall be compensated for, and such compensation shall be limited to, (1) the sum of the amounts contained in invoices which i.t has submitted and which have been approved by the County; (2) the reasonable value to County of the services which Contract Professional provided prior to the date of the termination notice, but which had not yet been approved for payment; and (3) the cost of any work which the County approves in writing which it determines is needed to accomplish an orderly termination of the work County shall be entitled to the use of all material generated pursuant to this Agreement upon termination. Upon termination, County shall take possession of all materials, equipment, tools and facilities owned by County which Contract Professional is using, by. whatever method it deems expedient; and, Contract. Professional shall deliver to County all drawings, drafts or other documents it has completed or partially completed under this Agreement, together withall other items, materials and documents which have been paid for by County, and these items, materials and documents shall be the property of County. Copies of work. product incomplete at the time of termination shall be marked. "DRAFT -INCOMPLETE." Upon termination of this Agreement by County, Contract Professional shall have no claimof any kind whatsoever against the County by reason of such termination or by reason of any act incidental thereto, except for compensation for work satisfactorily performed and/or materials described herein properly delivered. 5. Extension or Modification. Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by Contract Professional shall be the basis for additional compensation unless and. until Contract Professional has obtained written authorization and acknowledgement by ounty for such additional services. Accordingly, no claim that the County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder. In the event that written authorization and acknowledgment by the County for such additional services is not timely executed and issued in strict accordance with this Agreement, Contract Professional's rights with respect to such additional services shall be deemed waived and such failure shall result in non-payment for such additional services or work performed. in the event the County shall require changes inthe scope, character, or complexity of the work to be performed, and said changes cause an increase or decrease inthe time required or the costs to the Contract Professional for performance, an equitable adjustment in fees and completion time shall be negotiated between the parties and this Agreement shall be modified accordingly by a supplemental Agreement. Any claims by the Contract Professional for adjustment hereunder must be made in writing prior to performance of any work covered in the anticipated supplemental Agreement. Any change in work made without such prior supplemental Agreement shall be deemed covered in the compensation and time provisions of this Agreement 6. compensation/contract Amount. Upon Contract Professional's successfulcompletion of the services, and County °s acceptance of the same, County agrees to pay an amount no greater than the monthly proportion of the annualized total of $4,284,420 for inmate medical services at the North Jail Complex with an additional per diemcost of $1.95 per innate beyond a monthly ADP of 850 inmates, which is the bid set forth in Exhibit. B. Additionally, County agrees to pay an amount no greater than the monthly proportion of the annualized total of $171,600 for medical services provided at the Southwest Substation (Del Camino) during preliminary operational hours of ten (10) hours per day seven (7) days a week when medical services commence at this site, which is the bid set forth in Exhibit B. Additionally, should operational hours increase at the Southwest Substation (Del Camino) to twenty-four (24) hours per day seven (7) days a week, County agrees to pay an amount no greater than the monthly proportion of the annualized total of $457,200 when medical services commence, which is the bid set forth in exhibit B. With the jail expansion project of 2 West and an eventual increased average daily population (ADP) of the North Jail Complex reaching 1000 plus inmates, incremental price increases associated with increased staff and resources to accommodate the increasing ADP associated with the 2 West expansion project will be mutually agreed upon by County and Contract Professional and will not exceed a monthly proportion of the annualized total $736,200, which is the bid set forth in Exhibit 13. An annual increase of 2.95% between year one and two, and between year two and three will be applied to the base price of the contract which would include the cost of any services provided at the Southwest Substation and/or 2 West, which is the bid set forth in Exhibit B. Contract Professional acknowledges no payment in excess of these amounts will be made by County unless a "change order" authorizing such additional payment has been specifically approved by the Director of Weld County Public Works, or by formal resolution of the Weld County Board of County Commissioners, as required pursuant to the Weld County Code. Any other provision of this Agreement notwithstanding, in no event shall County be liable for payment for services rendered and expenses incurred by Contract Professional under the terms of this Agreement for any amount in excess of the sum of the bid amount set forth in Exhibit B. Contactor acknowledges that any work it performs beyond that specifically authorized by County is performed at Contract Professional's risk and without authorization under this Agreement. County shall not be liable for the payment of taxes, late charges or penalties of any nature other than the compensation stated herein.. If, at any time during the term or after termination or expiration of this Agreement, County reasonably determines that any payment made by County to Contract Professional was improper because the service for which payment was made did not perform as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from County, Contract Professional shall forthwith return such payment(s) to County. Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall forthwith be returned to County. County will not withhold any taxes from monies paid to the Contract Professional hereunder and Contract Professional agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Mileage may be reimbursed if the provisions of Exhibit A permit such payment at the rate set forth in Exhibit A. Contract Professional shall not be paid any other expenses unless set forth in this Agreement. Payment to Contract Professional will be made only upon presentation of a proper claim by Contract Professional, itemizing services performed and, (if permitted under this Agreement), mileage expense incurred. Notwithstanding anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement after, nor shall any payments be made to Contract Professional in respect of any period after December 31 of any year, without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25, title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20) 7. Independent Contract Professional. Contract Professional agrees that it is an independent Contract Professionaland that Contract Professional'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. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, 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 Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement Contract Professional shall have the following responsibilities with regard to workers' compensationand 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. 8 Subcontractors. Contract Professional acknowledges that County has entered into this Agreement in. reliance upon theparticular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion, except for the services provided by physicians and dentists. County shall have the right in its reasonable discretion to approve all personnel assigned to the subject project during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the project. Contract Professional shall require eachsubcontractor, as approved by County and to th.e extent of the Services to be performed by the subcontractor, to be bound to Contract Professional by the terms of this Agreement, and to assume toward. Contract Professional all the obligations and responsibilities which Contract Professional, by this Agreement, assumes toward County. County shall have the right (hut not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contract Professional and Contract Professional shall cooperate in such process. The Contract Professional shall be responsible for the acts and omissions of its agents, employees and subcontractors. 9. Ownership. All work and information obtained by Contract. Professional under this Agreement or individual work order shall become or remain (as applicable), the property. of County. in addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement andall reports, test results and all other tangible materials obtained and/or produced in. connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement withoutprior writtenapproval of County. Con dentin nt . Confidential financial information of the Contract Professional should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, Contract Professional is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., withregard to public records, and cannot guarantee the confidentiality of all documents. Contract Professional agrees to keep confidential all of County's confidential information. Contract Professional agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County, Contract Professional agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this agreement. I. Warranty. Contract Professional warrants that the services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of tip i. s Agreement. Contract Professional further represents and warrants that allservices shall be perf o nn ed . t J qualified personnel in a professional and workmanlike manner, consistent with industry standards, and that all services will conform to applicable specifications. Acceptance of .tervices Not a We ah,A r Upon completion of the work, Contract Professional shall submit to County originals of all test results, reports. etc., generated during completion of this work, Acceptance by County of reports and incidental material(s) furnished under this Agreement shall not in any way relieve Contract Professional of responsibil:ity for the quality and accuracy of the project. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contract Professional, and County's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to County with respect to such breach or default. No assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the County of, or payment for, the services completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance and Indemnification. Contract Professionals 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. Contract Professionals 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, County must be notified by the Contract Professional. Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverage's specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Professional. The County in no way warrants that the minimum limits contained herein are sufficient to protect them from liabilities that might arise out of the performance of the work under this Contract by the Contract Professional, its agents, representatives, employees, or subcontractors. The Contract Professional shall assess its own risks and if it deems appropriate and/or prudent, maintain higher limits and/or broader coverages. The Contract Professional is not relieved of any liability or other obligations assumed or pursuant to the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types. The Contract Professional 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. Any modification to these requirements must be made in writing by Weld County. The Contract Professional stipulates that it has met the insurance requirements identified herein. The Contract Professional shall be responsible for the professional quality, technical accuracy, and quantity of all services provided, the timely delivery of said services, and the coordination of all services rendered by the Contract Professional and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. INDEMNITY: The Contract Professional shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or willful acts or omissions of Contract Professional, or claims of any type or character arising out of the work done in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers' compensation law or arising out of the failure of the Contract Professional to conform to any statutes, ordinances, regulation, law or court decree. The Contract Professional shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement, or on account of or in consequence of neglect of the Contract Professional in its methods or procedures; or in its provisions of the materials required herein, or from any claims or amounts arising or recovered under the Worker's Compensation Act, or other law, ordinance, order, or decree. This paragraph shall survive expiration or termination hereof It is agreed that the Contract Professional will be responsible for primary loss investigation, defense and judgment costs where this contract of indemnity applies. In the event that a claim(s) is brought against Contract Professional and County related the same incident or conduct, the Parties shall confer within. sixty (60) calendar days of receiving notice of said claim to determine whether to execute a Joint Defense Agreement (MA). . Unless otherwise prohibited, the Parties agree to execute a MA within ninety (90) days of receiving notice of said claim, or prior to the deadline to file an Answer or other responsive pleading if an action has already been filed, whichever is sooner. In consideration of the award of this contract, the Contract Professional agrees to waive all rights of subrogationagainst the County its associated and/or affiliated entities, successors, or assigns, its elected officials, trustees. employees, agents, and volunteers for losses arising from. the work performed by. the Contract Professional for the Count4 , failure to comply with this provision shall result i.n County's right to immediately, terminate this Agreement. Types of Insurance: The Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Wrkrs' Compensation Insurance as required by state statute, and Employer's Liability insurance covering ail of the Contract Professional's employees acting within the course and scope of their employment. Policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contract Professional or subcontractor is exempt under Colorado Workers' Compensation Act., AND when such. Contract Professional or subcontractor executes the appropriate sole proprietor waiver form. Commercial General. Liability Insurance shall include bodily injury, property damage, and liability assumed under the contract. $1,000,000 each occurrence; $1,.000,000 general ag .-egate; 1,000,000 Personal Advertising injury Automobile liabiiit : Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and S1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned, hi.red,. and non - owned vehicles used in the performance of this Contract. Professional is -ilit y errors and Omissions Liability) The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contract Professional shall maintain limits for all claims covering wrongful acts, errors and/or omissions, including design errors, if applicable, for damage sustained by reason of or in the course of operations under this Contract resulting from professional. services. In the event that the professional liability insurance required by this Contract is written on a claims -made basis, Contract Professional warrants that any retroactive date under the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or. an extended discovery period will be exercised for a period of two (2). years beginning at the time work under this Contract is completed. Minimum imitsft Per Los Aggregate. S ,0l,3'0,0%./0 1000.000 Contract Professionals shall secure and deliver to the County at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. Proof of Insurance: County reserves the right to require the Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contract Professional's insurer shall name County as an additional insured. Waiver of Subrogation: For all coverages, Contract Professional's insurer shall waive subrogation rights against County. Subcontractors: All subcontractors, independent Contract Professionals, 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 coverage's required of Contract Professional. Contract Professional shall include all such subcontractors, independent Contract Professionals, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contract Professional agrees to provide proof of insurance for all such subcontractors, independent Contract Professionals, sub -vendors suppliers or other entities upon request by the County. 14. Non -Assignment, Contract Professional may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. Any attempts by Contract Professional to assign or transfer its rights hereunder without such prior approval by County shall, at the option of County, automatically terminate this Agreement and all rights of Contract Professional hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. 15. Examination of Records. To the extent required by law, the Contractor agrees that any duly authorized representative of County, including the County Auditor, shall have access to and the right to examine and audit any books, documents, papers and records of Contractor, involving all matters and/or transactions related to this Agreement. The Contractor agrees to maintain these documents for three years from the date of the last payment received. 16. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 17. Notices. County may designate, prior to commencement of work, its project representative ("County Representative") who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to County Representative. The County Representative for purposes of this Agreement is hereby identified as, Weld County Sheriff's Office Detentions Captain, or his designee. All notices or other communications (including annual maintenance made by one party to the other concerning the terms and conditions of ;this contract shall be deemed delivered under the following circumstances: a personal service by a reputable courier service requiring signature for receipt; or (b) five (5) days following delivery to the United States Postal Service, postage prepaid addressed to a party at the address set forth in this contract; or (c) electronic transmission via email at the address set forth below., where a receipt or acknowledgment is required by the sending party; or (d) transmission via facsimile, at tht number set fore below. where a receipt or acknowledgment is required by the sending party. Either party may c .:; nge its notice addresses) by written notice to the other. Notification information: Contract Professional: Turn Key Health l inics, LLC Attn.: President, Jon Echols Address: 19 NE 50th Street Address: Oklahoma City, OK 74010 E-mail: c el s t .rn: e ealthcl nics. c m Facsimile:40 _563 9I2I th copy to: Name: Flint Junod Position: Chief Executive Officer Address: 19 NE 5 E Street Address: Oklahoma City,. OK 74010 E-mail:ljupp0@turnkeyhealteliniQS,com Facsimile: 405-5.63-9121 County: Name: Matt Elbe Position: Detentions Lieutenant Address: 2II.0 O Street Address: Greeley, CO 8063, E-mail: melbeaweldgov.com 18 Compliance with Law. Contract Professional shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. 19. Ton -Exclusive Agreement. This Agreement is nonexclusive and County may engage or use other ~onProfessionals or persons to perform services of the same or similar nature. 20. Entire ` . reement/Mdif icationso This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Ageement may be changed or supplemented only by a written instrument signed by both parties. 21. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 22. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-S07. 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. County has no interest andshall not acquire any interest direct or indirect, that would in any manner or degree interfere with the performance of Contract Professional's services and Contract Professional shall not employ any person having such known interests. During the term of this Agreement, Contract Professional 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 Contract Professional to ensure compliance with this provision may result, in County's sole discretion, in immediate termination of this Agreement. No employee of Contract Professional nor any member of Contract Professional's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to Contract Professional. 23. Sever,abiliy. 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. 24. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §24-lO-1O1 et seq., as applicable now or hereafter amended. 25. No Third Party Beneficiary. it is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 26. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 27. 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, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 28. Public Contracts for Services C.R.S. §8_173-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confinm 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). Contract Professional 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 Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use . E - Verify y Program or State of Colorado program procedures to undertake pre- employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three days that Contract Professional has actual knowle..e 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. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8- 17451 02 (5), by the Colorado Department of Labor and Employment. if Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring an new employee to perform work under the contract, affirm that Contract Professional 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. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of tins provision or of x§8-17.5-101 et seq., County, may terminate this Agreement for breach. and if so terminated, Contract Professional shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided inC.R.S. s 24-76.5-103(3), if Contract Professional receives federal orstate fluids under the contract, Contract Professional 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 Contract Professionaloperates 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 fonns 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,. % Attorneys Fees/Legal Costs. In the event of a dispute between County and Contract Professional, 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 30. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra judicial body or person. Any provision to the contrary in this Agreement or incorporated herein by reference shall be null and void. Acknowledgment. County and Contract Professional acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits A and B, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this :fae, `, 201. CONTRACT PROFESSIONAL: TURN KE'HEALTH CLINICS, LLC By: Name: l'6n Echols Date Title: President aty/aoi9 day of WELD C ATTEST: Weld Co BY: Clerk to the Board Deputy Clerk BOARD OF COUNTY COMMISSIONERS WD COUNTY, ORADO Barbara Kirkmeyer/ Chair C 11 ZOOS Inmate Medical Services Prop s SECTION I Turn l _ f cations and Advantages Turn Key Health Clinics, LLC (Turn Key) knows that the selection of a company to provide health services to the inmate population is a decision your agency does not take lightly. We commend you for seeking a partnership with a proven provider that will ensure the inmate healthcare program at the Weld County North Jail Complex and Booking Substation exceeds the latest healthcare standards and maintains fiscal accountability to the taxpayers of Weld County. We also realize one of the most valuable resources of your leadership team is time. Therefore, our proposal honors your request to be concise. Instead of presenting . J:�:n^`3...11.E .._.3.. r•;f ritI t'C' .""." .X-. a”,'r3 '. r, `,':r�•-� i.i.F�"'3.' J0A'•T,.�'�.,u.;• J`1 .. }-r Viii. `14:7M l.Git. vi c -n^ -'.?"+Y 'Sr1T - "'l� PAC ,. S.�IeY•-�, �;��.,a a:e :::�.. .b�.:�,--�tt•; t�. i. R - �: wt_.;»�.,::f , n:.u� ;-ss;:s:s; C1 r "The level of corporate support your team provides is - something that Tulsa County never experienced with the previous national providers. Our partnership with Turn TV r 4 professional Health Key Health has helped CSO to enhance our p ofessional F [ image with the citizens of Tulsa County." 6 £v rY Sheriff Vic Regalado, Tulsa County Sheriff's Office Weld County with elaborate volumes of stock language that would take hours to review, our proposal gets right to the point by highlighting our qualifications and the advantages of a Turn Key partnership. General Require' e ts and Minimu Qualifications Turn Key exceeds the general requirements and minimum qualifications as set forth on Pages 11-12 of the RFP. Our program incorporates: 1. Proven Effectiveness: Turn Key's effectiveness with providing correctional healthcare services is evident. In Turn Key's 10 -year history, we have been chosen to replace large, nationally focused correctional healthcare providers in nearly half of our 44 accounts (our client list is included in ATTACHMENT A), yet we have never had a client choose to replace our services with the services of a competitor. BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOINKING SUBSTATION PAGE 1 N EALTH Inmate Medical Services Proposal 2. Appropriate Legal Authority: All of our programs operate within the guidelines established in the RFP. We meet the requirements established by the State of Colorado to provide such services to Weld County. A copy of our business registration for Colorado is included in ATTACHMENT B. 3. Five years of experience and three curre, it contracts with at least 5OO beds: Turn Key provides correctional health services to six facilities that exceed the 500 -bed requirement established by the RFP. These facilities also include inmates and detainees in the custody of ICE, the Federal Bureau of Prisons, the U.S. Marshalls, the Bureau of Indian Affairs, state -level DOCs and numerous local municipalities. Our large facilities include: 1. Oklahoma County, Oklahoma, 1,800 beds 2. Tulsa County, Oklahoma, 1,800 beds 3. Pulaski County, Arkansas, 1,200 beds 4. Grady County, Oklahoma, 650 beds 5. Benton County, Arkansas, 550 beds 6. Cleveland County, Oklahoma, 545 beds 4. Sufficient Insurance Coverage: Turn Key's program exceeds the required insurance coverage as stated on page 11 of the RFP. We have provided a letter of intent from our insurance carrier and a sample certificate of insurance in ATTACHMENT C of our proposal. 5. NCCHC Accreditation: Turn Key provides services at three NCCHC focused detention facilities including: Oklahoma County, Oklahoma Tulsa County, Oklahoma Pulaski County, Arkansas When Turn Key was chosen as the vender for the Pulaski County Jail, we were challenged to restore NCCHC accreditation that had been revoked during the previous medical administration. We proudly assisted the facility in becoming one of the first mega -jails BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 2 -a inmate e EALTII ical Services Pr posal (1,000+ beds) to achieve full accreditation under the new 2018 NCCHC standards. In addition to these three counties, we are currently assisting Kay County, Oklahoma, and Garland County, Arkansas, in their efforts to become NCCHC accredited within the next year. 6. A Record of Timely, Professional Transitions: The majority of our transitions have occurred in less than 30 days, and at times, with multiple projects at once. Some examples of our transitional success include, but are not limited to: July 2015 - Transitioned four programs on the same day, each having a short time period from notice of award August 2015 - Transitioned Rogers County to an ACA oriented model with only an 8 day transition period December 2016 - Transitioned Tulsa County (1,800 beds - previously with Armor) and Pulaski County (1,200 beds) at the same time in less than 4 weeks July 2018 - Transitioned Oklahoma County (1,800 beds - previously with Armor) in less than 5 weeks We are confident in our ability to transition Weld County within 30 days of our notification of award. We have included our Transition Plan schedule for your review in ATTACHMENT D. 1:2 Corporate History Turn Key was formed in 2009 when the Cleveland County Sheriff's Office started seeking a professional inmate health program for their new 550 -bed Detention Center in Norman, Oklahoma. After meeting with a number of large, national correctional health providers, the Sheriff found that none of them offered the level of local support and program commitment he desired in a partnership. The Sheriff then contacted Sooner Medical Staffing, Turn Key's current sister company under common ownership. Sooner Medical had established a remarkable reputation for client satisfaction, which ultimately resulted in receiving the Best of the Best award for medical staffing from Oklahoma Magazine three years in a row. With a rooted respect for the men and women of law enforcement, the decision to step up to the Cleveland County Sheriffs BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 3 RN 17771?t1EALT Inmate Medical Seer vices Proposal challenge did not require much consideration. Thus, Turn Key Health Clinics was formed as a measure of support to our local Sheriffs Office. From the beginning, Turn Key's vision has been to enhance the delivery of healthcare for correctional facilities while controlling the program's financial burdens for the citizens in the community. Our clients often express that the dedication required for a long-term, successful partnership with a correctional healthcare provider is something they have never seen on a national level, but instead only with a regional approach. Therefore, Turn Key has committed to not pursue every contract throughout the United States as the opportunities arise. Rather, our focus continues to be of service to the communities in the region in which we live. By the end of 2015, our successful model of services had expanded throughout the State of Oklahoma, and law enforcement agencies in adjacent states began to take notice. After serious debate and consideration, Turn Key's leaders made the decision to expand our services to law enforcement agencies in neighboring states as part of our regional approach. Turn Key's model has allowed us to become the premier correctional health care provider in our South -Central region. Today, we provide enhanced levels of service to 44 correctional facilities in our region. We are positioned to provide the same level of service to Weld County, Colorado, in a cost-effective manner. L3 Experienc rd and Committed ers As a regional -based, regional -focused organization, Turn Key is committed to providing responsive leadership support to every client we serve. We never promise potential clients that a partnership with Turn Key will eliminate every concern that could arise with their inmate health program. These kinds of promises are out of touch with the reality of a correctional setting. Instead, we ask our clients to judge us by how we respond to specific events, if they occur. By choosing to only serve law enforcement agencies in the region in which we live, we can live up to a "same -day service" guarantee should an immediate need arise. We believe our commitment to provide responsive and accessible leadership is in part BID#B1900131 WELD COUNTY NORTH JML COIVI October 11, 2019 AND BOOKING SUBSTATION PAGE 4 aN Kn HEALTH Inmate Medical Services Proposal why we are consistently chosen to replace the services of large, national correctional health providers. Further, Weld County can be assured of the continuity of our leadership team throughout the duration of our contract. Since our inception, not a single member of our client liaison team or executive leadership team has left Turn Key to pursue employment with a competitor or even in another industry. All 44 of our clients still have direct access to the same leaders they did when their contracts began. Summary resumes for our leadership team are provided in ATTACHMENT E. However, we also include their brief professional profiles below: Flint Junod, CEO: V 1 More than 14 years of correctional health leadership experience 7 years of direct onsite health administration experience Extensive accreditation and regulatory inspection experience (NCCHC, ACA, USM, ICE, State, etc.) Administered NCCHC accredited programs in 5 unique facilities - the largest being 2,500 inmates Certified Correctional Health Professional (CCHP) with NCCHC since 2009 Jon Echols, J.D., President of Operations: V 10+ years of correctional health management V 12+ years of healthcare personnel management 7 14+ years healthcare law experience aV 7+ years of legislative experience William Cooper, DO, Chief Medical Officer: 26+ years of medical practice More than 19 years of correctional health experience Previous Chief Medical Officer for the Oklahoma Department of Corrections Administered healthcare system for as many as 50,000 prisoners 10+ years day-to-day onsite correctional clinical practice Extensive experience with NCCHC and ACA accreditation BID#B1900131 WELD COUNTY NOR' h AIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 5 Inmate Medical Services Proposal Certified Correctional Health Professional Certifications Alexandra Ah Loy, J.D., General Counsel: 7+ years of personal injury and civil rights defense litigation experience 6+ years of correctional health care provider and medical malpractice defense litigation experience Appellate practice with the Oklahoma Court of Civil Appeals and the Tenth Circuit Court of Appeals Bar admissions in a number of State and District Courts, as well as the Tenth Circuit Court of Appeals Jane Kirby, RN, Chief Compliance Officer: V 20+ years as a Registered Nurse More than 13 years of correctional health experience Previous Compliance Coordinator for the Oklahoma DOC Previously responsible for the Quality Assurance Program in a 50,000+ prisoner system 7+ years day-to-day onsite correctional management experience Extensive experience with NCCHC and ACA accreditation Certified Correctional Health Professional Certification Jesse White, J.D., Chief Financial Officer /' 10+ years of correctional health management V 12+ years of healthcare CFO experience 14+ years healthcare law experience Jawuan Lewis, D.O., Director of Mental Health: V V Vt 16+ years as a Psychiatrist 6+ years as a Forensic Psychologist in correctional facilities Licensed with Oklahoma State Osteopathic Examiners, Oklahoma State Bureau of Narcotics and Dangerous Drugs, Drug Enforcement Agency Member of the American Psychiatric Association Experience with Crisis Intervention and Emergency Psychology BID#B1900131 WELD COUNTY NORTH .� I. COMPLEX .Y October 11, 2019 AND BOOKING SUBSTATION PAGE 6 :c Ar • - 1esr _ Inmate Medical Services Proposal Implemented and operated an 86 -bed correctional mental health unit considered to be a model for correctional mental health practice V 12+ years of Private Practice Rhett Burnett, Risk Management Coordinator ✓ 36+ years of law enforcement experience V 12+ years of District Attorney criminal investigation experience 9+ years of experience as an Undersheriff 10+ years of risk management experience Donna Newman, RN, Vice President of Operations: ✓ 20+ years as a Registered Nurse Administered correctional health programs for facilities as large as 1,800 inmates April Farmer, Client Liaison / 14 years of government relations experience ✓ 16 years of experience with account management and client relations BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAL, COMPLEX AND BOOKING SUBSTATI1N flAGE 7 TURN Kit HEALTH Inmate Medical Services Proposal SIECTIO N I I E -f 4 Pr n_Azi•-c-, lea*? 2.1 Comprehensive Health Services 0veriO.ew Turn Key understands that one of the most valuable resources for county officials is efficient time utilization. We believe that employing an expensive team of creative proposal writers to create elaborate and lengthy proposals mostly consisting of "stock language" rarely serves the best interest of a county's personnel resources. Therefore, Turn Key will not burden Weld County's proposal review committee with unnecessary dialog explaining the basic functions of an inmate health system that should be considered "standard" for all programs and fall within well -established correctional health guidelines. Instead, Turn Key's Section II of our proposal highlights specific areas which we believe make us the most compatible and affordable partner for Weld County. However, should the review committee need additional assurance of our adherence to all the requirements set forth by the RFP, we have provided additional affirmative statements of compliance in the next section of our proposal labeled: SECTION III - RFP Acknowledgements. Proposals for inmate health services become excessively lengthy due to an inaccurate assumption that "the more you write, the more qualified you appear." In reality, we believe the effectiveness of an inmate health program can be demonstrated through three measures: 1. Providing adequate and consistent levels of appropriately trained personnel 2. Delivering services according to policies and procedures based on recognized community and industry (NCCHC, ACA) standards 3. Providing appropriate supervision and operational support from the corporate leadership team Turn Key's program for Weld County will deliver all three of these measures with our comprehensive twenty-four hours a day, seven days a week inmate health program. All of our personnel will be licensed and credentialed to work within the scope of practice in which they are assigned. Team members will receive orientation to Weld County's detention policies in addition to Turn Key's policies, which are based on NCCHC and community health BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND a BOOKING SUBSTATION PAGE 8 ( _T EALTII Inmate Medical Services Proposal standards. CorEMR will be utilized for documentation in accordance with applicable laws and documentation guidelines. Services will include, but are not be limited to: V V V V V V V V of V V V V V 24 hours a day, 7 days a week onsite health services Timely initial health screenings and health appraisals Comprehensive examinations, as indicated Access to daily sick call triage with appropriate follow-up care, as indicated Consistent clinical provider (MD, DO, APRN, PA) services Qualified nursing services (RN, LPN, CMA) Professional psychiatric services (Psychiatrist, Psychiatric Mid -level) Management of alcohol and/or drug detoxification and withdrawal in a safe manner Medication -Assisted Treatment (MAT) for substance abuse patients, as appropriate Chronic care and special needs management (diabetes, hypertension, seizure disorder, HIV, etc.) Segregation monitoring, as indicated Onsite specialty services (dental, x-ray, ultrasound, lab), as relevant Coordination of offsite specialty services (ophthalmology, oncology, etc.) Emergency response and crisis stabilization, as needed Coordination of Emergency Room and hospital services, as required Claims review and utilization management services Continuity of therapeutic pharmaceutical treatments, as indicated Management of onsite pharmaceutical services according to law Documentation of medication administration and other health services in CorEMR Timely medical clearances for inmate workers Strict management of medical contraband (needles, scalpels, narcotics, etc.) Medical supply management Administration of health and detention personnel health programs (TB skin tests, flu vaccine, etc.) Educational programs for inmates, health personnel, and detention personnel Discharge planning and community coordination BID#B1900131 f--ELCOUNTY NORTH JAIL COMPLEX October 11, 2019 AND B8OKING SUBSTATION PAGE 9 i i"r; •'\ ` • t ti� 1l URN KEY HEALTH Inmate Medicall Services Prot) O y; ✓ Quality Assurance measures including administrative committee meetings / Appropriate, timely and consistent communication with Weld County North Jail Complex administrative personnel 2.2 Reionr Lanai Focus Unlike some nationally focused correctional health providers, Turn Key is not driven to secure as many profitable contracts as possible throughout the country. Instead, we have made the commitment to support the dedicated law enforcement agencies within the geographical region in which we live. This focus has allowed Turn Key to become the trusted partner for correctional health services in the region we serve, and we are strongly positioned to provide the same level of client -focused service to Weld County. A primary tenet of our organization is - "Same Day Accessibility." If a client calls us in the middle of the night with a concern and we cannot have corporate representation at their facility the very next day to address effectively as they deserve. With several affordable daily and non-stop flights from the Oklahoma City and Tulsa area to Denver, corporate representation can be at Weld County within hours of notification should the need arise. In fact, we have found that short notice travel to Weld County is more efficient and affordable than a number of our existing accounts in our region. Turn Key has no doubt that the concern, then we cannot serve that client as ...S. .. .�: Jr'>� ....�.. r-�... .._ :L�._.If:eL-a_:.ro. .: 'C1c..-_. .-—=i,_.....z t.4. m. o ..:':."9T�Cllr•`f.• ,o y . .-.. "Through professional staff committed to client satisfaction, Turn Key has become a trusted source of inmate health services." Chief deputy Steven drod Garland County Sheriffs Office Weld County will fully benefit from our Regional Base, Regional Focus model of service. BID#B1900131 October 11, 2019 WELD COUNTY NORTH 'AIL COMPLEX AND BOOKING Sth STATION PAGE 10 4 f. 1$ '. :'I. tet . o;xa lAT[V.4'N[W ,� :^t "...._ �: Ki^.�ti�_ll c'fi'_. �'-b :- ,,,-:—.4.,a.,..„ G r i 1 _333 /yyy) pp (�� { / �yy service ?,'ate jj(�/�t "The customer 1ye1� :S.�Le j "The .1� top notch and issues are Major Robert B�,�rc j Benton y,�p}/ the m handled County company ^g� 7y/{�(] )qqq 1p'p/, }+� ��9++ /} ��y7 ��j} uy�a p/y7� Key) /p WVJ:3 f11}3'an [J (Turn Key) is fl eJJ ✓ expo 'it ously. " 1. Sheriff's Office '.�uanm•>N.�u'wtn. ��=;;,:>:,�. _...,. ... :..: ..::.. c:nc.-r.xrmr:ea mww•rx _.-_ ' 'eft' .,; 8 d` .ar- .:R _ 1 { JE EA.LT Inmate Medical Services Proposal 2.3 Client Liaisons As evident by the multiple client recommendation letters we have included in ATTACHMENT F, Turn Key's executive leadership team is committed to providing exemplary operational oversight and corporate support for each of our clients. In addition, we utilize a unique Client Liaison concept as opposed to overpaid commission -based sales personnel. Our client liaisons are involved with each account from the onset of negotiations through the duration of the contract. They may be paid by Turn Key, but they actually serve the best interests of the County. Instead of having an operations team continually trying to uphold random empty promises salespeople may have made to get the deal done, client liaisons are held accountable for ensuring the promises they have made are completely fulfilled. Our Client Liaisons are such an important part of our program that we only offer these positions to individuals with prior experience in government contracting or law enforcement. April Farmer will serve as the Client Liaison for our Weld County program. Prior to becoming a Turn Key Client Liaison, April was the Senior Vice President of Business Development for Justice Benefits. In this role she served numerous Sheriff's Offices and government entities, including Weld County. April's proven experience with understanding the needs of correctional clients is extremely valuable for ensuring Weld County will receive the very best of the services Turn Key has to offer. 2.4 Policy and Procedure veme : Turn Key's policies, procedures, and clinical guidelines utilized at Weld County will be based on standards established by the NCCHC, ACA, and several best practices recognized by community health organizations. All of our policies will be compliant with applicable State and Federal law and guidelines. However, Turn Key does not take a "one -size -fits -all" approach to implementing our policies and procedures at the facilities we serve. Although BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SBSTATLON October 11, 2019 PAGE 11 TURN i= 3 HEALTH Inmate Medical Services Proposal it is very convenient for a healthcare provider to expect a facility to accept and implement their corporate policies "as is," we do not believe it is right to request a client to exclusively adapt its operation for our benefit. Jane Kirby, Chief Compliance Officer, will meet with the Weld County administrative team prior to initiating our program in order to eliminate potential conflicts that could arise between Turn Key's policies and the County's policies. Our emphasis will always be focused on maintaining appropriate standards compliance with as little disruption as possible to the detention operation. Our clients have expressed appreciation for our preparatory approach as opposed to addressing potential conflicts as situations occur. 5 Accreditation Focus Pro/ mums Turn Key's policies and procedures are largely based on the standards established by the National Commission on Correctional Healthcare (NCCHC) and the American Correctional Association (ACA). Turn Key's leadership team is composed of correctional health experts who have successfully completed several NCCHC and ACA accreditation reviews at numerous correctional facilities in multiple states. Our commitment to providing the highest level of care is reflected in that three of our highest-ranking officers (Flint Junod, CEO, William Cooper, CMO, and Jane Kirby, CCO) all maintain Certified Correctional Health Professional (CCHP) status with the NCCHC. Turn Key operates NCCHC accredited program at Oklahoma County, Tulsa County, and Pulaski County. Our healthcare delivery model was praised by the onsite NCCHC review team during the last onsite review in Tulsa County, and it was instrumental in restoring the Pulaski County operation to full NCCHC status after it had been revoked under the previous administration. In addition, to these three sites, we are currently assisting Kay County, Oklahoma, and Garland County, Arkansas, with obtaining their first NCCHC accreditations. Three of our executive leaders have personal, onsite leadership experience with assisting site -level operations through the accreditation process, including: Flint Junod, CEO, CCHP Escambia County Jail - Restored facility's NCCHC status from probation - 2007 Santa Rosa County Jail - NCCHC reaccreditation - 2011 BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 12 Inmate Medical EALTH Se , ' ican• . a>; 'rte, Tres-, h Oklahoma County Jail - Initial NCCHC and initial ACA accreditations - 2012 David L. Moss, Tulsa - NCCHC reaccreditation - 2014 and 2017 William Cooper, DO, CMO, CCHP David L. Moss, Tulsa - NCCHC reaccreditation -2017 David L. Moss, Tulsa - ACA reaccreditation - 2018 Pulaski County Jail - NCCHC accreditation - 2018 Oklahoma DOC - Multiple ACA Accreditations Jane Kirby, RN, CCO, CCHP David L. Moss, Tulsa - NCCHC reaccreditation -2017 David L. Moss, Tulsa - ACA reaccreditation - 2018 Pulaski County Jail - NCCHC accreditation - 2018 Oklahoma DOC - Multiple ACA Accreditations In addition to our NCCHC and ACA accreditation expertise, Turn Key's leadership team also has extensive experience adhering to the standards of various State DOC programs and numerous Federal programs, including the US Marshals, the Federal Bureau of Prisons, the Immigration and Customs Enforcement (ICE), the Bureau of Indian Affairs, and the United States Department of Justice. We are confident in our ability to exceed the expectations of any regulatory agency associated with the Weld County North Jail Complex operation. .6 Tra n it am mm Preparation and Pr gram Com atibility Turn Key has transitioned the healthcare program from our nationally focused competitors numerous times. Our record of transitional s?-:ccess includes two large operations that were previously managed by Armor Correctional Health Services, Weld County's current provider. We have provided glowing recommendations from both of these Sheriffs in ATTACHMENT F. We are accustomed to transitioning programs in a short amount of time. The majority of our contracts have been transitioned within 30 days of award notification, and on a number of occasions we have transitioned multiple facilities at the same time. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND O 1KING SUBSTATION PAGE 13 HEALTH Inmate Medical Services Proposal When Turn Key was awarded the Rogers County contract in Oklahoma, we were asked to begin the project considerably ahead of the original schedule. Turn Key had personnel onsite within 8 hours of the Sheriffs request, and we had a fully functional 24/7, ACA based program operating in less than a week. On July 1, 2015, Turn Key transitioned programs at four facilities simultaneously. All four of these programs were with a large, national correctional health provider prior to switching to our program. Even with a short transitional window, we met all of our clients' transitional timelines without disrupting their day-to-day operations. Turn Key began providing services at two large facilities (Tulsa - 1,800 beds and Pulaski - 1,200 beds) in two different states on December 1, 2016. With a transition period of approximately 4 weeks and the Thanksgiving Holiday break just prior to the start date, Turn Key's leaders welcomed the challenge. We provided extensive corporate representation (including all of the ownership team) for both programs throughout the transition period. Even with the requirements of implementing a new EHR in Pulaski County and transitioning the existing CorEMR system from Armor's version to ours in Tulsa County, both transitions occurred seamlessly without impacting patient care or disrupting the workflow of either facility. The projected transitional period at the Weld County North Jail Complex does not cause concern for our leadership team. However, even with our .9 t: `'. e S .. - .. , r. - - -. -.._- .. : ,_, -' c.,.r.__�,.a-rr., `$e i•_n v; ...tz_ r... ,`.a:l,.?=i,-• .,.�.9,c=st Cs; a.- :- _ - .: r �..ti� . ?-, fl ._ : _ .. :,... ilr !: J+� ' "When our previous medical provider contract, you all came in and took expense, delay, or interruption to The transition to your company with the exception I y/'�D jy■�the vast jpp- /�]1 py� )�(�)� V I�itH1 Y�3L`e VxLV;JtLVn of vLL+'Gsti I�Sifllpr':UP�eat]l�e➢L�csKT." 9 iiilll Director Don Jones, Kay County abruptly ended our over without any added our inmate medical servicesn was actually not even noticed, gyp! ,�1� ry/�'yj�7 •//yq� lJ� Detention Center -_ '_'CS>= '•: .'...e ` f- ,- ..._ . ' : J, _... _ ._. .. _ ..a.i 4Y. :rr>,m:1A-Y.r C 1-r _ `'"�•='' _."l�.ont;.i...a•r��.-.r? `.i:'l.� _ :s` = i3:` a _ . extensive experience, we know preparedness is a key to success. Therefore, we have already initiated our transition plan in anticipation of a possible award. The current progress of our transition plan can be reviewed in ATTACHMENT D. Once a notification of award has been BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION October 11, 2019 PAGE 14 Inmate Medic s EALTH ervices r oposal ter-- •- 1861 issued, we will immediately contact the Weld County Sheriffs Office to provide an update on our transitional progress and to coordinate our next steps. lab or ar". .7„ -3.� 141 a th Approach Turn Key is experienced in collaborating with other community mental health programs to meet the behavior health needs of the incarcerated population. The State of Arkansas currently provides funding to various community mental health agencies to provide behavioral health services within the jails we serve. Turn Key enhances these community - based programs by providing psychiatric and medication management services. Thus, 10 of our 12 Arkansas operations utilize a mental health model very similar to the current Weld County system. Further, Turn Key partners with the University of Oklahoma - Department of Psychiatry (OU) to provide the majority of the mental health services at the Oklahoma County Jail. Since many of the patients at this facility receive services at OU when they are not .. �ui��_.�.. ,, v.,h•-- _--_.,•. ..r, ....,.,.oc-rae o r- i%{,...: c 1.11 clLa`*s:. eft Ca{n. — ELF .I xu ,ya L..e i+ , -� -c ;fc- a -« , ,. . f a�i.. Ri ;r0 - YcF • � f.- . �l .L6 •. ._.,-il. :d. .. � 1ti.`�r�.-s..... n �7t:' 4 ,S i��.�. . I::aII? {ict.;.F.. J I i, r. 3 }i; 1-r I. LW solutions the ca Sheriff ece coming agency's re. „ P.D. on board Turn to increase mental financial exposure Key has installed inventive health coverage and reduce for csite inmate medical County Sheriff's Office Taylor, Oklahoma v , .„TsVil4 y o :-.-;,w>;s--,.•..tlt71, tWinfarniNpriaVtfr7.717' incarcerated, this collaboration enhances the continuity of mental healthcare. Our extensive experience with this model will foster the continuity of services during the transition. Dr. Jawaun Lewis, Turn Key's Director of Mental Health, will ensure that efficient systems are established and maintained and appropriate information is exchanged among the members of the mental health treatment team. Since the continuity of care is often a key factor to maintaining mental health stability, Turn Key intends to participate in CORHIO, the Health Information Exchange (HIE) network in the Weld County area (additional information on HIE is included in Section 2.10). BID#B1900131 October 11, 2019 WELD COUNTY NORTH PAIL COMPLEX AND BOOK1NG SUBSTATION PAGE 15 j(y HEALTH Inmate Medical Services Pro oral 2.8 CorEMR Partnership Turn Key has established an excellent working relationship with CorEMR through its implementation at many of our current operations. We will continue to utilize CorEMR as the electronic health record system in Weld County. Turn Key has previous experience with transitioning from Armor's version of CorEMR to Turn Key's version flawlessly at two of our operations. When we transitioned the health programs in both Tulsa County and Oklahoma County, Armor locked their version of CorEMR at midnight, and Turn Key's version of CorEMR was fully functional for our personnel by 12:01AM without any interruption. TcorEMR Electronic Medical Records Our version of CorEMR will allow for site -specific adaptation at the Weld County North Jail Complex, unlike the "company -wide" systems utilized by some of the national providers. We will adapt the forms and schedule "triggers" to meet the unique needs of the Weld County North Jail Complex based on input provided by the facility's existing health personnel and the detention administration. We will also utilize the valuable statistical functions of CorEMR to collect and analyze statistical data for the Weld County North Jail Complex. Reports generated by Turn Key will be provided to detention administration on a regular basis and will be reviewed and discussed at the Medical Advisory Committee (MAC) meetings to identify any trends that may need further study. We have provided a letter of intent from CorEMR that further affirms the extent of our professional relationship in ATTACHMENT G. 2.9e tid a l : and Offsi .e Care Util a on N Correctional health providers often present elaborate concepts intended to convince prospective clients they have THE program that will reduce the burden of offsite medical costs. In contrast, Turn Key's plan is very simple. First, we enhance the delivery of care BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 16 Inmate Medical Service TO al provided onsite. Second, we eliminate barriers that hinder the exchange of relevant patient health information with hospitals and community providers. Enhancing the delivery of care onsite starts with ensuring adequate levels of healthcare personnel. We almost never believe it is in anyone's best interest to reduce staffing levels in an effort to save money. In fact, we strongly advocate that spending more money on the front end, like on additional personnel, results in additional savings on the back end, such as hospitalization costs. That's why almost every proposal we submit provides additional onsite services at a lower overall cost. Weld County is no exception to this model. Our proposal includes an additional 2.3 FTEs at a lower base contract cost when compared to the current Armor contract and amendments. Turn Key's onsite enhancements for Weld County include: Double the psychiatry hours Significantly more RN hours A streamlined chronic care process A simplified "trigger" scheduling system in CorEMR In addition to these clinical enhancements, Turn Key will provide as many specialty services (lab, x-ray, ultrasound, etc.) within the Weld County North Jail Complex as reasonably possible. We have contracted for on -site OB/GYN services at several of our operations. Upon award of the contract, Turn Key will pursue an agreement with a community obstetrician willing to conduct onsite clinics at the Weld County North Jail Complex. If there is a private setting within the jail that has electrical and fresh water access, then onsite dialysis is also a possibility. Since mobile dialysis units are now somewhat common, the onsite setup would be fairly inexpensive. However, most companies (i.e. Fresenius) that offer mobile units require long term commitments, so the feasibility would have to be evaluated on a case -by - case basis. Dialysis patients who are anticipated to be in the facility for more than 30 days would likely be good candidates for an in-house treatment at an affordable cost, but patients who will be at the facility for less than 30 days likely would not. Turn Key has established a good working relationship with Fresenius, so we are confident we could negotiate terms that would be in the best interest of Weld County. We look forward to the opportunity to discuss these onsite capabilities in further detail. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLE'. AND BOOKING SUBSTATION PAGE 17 FT - --4'i Vuill?ri \c . EALTH Inmate Medical Services , Lr pnasal When offsite services are required, the operation and financial impact can be minimized through an appropriate and timely exchange of patient health information. Today's technology has made it possible for healthcare providers to verify a patient's recent treatment in an instant. Considering inmates have some of the most complicated health conditions in our society, Turn Key believes timely access to a patient's community treatment is essential for the appropriate continuity of care. Turn Key is a participant in Health Information Exchange (HIE) programs at several of our operations. With an accurate record of community care, our providers have been able to provide more effective continuity of care plans from the time of booking, which in turn has helped to reduce the need for emergency room visits, hospitalizations and specialty service consultation. We expand further on this concept in 2.10 - Health Information Exchange and Community Linkage. Turn Key has concrete evidence of how our simplistic approach has dramatically reduced unwarranted offsite costs, specifically at facilities that were previously managed by Armor. According to statistics maintained by the facility, Tulsa County experienced a 77% reduction in monthly Emergency Room transfers and a 35% reduction in monthly hospitals days within the first few months of Turn Xey replacing Armor's program. To further highlight our success, the annual offsite expenditures have remained well below the established Aggregate CAP since we started our contract. This is an accomplishment that had not been realized for at least 4 years prior to Turn Key taking over the program! In addition to the cost savings associated with fewer hospital claims, Tulsa County experienced additional cost savings in the form of the reduced need for offsite security personnel. On average, TCSO was able to reallocate an average of 585 man-hours per month to other security functions as opposed to ER and hospitalization security duty. Even with a conservative estimate, we believe our program allowed for an annual reduction of more than $175,000.00 of excessive offsite security pay. BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 18 EALTH Inmate Medical Services Pr r David L. Moss Facility - Tulsa County Average Monthly ER Visits fie{ -e{ oc °{ 4'Q's\ `5 p °sal David L. Moss Facility - Tulsa County Average Monthly Hospital Days oti �� a� Oti 0_5do S oy o{ e\ 0 ? 4,6 Some may claim that a reduction in offsite utilization does not necessarily indicate an improvement of onsite care. Fortunately, there are several correlations that also support our record. Two of these indicators are a reduction of sentinel events and a decline in health - related grievances. According to facility statistics, sentinel events declined by 60% and the number of healthcare related grievances declined by more than 31% in the first year after Turn Key took over the health services program. David L. Moss Facility - Tulsa County Sentinel Events Armor Turn 2016 Key 2017 Turn Key 2018 Turn Key 2019 David L. Moss - Tulsa County Monthly Grievances QC)' a�. ab O1, ati ati a� a)C d) scS) 4' 4r 4r Tulsa County's success story is not an anomaly. Similar results were also evident shortly after we assumed operations from Armor in Oklahoma County. According to facility statistics, the ER visits in Oklahoma County were reduced by 19%, and hospital days were reduced by 73%. Likewise, sentinel events were also reduced by more than 50%. In addition, even with a $300,000.00 reduction of the Aggregate CAP, Turn Key was able to stay below the established threshold. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING dthildTA4ION PAGE 19 ARv KEY HEALTH Inmate Medical Services Pr p osa it I Results like these are not just coincidences, nor are they the result of some elaborate marketing concept. Simply, they are the result of exceptional care and appropriate communication. Information 1E oa t e and Comm par e4eems-, Since the traditional "release of medical information" process can take several days to obtain established treatment plans for patients, a breakdown in a patient's continuity of care can sometimes occur. Unfortunately, this can lead to adverse treatment outcomes, an increase in emergency room visits and hospitalizations, and potentially sentinel events. Health Information Exchange (HIE) networks allow healthcare providers to exchange authorized patient information electronically. With HIE access, providers can often find a patient's prior treatment information almost instantly. Thus, this allows for enhanced continuity of care. HIEs have proven to be instrumental tools for healthcare providers in a correctional setting. Turn Key participates in MyHealth and SHARE networks at a number of jails we serve, and have found them to be beneficial for: Verification of medications during the intake process, specifically when a patient is unsure of name or dosage of a medication Reviewing prior laboratory and diagnostic results during onsite chronic care clinics Monitoring a patient's treatment progress while they are offsite in a community hospital Ensuring the continuity of a treatment plan when a patient returns to the facility from a community hospital or specialty provider Turn Key has initiated communications with CORHIO, a health information exchange network based in Denver. CORHIO has historically been an underutilized resource for many Colorado detention facilities. With more than 1,500 community hospitals, clinics, and specialty providers participating in their health information exchange network, including 35 clinics and providers in Greeley, participation in the CORHIO network has the potential to dramatically enhance the delivery of health services at the Weld County North Jail Complex. BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUs' STATHON PAGE 20 EALTH Inmate Medical Services Proposal We are also proposing to implement a full-time Community Coordinator for our program at the Weld County North Jail Complex. This position will offer the typical services of a traditional discharge planner; however, the focus will extend beyond the discharge process to include a more progressive role with enhanced community relations. The Community Coordinator will utilize the CORHIO network and other resources to coordinate community placements and possibly assist with diversion programs for inmates with serious medical and mental health conditions. aiims Management f or °Mite Care In addition to our successful offsite utilization and community network approach, Turn Key has developed and implemented a proprietary, real-time, web -based claims tracker. Considering the unpredictable financial impact of offsite claims, we believe Weld County will find our claims tracking system to be a beneficial tool. Designated Weld County administration will be allowed access to our claims system. This will allow them to monitor, track, trend, and generate offsite reports in real time instead of relying on periodic reports from their healthcare provider that contains data that is several weeks old. We have provided a sample screenshot of our system in ATTACHMENT H. This sample screenshot does not come close to demonstrating the system's full capability, but it does provide a conceptual reference of our innovative approach to a critical component of correctional healthcare administration. i5`Q- ;. %4"'A ra � Mar .rz"' , -1 Z;'/',?ia �'.�i- �- a aceu ical a emen�. Turn Key has established professional relationships with several correctional -focused pharmaceutical providers, including Diamond Pharmacy. Our partnership with Diamond will provide for a seamless transition of the pharmaceutical procurement process. Even though we intend to continue the services provided through Diamond, we believe we can reduce the long-term burden of pharmaceutical costs for Weld County. Our acquisition cost arrangement is unique and unlike many of our competitors. Some correctional healthcare companies tend to negotiate pharmaceutical agreements on a "cost-plus" basis that is largely based on a facility's population. This method simplifies the budgeting process BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AN OO jNG WTBSTATION PAGE 21 I . t )1)TUPli KEY HEALTH Inmate Medical ServicesProposal for the healthcare provider, but it is not always in the best financial interest of the clients they serve. Turn Key's approach is different. Although Diamond is our primary pharmaceutical provider, we utilize three other corrections -focused pharmacies to procure medications. Instead of having faith that a "cost-plus" model is the most cost-effective, we frequently cross reference medication costs with all our pharmacy providers. This ensures we are getting the best prices on medications, and it has proven to save thousands of dollars in any given month. By actively managing our overhead associated with pharmaceutical costs, we can continue to offer competitive contractual rates for our clients now and in the future. a a ti y( i' - Acz! r..J s 3 : 1Z d Treatment Medication -Assisted Treatment (MAT) combines medication therapies and counseling to foster a healthy recovery process. MAT has become an effective therapy to address the ever- increasing percentage of our society's population who struggle with substance abuse, particularly opioid and alcohol addiction. Common medication therapies used for MAT include the use of a long acting naltrexone injection (i.e. Vivitrol) and the oral medications methadone hydrochloride and buprenorphine (i.e. Methadone and Suboxone). The injection form is generally utilized for patients whose treatment and recovery occurs after a detoxification process. The oral alternatives are commonly used as an opioid therapy alternative that does not necessary require a full detoxification process. Both forms of medications can be viable treatment options considering the extent of each patient's addictions, residence setting and support resources. The continuation of methadone hydrochloride for pregnant inmates in a correctional setting has become a common practice. Like many of our competitors, Turn Key has provided this form of treatment, as appropriate, for several years. Turn Key has also recently started extending MAT services beyond the pregnant inmate population, when appropriate. Along with the Tulsa County Sheriff's Office, we applied a community approach to implement the first Vivitrol treatment program in an Oklahoma jail at the David L. Moss Criminal Justice Center. The program involves the collaboration of Turn Key, the Tulsa Sheriffs Office, the makers of Vivitrol, and numerous community wellness and mental health partners. In addition to our collaborative partnerships, Turn Key assigned an in-house community BID#B1900131 October 11, 2019 WELD COUNTY NORTH ; JAIL COWL AND BOOKING SUBSTATION ,A PAGE 22 Inmate Medical Services Proposal coordinator to foster the continuity of treatment from the initial booking process through the community provider follow-up after release. Turn Key's version of CorEMR has also been enhanced to ensure the appropriate triggers and tasking functions support the process and can generate data to track the success of the program. We are currently in the process of implementing similar Vivitrol programs in Cleveland County and Oklahoma County in Oklahoma as well as Pulaski County in Arkansas. Our program in Pulaski County will also be the first of its kind for MAT treatment in jails in Arkansas. Once the implementation is complete at these initial facilities, we intend to explore the feasibility of expanding the program system wide. We have also had several discussions with Oklahoma State University - Center for Health Sciences about the feasibility of implementing a safe, controlled methadone hydrochloride and buprenorphine MAT program in Tulsa. Our intention would also be to expand this program system wide, as feasible. We look forward to working with the Weld County Sheriff's office to explore similar MAT programs in an effort to combat addiction relapse and recidivism among the Weld County North Jail Complex's inmate population. " l ti a. d a dn. Ex er t e and Griciance Mc raoeme nt All correctional health companies brag on the depth of their clinical leadership. Likewise, we are extremely proud of Dr. Cooper and the clinical leadership team he has cultivated. In addition, beyond our clinical expertise, Turn Key has further set itself apart from its competitors by the depth of its legal leadership. Prior to founding Turn Key, Jon Echols, our President, and Jesse White, our CFO, practiced healthcare law for one of Oklahoma City's largest law firms. In her previous career, Ms. Ah Loy, our General Counsel, was a partner of a prominent law firm whose focus was defending correctional healthcare companies, including Turn Key, in medical malpractice and civil rights litigation. The legal background and expertise of such senior levels of Turn Key management puts Turn Key in a unique position to focus more effectively on the things that protect our clients from legal exposure. Turn Key's combined legal experience has contributed to an impressively low litigation history that is exceptional in the correctional healthcare industry. In our 10 -year history, we BID#B1900131 October 11, 2019 WEED COUNTY NORTH JAIL COMPLEX ANP BOOKING SUBSTATION PAGE 23 j 1861 44...f..,(•••••-• Y 4 URNr HEALTH Inmate Medical. Services Proposal have never had a judgment imposed against us, and we have only settled six claims. To have only settled six claims while serving a population that exceeds 13,000 inmates is a record we are willing to put up against any of our competitors. Due to the confidentiality agreements accompanying these settlements, we are limited on the amount of detail that can be provided. However, we have included the following summary table for your reference: PLAINTIFF COUNTY STATE CAUSE OF ACTION ALLEGATIONS 1 ALEXANDER, Sharon (Porcha) 4:18-cv-46-BSM Pulaski AR CIVIL RIGHTS/42 U.S.C. § 1983 Inmate Death BOWEN, Andrew 3:17-cv-214-DPM Greene AR CIVIL RIGHTS/42 U.S.C. § 1983 Inmate claim failure to provide adequate care PRUETT, Teresa 5:2012-cv-947 Cleveland OK CIVIL RIGHTS/42 U.S.C. § 1983 Inmate claim failure to provide adequate care GRAHAM/behalf of HUFF, Anthony 5:17-cv-17-635(CIV-17-635-M) Garfield OK CIVIL RIGHTS/42 U.S.C. § 1983 Inmate Death SMITH, Michael Edwin 6:17-cv-90-RAW Muskogee OK CIVIL RIGHTS/42 U.S.C. § 1983 Inmate claim failure to provide adequate care WADDELL, Jason 5:2011-cv-1037 Cleveland OK CIVIL RIGHTS/42 U.S.C. § 1983 Inmate claim failure to provide adequate care Turn Key also believes that grievance trends can reflect a healthcare system's effectiveness. The appropriate management of the grievance process improves the overall delivery of care and reduces the liability on both the healthcare provider and the clients they serve. We train our site administrators on grievance investigation procedures and how to appropriately respond to health -related grievances in a timely manner. Repeated grievances and those pertaining to the actions of health personnel are generally investigated and monitored by our corporate leadership team. Turn Key has a proven record of reducing the number of inmate grievances after the implementation of our program. Based on facility statistics, Pulaski County experienced a 40% reduction of medical grievances within a few months of implementing our programs similar results were also realized in Tulsa County where the health program experienced a 31 % reduction of grievances after Turn Key assumed operation of their health program. Financial h As a regionally focused provider, Turn Key strives to provide the most professional and cost- effective programs for our clients. When facility leaders make the decision to partner with Turn Key, they can be assured our financial strength is among the best in the correctional healthcare industry. Our financial condition in terms of current assets versus liabilities, debt BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX EX October 11, 2019 AND BOOKING STATION PAGE 24 1 tj' C Inmate I ET HEALTH ices ros k levels, trends in operating revenue and economic indicators as of the date of this submission include: Current Assets versus Current Liabilities: Turn Keys Assets far exceed its Liabilities with a ratio in excess of 10 to 1. Long -Term Debt: Turn Key carries almost no long-term debt with a long-term debt -to- equity ratio of less than 2%. Access to Capital: Should it ever be required, Turn Key has obtained substantial working capital lines of credit upon which it can draw as needed for operational growth. However, Turn Key continues its commitment to operating in an unleveraged capacity to maximize its financial solvency. Trends in Operating Revenue: on a service hour adjusted basis, operational revenue has increased an average of 23% per year since 2012 through year- end 2014 and 145% per year from 2014 through 2018, and continues to increase year-to-date through 2019. It further speaks to the financial strength of Turn Key that such growth has been achieved without incurring any significant operational debt. In an effort to protect our financial status from our competitors, , we have included our audited financials in a separate *CNJ F E I T rAL* submission to Weld County, as instructed in the RFP. BID#B1900131 October 11, 2019 [ELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 25 ^ti __ jf86`? •Ft• � � s✓ prURN :T. Y HEALTH Inmate Medical Services Proposal SECTION III Personnel Manaernent a_ Starllnrz 3,1 Specialized Recruitment Turn Key's ability to recruit qualified healthcare personnel is a major key to our success. With 44 current operations in our region and additional support from our sister medical company under common ownership (Sooner Medical Staffing), Turn Key has access to hundreds of health professionals within our network to support the Weld County operation. Our regional footprint along with our leaders' hands-on support approach has established an exemplary reputation of providing fully staffed operations with dependable and professional personnel. Most correctional health companies utilize conventional recruitment tools such as advertising on Indeed.com, Linkedin.com, and Facebook to hire health personnel. Turn Key utilizes these tools as well. However, these tools generally only provide candidates who have recently terminated a position or are seeking a career change. Although we have recruited a number of team members through these tools, most top-level professionals in stable positions are not seeking employment through online job postings. Prior to bidding on the Tulsa County contract at the David L. Moss Criminal Justice Center, Turn Key was aware that the Health Services Administrator, the Mental Health Administrator, and the Psychiatrist position were three major positions within the program that had experienced high turnover. We believe it is nearly impossible to stabilize a health program unless these three critical positions have long-term security. Before Turn Key's contract was even finalized, we were able to recruit an HSA with more than 13 years of correctional administration experience with the Oklahoma DOC, a psychiatrist with extensive forensic experience and a successful private practice, and a psychologist who had built an exceptional reputation with the Oklahoma DOC and the Juvenile Justice system to serve in these three key leadership roles. All three are still providing excellent services for Turn Key today. Not one of these professionals was entertaining a career change when we approached them about our opportunities, and we confirmed that Armor, our BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AN t LOO IN g SUBSTATION PAGE 26 • •- EALTH thariate Medical Services Proposal predecessor in Tulsa, had never contacted any of the candidates about their openings in these critical positions. Thus, these professionals would not have been aware of these opportunities if we had only relied on the conventional recruiting techniques. Turn Key's proven ability to persuade qualified professionals to leave stable positions and join our team demonstrates how our approach to recruitment at a regional level exceeds the conventional methods used by our nationally focused competitors. In addition to our successful site -level recruitment record, Turn Key has also succeeded in recruiting some of the correctional industry's top administrative and clinical leaders. These professionals include but are not limited to: Flint Junod (CEO), a former Vice President for a large national correctional health company; William Cooper (CMOJ, the former Chief Medical Officer for the Oklahoma DOC; Jane Kirby (CCO), the former Compliance and Developmental Coordinator for the Oklahoma DOC; Allie Ah Loy, a former partner at a prominent law firm who specialized in defending correctional healthcare practices; and Rhett Burnett (Risk Manager), a former Undersheriff and DA investigator. All of these professionals left well -established, lucrative positions to join Turn Key because they believed in our vision and philosophy. Resumes for the leadership team that will personally be involved at the Weld County North Jail Complex operation are included for your review in ATTACHMENT E. 32 Retention of Existin Ofn 1 Turn Key welcomes the opportunity to retain existing site personnel when we transition services to our program. During each transition, we meet with the members of the existing health team and extend individual offers of continued employment to those who express interest in continued employment and have the appropriate credentials. Those individuals who receive offers of continued employment can expect comparable pay, and in most cases, a notable pay increase. Existing personnel are also given the opportunity to provide input regarding the transition process. Thus, most of the existing personnel welcome the change in employment to Turn Key. However, if existing personnel choose not to continue employment with Turn Key, we always have professional personnel ready to work from the very first day of our contract. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX PAGE 27 AND BOOKING SUBSTATION TURN KEY HEALTH Inmate Medical Services Proposal 3.3 FloatNurses and Supplemental ers- ; nne In addition to our regular onsite personnel, Turn Key currently employs several full-time float nurses and nurse managers for the region we serve. These elite positions are held by employees who have proven themselves at the site level and are willing to support our company at a higher level. Our float nurses are not assigned to any specific facility, so they are readily available to cover any of our operations should the need arise due to vacancies, illnesses, vacations, or nursing shortages. Since Colorado is a nurse compact state, our float nurses would be able to serve our Weld County operation from the very first day of our contract, if needed. In addition, we receive tremendous support from Sooner Medical Staffing, our sister company under common ownership. Sooner Medical Staffing has earned such a great reputation with recruitment that they have been contacted by our competitors on several occasions to assist with their staffing needs. Unfortunately, Sooner had to decline such requests to the potential conflict of interest. 3.4 Credential g ocess Turn Key employs fully licensed and credentialed personnel for our operations. Potential employees for our Weld County operation will be required to present proof of an active Colorado license and a current CPR/AED certification upon application. We do not make offers of employment until an applicant's credentials have been verified to be current and in good standings with their specific regulatory board. Turn Key also monitors certifications on a monthly basis to ensure lapses do not occur. The verifications of employee credentials are accessible at the site level through our online verification program. Weld County Sheriffs Office administration will have full access to review our employees' credentials upon request. Turn Key also understands that, due to the sensitive nature of a detention center's operation, a background check will also be part of the credentialing process for prospective Turn Key employees. O 3.5Orientation Our personnel complete a comprehensive orientation program that exceeds NCCHC Standards. Members of our leadership team will ensure the orientation is conducted in compliance with Turn Key's Orientation Manual. The completion of each component of the BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 28 F ALTH Inmate Medical Services Proposal orientation will be thoroughly documented on the Employee Orientation Checklist and filed with a signed job description in each employee's personnel record. Any Weld County site - specific orientation will be added to the checklist to ensure all required training components are covered for both detention and healthcare operations. Employees will continue to receive periodic training on relevant security and health related topics during monthly staff meetings and annual refresher sessions. 3.6 We.. . �s Non �y� q to ? i x and Booking Turn Key believes in offering our clients comprehensive, yet cost-effective staffing models for their facilities. Instead of wasting our resources on large, national marketing campaigns and excessive overhead, we invest in our site level operations. Thus, we usually are able to enhance staffing levels without driving up the cost of our services. We have thoroughly reviewed the requirements of the RFP, the Weld County North Jail Complex facility layout, and the current agreement for the delivery of health services and present the following staffing plan that will enhance the level of health services provided to Weld County at an affordable cost. BID#B1900131 October 11, 2019 /VELD COUNTY NORTH JAIL COMPLEX AND OOKING SUBSTATION TE ON PAGE 29 riv TURN FEY HEALTH Inmate Medical Services Proposal 8.61 �-'..- .: Prop.. yy+ �4 sea f .„ #,,,t s c a 5+�A: � ^ ^ .,3 ; „ling � y�, M1^�',��}{`�� C r). for Nt.. �+u1. � �� .�.♦ � � A: � � a 8. i a � o r W c•], 'L. 'R . a �� } :ty'ytl. � '..•• p �..i "L.Y� £ ri .y `6� p_ ,�^p a ➢ i 's. a. V E A 'p � d •l'�%$ e x '. Y -e e 1 S}.y`.. e t t �+�' f 4. 'I to `y? @ v r ➢ a ., POSITION Monday Tuesday Wednesday Thursday I Friday _ Saturday Sunday A Hrs/ Wk FTE DAY SHIFT Health Services Administrator 8 8 8 8 8 40 1.00 Administrative Assistant / UM 8 8 8 8 8 40 1.00 Director of Nursing 8 8 8 8 8 40 1.00 Medical Director 8 8 0.20 ARNP/PA 8 8 8 8 32 0.80 Psychiatrist / Psych Practitioner 8 8 16 0.40 Dentist 8 8 0.20 Dental Assist 8 8 0.20 Quality Assurance / Community Coordinator 8 8 8 8 8 40 1.00 Charge RN 12 12 12 12 12 12 12 84 2.10 RN - 2E 12 12 12 12 12 12 12 84 2.10 RN - Clinic 12 12 12 12 12 12 12 84 2.10 RN - Booking 12 12 12 12 12 12 12 84 2.10 LPN - Med Pass/Clinical 12 12 12 12 12 12 12 84 2.10 LPN - Med Pass/Clinical 12 _ 12 12 12 12 12 12 84 2.10 CMA / Records 8 8 8 8 8 40 1.00 Total Day Hours / FTE 144 120 128 120 120 72 72 776 19.40 NIGHT SHIFT Charge RN 12 12 12 12 12 12 12 84 2.10 RN - 2E 12 12 12 12 12 12 12 84 2.10 RN - Clinic 12 12 12 12 12 12 12 84 2.10 RN - Booking 12 12 12 12 12 12 12 84 2.10 Total EVENING Hours / FTE 48 48 48 48 48 48 48 336 8.40 Total Hours / FTE 192 168 176 168 _ 168 120 120 1,112 27.80 Turn Key's staffing plan for the existing Weld County North Jail Complex includes 27.8 FTEs. Based on our review and understanding of the current Contract and Amendments with Armor, Turn Key's proposed staffing plan enhances the level of health personnel at the Weld County North Jail Complex by 2.3 FTEs. This includes: An increase of Psychiatric Provider coverage by 8 hours each week An additional 84 hours each week of RN coverage A dedicated Community Coordinator for discharge planning and continuity of care Turn Key's base proposal also includes 10 hours each day, 7 days a week of Registered Nursing coverage for the Booking Substation. We believe the nursing position at the Booking Station should be an RN as opposed to an LPN due to the proximity of the Substation and BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 30 . " 'MN EALTH Inmate Medical Services Proposal that the nurse will be the sole medical professional at this facility. This position will require an additional 1.75 FTEs. REMOTE BOOKING - 10 Hours/Day RN i 110 I 10 10 I 10 10 I 10 Turn Key's staffing plan for the Weld County North jail Complex and the Booking Substation combined includes a total of 2 9.5 5 FTEs. 3.7 Proposed 2 -West Wing Expansion The opening of the 2 -West Wing expansion will have an impact on the facility's delivery of healthcare. However, the extent of the required staffing enhancements may still be more dependent on the total population of the entire facility as opposed to the actual design and layout of 2 -West Wing. Therefore, the estimated staffing enhancements that follow assume the ADP at the current Weld County North Jail Complex structure remains consistent and the 2 -West Wing adds at least an additional 350 inmates to the total ADP of the facility. POSITION I Monday Tuesday I Wednesday I Thursday IFriday 1 Saturday [Sunday I Hrs/ Wk FTE _ DAY SHIFT 1 ARNP/PA 8 8 0.20 Psychiatrist / Psych Practitioner 4 4 0.10 Dentist 8 Dental Assistant 8 RN - 2W 12 12 12 12 12 12 12 84 2.10 LPN - Med Pass/Clinical 12 12 a 12 12 12 12 12 84 2.10 Total Day Hours / FTE 24 24 24 24 44 24 24 180 4.50 NIGHT SHIFT RN - 2W 12 12 12 12 12 12 12 84 2.10 Total Night Hours / FTE 12 12 12 12 12 12 12 84 2.10 Total Hours / FTE 36 36 36 , 36 56 36 36 264 6.60 BID#81900131 October 11, 2019 WELD COUNTY NORTH JAIL COM LEX AND BO a KING SUBSTAI ION PAGE 31 URN KEY HEALTH Inmate Medical Services Proposal Once again, we stress that not all 6.60 proposed FTEs for the 2 -West expansion would be required immediately upon the opening of the Wing. We believe the additional provider, dental, psychiatry, and even to some extent the nursing hours could be phased in as the total population of the Weld County North Jail Complex increases beyond a total ADP of 850 inmates. Thus, any additional costs would only be incurred as additional services are required. After reviewing the Pricing Model Section of our proposal, we are confident you will find that Turn Key's enhanced staffing plan for the Weld County Sheriff's Office provides the best value for the taxpayers of Weld County. BID#B1900131 WELD COUNTY NORTH jTAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 32 Inmate 14edical Services Pp`r sa SF C T I CI .,1 FRewnrema 3:.2.2. r derir •a 14 61)(.r Turn Key acknowledges the proposal process overview and instructions, general provisions and facility information provided by Weld County on pages 1-10 of Bid Request #B1900131 - Inmate Medical Services. The remainder of Section IV identifies specific requirements in BLACK text and Turn Key's acknowledgment in RED text. Further details of our proposed program are provided throughout the other sections of our proposal. General Requirements The intent of this Request for Proposal (RFP) is to procure a high quality, comprehensive and all-inclusive health care delivery system for all inmates at the Weld County North Jail Complex. The following general requirements will be met: a All medical care provided at the Weld County North Jail Complex shall be reasonably consistent with the same standard of medical care available to the general Greeley, CO community. Turn Key will provide health care that is reasonably consistent with the same standards of care available to the general Greeley, CO community. Please refer to Section 2.1, Comprehensive Health Services Overview. ® While the facility no longer participates in the National Commission for Correctional Health Care accreditation program, health care delivery will be guided by NCCHC accreditation standards. Turn Key will provide health care in accordance with NCCHC accreditation standards. We provide health care in a correctional facilities that are NCCHC accredited and have guided facilities through the NCCHC accreditation and reaccreditation process. Please refer to Section 2.5,Accreditation Focuser, Programs. 0 Maintain complete and accurate records of all medical, dental and mental health care. Health services statistics will be collected, analyzed and distributed on a BID#B1900131 WELD COUNTY NORTH JAIL nOMPLEX October 11, 2019 AND BOO; N ; S . STATitON PAGE 33 7r HEALTH Inmate Medical_ Services Proposal regular basis and as needed to appropriate agency administrative personnel. Turn Key will maintain complete and accurate records of all medical, dental and mental health care and that health services statistics will be collected, analyzed and distributed on a regular basis and as needed to appropriate agency administrative personnel. Turn Key utilizes CorEMR to ensure complete and accurate documentation of the health services provided. Our version of CorEMR will allow for site -specific adaptation at the \'Veld County North Jail Complex. We will adapt the forms and schedule "triggers" of CorEMR to meet the unique needs of the Weld County North Jail Complex based on our existing knowledge of the facility and the input of the facility's existing health personnel and detention administration. We will also utilize the valuable statistical functions of CorEMR to collect and analyze statistical data for the Weld County North Jail Complex. Reports generated by Turn Key will be provided to detention administration on a regular basis and will be reviewed and discussed at the Medical Advisory Committee (MAC) meetings to identify any trends that may need further study. Please refer to Section 2.8, CorEMR, Maintain an open and collaborative relationship between Weld County Sheriff's personnel and contractor personnel. As a regional -based, regional focused organization, effective communication is a tenet of our program. We will ensure an open and collaborative relationship between Weld County Sheriff's personnel and contractor personnel is maintained. Maintain a multidisciplinary approach by medical, mental health and Detentions staff to provide effective suicide prevention and mental health services. Turn Key will maintain a multidisciplinary approach by medical, mental health and detention staff to provide effective suicide prevention and mental health services. Turn Key is experienced in collaborating with other entities to fill the mental health needs of the incarcerated population. Although we provide a complete mental health program at many of our operations, several of our clients receive mental health services from a collaborative team approach similar to the current mental health program at the Weld County North Jail Complex. Please refer to Sections 2.7, Collaborative Mental Health Approach. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 34 HEALTH Inmate Medical Services Proposal The continuation of current prescriptions from a private physician or psychiatric facility for new inmate admissions is determined by efficacy and continuity of care rather than an inflexible formulary and/or cost. Psychotropic medications prescribed to an inmate while in custody at the Colorado Mental Health Institute psychiatric facility shall not be substituted or modified and must be immediately available when the inmate returns from that facility to the Weld County North Jail Complex. Turn Key agrees that the continuation of current prescriptions from a private physician or psychiatric facility for new inmate admissions should be determined by efficacy and continuity of care rather than an inflexible formulary and/or cost and that psychotropic medications prescribed to an inmate while in custody at the Colorado Mental Health Institute psychiatric facility shall not be substituted or modified and must be immediately available when the inmate returns from that facility to the Weld County North Jail Complex. Turn Key participates in Health Information Exchange (HIE) networks, such as MyHealth and SHARE, at a number of jails we serve. I--l1Es allow healthcare providers to exchange authorized patient information electronically. The traditional "release of medical information" process can sometimes take severaldays to obtain established treatment plans for patients. With HIE access, providers can often find a patient's prior treatment information instantly. This allows for enhanced continuity of care. Please Refer to Section 2.10, Health Information Exchange and Community Linkage. Community reentry planning for some at -risk inmates may include the need for additional prescription medication when an inmate is released to allow a reasonable opportunity for the inmate to connect with community care providers. Turn Key will provide community reentry planning for some at -risk inmates that may include the need for prescription medication when an inmate is released to allow a reasonable opportunity for the inmate to connect with community care providers. We are also proposing to implement a full-time Community Coordinator for our program at the Weld County North Jail Complex. This BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND hOOKING SUBSTATION PAGE 35 Inmate Medical Services Proposal position will perform the typical functions of a traditional discharge planner; however, the focus will extend beyond the discharge process to include a more progressive role with enhanced community relations. Please refer to Section 2.10, Health Information Exchange and Community Linkage. • CorEMR shall be the electronic medical records system that is utilized at the Weld County North Jail Complex in the delivery of all medical services and the subsequent documentation of such services. Turn Key has established an exceptional working relationship with CorEMR. We will continue to utilize CorEMR as the electronic medical records system at the Weld County North Jail Complex in the delivery of all medical services and the subsequent documentation of suchservices. Our version of CorEMR will allow for site -specific adaptation at the Weld County North Jail Complex, unlike the "company -wider systems utilized by some of the national providers. We will adapt the forms and schedule "triggers" of CorFMR to meet the unique needs of the Weld County North Jail Complex based on our existing knowledge of the facility and the input of the facility's existing health personnel and detention administration. Please refer to Section 2.8, CorEMR. • Retention of current medical staff is a high priority for the County. It is expected that potential providers will offer competitive wages for current staff that, at a minimum, meet their current pay rate and shift differential rate. Turn Key agrees that the retention of current medical staff is a high priority. We will offer competitive wages for current staff that, at a minimum, meet their current pay rate and shift differential rate. Please refer to Section 3.2, Retention of Existing Personnel. Minimum Qualifications To be considered, the bidder must meet the following minimum qualifications: 1. The bidder must be organized for the purpose of providing health care services and have previous experience with proven effectiveness in administering correctional health care programs. BID#B1900131 WELD COUNTY N • TH JAIL COMPLEX October 11, 2019 AND Bni KING SU T ION PAGE 36 EALTH Inmate Medical Services Proposal Turn Key is organized for the purpose of providing health care services and our experience with proven effectiveness in administering correctional health care programs is evident in the reference letters we have provided. In Turn Key's 10 - year history, we have been chosen to replace large, nationally focused correctional healthcare providers in nearly half of our 44 accounts, yet we have never had a client choose to replace our services with the services of one of our competitors. Please refer to Section 1;1, General Requirements and Minimum Qualifications and ATTACHMENT F - LETTERS OF WENT Sr E OMMENDATI NS 2. The bidder must be incorporated and must have legal authority to operate in the State of Colorado. Evidence of such authority will be made available for review upon request by Weld County. Turn Key is incorporated and has legal authority to operate in the State of Colorado and that evidence of such authority will be made available for review upon request by Weld County. A copy of our business registration for Colorado is included in ATTACHMENT Please refer to Section 1.1, General Requirements and Minimum Qualifications. 3. The bidder must have at least five (5) continuous years of corporate experience in providing health care services at correctional facilities and have at least three (3) current contracts with separate agencies with correctional facilities of at least 500 beds. Turn Key has ten (10) continuous years of corporate experience in providing health care services at correctional facilities and has six (6) current contracts with separate agencies with correctional facilities of at least 500 beds. Please refer to Sections 1.1, General Requirements and Minimum Qualifications, and Section 1.2, Corporate History. BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND B OKI NG SUBSTATION PAGE 37 URN K - r HEALTH Inmate Medical Services Proposal 4. The bidder must carry professional liability insurance in minimum amounts of One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000) in the aggregate annually. The bidder must carry separate liability insurance covering bodily injury, personal injury and property damage in the amount of One Million Dollars ($1,000.000) combined single limit. The bidder must carry Workman's Compensation as required by Colorado law. The successful bidder shall furnish Weld County with Certificates of Insurance for the foregoing coverages that designate Weld County as an additional insured not later than the date of commencement of services. Said Certificates of Insurance shall include a provision wherein the coverage shall not be canceled, terminated or otherwise modified without 60 days prior written notice provided to Weld County. Turn Key will furnish Weld County with Certificates of Insurance for the foregoing coverages that designate Weld County as an additional insured not later than the date of commencement of services. The Certificate of Insurance will include a provision wherein the coverage shall not be canceled, terminated or otherwise modified without 60 days prior written notice provided to Weld County. Turn Key's program exceeds the required insurance coverage as stated on page 11 of the RFP. We have provided a letter of intent from our insurance carrier and a sample certificate of insurance in ATTACHMENT C of our proposal. 5. The bidder must have demonstrated its experience and the quality of its care by having maintained or obtained the accreditation of the National Commission on Correctional Health Care (NCCHC) in a minimum of three (3) jails and or prison facilities with at least one of which is a size comparable to the Weld County Tail. Turn Key provides services at three I\ CCHC accredited detention facilities (Pulaski County, Tulsa County, and Oklahoma County). We are currently assisting Kay County, Oklahoma, and Garland County, Arkansas, in their efforts to become ICCHC accredited. Please refer to Section 1.1, General Requirements and Minimum Qualifications, and Section 2.5, Accreditation Focused Programs. 6. The bidder must demonstrate its ability to provide a health care system specific to the Weld County Jail. The bidder must demonstrate current capability to BID#B1900131 October 11, 2019 WELD CO HN N AND ND BarliKII RTH JAIL COMPLEX G SUBSTATION PAGE 38 Rn HEALTH Inmate Medical Services osa1 successfully complete the transition to full operation within thirty (30) days, a proven system of recruiting staff, and an adequate support staff in its central office capable of competently supervising and monitoring its operation in weld County. Turn Key has the proven ability to provide a health care system specific to the Weld County Jail with a transition period of less than thirty (30) days. The majority of our transitions have occurred in less than 30 days, and at times, with multiple projects at the same time. Please refer to Section 2.6, Transition Preparation and Program Compatibility, and Attachment D: Transition Plan, which we have already initiated in anticipation of a possible contract award. Contract Period and Pricing The initial contract period shall commence on January 1, 2020 and, subject to the satisfaction and concurrence of both parties, renew annually each year thereafter through December 31, 2022 (a 3 -year period). The initial contract period may be extended annually with the concurrence of both parties thereafter for two additional one- year periods (up to 5 years total). Turn Key acknowledges the initial contract period shall commence on January 1, 2020 and, subject to the satisfaction and concurrence of both parties, renew annually each year thereafter through December 31, 2022 (a 3 -year period) and that he initial contract period may be extended annually with the concurrence of both parties thereafter for two additional one- year periods (up to 5 years total). Only pricing for the 2020 budget year to provide specified health care services to an average of 803 inmates and appropriate medical screening/service coverage for the Booking Substation should be submitted in response to this RFP. Pricing for future budget years will be limited to changes in the average daily jail census projections and the Mountain Census Division index rate 12 -month change at the end of September of each current budget year. The Mountain Census Division index increase shall not exceed 5%. B1D#B1900131 WELD COUNTY NORTH T JAIL COMPLEX AND ,:OOKING SUBSTATIINl October 11, 2019 PAGE 39 Inmate f .:: to Medical Services Proposal Turn Key's pricing for the 2020 budget year is based on an average of 803 inmates and the appropriate medical screening/service coverage for the Booking Although the RFP allows for future budget years to be based on Mountain Census Division index up to 5%, we are so confident in our pricing model that we are willing to limit the renewals to 2.95%, allowing additional substantial savings in subsequent years. Please refer to Section V, Pricing Model. "Outside medical cost" is defined as the net cost actually paid by the vendor less any discounts or other considerations negotiated independently between an outside medical service provider and the vendor. The jail medical provider is responsible to insure the cost of outside medical services is paid in accordance to Colorado Revised Statutes §17-26-104.5(1.3). Turn Key acknowledges "outside medical cost" is defined as the net cost actually paid by the vendor less any discounts or other considerations negotiated independently between an outside medical service provider and that Turn Key shall be responsible to ensure the cost of outside medical services is paid in accordance to Colorado Revised Statutes §1.7-26-104.5(1.3). All proposals shall reflect outside medical cost at a maximum of $125,000 and a maximum of S50,000 for HIV/AIDS related drugs. Pharmaceutical costs will include all OTC (over-the-counter) and controlled drugs including psychotropic medications. Turn Key's proposal accounts for outside medical cost exposures at a maximum of $125,000 and a maximum of 550,000 for HIV/AIDS related drugs and other advanced treatment medications. All other pharmaceutical costs including all OTC (over-the- counter) and controlled drugs including psychotropic medications are included in our program. Please refer to Section V, Pricing Model. SID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 40 RN IC HEALTH Inmate Medical Services Proposal Pricing must clearly state an annual total price for the delivery of all medical, dental, and psychiatric services inclusive of all related service delivery costs necessary to comply with the requirements and specifications within this RFP. Bidders will submit the annual, total price based upon an average inmate census of 803 in the first year at the Weld County North Jail Complex and Booking Substation. However, pricing shall also include specific, contingency pricing changes that will result from unforeseen material changes to the estimated 803 average inmate census. Turn Key's proposed annual price is inclusive for the delivery of all medical, dental, and psychiatric services and all related service delivery costs necessary to comply with the requirements and specifications within this RFP based upon an average inmate census of 803 in the first year at the Weld County North Jail Complex and Booking Substation. Turn Key's pricing shall also include specific, contingency pricing changes that will result from unforeseen material changes to the estimated 803 average inmate census. Please refer to Section V, Pricing Model. All proposals must clearly indicate any increased progressive costs associated with the addition of the new jail wing's census, medical/dental clinic facilitation and the basis for such increase/s. Turn Key's proposal includes costs associated with the addition of the new jail wing's census, medical/dental clinic facilitation and the basis for such increase/s. Please refer to Section V, 2- West Wing Expansion. All proposals must clearly indicate any increased costs associated with providing appropriate medical screening/services at the new Booking Substation should this operation increase to 24 hours a day seven days a week. Turn Key's proposal includes increased costs associated with providing appropriate medical screening/services at the new Booking Substation should this operation BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND LOOKING SUBS SUBSTATION PAGE 41 r" 1856.<`e HEALTH Inmate Medical Services Proposal increase to 24 hours a day seven days a week. Please refer to Section V, Pricing: Booking Substation Addition. Pricing must clearly indicate all costs associated with the maintenance of CorEMR, any licensing, storage or other costs associated with this operating system. Turn Key's proposal includes all costs associated with the maintenance of CorEM P., any licensing, storage or other costs associated with the operating system. Please refer to Section V, Pricing iviodel. The vendor will submit a monthly invoice to Weld County for 1112th of the total annual price. The monthly invoice will include the itemized cost of HIV/AIDS related drugs and/or outside medical costs. Turn Key will submit a monthly invoice to Weld County for 1112th of the total annual price. The monthly invoice will include the itemized cost of k-9ly/AIDS and other advanced treatment related drugs and/or outside medical costs. Submittal Requirements and Evaluation for All Proposals Proposals need not be in any particular form. All proposals, however, must contain the following specific information: 'i . Sufficient information concerning the program for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Bidders should avoid elaborate artwork and graphics, bulky volumes or any other artifice that does not directly affect the contents of the proposal. Turn Key has provided sufficient information concerning the program for Weld County that demonstrates we exceed the "minimum qualifications." we know BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SU >STATION PAGE 42 • :l �. "4-W.861 - ..Y nEAL Inmate Medical Services Proposal time is valuable to the committee so we have avoided elaborate artwork and graphics, bulky volumes or any other artifice that does not directly affect the contents of the proposal as requested. 2. All proposals must demonstrate that the bidder has the ability to comply with the scope of this RFP, mandatory requirements, specifications and program requirements, and in particular, the most current Standards for Health services in Jails, established by the National Commission on Correctional Health Care as well as the American Correctional Association. Turn Key's proposal demonstrates our ability to comply with the entire scope of this RFP, mandatory requirements, specifications and program requirements, and in particular, the most current Standards for Health services in Jails, established by the National Commission on Correctional Health Care as well as the American Correctional Association in this proposal. 3. Additionally: a. All proposals must list by name, address, phone and Contract Administrator all correctional institutions where bidder is providing medical care and the length of time that each contract has been in effect. Turn. Key has provided the list by name, address, phone and Contract Administrator all correctional institutions where bidder is providing medical care and the length of time that each contract has been in effect. Please refer to our client list Attachment Am b. AU proposals must list by name, address, phone and Contract Administrator all correctional institutions where bidder has maintained or obtained an accreditation of the National Commission on Correctional Health Care or other recognized body. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 43 RN`8 y HEALTH Inmate Medical Services Proposal Turn Key client list in ATTACHMENT A designates the facilities in which we have obtained an accreditation or maintained compliance with NCC'C and/or ACA accreditation requirements. c. All proposals must list by name, address, phone and Contract Administrator all correctional institutions where bidder has terminated services, been terminated or lost a renewal as the incumbent in the past three years. We have included our former client list in ATTACHMENT A. Of our 5 former contracts, none were ended as a result of our performance. Two ended due to a reduction of funding, and three ended as a result of our concern for potential liability related to continuing security concerns. Although financially sound, we ended these operations for the best long-term interest of our organization and our clients. c!. List and explain in detail all lawsuits involving inmates that were settled and/or in which judgment was made against the bidder or affiliated companies. Turn Key has provided the list and explanation in detail of all lawsuits involving inmates that were settled and/or in which judgment was made against the bidder or affiliated companies. Please refer to the Table in Section 2.14, Litigation Expertise and Grievance Management. 4. All proposals must contain a letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this RFP. Turn Key has included the required letter of intent and a sample certificate from our insurance company in Attachment C. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 44 EALTH Inmate Medical Services a roposall 5. Audited financial statements for both the prior and most recent fiscal year are required to support the bidder's financial capability to undertake and complete the performance of this RFP. Turn Key has provided our *CONFI ENTIAL* audited financial statements in accordance with the "Trade Secrets and other Confidential Information" section of the RFP. Evaluation of Proposals An Evaluation Committee appointed by the Detentions Division Captain of the Weld County Sheriff's Office will evaluate each proposal. The Evaluation Committee will make recommendations to the Weld County Sheriff and the Board of Weld County Commissioners. The Board of Weld County Commissioners will make its award of bid to the successful bidder, which award will be subject to the finalization of agreement. The Evaluation Committee will be guided by the following point system based upon a maximum of 100 total points: Pricing..a...a.ss..wens.MIMMnaaQaakMMMMManasaaO)*MMMMa..1.6.aaRaISaMt..MHaat2MMMMMMMaaaataMMMMMM 55 55saaasea.M%Mani*a*13655*lM.Mnssa.IICS 0 LO 25 points Staffing0 a .. a M a. R 3 4 a 6 9 MMMMM a a a II s 3➢ a a a a a a M. a 3 C O d .. a. a.• a. a n n 8 3 L 5 3 II 9 a a a M ... 6 a d a .. a a n MMMMM n a a a a a a MMMMMMMMMMMMMM II MMMMMMMMMM. ON d MMMMMMMMMMM a a II 0 t o 30 points Technical 0 to 25 points QualificationsMM..MMMMaRtaaMMSMMMMMPaMl9aaticapanaGGaa6nHWUREMOMa.nanalG.n6MMMM.Mnana.9Ua..Man.a.66sRasita..MMMMa.aMM...s.R..ana..an 0 to 10 points Functional Jail Compatibility 0 to 10 points In computing points for each of the above four general criteria, the Evaluation Committee will consider the following: BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUISTATION PAGE 45 URN KEY HEALTH Inmate Medical Services Proposal 1. Basic Requirements: Initially, the proposal will be examined to determine if it "qualifies" in that it meets the basic requirement for consideration. This review will pertain to such matters as adequate responsiveness to the RFP, necessary signatures, completeness, and clarity with respect to such essential factors as price. Failure of the proposal to meet the basic requirements of a proposal may disqualify it from further consideration. 2. Evaluation of Qualifying Proposals: Having determined that a proposal meets the basic requirements, the Evaluation Committee will then evaluate it with respect to each of the following elements: A. Pricing (Maximum 25 points): The stated lump sum base price for full performance in meeting the requirements of the RFP will be of major consideration under this category. The Evaluation Committee may also refer to budget information provided and consider how costs relate to the jail census, how material changes in the jail census may affect the cost, and how costs project for a second and third year contract extension. Additionally, any potential increased costs associated with a progressively increasing jail census as it relates to the new wing and the 24 hour operation of the Booking Substation will be considered. B. Staffing (Maximum 30 points): The Evaluation Committee will consider what is proposed as a staffing pattern for the Weld County North Jail Complex and Booking Substation. Considerations will include: staff coverage, levels and staffing patterns related to physician, psychiatrist, mid -level providers, RNs and LPN s, dentist, dental assistants and hygienists, in-house specialists, and support staff The proposed coverage for each staff level, days, hours, nights and weekends, full or part time is part of that consideration. The levels of capabilities of on -site medical and administrative supervisors and the use of off -site professional assistance (specialists and consultants) will also be considered. Competitive wages will also be considered here. P Lay 'ecnical (Maximum 25 points): The Evaluation Committee will take into account the bidder's understanding and support for the current medical, mental health and dental services delivery system the Weld County North Jail Complex and the commitment to generally comply with NCCHC and ACA BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 46 EALTH al Services Proposal medical standards. The Evaluation Committee will review the proposal for its completeness, how the Provider will approach the task of initiating and fully implementing its program, if proposed, utilization and continuity plan for electronic medical records, if proposed, utilization and continuity plan for electronic pharmacy, if proposed, and the totality of the health care delivery system including how desired results will be attained. In all, the proposal's clarity, depth and understanding of issues, completeness of program, and demonstration of assurance of performance as to quality and efficiency will be weighted when scoring this category. D. Qualifications (Maximum 10 points): Included in this criterion of the evaluation will be: Length of time bidder has been in the business of providing health care services in the jail/correctional setting; current and recent history of bidder's past performance of a similar nature to the performance offered in response to the RFP; any evidence submitted (letters of reference) or readily attainable regarding the quality of past performance and the reliability of responsiveness of the bidder; the apparent capabilities of the bidder to perform well in the execution of its obligations under a contract with Weld County as evidenced by its leadership and management personnel, size of organization, length of time in business, past performance, and other current contractual obligations defining the bidder's capability to undertake and successfully fulfill the obligations proposed to be undertaken by its submission of a proposal in response to this RFP. E. Functional jail Compatibility (Maximum 10 Points): This criterion is an assessment of the fit between the bidder's overall proposal and transition planning with the organizational culture and business practices. The evaluation will consider the organization, approach, comprehensiveness, steps, specific benchmarks, attainment dates and progress reporting of the transition plan, the demonstration of commitment to effectively integrate into the organizational culture including, but not limited to, overall service collaboration, impact to facility staff resources, existing facility programming and scheduling, cooperation, problem solving and resolution of conflict. Turn Key acknowledges the proposal scoring structure, and we are confident our submission will provide sufficient information for favorable scores. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOK. NG SUBSTATION PAGE 47 RN KEY HEALTH Inmate Medical Service Proposal General Terms and Conditions Performance Bond The selected bidder must maintain a Performance Bond in the amount of the annual total cost of the contract. 'A'he Performance Bond for the first year shall be submitted to the County within 30 days after notice of award. The Performance Bond may be in the form of a certified check payable to the County, or may be in the form of a Surety Bond from a company qualified to do business in the State of Colorado. The costs for the bonds must be included in the proposed total bid amount. Turn Key acknowledges that this is no longer a requirement as reflected in the answers to submitted questions alongside Addendum No 4. Agreements of Understanding Copies of clearly defined, written agreements of understanding (entered into by the Provider and its provider or supplier) for medical or health services, such as: physician service, psychiatric service, nurse service, dental service, hospital service, medical specialty service, mental health service, pharmacy, optometry, laboratory, radiology, ambulance, or other health services shall be provided to the County for its files. Turn Key acknowledges this requirement. Subcontracts The Board of Weld County Commissioners must approve, in advance; all subcontracts entered into by the Provider for the purpose of completing the provisions of this RFP. The Provider shall not sell, assign, transfer, nor convey any of its rights except with the written consent of the County. BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 48 HEALTH Inmate Medical Services Proposal Turn Key acknowledges this requirement. Alterations to Agreement Any alterations, variations, modifications, or waivers of the provisions of a subsequent Agreement will be valid only if they are reduced to writing, duly signed by the parties and attached to the original Agreement. Turn Key acknowledges this requirement Proposal Obligation The contents of the proposal and any clarifications thereto submitted by the successful bidder shall become part of the contractual obligation and incorporated by reference into the ensuing contract. All terms and conditions printed in this RFP will also become part of the Agreement for Services incorporated by reference into an ensuing Agreement. Turn Key acknowledges this requirement n sa Ides and Concepts is Weld County reserves the right to adopt or to use for its benefit and without obligation, any concept, plan, or idea contained in a proposal submitted in response to this RFP unless stamped proprietary information and not for duplication, except in the context of duplication for contractual reasons. Turn Key acknowledges this right. Immunity from Liability BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKiNG SUBSTATI N PAGE 49 v TURN KEY HEALTH Inmate Medical Services Proposal The provider shall assume full responsibility for and shall indemnify Weld County for any damage to or loss of any County property, including buildings, fixtures, furnishings, equipment, supplies, accessories, or parts resulting in whole or part from any negligent acts or omissions of the provider, any subcontractor of the provider, or any employee, agent, or representative of the provider or said subcontractor. The provider shall defend, hold harmless, and indemnify Weld County against any and all liability, claims, costs of whatsoever kind and nature for injury to or death of any person or persons and for loss of damage to any property occurring in connection with or in any way incident to or arising out of the occupancy, use, service, operations, or performance of work under the terms of the contract between the provider and Weld County, any subcontractor of the provider, or any emp oyee, agent, or representative of the provider or said subcontractor. Turn Key acknowledges this requirement in accordance with clarifications provided in the answers to submitted questions associated with the RFP Addendums. Third Party Reimbursement In the event that outside health services provided under the contract are covered by third party payments, including but not limited to worker's compensation, insurance companies, and Medicaid/Medicare (including any changes that may result from future health care regulatory changes), and the Provider receives reimbursement from such entities, the amount paid to the Contractor shall be netted against any individual maximum cost per inmate aggregate as specified in the Agreement. After the aggregate is exceeded, the Contractor shall continue to seek reimbursement from such entities, and such payments shall be paid to the County, subject to reasonable administrative fees. The County agrees to facilitate this effort and to make available to the Provider necessary records and information for processing such claims. Turn Key acknowledges this requirement. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 50 TURN KEY EALTII Inmate Me r marl Services Proposal Reimbursement for Services All costs incurred in the preparation of a proposal responding to this request for proposal (RFP) will be the responsibility of the provider and will not be reimbursed by the County. Weld County, through the Weld County Sheriff, shall pay the Provider for the provision of designated services during the term of a subsequent Agreement, in the amount of the proposal or other agreed upon sum as documented in the Agreement, in equal monthly payments and/or in the amount of monthly invoices. Any amount in excess of the annual maximum for outside medical services or HIV/AIDS medications, shall be itemized on monthly invoices. Invoices shall be submitted monthly to the Contract Administrator identified in any resulting Agreement. Invoices shall be upon forms approved by the County. Turn Key acknowledges this requirement as we have defined in Section V, Pricing Model. Contract Monitoring The County shall have the unfettered right to monitor the Provider's work in every respect. In this regard, the Provider shall provide its full cooperation, and ensure the cooperation of its employees, agents, and subcontractors. fur Cher, the Provider shall make available for inspection and/or copying when requested, original time sheets, invoices, charge slips, credentialing statements, continuing education and training records, and any other data, records and accounts relating to the Provider's work and performance under the Agreement. In the event the Provider does not hold such material in its original form, a true copy shall be provided. Turn Key acknowledges this requirement. No Third -Party Beneficiary It is expressly understood that the entire Agreement for Services is between the County and ovider and supersedes any other Agreements concerning the subject matter of BID#B1900131 October 11, 2O1.9 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 51. EALTH Inmate Medical Services Proposal this transaction whether oral or written. It is expressly understood and agreed that the enforcement of the terms and conditions of an Agreement for Services, and all rights of action relating to such enforcement, shall be strictly reserved to the Agreement signatories and nothing contained or in the Agreement shall give or allow any claim or right of action whatsoever by any other person not included in the Agreement. It is the express intention of the signatories to the Agreement that any entity other than the signatory parties receiving services or benefits under the Agreement, with the exception of potential changes that may be the result of related regulatory requirements in the future, shall be deemed an incidental beneficiary only. Turn Key acknowledges this requirement. Notices Any notice provided for in a subsequent Agreement for Services shall be in writing and shall be served by personal delivery or by certified mail, return receipt requested, postage prepaid, at the addresses set forth in the Agreement until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice serviced by personal delivery shall be deemed delivered and effective upon receipt. This method of notification will be used in all instances except for emergency situations when immediate notification to the parties is required Turn Key acknowledges this requirement. Permits and. Licenses 1. Ali permits and licenses required by Federal, State or local laws, rules and regulations necessary for the implementation of the work undertaken by the Provider pursuant to the contract shall be secured and paid for by the Provider. Examples of specific licenses, fees, permit and certifications secured and paid for by the Provider include, but are not limited to, the following: BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 52 18 61 ;Sear EY HEALTH U `i r Y Inmate Medical ical Services Proposal A. Drug Enforcement Administration License B. State Board of Pharmacy Outlet License Turn Key acknowledges this requirement. 2. The Provider agrees to pay all applicable taxes, including sales and excise taxes, and shall keep current all necessary licenses, permits and certifications necessary to fulfill the terms and conditions of the Agreement. Turn Key acknowledges this requirement. The Provider agrees to promptly notify Weld County in the event of revocation or suspension of employer/employee license or certification. In the event of such revocation or suspension, continuation of purchase of services by Weld County shall be at the discretion of Weld County. Turn Key acknowledges this requirement. Contaminated Waste The Provider shall be responsible for the disposal of all infectious or hazardous waste. The material must be removed from the facility and disposed of as regulated by federal, state and local laws. All costs related to the removal and disposal shall be at the expense of the Provider. Turn Key acknowledges this requirement. Termination of Agreement Mutual Termination of Agreement BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL C fvIPLEX AND BOOKING SU STATI I N PAGE 53 HEALTH inmate edicall Services \. if either party fails to fulfill its obligations under a subsequent Agreement in a timely andproper manner, or if either party violates any material covenant, agreement, or stipulation of the Agreement, the party shall thereupon have the right to terminate the Agreement by giving written notice to the other party of termination which will occur no less than 30 calendar days after the date of notice. The notice shall specify the effective date of the termination, and the reasons therefore, unless the party to whom notice is given cures the breach to the satisfaction of the party giving notice prior to the effective date of termination. Turn Key acknowledges this requirement. B. Notwithstanding the above, the Provider shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of a subsequent Agreement by the Provider and the County may withhold any payments to the Provider, in an amount reasonably calculated to equal the estimated damages, for the purpose of setoff until such time as the exact amount of damages to the County from the provider is determined. Turn Key acknowledges this requirement. 2. Termination for Convenience of the County The County may terminate a subsequent Agreement at any time by giving written notice to the Provider of termination which will occur no less than 60 calendar days after the date of notice and spec' the effective date thereof. Turn Key acknowledges this requirement We would like to request this requirement to be extended to both Parties. 3. Recoi ds and Documentation Remain the Property of the County All medical and other records, policies and procedures, manuals, instructional books, orientation, and continuing education records and materials, and documentation of every sort electronic or otherwise, developed for or used in the operation of the Health BID#B1900131 WELD COUNTY Nfriiii October 11, 2019 JAIL COMPLEX AND OO I G SUBSTATION PAG 54 • l861 HEALTH Si Services Medic Services Proposal Care Program under a subsequent Agreement, shall be the property of the County and, at the termination of the Agreement, remain the property of the County without further obligation. Turn Key acknowledges this requirement. Nonperformance of Agreement Neither party to the subsequent Agreement shall be held responsible for delay or failure to perform hereunder when such delay or failure is due to fire, flood, epidemic, strikes, acts of God or the public enemy, unusually severe weather, legal acts of the public authorities, or delay or defaults caused by - public carriers which cannot reasonably foreseen or provided for. Either party may terminate this contract, effective with the giving of written notice, after determining that such delay will reasonably prevent a successful completion of performance in accordance with the terms herein stated. If this contract is terminated, the obligation of County shall be limited to payment for services provided prior to the date of termination. Turn Key acknowledges this requirement. SPECIFICATIONS AND PROGRAM REQUIREMENTS Administrative Reauirerents 1 A singular designated physician health authority (Medical Director) with responsibility for assuring the appropriateness and adequacy of inmate health. The proposal should address what the Medical Director's responsibilities will be in regards to: In Service Training, Quality Assurance and Recruitment. The proposal should also address what part of on -site time provided by the Medical Director will be committed to Administrative Duties, Direct Care, and Involvement in Quality Assurance. BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKENG SUBSTATION PAGE 55 86'1 W k Y EALTH Inmate Medical Services Pro osal Turn Key has included a Medical Director in our staffing plan that meets this requirement. Please refer to Section 3.6, Weld County North Jail Complex and Booking Substation. 2. A full-time, on site Health Services Administrator, RN., shall be provided who shall have the general responsibility for the successful delivery of health care pursuant to this solicitation and final contract. The Provider shall indicate the qualifications of as well as the range and scope of the responsibilities and activities of this position. Turn Key has included a Health Services Administrator in our staffing plan that meets this requirement. Please refer to Section 3.6, Weld County North Jail Complex and Booking Substation. 3. The jail physicians) (Medical Director), Psychiatrist, Dentist, Health Services Administrator and other on- site, licensed, professional staff shall not have a fiduciary or proprietary interest in the Provider's company. Turn Key acknowledges this requirement. 4. The Provider shall, upon request, provide to the County proof of licenses and/or certificates for all professional staff. In addition, malpractice insurance must be on file for all physicians, psychiatrists, and Nurse Practitioners/Physician Assistants, and other employees, if applicable. Turn Key acknowledges this requirement. 5. Copies of staffing schedules encompassing all health care staff are to be submitted to the Contract Administrator on the tenth (10th) of each month for the upcoming month. Daily updates should be mace available when there are schedule changes. Turn Key acknowledges this requirement. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND P OO ING SUBSTATION PAGE 56 T EALT1 .rte Inmate Medical Services Proposa 6. Monthly and daily statistics will be required as follows: A statistical report with narrative on noteworthy accomplishments or events will be due on the fifth calendar day of each month to the Contract Administrator that includes, but is not limited to, the following: Inmates seen at scheduled clinics Inmates seen by physician Inmates seen by psychiatrist Inmates seen by dentist Inmates seen by physician extender(s) Medical specialty consultation referrals Off -site hospital admissions Inmate injuries Emergency Room visits Intake medical screening Trusty physicals Fourteen (14) day health assessments Lab Work All vacancies by position, number of days vacant and new hires by name Documented Hours of Providers HIV costs O ff site medical costs A daily report of the previous twenty-four (24) hours shall be available to the Contract Administrator (Saturday and Sunday reports may be available Monday morning). The daily report must include, but is not limited to, the following data: N umber, name and hours delinquent for 8 hour admission medical screening N umber and name of trusty applicant physicals delinquent after 24 hours of referral Number, name and number of days delinquent for 14 -day health assessments N umber, name, prognosis and projected length of stay for each inmate admitted to the hospital Amount and type of prescribed medication accepted from sources other than pharmacy Transfers to off -site hospital emergency departments Communicable disease reporting BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 57 iratta �r EALTH Inmate Medical Services ro oral ayi8.6k'�.� Suicide assessments and/or staffing committee reviews completed Inmate injuries Report of status of inmates in held special jail housing units for medical reasons and basis for continuation Staffing by position (LPN, RN, etc.) and hours worked Turn Key acknowledges this requirement. 7. Co -payment transactions are electronically entered by medical staff into the computer corrections management system. A co -payment is a debit to an inmate's account balance or is added to the inmate's debt balance. A $10 co -payment is expected from inmates for a medical clinic visit not required by medical or facility staff. A $10 prescription co -payment is expected when prescriptions are filled/renewed. Inmates are not charged co -payments to monitor or adjust the dosage of prescribed medications. Turn Key acknowledges this requirement. 8. Grievances shall be monitored to detect areas of concern. Inmate grievances shall be answered within 72 hours of receipt or the inmate notified when a delay is necessary to fully investigate the complaint. Grievances shall demonstrate and document a legitimate effort to investigate, answer or resolve matters of concern. All grievances and responses shall be included in the inmate's medical records. Turn Key acknowledges this requirement. 9. The Provider will immediately notify the Contract Administrator when inmates are admitted during normal county business hours to the hospital. Notification will include name, prognosis and projected length of stay. Daily updates will be provided until the inmate is released from the hospital. Voicemail notification after normal county business hours satisfies this requirement Turn Key acknowledges this requirement. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 58 EY HEALTH Inmate Medical Services Proposal 10. The establishment of a comprehensive quality improvement activity that will monitor the health services provided. Turn Key acknowledges this requirement. 11. The establishment of an infection control activity that monitors the incidence of infectious and communicable diseases, seeks to prevent their incidence and spread, and provides for the care and treatment of inmates so infected. Turn Key acknowledges this requirement. 12. The Provider for medical services shall, in times of emergency or threat thereof, whether accidental, natural or man-made, provide medical assistance to the Weld County Sheriff's Office to the extent or degree required by Weld County Sheriff's Office policies and procedures. Turn Key acknowledges this requirement. Personnel Requirements 1. Adequate health care personnel required to provide those services listed in this RFP are required. Proposals must show a complete and detailed staffing plan, by degree of competency, which shall provide adequate support for the operation of the health care program. Staffing plans are to include a showing of the total number of employees full (40 hours per week on site) and part-time; position titles and license/certification; reporting order; total number and positions per shift and on holidays. Adequate health care personnel are required for twenty-four (24) hours, seven (7] days per week to provide inmate health services. Turn Key has included a detailed staffing matrix in our staffing plan that meets this requirement. Please refer to Section 3.6, Weld County North Jail Complex and Booking Substation. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 59 HE4LTH Inmate Medical Services Proposal 2. Mental health care at the Weld County North Jail Complex is provided by a multidisciplinary collaboration of medical staff, professional counseling staff employed by Weld County and security staff. Licensed professional staff employed by Weld County supervise clinical mental health services provided by facility counseling staff and provide support to medical/psychiatric staff as needed. Turn Key has extensive experience with a multidisciplinary mental health approach. We acknowledge this requirement and expand further on our experience in Section 2.7, Collaborative Mental Health Approach. The Provider's nursing staff must be trained to the satisfaction of facility professional staff in the use of suicide assessment instruments used by the Weld County Jail. Suicide assessment and prevention training shall be completed within 30 days OR prior to shift assignments outside of normal county business hours. After training, the Provider's nursing staff is expected to perform suicide assessments outside of normal county business hours when necessary. Turn Key acknowledges this requirement Nursing personnel are part of the suicide assessment process in several of our operations. With Weld County's permission, we will also integrate the Weld County assessment instruments into our version of CorEMR. The Weld County Jail maintains dedicated housing units for inmates with identified special needs and a smaller housing units used for close, direct observation or offenders at high risk of suicide, acute psychiatric conditions and/or medical complications. Turn Key acknowledges this requirement. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BO KING SUBSTATION PAGE 60 I TEALTH Inmate Medical Services Proposal 3. The Provider's nursing staff must attend annual ADA training provided and/or coordinated by facility professional staff when offered. Turn Key acknowledges this requirement. 4. Physician services must be sufficient to provide the required needs of the day and assure medical evaluation/follow up within twenty-four (24) hours of post nursing triage referral (including weekends and holidays) but no less than 4.25 hours per week per 100 inmates. A portion of physician services may be provided by physician extenders such as Physician's Assistants or Nurse Practitioners. In addition, 24- hour physician on -call services with the availability for consultation and the ability to meet the on -site needs are required. A pager/on call service shall be utilized and specified. Turn Key's physician, psychiatrist, and physician extender hours well exceed this requirement. Please refer to Section 3.6, Weld County North Jail Complex and Booking Substation. 5. Psychiatric services for medication, medication review and case consultation must be sufficient to assure review and consultation within 5 days of post, mental health clinician referral (including weekend and holidays) but no less than 8 hours per week. Turn Key's proposal exceeds this requirement by providing 16 hours of psychiatry as opposed to 8. Please refer to Section 3.6, Weld County North Jail. Complex and Booking Substation. 6. Nursing services must be available to provide for the following: A. 24 -hour response to the booking area within 10 minutes of an officer's request to evaluate the physical condition of a prisoner and determine if the prisoner's health would be compromised if the prisoner were accepted for admission 24 -hour response to booking area within 10 minutes of an officer's request to medically assess the prisoner's post -acceptance risk when indicated by a preliminary booking process prisoner risk assessment instrument BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND F1r t, f.O ING SUBSTATION PAGE 61 EALTH Inmate Medical Services Proposal igfoo C. Documentation of pill counts and inventory of prescription medication if accepted with inmate at booking or when accepted from an entity other than a pharmacy D. Dispensing of prescribed medication throughout the facility as maybe required (QD, BID, TID and QID). Medication distribution must be completed prior to regular facility mid -day lockdown from noon -1500 hours and the night lockdown from 2230-0530 hours. No county employees will dispense medication E. Perform and document mental health/suicide assessments outside of normal county business hours F. Completion and documentation of health and mental health histories and risk of suicide for all prisoners in custody within 8 hours of booking a Maintain an emergency response capability 24 hours daily H. Assisting with inmate health assessments that must be completed within fourteen (14) days after booking unless otherwise indicated by the Contract Monitor and Detentions Captain Assisting with inmate worker (trusty inmate) physicals that must be completed within 24hours, including weekends or holidays, of a request from Inmate Services Division J. Documentation an inmate has been notified before a prescription is discontinued or that a clinic visit and co -pay is required before being refilled. K. Perform sick call triage and follow-up on a daily basis to include weekends and holidays L. Appropriate and timely response to medical needs and emergencies M. Physician support services. Turn Key's staffing plan includes 16.8 RN FTFs at the North Jail Complex and 1/5 RN FTEs at the Booking Substation. The RNs are supplemented by 4.2 BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 62 HEALTH Inmate Medical Services Proposal LPN FTEs and 1.0 CMA FTE. This level of nurses is adequate to meet the nursing requirements as listed A -M above. Based on our review of the current contract and amendments with Armor, our staffing plan exceeds the current program by 2.1 RN FTEs. Please refer to Section 3.6, Weld County North Jail Complex and Booking Substation for a further breakdown of our proposed staffing plan. 7. Dental services shall at a minimum include: A. Dental sick call services that provide for no more than a ten-day waiting period to be seen B. Routine services typically performed by the dentist include restorations, extractions, x-rays and treatment of dental emergencies Turn Key's dental hours meet this requirement. Please refer to Section 3.6, Weld County North Jail Complex and Booking Substation. 8. The Provider shall provide sufficient clerical and support staff necessary to meet specifications of the RFP Turn Key's clerical and support hours meet this requirement. Please refer to Section 3.6, Weld County North Jail Complex and Booking Substation. 9. The Weld County Sheriff's Office may request replacement of any vendor personnel when unable to carry out the responsibilities of the contract. The Weld County Sheriff's Office shall approve all appointments to the position of administrator, medical director, and supervising nurses. Turn Key acknowledges this requirement. 10. The Provider shall provide for pharmaceutical services to assure the availability of BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION October 11, 2019 PAGE 63 Inmate Medical Services s M prescribed medications within eight (8) hours of the order of issue being written. Pharmaceutical services shall be consistent with State and Federal regulations, and must be monitored by a licensed qualified pharmacist. Arrangements shall be made with a local pharmacy for back-up and emergency medications. Turn Key acknowledges this requirement. Please refer to Section 2.12, Pharmaceutical Management. 11. The Provider shall provide for the purchasing, dispensing, administering and storage o f all pharmaceuticals by qualified personnel Turn Key acknowledges this requirement. 12. The Provider shall provide for the recording of the administration of medications in a manner and on a form approved by the health care authority to include documentation of the fact that inmates are receiving and ingesting their prescribed medications. Documentation will also be required when an inmate's ordered medication is not administered and the reason given. Turn Key acknowledges this requirement. 13 All Provider personnel will receive a period of documented orientation including, but not limited to, jail security, zero tolerance of inmate fraternization and sexual abuse, o perational and emergency procedures, physical plant, suicide assessment and suicide prevention training approved by the Sheriff. New health care staff will "shadow" and/or receive a minimum of 36 hours of training by existing medical staff prior to working independently on any shift. This rule shall apply to "pool/travel nurses" as well as full time employees of the Provider. The Provider shall be responsible for employee wages and/or overtime necessary to fulfill this requirement. Turn Key acknowledges this requirement. Turn Key personnel complete a comprehensive orientation program that exceeds the NCCHC Standards. Members of o ur leadership team will proctor the orientation in compliance with Turn Key's BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND (JOKING SUBSTATION PAGE 64 tTURNKinr HHEALTH Inmate Medical Services Proposal Orientation Manual. Any Weld County site -specific orientation will be added to the checklist to ensure all required training components are covered for both detention and healthcare operations. Employees will continue to receive periodic training on relevant security and health related topics during monthly staff meetings and annual refresher sessions. Please refer to Section 3.5, Orientation. 14. Contractor personnel should be aware that they might, from time to time, be subpoenaed to testify in court regarding medical treatment. Overtime, if any, associated with this obligation is the responsibility of the Contractor. Turn Key acknowledges this requirement. Care and Treatment Re uirements 1. The Provider shall provide for twenty-four (24) hour a day emergency f'ealth care services to include on- site emergencies and acute hospital services with one physician or more health care providers. 2. In addition to twenty-four (24) hour emergency services coverage, the hours for routine nurse sick call shall ae at levels that allow for all inmates needing medical services to be seen within twenty-four (24) hours from the time of the request for such services. 3. A written manual of standardized policies and defined procedures, approved by the health care authority and the Weld County Sheriffs Office, must be reviewed at least annually and revised as necessary under the direction of the health care authority and with the approval of the Weld County Sheriffs Office. 4. The Provider shall provide for necessary laboratory and x-ray services. All abnormal laboratory and x- ray results are to be reviewed and signed by a physician with a follow-up plan of care outlined as needed. 5. The Provider shall provide a program for meeting the special needs of the female population; e.g. pregnancy. BID#B1900131 NEW COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOKING SUBSTATI N PAGE 65 ,v OUP iv _ HEALTH Inmate Medical Services Proposal 6. The Provider shall provide programs and/or protocols for alcohol and drug withdrawal and inmates that are an imminent risk to the safety of themselves or others as a result of mental illness 7. i"he Provider shall provide documented inmate health screening with health history within 8 hours of facility admission or sooner as may be indicated by the booking risk assessment instrument At a minimum, the screening must include inquiry into: A. Current illness and health problems including medical, dental, and communicable B. Medications taken and special health requirements C. Use of alcohol and drugs, including the types, methods, amounts, frequency, and date/time of last use and history of problems related to withdrawal D. For women, a history of gynecological problems and pregnancies E. Observations of behavior, including the state of consciousness, mental status, appearance, conduct, tremors and sweating F. Notation of body deformities, trauma markings, ease of movement, bruises and jaundice G. Condition of skin and body orifices, including rashes and infestations, needle marks or other indications of drug abuse I. Suicide risk factors J. Psychiatric conditions, past and present 8. The Provider shall examine and provide medical clearance for all inmate workers (trusty prisoners) when requested by the Weld County North Jail Complex staff. The medical clearance process will be completed within 24 hours of receiving the list of inmates to be cleared unless laboratory testing necessarily increases the time required 9. The Provider shall provide any inmate with one (1) pair of ordinary glasses if prescribed and deemed necessary for minimal function of such inmate by a physician BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX October 1.1, 2019 AN t BOOKING SUBSTATION PAGE 66 KEY HEALTH Inmate Ni 'cal Services Proposal 10. The Provider will arrange inmate transportation for emergency care. The Sheriff's Office provides all other transportation relating to the provision of health services with prior notice and coordination. However, inmates shall not be informed of scheduled appointment dates, times and location of outside providers. 11. The Provider shall promptly notify the on -duty Detentions Sergeant and the Contract Administrator of the need for other than routine medical care of municipal inmates and shallprovide documentation of required extraordinary treatments Municipal inmates requiring extraordinary medical care will be released from custody and referred to obtain appropriate treatment. 12. Non -inmate health services shall be provided in the form of emergency care for staff, contractor, and visitors for the purpose of stabilizing the condition and arranging for transport. 13. The Provider shall provide a total pharmaceutical system for the Weld County North Jail Complex beginning with the Physician's prescribing, continuity of medications prescribed prior to custody, the dispensing of medication, and the necessary record keeping. The system shall include prescription medications and over-the-counter medications. All prescription medications shall be prescribed by the responsible physician and shall be administered and dispensed by a licensed nurse. Vendor proposals that include Electronic Pharmacy automated pharmacy management must include all start-up and ongoing costs for all hardware, installation, labor, maintenance and licensing, cabling, and communication within and outside the building shall be included and/or amortized in pricing. Weld County will not be responsible for any additional or ongoing costs associated with electronic pharmacy management not included in pricing of this proposal. Any proposal that includes electronic pharmacy must include a specific continuity of electronic pharmacy records plan including any associated costs in the event the vendor no longer provides services to Weld County in the future. 14. All controlled substances, syringes, needles and surgical instruments will be stored under security conditions acceptable to the Weld County Sheriff's Office. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATI SN PAGE 67 N ZY HEALTH Inmate Medical Services Proposal 15. inmates shall not be allowed to provide any health care services, including record keeping. 16. The Provider will have a strategic plan to facilitate on -site dialysis treatment 17. The Provider must be able to establish a MAT program utilizing community agency agreements that they facilitate to deliver such services as approved by the contract monitor and detentions Captain Turn Key acknowledges requirements 1-17 of the Care and Treatment requirements above. The operational advantages of partnering with Turn Key are detailed throughout Section 2, Highlighted Programs. Medical Records Requirements 1. A medical record consistent with state regulations and the community standards of practice shall be maintained on each inmate receiving medical care at the Weld County North Jail Complex. This records shall be kept and maintained separate from jail confinement records of the inmate. Medical records are currently maintained electronic medical records with some historical records beingpaper The Weld County Sheriff's Office uses CorEMR and all proposals must include a specific continuity plan to sustain CorEMR. This plan must include all start-up and ongoing costs for all hardware, installation, labor, maintenance and licensing (to include users of the County, cabling, and communication within and outside the building shall be included and/or amortized in pricing. Proposals shall include all costs that may be associated with any changes in state and federal health care regulations. Weld County will not be responsible for any additional or ongoing costs associated with electronic medical records not included in pricing of this proposal. Turn Key has an excellent working relationship with CorEMR and will continue to use their inmate record platform at our operation in Weld County (See ATTACHMENT G, Letter of Intent from CorEMR). All costs associated with the continuation of CorEMR are included in our Pricing proposal. See Section 2.8, CorEMR, for additional details. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SU ISTATION PAGE 68 HEAIT1I Innate Medical Services Pro kit osal 2. The medical services Provider shall be aware that it has been determined that HIPAA policies and regulations, such as privacy notices, do apply to inmates incarcerated at the Weld County North Jail Complex. Inmate medical information must remain private and confidential from other inmates. The Provider agrees to enter into an Organized Health Care Arrangement (OHCA] with the Weld County Department of Public Health and Environment and local treatment providers, in order to effectuate better continuity of care of inmates who are released from custody. Once an inmate is released, the inmate's records are covered by HIPAA and the handling of those records must be in accordance with HIPAA regulations. Therefore, the Provider acknowledges and agrees to comply with HIPAA regulations and Jail policies in the release of medical records for inmates released from custody. Turn Key acknowledges this requirement. 3. Individual health care records will be initiated and updated for every inmate regarding medical, dental, or mental health services received and for services rendered following the inmate's assignment to a housing area Turn Key acknowledges this requirement. 4. In any case where medical care is at issue, or in any criminal or civil litigation where the physical or mental condition of an inmate is at issue, the Provider shall make accessible to the Sheriff, Detentions Division Captain, Contract Administrator, District Attorney, or County Attorney such records and, upon receipt, provide copies Turn Key acknowledges this requirement. 5. The Provider acknowledges and agrees that all records prepared or acquired by the Provider during performance of services under the contract will immediately become the property of the Weld County Sheriff's Office. Turn Key acknowledges this requirement. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPL ANBOOKING SUBSTATION ate PAGE 69 EALTH Inmate Medical Services Proposal 6. The Provider acknowledges and agrees that all medical chart records prepared or acquired by the Provider during performance of services under the contract will be subject to unannounced chart audits by an outside vendor arranged by Weld County. Turn Key acknowledges this requirement. 7. The Provider acknowledges and agrees to provide copies of audits of utilization, pharmacy and medical chart records of site operations shall be provided to the Contract Administrator. Turn Key acknowledges this requirement. 8. Inmates incarcerated on behalf of the Colorado Department of Corrections may be part of the North Jail Complex inmate population. The Provider shall promptly notify Contract Administrator of the need for other than routine care for such inmates and shall provide documentation of required treatment to the Department of Corrections. Turn Key acknowledges this requirement. 9. The Provider shall prepare health summaries to be sent with inmates being transferred to the Colorado Department of Corrections or other jurisdictions. The health staff will ensure that inmates and health summaries are prepared for all inmates being transferred to other jurisdictions. Turn Key acknowledges this requirement. 10. If an inmate medical record cannot be located within twenty-four (24) hours of a discoverer loss, the Contract Administrator shall be immediately notified. Turn Key acknowledges this requirement. 1 1 . Any and all legal actions or requests affecting inmates and/or the medical contract provider must be provided, in writing, to the Contract Administrator within twenty- BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAil COMPLEX AND x ,` s KING SU STAT1 t,4 N PAGE 70 EALTH Inmate Medical Services Proposal four hours. Turn Key acknowledges this requirement. Supplies and Office Equipment The Provider will provide whatever stock supplies are required to perform under the contract. Said supplies will include, but not be limited to, forms, books, manuals, folders, forms, pharmaceuticals, laboratory fees, needles and sharps, special medical items, testing devices, containers and clinical waste receptacles, inmate information brochures, individual and group materials, gloves and coverings, and disinfectants. Provider will also supply, at its expense, all other supplies required to carry out its performance. Turn Key acknowledges this requirement and details are included in Section V, Pricing Model. The Provider may use all equipment owned by Weld County in conjunction with that furnished. Basic office furniture to include desks, chairs and file cabinets currently in place will be available for the Provider's use. The Provider will supply, at its expense, on -site office equipment such as computers, copiers, fax machines, pagers, calculators, and any other computer related hardware mentioned within the RFP. 'urn Key acknowledges this requirement. The Weld County North Jail Complex shall be responsible for the following: voice telephone and long-distance telephone charges necessary for the Provider to provider services within the scope of the Agreement. The County will provide and pay for a language line interpreting services and sign language interpreters when required. BID#B1900131 WELD COUNTY NORTH October 11, 2019 AND BOOKING SUE AIL COMPLEX STATION PAGE 71 URN ±;KEY HEALTH Inmate Medical Services Proposal All equipment purchased under the contract shall be the property of the County and shall remain on site at the termination of the contract. All supplies purchased for use in the performance of the contract, shall be the property of the County and shall remain on site at the termination of the contract. The County shall be responsible for maintenance of all medical and office equipment supplied and owned by the County for use by the Contractor. Turn Key acknowledges this requirement. Services to Staff Emergency services including first aid, assessment, stabilization and the coordination of transport of employees or visitors who become ill or injured in the Weld County North Jail Complex. Turn Key acknowledges this requirement. The successful vendor is required to sign a separate contract (a sample contract is included as a separate attachment.) Turn Key acknowledges this requirement. BID#B1900131 October 11, 2019 WELD COUNTY NORTH 'AIL COMPLEX AND BOOKING SUBSTA T I N PAGE 72 YT fri ate Medical Services Prop o sa ,I . 4 Turn Key is well aware of the challenges our clients face with limited budgets. Therefore, we utilize our resources in ways that are most beneficial to our site programs. This approach allows us to consistently exceed operational expectations while offering a fair price for our services. Of our forty-four contracts, Turn Key has replaced large, national correctional health companies twenty-one times. Nine of our current contracts were previously operated by Armor, Southern Health Partners, or one of Wellpath's predecessors. Further, we have never had a client replace our services with one of these national competitors. In every case in which we assumed operations from a competitor, our clients rate our services as better and a better value when compared to their previous provider. We are frequently asked how we are able to enhance the onsite health program and significantly reduce overall costs at the same time. While this is usually not possible for nationally focused competitors, our answer to this question is simple. We accomplish this through our regional approach. Turn Key refuses to allocate excessive resources with cross - county travel expenses, unwarranted corporate overhead, the generation of elaborate proposals, and expensive national marketing campaigns. Instead, we choose to invest our resources in our existing programs by providing competitive compensation and ensuring our team members have the resources and support they need to succeed. We believe the best marketing platform is the testimony of our satisfied client, which is evident by the numerous letters of recommendation we have included in ATTACHMENT F. We are confident that Weld County will also appreciate our approach after experiencing similar results with our partnership. Our inmate medical services proposal provides an additional 23 FTEs and reduces the base contract fee by more than $75,000.00 when compared to Armor's current contract. Our pricing model accounts for all the requirements as set forth in the RFP and an average daily population of 803 inmates. Based on the information provided by Weld County and BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND : BOOKING SUBSTATION PAGE 73 F= s.` ;86 Inmate Medical Services Proposal our review of the current contractual terms and amendments with Armor, Turn Key's proposal includes, but is not limited to: A total of 29.55 FTEs (Section 3.6 of the proposal) Double the psychiatry coverage each week A dedicated Community Coordinator to enhance discharge planning and the continuity of patient care Applicable licensing and monthly fees associated with the continuation of CorEMR All fees associated with hosting electronic medical records on a HIPAA compliant, secure cloud -based server Adequate allotment of computers and associated equipment, such as scanners, required for healthcare documentation Disposable supplies and non -durable medical equipment associated with the medical program Costs associated with onsite radiology, ultrasound, and laboratory services Fees associated with the appropriate disposal of medical waste Offsite and specialty care costs up to $125,000.00 per contract year General prescription and over-the-counter pharmaceuticals required for onsite treatment A $50,000.00 per contract year POOL for HIV and other defined advanced treatment medications Turn Key's annual fee for the first year of service for the Weld County North Jail C tmplex: 94„9 The proposed $50,000.00 per contract year POOL also includes medications associated with the treatment of Hepatitis C (e.g. Harvoni), biological and blood disorder (e.g. Hemophilia related), cancer/oncology, and Multiple Sclerosis. The treatment of these serious conditions sometimes can exceed $50,000.00 for a single patient. Since the treatment of these conditions is extremely rare in a correctional setting, including them in our POOL prevents Turn Key from adding unwarranted cost assumption factors into our base pricing model in the unlikely event treatment is required. Thus, we can pass this savings onto Weld County BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATN October 11, 2019 PAGE 74 jiTuRN � HELLTH Inmate Meg; gal S ry ces Pr p sal as part of our affordable contract fee structure. We welcome the opportunity to explain the benefit of our proposed POOL model in further detail with Weld County. 0 Con lA agency ricing ? ADP Ch p aes Inmate population counts are often unpredictable. When significant changes in population occur, the cost of providing health services is usually impacted. Thus, we propose a per diem (per inmate per day) fee of S1.95 for each inmate beyond 850 inmates based on the facility's monthly ADP reconciliation. O K n ib,tation Inmates with complicated medical conditions can be at an elevated risk of health deterioration during the first few hours of incarceration. Since the Booking Substation will only have one nurse on duty, we believe it should be staffed with a Registered Nurse. This will allow for a more thorough assessment during the booking process and a higher level of nursing skills available should an emergency occur. Turn Key's annual fee for a RN at the Booking Substation for 1® hours a day, 7 days a week (1.75 FTEs): would be: Turn Key's annual fee for a RN at the Booking Substation for 24 hours a day, 7 days a week (4.2 FTEs) would be: 2 West Ming Expansion Should the average daily population at the Weld County North Jail Complex exceed 1,000 inmates with the addition of the 2 -West Wing expansion, we believe an additional 6.6 FTEs will be required. (Section 3.6 of the proposal). At this population, 2 -West would be staffed with 24/7 healthcare personnel including additional RN, LPN, psychiatry, dental, and BID#B1900131 CID D COUNTY NORTH JAIL COMPLEX October 11, 2019 AND BOOKING SUBSTATION PAGE 75 y HEALTH Inmate Medical Services Proposal provider hours. However, Turn Key does not believe 2 -West would require all 6.6 FTEs immediately upon opening. Our intent would be to continually evaluate the needs of the unit as the population of the entire facility increased and propose incremental additions as they are justified. Should the facility's population rapidly increase to 1000 inmates, the additional cost beyond the per diem fees for the additional 6.6 FTEs would be: Annual Contract Inflai ti $i3:,200.0 Limits In addition to enhanced services at an overall lower cost, Weld County can rest assure that Turn Key's annual renewal rate will be affordable and consistent. Annual increases based on Consumer Pricing Index inflators are common in our industry. However, in years where the CPI factor is substantially higher than others, local governments often experience major financial strain with contract renewals. Although the RIP allows for an annual inflator based on the Mountain Census Division index up to 5%, Turn Key is willing to commit to an annual increase limited to a maximum of .95% per year through 2022. Our proposed capitated increase has the potential to save the Weld County taxpayers additional money in the years to come. Turn Key appreciates the opportunity to present our cost-effective, professional inmate health services program to Weld County, Colorado. We look forward to your response. And, as always, thank you for your service to the citizens of Weld County. BID#B1900131 October 11, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SU SrATION PAGE 76 REVISED _S _STA. HEALTH REQUESTED PROPOSAL RE -MUM AN Turn Key Health Clinics welcomes the opportunity to submit a revised staffing plan for the Weld County North Jail Complex. Our revision is based on new information that indicates the evening medication administration is more extensive than we originally anticipated. We believe that by adding an additional 12 hours of LPN coverage each day (84 hours a week), our revised matrix will adequately address the medication administration needs of the facility. • Staffing Allocation for Weld County North Jail onplex n Revised 1O/.28/19 POSITION I Monday [Tuesday I Wednesday I Thursday (Friday I Saturday I Sunday I Hrs/ Wk J FTE DAY SHIFT Health Services Administrator 8 8 8 8 8 40 1.00 Administrative Assistant / UM 8 8 8 8 8 40 1.00 Director of Nursing 8 8 8 8 8 40 1.00 Medical Director 8 8 0.20 ARNP/PA 8 8 8 8 32 0.80 Psychiatrist / Psych Practitioner 8 8 16 0.40 Dentist 8 8 0.20 Dental Assist 8 8 0.20 Quality Assurance / Community Coordinator 8 8 8 8 8 40 1.00 Charge RN 12 12 12 12 12 12 12 84 2.10 RN - 2E 12 12 12 12 12 12 12 84 2.10 RN - Clinic 12 12 12 12 12 12 12 84 2.10 RN - Booking 12 12 12 12 12 12 12 84 2.10 LPN - Med Pass/Clinical 12 12 12 12 12 12 12 84 2.10 LPN - Med Pass/Clinical 12 12 12 12 12 12 12 84 2.10 CMA / Records 8 8 8 8 8 40 1.00 144 120 128 120 120 72 72 776 19.40 Total Day Hours / FTE NIGHT SHIFT Charge RN 12 12 12 12 12 12 12 84 2.10 RN - 2E 12 12 12 12 12 12 12 84 2.10 RN - Clinic 12 12 12 12 12 12 12 84 2.10 RN - Booking 12 12 12 12 12 12 12 84 2.10 LPN - Medpass Clinical 12 12 12 12 12 12 12 84 2.10 Total EVENING Hours / FTE 60 60 60 60 60 60 60 420 10.50 204 180 188 180 180 132 132 1,196 29.90 Total Hours / FTE _ - 1 BIDttB 1900131 October 29, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SU:.'STA'TION PAGE 1 N KEY HEALTH REQUESTED PROPOSAL REVISION The additional 2.1 LPN FTEs would increase the total proposed staffing allocation at the Weld County North Jail Complex to 29.90 FTEs. Along with the Booking Substation 1.75 FTEs, the revised total staffing allocation for the operation increases to 31.65 FTEs. REVIS I RST YE "' 1 ` ICING MODEL Weld County North Jail Complex (29.90 FTEs) 432 Weld County Booking Substation (1.i5 FTEs) 4,420.00 .1713,60 ,0 0 Total Operation (31.65 FTEs) $4,456,020a00 The remainder of the terms and conditions in Turn Key's original proposal shall continue to be honored as presented and remain unchanged. We appreciate the opportunity to provide our revised staffing and pricing model, and we look forward to your response. 1 0/29/1 9 Flint Jfl od, CEO Date BID#B1900131 October 29, 2019 WELD COUNTY NORTH JAIL COMP AND BOOKING SUBSTATION ,EX PAGE 2 REQUEST FOR PROPOSAL WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80631 DATE: SEPTEMBER 6, 2019 PROPOSAL NUMBER: B1900131 DESCRIPTION: INMATE MEDICAL SERVICES DEPARTMENT: SHERIFF'S OFFICE MANDATORY PRE -PROPOSAL CONFERENCE DATE: SEPTEMBER 18, 2019 @ 9:00 AM (MDT) OPENING DATE: OCTOBER 11, 2019 @ 10:00 AM (MDT) ...it; r1y..r`�. r .r.f.Sw _ . Wt.•?� 4.free. ;�.y .47.: A4V1r 4; .. '. IC •. • 4 --r �..a . i M i 1. NOTICE TO VENDORS: The Board of County Commissioners of Weld County, Colorado, by and through its Controller/Purchasing Director (collectively referred to herein as, "Weld County"), wishes to purchase the following: INMATE MEDICAL SERVICES A mandatory pre -proposal conference will be held at 9:00 AM (MDT), on September 18, 2019, at the Weld County Sheriff's Office North Jail Complex 2 East Training Room located at 2110 O Street, Greeley, CO 80631. Vendors must participate and record their presence at the pre -bid conference to be allowed to submit proposals. Proposals will be received at the Office of the Weld County Purchasing Department in the Weld County Administrative Building, 1150 O Street, Room #107, Greeley, CO 80631 until: 10:00 AM (MDT) on October 11, 2019 (Weld County Purchasing Time Clock). PAGES 1 - 8 OF THIS REQUEST FOR PROPOSALS CONTAIN GENERAL INFORMATION FOR THE REQUEST NUMBER REFERRED TO ABOVE. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-8 MAY BE APPLICABLE FOR EVERY PURCHASE. PROPOSAL SPECIFICS FOLLOW PAGE 8. 2. INVITATION TO PROPOSE: Weld County requests proposals for the above -listed merchandise, equipment, and/or services. Said merchandise and/or equipment shall be delivered to the location(s) specified herein Proposals shall include any and all charges for freight, delivery, containers, packaging, less all taxes and discounts, and shall, in every way, be the total net price which the vendor will expect the Weld County to pay if awarded the proposal. You can find information concerning this request at two locations: On the Weld County Purchasing website at https://www.weldgov.com/departments/purchasin.q/bids proposals located under "Bids / Proposals / Tabulations". And, on the Bid net Direct website at www.bidnetdirect.com. Weld County Government is a member of BidNet Direct. BidNet Direct is an on-line notification system which is being utilized by multiple non-profit and governmental entities. Participating entities post their bids, quotes, proposals, addendums, and awards on this one centralized system. Proposal Delivery to Weld County — 2 methods: 1. Email. Emailed proposals are preferred. Emailed proposals must include the following statement on the email: "I hereby waive my right to a sealed proposal". An email confirmation will be sent when we receive your bid/proposal. If more than one copy of the proposal is requested, you must submit/mail hard copies of the proposal. Proposals may be emailed to: bids@weldgov.com. 2. Mail or Hand Delivery. Mailed (or hand delivered) proposals should be sent in a sealed envelope with the proposal title and proposal number on it. Please address to: Weld County Purchasing Department, 1150 O Street, Room *' 107, Greeley, CO 80631. Please call Purchasing at 970-400-4222 or 4223 if you have any questions. 3. INSTRUCTIONS TO VENDORS - INTRODUCTORY INFORMATION: Proposals shall be typewritten or written in ink on forms prepared by the Weld County Purch sing Department. Each proposal must give the full business address of vendor and be signed by him with his usual signature. ProposaIs by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the members of the partnership or by an authorized representative, followed by the signature and title of the person signing. Proposals by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to binc it in the matter. The name of each person signing shall also be typed or printed below the signature. A proposal by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the proposal of the individual signing. When requested by the Weld County Controller/Purchasing Director, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. A power of attorney must accompany the signature of anyone not otherwise authorized to bind the Vendor. All corrections or erasures shall be initialed by the person signing the proposal. All vendors shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this proposal as stated or implied herein. All designations and prices shall be fully and clearly set forth. All blank spaces in the proposal forms shall be suitably filled in. Vendors are required to use the Proposal Forms which are included in this package and on the basis indicated in the Proposal Forms. The Proposal must be filled out completely, in detail, and signed by the Vendor. Late or unsigned proposals shall not be accepted or considered. It is the responsibility of the vendor t. ensure that the proposal arrives in the Weld County Purchasing Department on or prior to the time indicated in Section 1, entitled, "Notice to Vendors." Proposals received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Weld County Controller/Purchasing Director for the premature opening of a proposal not properly addressed and identified. Proposals may be withdrawn upon written request to and approval of the Weld County Controller/Purchasing Director; said request being received from the withdrawing vendor prior to the time fixed for award. Negligence on the part of a vendor in preparing the proposal confers no right for the withdrawal of the proposal after it has been awarded. Vendors are expected to examine the conditions, specifications, and all instructions contained herein, failure to do so will be at the vendors' risk. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, Weld County will give preference to resident Weld County vendors in all cases where said proposals are competitive in price and quality. It is also understood that Weld County will give preference to suppliers from the State of Colorado, in .accordance with C.R.S. § 30-11-110 (when it is accepting proposals for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County). Weld County reserves the right to reject any and all proposals, to waive any informality in the proposals, to award the proposal to multiple vendors, and to accept the proposal that, in the opinion of the Board of County Commissioners, is to the best interests of Weld County. The proposal(s) may be awarded to more than one vendor. In submitting the proposal, the vendor agrees that the signed proposal submitted, all of the documents of the Request for Proposal contained herein (including, but not limited to, product specifications and scope of services), the successful vendor's response, and the formal acceptance of the proposal by Weld County, together constitutes a contract, with the contract date being the date of formal acceptance of the proposal by Weld County. The County may require a separate contract, which if required, has been made a part of this RFP. 4. SUCCESSFUL VENDOR HIRING PRACTICES - ILLEGAL ALIENS: Successful vendor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Successful vendor will confirm the employment eligibility of all employees who .re newly hired f employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of ColorA0 program established pursuant to C.R.S. BID REQUEST#B1900131 Page 2 §8-17.5-102(5)(c). Successful vendor shall not knowingly employ or contract with an illegal alien to perform work u nder this Agreement or enter into a contract with a subcontractor that fails to certify with Successful vendor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under :his Agre,tDment. Successful vendor shall not use E -Verify Program or State of Co0 rado program procedures to u ndertake pre-emplyment screening or job applicants while this Agreement is being performed. If Successful vendor obtains actu,; I knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Successful vendor shall notify the subcontractor and County within three (3) days that Successful vendor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall serminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days .f receivin• notice. Successful vend,. shell not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has n ot knowingly employed or contracted with an illegal alien. Successful vendor 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 Successful vendor participates in the State of Colorado program, Successful vendor shall, within twenty days after airing a new employee to perform work under the contract, affirm that Successful vendor 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. Successful vendor shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Successful vendor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Successful vendor shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided in G.R.S. § 24-76.5-103(3), if Successful vendor receives federal or state funds under the contract, Successful vendor must confirm that any individual natural person eighteen (18) years of age or older is lawfully preset in tie United States pursuant to Q.R.S. § 24-76.5- 103(4), if such individual applies for public benefits provided under the contract. If Successful vendor 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. 5. GENERAL PROVISIONS: A. Fund Availability: Financial obligations of Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the proposal, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Weld County discourages bidders from submitting confidential information, including trade secrets, that cannot be disclosed to the public. If necessary, confidential information of the bidder shall be transmitted separately from the main bid submittal, clearly denoting in red on the information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C. .S. 24-72-201, et seq., the Colorado Open Recrds Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. The bidder is responsible for ensuring that all information contained within the confidential portion of the submittal is exempt from disclosure pursuant to C.R.S. 24-72-204(3)(a)(IV) (Trade secrets, privileged information, and confidential commercial, financial, geological, or geophysical data). If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will review the confidential materials to determine wh Cher any of them may be withheld from disclosure pursuant to CORA, and disclose those portions staff determines are not protected from disclosure. Weld County staff will not be responsible for redacting or identifying Confidential information which is included within the body of the bid and not separately identified. Any document which is incorporated as an exhibit into any contract executed by the County shall be a public document regardless of whether it is marked as confidential. Trade Secrets and other Confidential Information: x .�£�-•raar^_?£"3-.I4MTI. : i4 . -'Tr °.r":']/ i;:?:".S,F'.. �Tr _ v . di�S+?iYc ?>CiT z .n _ ._/ .ni.a: , ,-i.i 1tn./ :n. �[t_797 T! .asav�� .�--�--- i' - ","�1:�. _.r'n."�.�,i"r`�'"`�r.�lu�...xz�.,.tY3.fzie:srh..c�mt�zb.�i-t T`,�i.. t. � wcK".^ran ."'�� ., r.'y`f^'e.v., .C1iL'�.]✓N e,,. _-:�.'•'l�'..�..t.. rl.S�:..:Yf:.._.a.��-AT^ r: BID REQUEST #B1900131 Page 3 C. Governmental Immunity: No term or condition of the 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. D. Independent Contractor: The successful vendor shah perform its duties hereunder as an independent cntractor and not as an emplore. He or she shall be solely responsible for its acts ;end those of its :,gents and employees for all acts performed pursuant to the contract. Neither the successful vendor nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful vendor and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County anc Weld County shall n.Dt pay for or otherwise provide such coverage for the successful vendr •�r any of its agents or employees. Unemployment insurance benefits will bavailable to the successful vendor and its employees anc agents only if such coverage is made available by the successful vendor or a third party. The successful vendor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful vendor shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the cntract. The successful vendor 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 ;mounts required by law, and (b) provide proof thereof when requested to do so by Weld County. E. Compliance with Law: The successful vendor shall strictly comply with all applicable federal and state laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. F. Choice of Law: Colorado Iw, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. G. No Third -Party eneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned panes receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attrney's Fees/Legal Costs: In the event of a dispute between Weld County and the successful vendor, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful vendor. I . Disac• vraritaged = usincss hnterprises: Weld County assures that disadvantaged business enterprises will be afforded full opportunity to submit proposals in response to all invitations and will not be discriminated against on the grounds of race, color, national origin, sex, age, or disability in consideration for an award. J. Procurer( Brit and Performance: The successful vendor agrees to pr cure the materials, equipment and/or products necessary for the project and agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the project. The successful vendor shall further be responsible for the timely completion, and acknowledges that a failure to comply with the standards and requirements outlined in the Proposal within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Agreement. K. Term: The term of this Agreement begins upon the date of the execution of this Agreement by County, and shall continue through and until successful vendor's completion of the responsibilities described in the Proposal. L. Termonateon: County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermre, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. .r BID REQUEST #B1900131 Page 4 M. Extensoo:m or ModMeatk Any amendments or modifications to this agreement shal be in writing signed by both part es. No additioral services or work performed by the successful vendor sha. I be the basis ao additiona compensation unless and until the successful vendor has obtained written autnorization and acknow eogement by County for such additional services. accordingly, ri) claim -hat the Coon :y has been ust y enriched by any additional services, whether or not there is in fact a iy such unjust enrichment, shall b the basis of any increase in the compensation pay: ble ereu Oder. F! N. Subcontractors: The successful vendor irtknowledges that County has entered in:. this Agreement in reliwInce upon the particular reputation and expertise o- tree successful vendor —he successful vendor shall not enter Onto any subcotractor agreements 'or the corn plet on of this Project without County's prior written consent, which may be withheld i County's sole discretior. County shal have the right in its reasonable discretion t•. approve all personnel assigned to the subject Project during the performance of this Agreement and no personnel to whom County has an ob]ection, in its reasonable discretion, shall be assigned to the Project. The successful vendor shat require each subcontractor, as approved by County and to the extent if the Services to oe performed by the subcontractor, to be bound t* trio successfu vend ,• -r by the terms of this Agreement, and to assume toward the successful vendor all the obligations aid responsibilities which the successful vendor, by this Agreement, i;ssumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by the successful vendor and the successful vendor shah cooperate in such process. The successful vendor shall be responsible for the acts and omissions of its agents, employees and subcontractors. 0. Warranty: The successful vendor warrants that services performed under this Agreement will be performed in a manner consistent with the standards governing such services <,nd the provisions ohis Agreement. The successful vendor further represents and tyrants that all services shall be performed by gualifiec' personnel in a professional and orkmanlike manner, consistent with industry standards, and that a services will conform to applicable specifications. The vendor arrants that tho goods to be supplied shall be merchartable whether patent or lwtent. The goods si Il be sLfficient for the purpose i specifications herein. The successful vendor shall warrant that he hs titl goods are free and c ear of all hens, encum prances, and security interests. of god quality, ended and co to the good s CM4 s nd free from defects, rm to the minimum upplied and that the Service Cal s .n the First one Year Period he successful vendor sha I bear al costs for mileage, travel tine, and service trucks used in the servicing (including repairs) of any of the goods to be purchased by Weld County, Colorado, pursuant to this oid for as many service calls as are necessary for the first one (1) year period aft said goods are first supplied to Welc County. Vendor shall submit with their proposa prop scads are submitted: 1. Detailed equipment s 2. Descriptive literature. s the following info rmati pecifications to include the warranty. P. Non=Ass gn rr ent The success therein or claim thereunder, without the to assign or transfer its rights hereun utornatica ly terminate this Agreement and a be granted or denied at the s le and absolute discretion oC * pertainin g to the equipment upon whic e r the u vendor may not assign or transfer this Agreement or any interes prior written approval o r County. Any attempts by the successful vendor er without succ prior approval by County shall, at the option of County, I rights of the successful vendor hereunder. Such consent mey a unty. a lInterruptilons: Neither patty to this Agreement sha I be iable to the other for oelays ir delivery or fai[� rep to deliver or otherwise to perform any obligation under this Agreement, where such fwilure is due to any cause 'beyond its reasonable control, including but rot limited to Acts of God, fires, strikes, w. r, fl od, earthquakes or Governmental actions. R. Non -Exclusive Agreement: This Agreement is nexclusive nd C contractors or persons to perform services of the same or similar nature. unty may engage or use other BID REQUEST #B1900131 Page 5 S. Employee Financit 0 OnteresUConfUict of Interest — C. tSC 824=18-201 et seq. and §24-52=507. The signatories to this Agreement agree that to their knowledge, no employee of Weld County has any personal or ben Dficial interest whatsoever in the service or property which is the subjf-?ct matter of this Agreement. County [-as no interest e)nd shall rot acquire any interest direct or indirect, that would in any manner or degree interfere with the performance of the successful vendor's services and the successful vendor shall not employ any person having such knwn interests. During the term of this Agreement, the successful vendor 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 successful vendor to ensure compliance with this provision me.y result, in County's sole discretion, in immediate termination of this Agreement. No employee of the successful vendor nor any member of the successful vendor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action n minttes, recommends, supervises the successful vendor's operations, or authorizes funding to the successful vendor. T. Sever- bulity: if any term or condition of this Agreement shall be held to be invalid, illegal, or u nenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such pr vision, to the extent hat this Agreement is then capable of execution within the original intent of the parties. U. Bonding Arbitration Prohi r• ited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract sr incorporated herein by reference shall be null and void. V. oard of County Commissioners of Weld County Approval: This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. W. Compensation Amount: Upon the successful vendor's successful cmpletion of the service, and County's acceptance of the same, County agrees to pay an amount no greater than the amount of the accepted proposal. The successful vendor acknowledges no payment in excess of thet amount will be made by County u nless a "change rder" authorizing such additional payment has been specifically approved by the County's delegated employee, or by formal resolution of the Weld X. Taxes: County Board of County Commissioners, as required pursuant to the Weld County Code. County will not withhold any taxes from monies paid to the successful vendor hereunder and the successful vendor agrees to be solely responsible for the accurate reporting and payment •;f any taxes related t• payments made pursuant to the terms of this Agreement. C.ntractor shall not be entitled to bill at overtime and/or double time rates for work done outside of normal business hours unless specifically authorized in writing by County. 6. INSURANCE REQUI EMENTS: Ons ranee and Indemnification. Contract Professionals 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. Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension there.f,nd during ary warranty period. The required insurance shIl 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 a iy of the above -described policies by carcrled -r should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Controller/Purchasing Director by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation o r reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days pri•ir. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contract Prfessional. Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contract Professional to provide a bond, at no cost to County, 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 n ot decrease or limit the liability of Professional. The County in no way warrants that the minimum limits . lr v �w �^ Tea n �i < - .t' s nm�+.. �. rm + L-v..v..a •?5 P•^.p • 2.. •Y. • TT. V.. r .. . ...:�.. .r ... .. M p• .... �._, _..W ln'�:t n 3. o... _ ...n. ., .. �. :.+. r 'F r. i";GT. /. Y . %.1 .C.. .. '�F? • i.. r , C a . L'S.tr l „� M• .nr . _ . >'_a. -a ..t '�'" .. •:.r . 'a/, ..r. ., XA'`.'i�e;T: ..T4 1 .C .7��tK . , , ' T `^ cwt .. •. .. .. 'T"�t^P^ 3'%'1 :0 r'.'.'G .n ,-Ja Y,S? >. e L �F,.... v �. .. '.a. ,- ., a .1.+� a.. ..1: ., n h -1r .F T Y.:i. _:« r,.: � 1 .. ir' c „�.. , ..1 I "g��x > � 59�w�ist�z�c a�.>p`�.,,..s..:«lC�i�tovu>nSr.1� .avlo:iii..1,d:.i..4..c....kG,.a�r9z3N.3i.Z�:2..4c1,c'S�1....s..1...U.N.�Z�...n .v c.,aa'..s.�i�`t7..U3t..,nys�SL.� ya,n.jS�'c.•.•.., �Sv:2'i1drN.viiity`Lrk:..c�dls..�u�i.rt:L.wd....:J1..li.:U4ii....v�1"�_.�.�vL...J� �,...�r.��.Llur.�.vi�ai'..v`-a:h��{.Yay.c:161. c. .u. �=::es.�'.�.IS.�.n..,�l�L.�w2�i:�:4,s.^.:r..u.I.�5'.'..`�»7:asbLaw,.c.:a.:.:tiu.:a},il.G U�.,......s:.i:w•: BID REQUEST #B1900131 Page 6 contained herein are sufficient to protect them from liabilities that might arise out of the performance of wr ;rK u nder this Contract by the Contract Professional, its agents, representatives, employees, or subc.rtractors. Tie Contract Professional shall assess its own risks and if it deems appropriate and/or prudent, maintain higher limits and/or broader coverages. The Contract Professional is not relieved of any liability or other obligations assumed o r pursuant to the Contract by reason of its failure t• obtain or maintain insurance in sufficient amounts, dLration, or types. The Contract Professional 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. Any modification to these requirements must be made in writing by Weld County. The Contract Professional stipulates that it has met the insurance requirements identified herein. The Con :race Professional shall be responsible for the professional quality, technical accuracy, and quantity of all services provided, the timely delivery of said services, and the coordination of all services rendered by the Contract Professional and shall, without additional compensation, promptly remedy and correct any errors, ®missions, other deficiencies. a INDEMNITY: The Contract Professional shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or willful acts or omissions of Contract Professional, or claims of any type or character arising out of the work done in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers° compensation law o r arising out of the failure of the Contract Professional to conform to any statutes, ordinances, regulation, law o r court decree. The Contract Professional shall be Illy responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement o r its failure to comply with the provisions of the Agreement, or on account of or in consequence of neglect of the Contract Professional in its methods or procedures; or in ih1s prvisions of the materials required herein, or from any claims or amounts arising or recovered under the Worker's Compensation Act, or other law, ordinance, o rder, or decree. This paragraph shall survive expiration or termination hereof. It is agreed that the C,•;itract Professional will be responsible for primary Io,ss investig<,tion, defense and judgment costs where this contract of indemnity applies. In consideration of the award of this contract, the Contract Professional agrees to waive all rights of subrogation against the County its associated and/or affiliated entities, successors, or assigns, its o lected officials, trustees, employees, agents, and volunteers for losses arising from the work performed by the Contract Professional for the County. A failure to comply with this provision shall result in County's right to immediately terminate this Agreement. Types of Insurance: The Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of the Contract Professional's employees acting within the course and scope of their employment Policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contract P rofessional or subcontractor is exempt under Colorado Workers' Compensation Act., AND when such Contract P rofessional or subc __ ntractor executes the appropriate sole proprietor w-iver form. Cornercall General Liability Insurance shall include bodily injury, property damage, and liability assumed under the contract. $1,000,000 each occurrence; $1,000,000 general aggregate; $1,000,000 Personal Advertising injury Automobile Liability: Contract Professional shall maintain limits of $1,000,000 for bodily injury per persn, $1,000,000 for bodily injury for each accident, and $1,000,000 for oroperty damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned, hired, and non -owned vehicles used in the performance of this Contract. Professional Liability (Errors and Omissions Liability) The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contract Professional shall maintain limits for all claims covering wrongful acts, !/ -^9'F.^.7 . I �,".�^," p .SII'¢i ;".Ss"eC7'g1;. A?N'1Lys9'P7"u�'7e,. Ui( ry-}��.�•.e, J,'"T�^Fwrr+>,4 _Z -i'"Y'i itprg ,-emu^ . j(S'Sa21i.f�iw�/ t%i.Y.in..ifG.`�,L'a�iY�'iEa:�.Yt�IF' SLFu.:1Jun`Lri'✓ti k�ii.t"frL`'s�.tL(1�A.1::Li'..ri.Eile�.).✓Ll�(.f;6��=�,��1Af,:45:'.a✓1Yfui LLLtaLL'^asta b'.t :,:rEMZI � a� '�ry wx a.t -1 3d; €.L.srit`d BID REQUEST #B1900131 Page 7 errors and/or omissions, including design errors, if applicable, for damage sustained by reason of or in the course of operations under this Contract resulting from professional services. In the event that the professional liability insurance required by this Contract is written on a claims -made basis, Contract Professional warrants that any retroactive date under the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or an extended discovery period will be exercised for a period of two (2) years beginning at the time work under this Contract is completed. Minimum Limits: Per Loss Aggregate $ 1,000,000 $ 2,000,000 Contract Professionals shall secure and deliver to the County at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Request for Proposal. Proof of Insurance: County reserves the right to require the Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contract Professional's insurer shall name County as an additional insured. Waiver of Subrogation: For all coverages, Contract Professional's insurer shall waive subrogation rights against County. Subcontractors: All subcontractors, independent Contract Professionals, 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 Contract Professional. Contract Professional shall include all such subcontractors, independent Contract Professionals, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contract Professional agrees to provide proof of insurance for all such subcontractors, independent Contract Professionals, sub - vendors suppliers or other entities upon request by the County. The terms of this Agreement are contained in the terms recited in this Request for Proposal and in the Response to the Proposal each of which forms an integral part of this Agreement. Those documents are specifically incorporated herein by this reference. 46. BID REQUEST #B1900131 Page 8 SPECIFICATIONS AND/OR SCOPE OF WORK AND PROPOSED PRICING: TABLE OF CONTENTS Page Agreements of Understanding 15 Alterations to Agreement 15 Contaminated Waste 17 Contract Monitoring 16 Contract Period and Pricing 12 Evaluation of Proposals 13 General Requirements 11 General Terms and Conditions 15 Immunity from Liability 15 Inmate Co -Payment 19 Introduction 10 Maximum Liability for HIV/AIDS Medications 12 Maximum Liability for Outside Medical Services 12 Minimum Qualifications 11 N o Third -Party Beneficiary 16 N onperformance of Agreement 18 N otices 16 Performance Bond 15 Permits and Licenses 17 Proposal Ideas and Concepts 15 Proposal Obligation 15 Provider Personnel 21 Reimbursement for Services 16 S pecifications and Program Requirements Administrative Requirements 18 Care and Treatment 22 Medical Records 23 Personnel 19 Services to Staff 25 Supplies and Equipment 24 S ubmittal Requirements and Evaluation 13 S ubcontracts 15 Termination of Agreement 17 Third Party Reimbursement 16 ol'42tl', a a STS % 41. F rg nq r,� g"'�s?s 2'f`''z w_. `:5-a" R a A°i . i rl� r.z::�,.s� v.< s;:xk :� .� �.a,: .._�r_:nui..�z.Yu��',.,. n:,� ;:t'a.r� F�?; �&�.:au3<Et�t,Ldin;t.elua ..�2,�s:.5 's-xz��ri4� w�.s�rss. BID REQUEST #B1900131 Page 9 Introduction The Weld County North Jail Complex is located at 2110 O Street, Greeley, Colorado. It is a county jail holding only secure, adult inmates and can, at times but extremely rarely, hold a small number of juvenile inmates transferred to adult court, i.e. direct file juveniles. The Weld County North Jail Complex is largely a direct supervision facility posting deputies in most housing units twenty-four hours a day. Every deputy is trained in Cardio Pulmonary Resuscitation, basic First Aid and the use of an Automated Electronic Defibrillator. The Weld County North Jail Complex initially opened in 1997 and has a current designed capacity of 959 beds distributed on two levels within approximately 260,000 square feet of structure. There are twenty-five housing units (varying in size) and one booking area included in this structure. The number of inmates in secure custody is dynamic and may fluctuate rapidly within a 24 -hour period. The average adult daily population (ADP) for the year 2018 ranged from a peak of 778 to a low of 718. There was an average of 759 persons in custody during this 12 -month period. Of that number, 605 (80%) were adult men, and 154 (20%) were adult women. The 2020 projected ADP is 803 of similar gender composition. There were 12,330 jail admissions in 2018. There have been 7,414 admissions from January 1, 2019 through July 31, 2019. Of those 12,330 admitted in 2018, 29.2% were released from custody within 24 -hours. Of the 12,330 admissions in 2018, 3,257 (26.4%) were adult women and 9073 (73.6%) adult men. The current Weld County North Jail Complex structure has two combined medical examination and dental operatory areas. Each area includes multiple examination rooms equipped to see patients, a pharmacy room and a dental operatory with dental x-ray. One of the medical areas includes two negative airflow, locked cells. Medical examination and dental facilities are duplicated within the facility to reduce the time and distance for med pass and inmate movement to and from clinic appointments. The Weld County Sheriffs Office is in the process of constructing a new wing which is projected to be completed by the end of 2020. This new wing will allow for 381 additional beds in ten additional general population housing units, two intake units, a medical housing unit, and two close observation units. This new wing will also have an additional medical clinic area which includes a dental area. Additionally, the Weld County Sheriff's Office is in the process of constructing a Booking Substation within the current structure of the Del Camino Substation at 4209 Weld County Road 24 1/2 Longmont, CO. This new Booking Substation is projected to be operational January 1, 2020 with hours of operation for ten hours a day seven days a week. This facility has the potential to be a twenty-four hour a day operation serving the municipalities in Southern Weld County at or within a year of opening. SiT a av¢. .. fi' . -,:z a. n' IM iT+ . VO • {l, .. a "'rm:r^v+c'�t a ,.�, s � t� zr^. r, t, ,•r- .Y.. <. , �., �,.. ,�. r'r `�:^..; �' r,., ��S$�,G.3«i�:k�"t�l��da3T.fu%'dI"�a�+,,Y.:.a.Sv '•„•,�..R'n�,.w;,;�'�1t�'"�.Far�a�s.�i'�xt��}s�,4.,�1��"-�¢ •• aa'•• ::ccu,:�r.�,1'..i��_:..,:_K tu......�%i ...,,.3�.,,�::.�'r` ..:3� ._..,:,tit��S.��3�;.;�,:.;a.,a�:s:�:.fu.,s.:,4iA3�{�y:;�.,;v,�nwa3��e"�•','cu;cwt'2tiE�.in...:�tisV��b}c�:�&:`":�W�....,x �i . �.�-.S,...,us,.......�x�..r,.r...�.>.,..,,�.:urc.....�z3L:.�,9.�_�t�:�s�.,JP::�T� BID REQUEST #B1900131 Page 10 Weld County Sheriff's Office Detentions Mission Statement To accept and lawfully hold prisoners in a safe, humane, wholesome environment that returns people to the community better, or no worse than they arrived. General Requirements The intent of this Request for Proposal (RFP) is to procure a high quality, comprehensive and all-inclusive health care delivery system for all inmates at the Weld County North Jail Complex. The following general requirements will be met: • All medical care provided at the Weld County North Jail Complex shall be reasonably consistent with the same standard of medical care available to the general Greeley, CO community. • While the facility no longer participates in the National Commission for Correctional Health Care accreditation program, health care delivery will be guided by NCCHC accreditation standards. • Maintain complete and accurate records of all medical, dental and mental health care. Health services statistics will be collected, analyzed and distributed on a regular basis and as needed to appropriate agency administrative personnel. • Maintain an open and collaborative relationship between Weld County Sheriffs personnel and contractor personnel. • Maintain a multidisciplinary approach by medical, mental health and Detentions staff to provide effective suicide prevention and mental health services. • The continuation of current prescriptions from a private physician or psychiatric facility for new inmate admissions is determined by efficacy and continuity of care rather than an inflexible formulary and/or cost. Psychotropic medications prescribed to an inmate while in custody at the Colorado Mental Health Institute psychiatric facility shall not be substituted or modified and must be immediately available when the inmate returns from that facility to the Weld County North Jail Complex. • Community reentry planning for some at -risk inmates may include the need for additional prescription medication when an inmate is released to allow a reasonable opportunity for the inmate to connect with community care providers. • CorEMR shall be the electronic medical records system that is utilized at the Weld County North Jail Complex in the delivery of all medical services and the subsequent documentation of such services. • Retention of current medical staff is a high priority for the County. It is expected that potential providers will offer competitive wages for current staff that, at a minimum, meet their current pay rate and shift differential rate. Minimum Qualifications To be considered, the bidder must meet the following minimum qualifications: 1 The bidder must be organized for the purpose of providing health care services and have previous experience with proven effectiveness in administering correctional health care programs. 2 The bidder must be incorporated and must have legal authority to operate in the State of Colorado. Evidence of such authority will be made available for review upon request by Weld County. 3 The bidder must have at least five (5) continuous years of corporate experience in providing health care services at correctional facilities and have at least three (3) current contracts with separate agencies with correctional facilities of at least 500 beds. 4 The bidder must carry professional liability insurance in minimum amounts of One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000) in the aggregate annually. The bidder must carry separate liability insurance covering bodily injury, personal injury and property damage in the amount of One Million Dollars ($1,000.000) combined single limit. The bidder must carry Workman's Compensation as required by Colorado law. Ekest. r.r r. • ♦ .... � :� .. .. -. " u. v .. . .• Y.i . .. < • r (1 r v N x r er:'� .Y. • /K ,�rt<,.�xi6lS.ir��i�f,��z.z+z.;��f`ac'a'tRia,��ia:�,d�,z:ox�§�..u��L,�'°�LRw'`"firi»"��.z'�',�`s',I�'`..'N�..�..��.w..�o::.,,,..,t�7'�.`.n.et..�xr�>Es;1�,1:a?....�.u_�s �"�%z,.4w.I�.>.�_... �"u'�'�«''u'ars�� 7�f?1fi�e�x.�,.�Sb�.Fn,..$&a'�2Z''i,°�"�.�I •... u .a Y w•wrnn•n♦w'nw nve.>w�nuw.vwnm•n•�i•xxvnwnnanrmvr.r.•atiuv.wn•wnttuvM-rvuw.wrrr•. ..♦ �vrvr•w _ nam BID REQUEST #B1900131 item 'rir '$' 1 Y G:.�• r rc n r: !m- :i,»i'�•»e�.�E'�^. s sr,Y�.2�.z.. 'r'rtr'..!�rbS� v..��.x�.�r�%� ..£ � : .�. �. �ertrS�..♦°&�L:OS`,;.�`..£. x'I�:;�S.Y'GY?�a&a:�f5 � aiwD�� ' r.:a "u'.Ct5.r'!. Page 11 The successful bidder shall furnish Weld County with Certificates of Insurance for the foregoing coverages that designate Weld County as an additional insured not later than the date of commencement of services. Said Certificates of Insurance shall include provision wherein the coverage shall not be canceled, terminated -•r otherwise m.dified with .ut 60 days prior written notice provided to We d County. 5. The bidder must have demonstrated its experience and the quality if its care by having maintained or obtained the accreditation of the Nati,•n4;0 Commission on Correctional He llth ; 'are (NCCHC) in minimum of three (3) jails and r prison facilities with at least one of which is size comparable to the Weld County Jail. 6. The bidder must demonstrate its ability to provide a health care system specific to the Weld County Jail. The bidder must demonstrate current capability to successfully complete the transition to full operation within thirty (30) days, a proven system of recruiting staff, and an adequate support staff in its central office capable of competently supervising and monitoring its operation in Weld County. Contract Period and Priceng The initial contract period shall cmnmence on Janury 1, 2020 anc, subject to the satisfaction and concurrence of both parties, renew annually each year thereafter through December 31, 2022 (a 3 -year period). The initial contract period may be extended annually with the concurrence of both parties thereafter for two additional one- ye.fr periods (up to 5 years total). Only pricing for the 2020 budget year to provide specified health care services to an average of 803 inmates and appropriat :: medical screening/srvice coverage for the Booking Substation should be submitted in response to this RFP. Pricing for future budget years will be limited to changes in the average daily jail census projections and the Mountain Census Division index rate 12 -month change at the end of September of each current budget year. The Mountain Census Division index increase shall not exceed 5%. f�l "Outside medical cost" is defined as the net cost actually paid by the vendor less any discounts or other considerations negotiated independently between an outside medical service provider and the vendor. The jail medical provider is responsible to insure the cost of outside medical services is paid in accordance to Colorado Revised Statutes §17-26-104.5(1.3). All proposals shall reflect outside medical cost at a maximum •f $125,000 and a maximum of $50,000 for HIV/MAIDS related drugs. Pharmaceutic.{I costs will include all OTC (over-the-counter) and controlled drugs including psychotropic medications. Pricing must clearly state an annual total price for ,he delivery all medical, dental, and psychiatric services inclusive of all related service delivery costs necessary to comply with the requirements and specifications within this RFP. Bidders will submit the annual, total price based upon an average inmate census of 803 in the first year at tie Wald County North Jail Complex and Booking Substati,•n. H,•-wever, pricing shall also include specific, contingency pricing changes that will result from unforeseen material changes to the estimated 803 average inmate census. All proposals must clearly indicate any increased progressive costs associated with the addition of the new jail wi�nig's census, medical/dental clinic facilitation and the basis for such increase/s. All proposals must clearly indicate any increased costs associated with providing appropriate medical screening/services at the new Booking Substation should this operation increase to 24 hours a day seven days a week. Pricing mus clearly indicate all costs associated ith the maintenance of CorLMR, any licensing, storage or other costs associated with this operating system. The vendor will sts omit a monthly invoice to Weld County for 1/12th of the Iota annual price. The monthly invoice will include the itemized cost of HIV/AIDS related drugs and/or outside medical costs. ErannEWITXMFAthattes r.. P .G�3"6'^"T 1.•.:. L �.__a...nvauSla:il.141[�l¢•.tfi%63esa�...Rv:��141�Y�i.L1irPA�U:'Jel.�C:iJi.1...3JSJJ t .J.Je.....w �.i../Sa:: d S %�1••�� .� -,-s.r.. Fad ^C —.-- 7 �.. . i. .. gT^ t ii i:S...e^.ii:iX:;.aw�ii.."t:ix..:�>;?:'+v.1.e�'nNx�F�G3t'•f-'._ixr+:unaci�allilWfl..i..awRu.\t>y3...ul.tvh:\iy..u..aw>uilira'�rJr"r...)r,if.!).`;3aro�:1r':iiriL•r• ft11(15:ftiv• P'i:'eliil�• BID REQUEST #B1900131 Page 12 Submittal Requirements and Evaluation for All Proposals Proposals need not be in any particular form. All proposals, however, must contain the following specific information: 1. Sufficient information concerning the program for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Bidders should avoid elaborate artwork and graphics, bulky volumes or any other artifice that does not directly affect the contents of the proposal. 2 All proposals must demonstrate that the bidder has the ability to comply with the scope of this RFP, mandatory requirements, specifications and program requirements, and in particular, the most current Standards for Health services in Jails, established by the National Commission on Correctional Health Care as well as the American Correctional Association. 3 Additionally: a All proposals must list by name, address, phone and Contract Administrator all correctional institutions where bidder is providing medical care and the length of time that each contract has been in effect. b. All proposals must list by name, address, phone and Contract Administrator all correctional institutions where bidder has maintained or obtained an accreditation of the National Commission on Correctional Health Care or other recognized body. c All proposals must list by name, address, phone and Contract Administrator all correctional institutions where bidder has terminated services, been terminated or lost a renewal as the incumbent in the past three years. d List and explain in detail all lawsuits involving inmates that were settled and/or in which judgment was made against the bidder or affiliated companies. 4 All proposals must contain a letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this RFP. 5 Audited financial statements for both the prior and most recent fiscal year are required to support the bidder's financial capability to undertake and complete the performance of this RFP. Evaluation of Proposals An Evaluation Committee appointed by the Detentions Division Captain of the Weld County Sheriffs Office will evaluate each proposal. The Evaluation Committee will make recommendations to the Weld County Sheriff and the Board of Weld County Commissioners. The Board of Weld County Commissioners will make its award of bid to the successful bidder, which award will be subject to the finalization of agreement. The Evaluation Committee will be guided by the following point system based upon a maximum of 100 total points: Pricing 0 to 25 points Staffing 0 to 30 points Technical 0 to 25 points Qualifications 0 to 10 points Functional Jail Compatibility 0 to 10 points h' .9' '�' �' r. M/ % ` �.. �� - ✓J ' 1T,1?� �� 1 N. � :,C. 3�'•.i.1� � 1 . w x,� ?!�`Y' . tl: •o . . � ��, rn� . 'y .... Sn.. � F.:^Y . ) . 1 Ta'F"`. :3 �.i a � • 9E7 / . e<x. .,.� �?;d3 ��".s4„ � .v �.: � u.LSz.w^' r � sf'^.'�-.%fs_s;,��...%e%r�{. <..s! �r...',��ii`J12...'�5;�....,� `':��s;�� ... � .a M:.r.'..w..,....ear"'''.�: �w:..._G ..uxsi�: c�'icy�,.w�_r_�"�%� �,. �F✓!,.xi�1.9;� +' �'�u,� h .. c bs.. / Y. a' .el..,:.s_c�88zew..¢� )•" w'uea `.:ke.,:w<..'ss'ksa <::z�?:ruu�' ,. ... � / .,� r' %3• ..a •6.<. ': iat BID REQUEST #B1900131 Page 13 In computing points for each of the above four general criteria, the Evaluation Committee will consider the following: 1. Basic Requirements: Initially, the proposal will be examined to determine if it "qualifies" in that it meets the basic reouirement for consideration. This review will pertain to such matters as adequate responsiveness to the RFP, necessary signatures, completeness, and clarity with respect to such essential factors as price. Failure of the proposal to meet the basic requirements of a proposal may disqualify it from further consideration. 2 Evaluation of Qualifying Proposals: Having determined that a proposal meets the basic requirements, the Evaluation Committee will then evaluate it with respect to each of the following elements: A. Pricing (Maximum 25 points): The stated lump sum base price for full performance in meeting the requirements of the RFP will be of major consideration under this category. The Evaluation Committee may also refer to budget information provided and consider how costs relate to the jail census, how material changes in the jail census may affect the cost, and how costs project for a second and third year contract extension. Additionally, any potential increased costs associated with a progressively increasing jail census as it relates to the new wing and the 24 hour operation of the Booking Substation will be considered. B Staffing (Maximum 30 points): The Evaluation Committee will consider what is proposed as a staffing pattern for the Weld County North Jail Complex and Booking Substation. Considerations will include: staff coverage, levels and staffing patterns related to physician, psychiatrist, mid -level providers, RNs and LPNs, dentist, dental assistants and hygienists, in-house specialists, and support staff. The proposed coverage for each staff level, days, hours, nights and weekends, full or part time is part of that consideration. The levels of capabilities of on -site medical and administrative supervisors and the use of off -site professional assistance (specialists and consultants) will also be considered. Competitive wages will also be considered here. C Technical (Maximum 25 points): The Evaluation Committee will take into account the bidder's understanding and support for the current medical, mental health and dental services delivery system the Weld County North Jail Complex and the commitment to generally comply with NCCHC and ACA medical standards. The Evaluation Committee will review the proposal for its completeness, how the Provider will approach the task of initiating and fully implementing its program, if proposed, utilization and continuity plan for electronic medical records, if proposed, utilization and continuity plan for electronic pharmacy, if proposed, and the totality of the health care delivery system including how desired results will be attained. In all, the proposal's clarity, depth and understanding of issues, completeness of program, and demonstration of assurance of performance as to quality and efficiency will be weighted when scring this category. D Qualifications (Maximum 10 points): Included in this criterion of the evaluation will be: Length of time bidder has been in the business of providing health care services in the jail/correctional setting; current and recent history of bidder's past performance of a similar nature to the performance offered in response to the RFP; any evidence submitted (letters of reference) or readily attainable regarding the quality of past performance and the reliability of responsiveness of the bidder; the apparent capabilities of the bidder to perform well in the execution of its obligations under a contract with Weld County as evidenced by its leadership and mant,gement personnel, size of rganization, length of time in business, past performance, and other current contractual obligations defining the bidder's capability to undertake and successfully fulfill the obligations proposed to be undertaken by its submission of a proposal in response to this RFP. E. Functional Jail Compatibility (Maximum 10 Points): This criterion is an assessment of the fit betwe- n the bidder's verall proposal and transition planning with the organizational culture and business practices. The evaluation will consider the organization, approach, comprehensiveness, steps, specific benchmarks, attainment dates and progress reporting of the transition plan, the demonstration of commitment to effectively integrate into the organizational culture including, but BID REQUEST #B1900131 Page 14 not limited to, mental health and overall service collaboration, impact to facility staff resources, existing facility programming and scheduling, cooperation, problem solving and resolution of conflict. General Terms and Conditions Performance Bond The selected bidder must maintain a Performance Bond in the amount of the annual total cost of the contract. The Performance Bond for the first year shall be submitted to the County within 30 days after notice of award. The Performance Bond may be in the form of a certified check payable to the County, or may be in the form of a Surety Bond from a company qualified to do business in the State of Colorado. The costs for the bonds must be included in the proposed total bid amount. Agreements of Understanding Copies of clearly defined, written agreements of understanding (entered into by the Provider and its provider or supplier) for medical or health services, such as: physician service, psychiatric service, nurse service, dental service, hospital service, medical specialty service, mental health service, pharmacy, optometry, laboratory, radiology, ambulance, or other health services shall be provided to the County for its files. Subcontracts The Board of Weld County Commissioners must approve, in advance; all subcontracts entered into by the Provider for the purpose of completing the provisions of this RFP. The Provider shall not sell, assign, transfer, nor convey any of its rights except with the written consent of the County. Alterations to Agreement Any alterations, variations, modifications, or waivers of the provisions of a subsequent Agreement will be valid only if they are reduced to writing, duly signed by the parties and attached to the original Agreement. Proposal Obligation The contents of the proposal and any clarifications thereto submitted by the successful bidder shall become part of the contractual obligation and incorporated by reference into the ensuing contract. All terms and conditions printed in this RFP will also become part of the Agreement for Services incorporated by reference into an ensuing Agreement. Proposal Ideas and Concepts Weld County reserves the right to adopt or to use for its benefit and without obligation, any concept, plan, or idea contained in a proposal submitted in response to this RFP unless stamped proprietary information and not for duplication, except in the context of duplication for contractual reasons. Immunity from Liability The provider shall assume full responsibility for and shall indemnify Weld County for any damage to or loss of any County property, including buildings, fixtures, furnishings, equipment, supplies, accessories, or parts resulting in whole or part from any negligent acts or omissions of the provider, any subcontractor of the provider, or any employee, agent, or representative of the provider or said subcontractor. The provider shall defend, hold harmless, and indemnify Weld County against any and all liability, claims, costs of whatsoever kind and nature for injury to or death of any person or persons and for loss of damage to any property occurring in connection with or in any way incident to or arising out of the occupancy, use, service, _•^.!l t. t''. F-?. p;:fia J_.r-,[r� '�*'T^ _ Y —mr'Y a!n ;. i'� >,.:. .r I :Y'�aMti.. K'iTv r.�`� 'I r.7:Gr' "�`� rS;'lh' 'CY tt .i)3i".Mi 4 �. - _ = !. n .! </ _�...__..�2._ ^ _:...�f .....r:,:.et:" �v.:...r :• ...es "'a"..r .,: 111/ e._v..�.. ..�. s- <.-1.�_ �. ,q... �1 %•..7 - e :.< 'x` .'�- L1✓ . .'tc a:' Yf `L�:..r,:,E". .*ire:. BID REQUEST #B1900131 Page 15 operations, or performance of work under the terms of 'she contract between the provider and Weld County, any subcontractr of the p-ovider, r any employee, agent, or representative of the provider or said subcontractor. Third Pally Reimbursement In the event th�.dt utside health services provided under the contract ;Ise covered by third party payments, including but not limited to w•trker's compensation, insurance companies, and Medicaid/Medicare (including any changes that mly resLi t from future healtn care regulatory changes), and the Provider receives reimbursement from such entities, the amount paid to the Contractor shall be netted against any individual maximum cost per inmate aggregate as specified in the Agreement. After the aggregate is exceeded, the Contract ;r shall continue to seek reimbursement ft -inn such entities, and such payments shall bet paid to the County, subject to reasonable administrative fees. The: County arees to facilitate this effort and to make available to the Provider necessary records and information for processing sucn claims. Reimburse ent Services All costs incurred in the preparation of a proposal responding to this request for proposal (RFP) will be the responsibility of the provider and will not be reimbursed by the County. Weld County, through the Weld County Sheriff, sha I pay the Provider for the provision of designated services during the term of a subsequent Agreement, in the amunt of the proposa or other agreed upon sum as documented in the Agreement, in equal monthly payments and/or in the amount of monthly invoices. Any amount in excess of the ;nnual maximum for utside medical services or HIV/Al $)S medications, shall be itemized on monthly invoices. Invoices shall be submitted monthly t. the Contract Administrator identified in any resulting Agreement. Invoices shall be upon forms approved by the County. .; Contract Monitoring The County shall have the unfettered right to monitor the Provider's work in every respect. In this regard, the Provider shall prick/1de its full cooperation, and ensure the cooperation of its employees, agents, and subcontiRttors. Further, the Provider shall make available for inspection and/or copying when requested, original time sleets, invoices, charge slips, credentialing statements, c.ntinuing educ;tion and training records, and any other data, records and accounts relating to the Provider's work and prrformance under the Agreement. In the event the Provider does n hold such material in its original form, a true copy shall be provided. N. Third -Party eneficiary It is expressly underst•-od that the entire Agreement for Seri/Ica-5 is between the County and Provider and suptrsedes any other greements concerning the subject matter of this transaction whether oral or written. It is xpressly understood te4nd agreed that the enforcement of the tarms and conditions of an Agreement for Services, and all rights of action relating to such enforcement, shall be strictly reserved to the Agreement signatories and nothing c•ntained or in the Agreement shall give or allow any claim or right of action whatsoever by any other person not included in the Agreement. It is the express intenti.•;n of the signatories to the Agreement that any entity other than the signatory parties receiving services or benefits under the Agreement, with the exception of ptential changes that may b! the result of related regulatory requirements in the future, shall be deemed an incidental beneficiary only. :t Notices Any notice provided for in a subsequent Agreement for services shall be in writing and shall be served by personal oelivery by certified mail, return receipt requested, postage prepaid, at the addresses set forth in the Agreement until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice serviced by personal delive y shall be deemed delivered and effective upon receipt. This method of notification will be used in all instances except for emergency situations when immediate notificatici t. the parries is required. w�S,7 k. T �cc".�rz... r @.fit. ≥G "`m,7fz; s.,� r P �xaWWiwit -rn... .uAs�..�:S�.�.a..,xs,rL._�lr:.:.. 1G,N '��,.Y� x . '1�Fc7''zr� ;i3'..'��-Alt.r7 r%3ii11 ' A:¢Atifau aleav£.#'`-',' -. `' lYi °�v�' ^ .U.TR .A,,. I: YE'. - :TY;nne c[frrav '+t ,;aX],;AetzitVa as.fi:.i% t"_ix: cnpf'i_,.jj.zgaila '7,4 £::t. i e�a.+%�L(r ezt=rj. • .s7a�7 .Y°^g',„ TA,MxRTr-,,?.:Z BID REQUEST #B1900131 Page 16 Permits and Licenses 1. All permits and licenses required by Federal, State or local laws, rules and regulations necessary ror the implementation of the work undertaken by the Provider pursuant to the contract sled' be secured and paid for by the Provider. Examples of specific licenses, fees, permit and certifications secured and paid for by the Provider include, but are not limited to, the following: A Drug Enforcement Administration License State Board of Pharmacy Outlet License 2 The Provider agrees to pay all applicable taxes, including sales and excise taxes, and shall keep current all necessary licenses, permits and certifications necessary to fulfill the terms and conditions of the Agreement. 3 The Provider agrees to promptly notify Weld County in the event of revocation or suspension of employer/employee license or certification. In the event of such revocation or suspension, continuation of purchase of services by Weld County shall be at the discretion of Weld County. Contaminated Waste The Provider shall be responsible for the disposal of all infectious or hazardous waste. The material must be removed from the facility and disposed of as regulated by federal, state and local laws. All costs related to the removal and disposal shall be at the expense of the Provider. Termination of Agreement 1. Mutual Termination of Agreement A. If either party fails to fulfill its obligations under a subsequent Agreement in a timely and proper manner, or if either party violates any material covenant, agreement, or stipulation of th Agreement, the party shall :hereupon have the right to terminate the Agreement by giving written notice to the other party of termination which will occur no less than 30 calendar days after the date of notice. The notice shall specify the effective date of the termination, and the reasons therefore, unless the party to whom notice is given cures the breach to the satisfaction of the party giving notice prior to the effective date of termination. B Notwithstanding the above, the Provider shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of a subsequent Agreement by the Provider and the County may withhold any payments to the Provider, in an amount reasonably calculated to equal the estima•:ed damages, for the purpose of s :toff until such time as the e - act amount f damages to the County from the provider is determined. 2 Termination for Convenience of the County The County may terminate a subsequent Agreement at any time by giving written notice to the Provider of termination which will occur no less than 60 calendar says after the date of notice and specify the effective date thereof. 3 Records and Documentation Remain the Property of the County All medical and other records, policies and procedures, manuals, instructional books, orient.tion, and continuing education records and materials, and documentation of every sort electronic or •,therwis developed for or used in the operation of the Health Care Program under a subsequent Agreement, shall be the property of the County and, at the termination of _he Agreement, remain the pr.peNty of the County without further obligation. . .t nw : v, room m... ,. •r inr .p . s�+r..�rm-...... .^T` .. q!n n^... ... �.n ...;mem•n ^ p .n+>.+..•msp ...n!C^ ^.!•.. .< s..rc .v2t .:: 'i'rr'. .DF^' _. ..� �'3 Y ^..der .. '.IC F".. . a T .:$'bF'°'.. _ :.. J`*k' /'_. ; , .� flMH. ^. .. 11 .(q.GC C. .. .� ,. .,. .. ..__ 'T - .:SYlY�T^.^ '�—. JS -`K.. w rA^' r. .. ,.. ,... .. _:.� . .. �. Y. .b,, „. �t , .. .<x - o. .., z .., 9. 5 . ._. .. .. .'t"e^✓ .:;n� °.r[�5 - one .,u ..., ,v r i`q. ... !' .. .d < .�,u - .. <.; ✓..E ,��v`�' ..... F. v ..., ,.. .. .. >< ...x.'�""�. 'n.�< ..z '{ ... .._ ,.,. 1'., s.f`mst .. �. x l ,t. C;"1"�.;$ ...ttrw.,..,_ .,�(�. ice.;: '3` ::.n. � pp �, q!t .;. a�'+}`TJg%'3._ E4ewl U�'4 ��...�C�ldi.�.vile.�.,.ouv..+.;,.:.,..,..�3..f.�J.,il.�i°ue.�.v.....�Y...........+v.W�.�4]nv3.: 'i w,....,..w+,1w....+.w Z.e..3�'u.�.w.u.+.r..S...rwrlwe.,r<a. �nL+.�.,.:..ra,7.w.�.v.SN...m{fd�6u,�w,...fLdw�....... < _..a22Y.:...�;rv<:bt1f.3,:i.:�iAxY.>/°1,..k7�..due..S�T.J.ii�.t'n�<a.�:Z.t...w c! ..s•.....w.'avr:�.-,.��n..ow,e.::....... s..ki:..;3s�"'-• i s_u��:':�.�:..X.r y..�.�' �".i.'.:1:'.3Y.i:;glF,�i�A�''C�� k ..).(amnaLT BID REQUEST #B1900131 Page 17 Nonperformance of Agreement Neither party to the subsequent Agreement shall be held responsible for delay or failure to perform hereunder when such delay or failure is due to fire, flood, epidemic, strikes, acts of God or the public enemy, unusually severe weather, legal acts of the public authorities, or delay or defaults caused by - public carriers which cannot reasonably foreseen or provided for. Either party may terminate this contract, effective with the giving of written notice, after determining that such delay will reasonably prevent a successful completion of performance in accordance with the terms herein stated. If this contract is terminated, the obligation of County shall be limited to payment for services provided prior to the date of termination. SPECIFICATION AND PROGRAM REQUIREMENTS Administrative Requirements 1. A singular designated physician health authority (Medical Director) with responsibility for assuring the appropriateness and adequacy of inmate health. The proposal should address what the Medical Director's responsibilities will be in regards to: In Service Training, Quality Assurance and Recruitment. The proposal should also address what pad of on -site time provided by the Medical Director will be committed to Administrative Duties, Direct Care, and Involvement in Quality Assurance. 2 A full-time, on site Health Services Administrator, R.N., shall be provided who shall have the general responsibility for the successful delivery of health care pursuant to this solicitation and final contract. The Provider shall indicate the qualifications of as well as the range and scope of the responsibilities and activities of this position. 3 The jail physician(s) (Medical Director), Psychiatrist, Dentist, Health Services Administrator and other on - site, licensed, professional staff shall not have a fiduciary or proprietary interest in the Provider's company. 4 The Provider shall, upon request, provide to the County proof of licenses and/or certificates for all professional staff. In addition, malpractice insurance must be on file for all physicians, psychiatrists, and Nurse Practitioners/Physician Assistants, and other employees, if applicable. 5 Copies of staffing schedules encompassing all health care staff are to be submitted to the Contract Administrator on the tenth (10th) of each month for the upcoming month. Daily updates should be made available when there are schedule changes. 6 Monthly and daily statistics will be required as follows: ® A statistical report with narrative on noteworthy accomplishments or events will be due on the fifth calendar day of each month to the Contract Administrator that includes, but is not limited to, the following: Inmates seen at scheduled clinics Inmates seen by physician Inmates seen by psychiatrist Inmate seen by dentist Inmates seen by physician extender(s) Medical specialty consultation referrals Off -site hospital admissions Inmate injuries Emergency Room visits Intake medical screening Trusty physicals Fourteen (14) day health assessments Lab Work All vacancies by position, number of days vacant and new hires by name 1'''" '5.^ h .xr'"'°°t.+b;? f r -. R:. �. v r. tm �rlt , ,. r<, , a m A.._ r..t:' .76,.. -Carr--�.-+�� m c.:r �JR:(P��R��' W��lt..i ::'}�riT'r�W.�4�t6'�wY� � if�2'u-co1�{}��i+.4�1L�`�.:i�1G. l. .� _.(�w'� il. .fh�r �• � a._ YmaiS�'�.'+��^.aJ.x.u<m„Len.;,.xllY:°`ai:S�Jwa�Y W.R ciWJ :iin t iEZn e diy,'at ii7 • i 4A w4 L IL ;_CZEL: 2;, BID REQUEST #BI 900131 Page 18 Documented Hours of Providers HIV costs Off site medical costs • A daily report of the previous twenty-four (24) hours shall be available to the Contract Administrator (Saturday and Sunday reports may be available Monday morning). The daily report must include, but is not limited to, the following data: N umber, name and hours delinquent for 8 hour admission medical screening N umber and name of trusty applicant physicals delinquent after 24 hours of referral N umber, name and number of days delinquent for 14 -day health assessments N umber, name, prognosis and projected length of stay for each inmate admitted to the hospital Amount and type of prescribed medication accepted from sources other than pharmacy Transfers to off -site hospital emergency departments Communicable disease reporting N uicide assessments and/or staffing committee reviews completed Inmate injuries Report of status of inmates in held special jail housing units for medical reasons and basis for continuation Staffing by position (LPN, RN, etc.) and hours worked Co -payment transactions are electronically entered by medical staff into the computer corrections management system. A co -payment is a debit to an inmate's account balance or is added to the inmate's debt balance. A $10 co -payment is expected from inmates for a medical clinic visit not required by medical or facility staff. A $10 prescription co -payment is expected when prescriptions are filled/renewed. Inmates are not charged co -payments to monitor or adjust the dosage of prescribed medications. 8 Grievances shall be monitored to detect areas of concern. Inmate grievances shall be answered within 72 hours of receipt or the inmate notified when a delay is necessary to fully investigate the complaint. Grievances shall demonstrate and document a legitimate effort to investigate, answer or resolve matters of concern. All grievances and responses shall be included in the inmate's medical records. 9. The Provider will immediately notify the Contract Administrator when inmates are admitted during normal county business hours to the hospital. Notification will include name, prognosis and projected length of stay. Daily updates will be provided until the inmate is released from the hospital. Voicemail notification after normal county business hours satisfies this requirement. 10. The establishment of a comprehensive quality improvement activity that will monitor the health services provided. 11. The establishment of an infection control activity that monitors the incidence of infectious and communicable diseases, seeks to prevent their incidence and spread, and provides for the care and treatment of inmates so infected. 12. The Provider for medical services shall, in times of emergency or threat thereof, whether accidental, natural or man-made, provide medical assistance to the Weld County Sheriff's Office to the extent or degree required by Weld County Sheriff's Office policies and procedures. Personnel Requirements 1. Adequate health care personnel required to provide those services listed in this RFP are required. Proposals must show a complete and detailed staffing plan, by degree of competency, which shall provide adequate support for the operation of the health care program. Staffing plans are to include a showing of the total number of employees full (40 hours per week on site) and part-time; position titles and license/certification; reporting order; total number and positions per shift and on holidays. Adequate .1 ..il `��S wy_v .U.. .C T.l•(]J aV 1��0 �S> t.-.)' i. .Y,.!iJ^J \. i. t" T-r'�rn..� 1t JCS' .-'tt'Cr � `7.$ fY...`�iQ^v._�yi.�= "�1SI�T �i T..e "i.� .'T •2`7'. .-QTY r �ewi' c.'.r C .i 'A. Ti-,,^.�,%�-5T-?}. ..r il. lxln t.I iii.. f.r3e:sr3t��:.�a:��.s..i�-.r,?�;�-'�sr„TN.•,viz.•K,.-(.sr.IL%i�391e�"aru;�_.':'^v.lsr%`sue?•.:-�:�,.�-'a-l�•.,a'..�. r.,., r��,.... :.�...�t�;5Geirs'" ° '.� (g'a sa3:..,s h.s-�d�':�-...:.cs.S_{t�t.�-n;.:>,s2,- .. JL's:. �Y�r:�� .�S��z:--'�;�ir:si�...'�-,.i.,rt.:..e.�-.�•1�..�.rS'..�v«,�-�� n ��x� �._-ras'v?R">?--,r%,y.�`x-xr.a .i a;?!':'�"rf BID REQUEST #B1900131 Page 19 health care personnel are required for twenty-four (24) hours, seven (7) days per week to provide inmate health services. 2 Mental health care at the Weld County North Jail Complex is provided by a multidisciplinary collaboration of medical staff, professional counseling staff employed by Weld County and security staff. Licensed professional staff employed by Weld County supervise clinical mental health services provided by facility counseling staff and provide support to medical/psychiatric staff as needed. The Provider's nursing staff must be trained to the satisfaction of facility professional staff in the use of suicide assessment instruments used by the Weld County Jail. Suicide assessment and prevention training shall be completed within 30 days OR prior to shift assignments outside of normal county business hours. After training, the Provider's nursing staff is expected to perform suicide assessments outside of normal county business hours when necessary. The Weld County Jail maintains dedicated housing units for inmates with identified special needs and a smaller housing units used for close, direct observation of offenders at high risk of suicide, acute psychiatric conditions and/or medical complications. 3 The Provider's nursing staff must attend annual ADA training provided and/or coordinated by facility professional staff when offered. 4 Physician services must be sufficient to provide the required needs of the day and assure medical evaluation/follow up within twenty-four (24) hours of post nursing triage referral (including weekends and holidays) but no less than 4.25 hours per week per 100 inmates. A portion of physician services may be provided by physician extenders such as Physician's Assistants or Nurse Practitioners. In addition, 24 - hour physician on -call services with the availability for consultation and the ability to meet the on -site needs are required. A pager/on call service shall be utilized and specified. 5. Psychiatric services for medication, medication review and case consultation must be sufficient to assure review and consultation within 5 days of post, mental health clinician referral (including weekend and holidays) but no less than 8 hours per week. 6. Nursing services must be available to provide for the following: A. 24 -hour response to the booking area within 10 minutes of an officer's request to evaluate the physical condition of a prisoner and determine if the prisoner's health would be compromised if the prisoner were accepted for admission B. 24 -hour response to booking area within 10 minutes of an officer's request to medically assess the prisoner's post -acceptance risk when indicated by a preliminary booking process prisoner risk assessment instrument C Documentation of pill counts and inventory of prescription medication if accepted with inmate at booking or when accepted from an entity other than a pharmacy D Dispensing of prescribed medication throughout the facility as may be required (QD, BID, TID and QID). Medication distribution must be completed prior to regular facility mid -day lockdown from noon -1500 hours and the night lockdown from 2230-0530 hours. No county employees will dispense medication E Perform and document mental health/suicide assessments outside of normal county business hours F Completion and documentation of health and mental health histories and risk of suicide for all prisoners in custody within 8 hours of booking G. Maintain an emergency response capability 24 hours daily V BID REQUEST #B1900131 Page 20 7 0 J K. L. Assisting booking u with inmate health assessments that must be completed within fourteen (14) days after nIess otherwise indicated by the Contract Monitor ard Detentions Capthin Assisting with inmate worker (trusty inmate) physicals that must be core eted within 24 hours, including wekends •,r holidays, of a requests from Inmate Services Division D.cumentation an inmate h..s been notified before a prescription is discontinued or that a clinic visit and co -pay is required before being refilled. Perform sick call triage and follow-up on a daily basis to include weekends and holidays Appropriate and timely response to medical ne Physician support services. ntal services shall at a minimum include: ds and emergencies A. Rental sick call services that provide for no more than a ten-day waiting period to be seen B. Rou trea ine services typically performed by the dentist include restorations, extracti rent of dental emergencies 8 The Provider shall pr RFP .; vid ns, x-rays and sufficient clerical and support staff necessary to meet specifications of the 9. The Weld County sheriff's -ffice may request replacement of any vendor personnel when unable to carry out the responsibilities of the contract. The Weld County Sheriffs Office shall approve all appointments to the position . administror, medical director, and supervising nurses. 1 0. The Provider shall provide for pharmaceutical services to assure the availability of prescribed medications within eight (4) hours of the order of issue being written. Pharmaceutical services shall be consiso-rrt with State and Federal regulations, and must be monitored by a licensed qualified pharmacist. Arrangements shall be made with a local pharmacy for back-up and emergency medications. 6 Thr Provider shall provide for the purchasing, dispensing, administering and storage of d01 pharmaceuticals by qualified personnel 2. The Provider shall provide for the recording of the administration of medications in a manner and or form approved by the he Rh care authority to include documentation of the fact that inmates are receiving and inges•sing their prescribed medications. ocumenration will also be required when an i imate's ordered medication is not administered and the reason given. it C04 13. All Provider personnel wul receive a period of documented orientation including, but not limito, jail security, zero tolerance of inmate fraternization and sexual abuse, operational and emergency procedures, physical plant, suicide .issessment and suicide prevention training :approved .oy the Sheriff. New health care staff v1ll "shadow" and/sr receive a minimum of 36 hours of training by existing medical staff prior to working indeprndently on any shift. This rule shall apply to "pool/travel nurses" as well as fall time employees of thet Provider. The Provider sha I be responsible for employee wages and/or overtime necessary to fu fill this requirement. Conyractor personnel sh.ald be aware that they might, from time to time, court regarding medical treatment. Overtime, if any, associated ,with this of the Contractor. U or subpoenaed to testify in bligation is the responsibility MUM r.• 7r ..rte ..ti t5 rrn'^r�ltEZ en -n m --r :51 � a R' ii. s�'t"°.�vGLa3s.'1.(411ti R.. � , `T.YVL�.a.:'�i{L:�.hi,�.�<w.7k�L'.�vc. sr?�%..es.�...n a. e 11 BID RFQUEST #B1900131 Page 21 Care and Treatment Requirements 1. The Provider shall provide for twenty-four (24) hour a day emergency health care services to include on - site emergenci..s anc acute hospital services with one physician or m,•re health care providers. 2 In addition ttwenty-four (24) hour emergency services coverage, the hours for routine nurse sick call shall be at levels that allow for all inmates needing medical services t• be seen within twenty-four (24) hours from the time of the request for such services. 3 A written manual of standardized policies and defined procedures, approved by the health care authority and the Weld County Sheriffs Office, must be reviewed at least annually and revised as necessary under the direction of the health care authority and with the approval of the Weld County Sheriffs Office. 4 The Provider shall provide for necessary laboratory and x-ray services. All abnormal laboratory and x- ray results are to be reviewed and signed by a physician with a follow-up plan of care outlined as n -:ed ad. 5 The Provider shall provide a program for meeting the special needs of the female population; e.g. pregnancy. 6. The Provider shall provide orograms and/or protocols for alcohol and drug withdrawal and inmates that are an imminent risk to th safety of themselves or others as a result of mental illness 7 The Provider shall provide documented inmate health screening with health history within 8 hours of facility admission or sooner as may be indicated by the booking risk assessment instrument. At a minimum, the screening must include inquiry into: A. Currant illn ss and health problems including medical, dental, and communicable diseases B. Medications taken and special health requirements C. Use of alcohol and drugs, including the types, methods, amounts, frequency, and date/time of last use and history of problems related to withdrawal D For women, a history of gynecological problems and pregnancies E. Observations of behavior, including the state of consciousness, mental status, appearance, conduct, tremors and sweating F Notati,•n of body deformities, trauma markings, ease of movement, bruises and jaundice G Condition of skin and body orifices, including rashes and infestations, needle marks or other indications of drug abuse I. Suicide risk factrs J. Psychiatric conditions, past and present 8 The Provider shall examine and provide medical clearance for all inmate workers (trusty prisoners) when requested by the Weld County North Jail Complex staff. The medical clearance process will be completed within 24 hours of receiving the list of inmates to be cleared unless lab•ratory testing necessarily increases the time required 9. The Provider shall provide any inmate with one (1) pair of ordinary glasses if prescribed and deemed necessary for minimal function •,f such inmate by a physician 10. The Provider will arrange inmate transportation for emergency care. The Sheriff's Office provides all other transp•rtation relating to the provision of health services with prior notice :end coordination. :i �.. ,P._xVs:c•. s.� a+. .. •Ct_. ••••••• nvn _2`hr ., • _Y - "a -4i • BID REQUEST #B1900131 9 Page 22 However, inmates shall not be informed of scheduled appointment dates, times and location of outside providers. 11. The Provider shall promptly notify the on -duty Detentions Sergeant and the Contract Administrator of the need for other than routine medical care of municipal inmates and shall provide documentation of required extraordinary treatment. Municipal inmates requiring extraordinary medical care will be released from custody and referred to obtain appropriate treatment. 12. Non -inmate health services shall be provided in the form of emergency care for staff, contractor, and visitors for the purpose of stabilizing the condition and arranging for transport. 13. The Provider shall provide a total pharmaceutical system for the Weld County North Jail Complex beginning with the Physician's prescribing, continuity of medications prescribed prior to custody, the dispensing of medication, and the necessary record keeping. The system shall include prescription medications and over-the-counter medications. All prescription medications shall be prescribed by the responsible physician and shall be administered and dispensed by a licensed nurse. Vendor proposals that include Electronic Pharmacy automated pharmacy management must include all start-up and ongoing costs for all hardware, installation, labor, maintenance and licensing, cabling, and communication within and outside the building shall be included and/or amortized in pricing. Weld County will not be responsible for any additional or ongoing costs associated with electronic pharmacy management not included in pricing of this proposal. Any proposal that includes electronic pharmacy must include a specific continuity of electronic pharmacy records plan including any associated costs in the event the vendor no longer provides services to Weld County in the future. 14. All controlled substances, syringes, needles and surgical instruments will be stored under security conditions acceptable to the Weld County Sheriffs Office. 15. Inmates shall not be allowed to provide any health care services, including record keeping. 16. The Provider will have a strategic plan to facilitate on -site dialysis treatment. 17. The Provider must be able to establish a MAT program utilizing community agency agreements that they facilitate to deliver such services as approved by the contract monitor and detentions Captain. Medical Records Requirements 1. A medical record consistent with state regulations and the community standards of practice shall be maintained on each inmate receiving medical care at the Weld County North Jail Complex. These records shall be kept and maintained separate from jail confinement records of the inmate. Medical records are currently maintained electronic medical records with some historical records being paper The Weld County Sheriff's Office uses CorEMR and all proposals must include a specific continuity plan to sustain CorEMR. This plan must include all start-up and ongoing costs for all hardware, installation, labor, maintenance and licensing (to include users of the County), cabling, and communication within and outside the building shall be included and/or amortized in pricing. Proposals shall include all costs that may be associated with any changes in state and federal health care regulations. Weld County will not be responsible for any additional or ongoing costs associated with electronic medical records not included in pricing of this proposal. 2 The medical services Provider shall be aware that it has been determined that HIPAA policies and regulations, such as privacy notices, do apply to inmates incarcerated at the Weld County North Jail Complex. Inmate medical information must remain private and confidential from other inmates. The Provider agrees to enter into an Organized Health Care Arrangement (OHCA) with the Weld County Department of Public Health and Environment and local treatment providers, in order to effectuate better ':"Tj Tf.�r 3?'„ ;.3:... ys.br.... r' l:L�t.. rii v!'�� ..G. :�a��-_�'a�:.�q., a--}3�+.-),.Yx/.v \f "�`..y � rT 4:n::if• '.ate },}c -r' r m.. �r r.e k�L. 5..%-� �:icct._i' 1.....1.x' �r �k..4' _ _ •+TTiv'�(°`li; 21 � "uu..�...ww_i BID REQUEST #BI 900131 Page 23 continuity of care of inmates who are released from custody. Once an inmate is released, the inmate's records are covered by HIPAA and the handling of those records must be in accordance with HIPAA regulations. Therefore, the Provider acknowledges and :agrees to comply with HIPAA regulations and ,ail policies in the release of medical records for inmates released from custody. 3. Individual health care records will be initiated and updated fir every inmate regarding medical, dental, or mental health services received and for services rendered following the inmate's assignment to a housing area 4 In any case where medical care is at issue, or in any criminal or civil litigation why -ire the physical .r mental c.ndition of an inmate is at issue, the Provider shall make accessible to the Sheriff, Detentions Division Captain, Contract Administrator, District Attorney, or County Attorney such records and, upon receipt, providtt copies 5. The Provider acknowledges and agrees that all records prepared or acquired by the Provider during p=erformance of strvices und-ir the contract will immediately become the property of the Weld County Shariff's fffice. 6 The Provider acknowledges and agrees that all medical chart records prepared or acquired by the Provider during performance of services under the contract will be subject to unannounced chart audits by an •;utside vend,. arranged by Weld C•,unty. 7 The Provider acknowledges and agrees to provide copies of audits of utilization, pharmacy and medical chart records of site operations shall be provided to the Contract Administrator. 8 Inmates incircerated on behalf of the Colorado Department of Corrections may be part of the North Jail Complex inmate population. The Provider shall promptly notify Contract Administrator of the need for other than routine care for such inmates and shall provide documentation of required treatment to the department of Corrections. The Provider shall prepare health summaries to be sent with inmates being transferred to the Colorado Department of Corr-ctions or other jurisdictions. The health staff will r;nsure that inmates and health summaries are prepared for all inmates being transferred to other jurisdictions. 10. If an inmate medical record cannot be located within twenty-four (24) hours of a discovered loss, the Contract Administrator shall be immediately notified. 11. Any and all legal actions or requests affecting inmates and/or the medical contract provider must be prvideo, in writing, to the Contract Administrator within twenty-four hours. Supplies and Office Equipment The Provider will provide whatever stock supplies are required to perform under the contract. Said supplies will include, but n be limit`tc to, frms, bo.ks, manuals, folders, forms, pharmaceuticals, labora ry fees, needles and sh rps, spacial medical items, testing devices, c•,ntainers and clinical waste receptacles, inmate information brochures, individual and group materials, gloves and coverings, and disinfectants. Provider will also supply, at its expense, .1I other supplies required to carry out its performance. The Provider may use all equipment owned by Weld County in conjunction with that furnished. Basic office furniture to include desks, chairs and file cabinets currently in place will be avail..ble for the Provider's use. Tne Provider will supply, at its expense, on -site office equipment such as computers, copiers, fax machines, pagers, calculators, and any other computer related hardware mentioned within the RFP. r. p.e .... <'.n VJ • BID REQUEST ##B1900131 Page 24 The Weld County North Jail Complex shall be responsible for the following: • Voice telephone and long-distance telephone charges necessary for the Provider to provider services within the scope of the Agreement. The County will provide and pay for a language line interpreting services and sign language interpreters when required. All equipment purchased under the contract shall be the property of the County and shall remain on site at the termination of the contract. All supplies purchased for use in the performance of the contract, shall be the property of the County and shall remain on site at the termination of the contract. The County shall be responsible for maintenance of all medical and office equipment supplied and owned by the County for use by the Contractor. Services to Staff 1. Emergency services including first aid, assessment, stabilization and the coordination of transport of employees or visitors who become ill or injured in the Weld County North Jail Complex. * The successful vendor is required to sign a separate contract (a sample contract is included as a separate attachment.) BID REQUEST #61900131 Page 25 The undersigned, by his or her signature, hereby acknowledges and represents that: 1. The proposal proposed herein meets all of the conditions, specifications and special provisions set forth in the request for proposal for Request No. #B1900131. 2. The quotations set forth herein are exclusive of any federal excise taxes and all other state and local taxes. 3. He or she is authorized to bind the below -named vendor for the amount shown on the accompanying proposal sheets. 4. The signed proposal submitted, all of the documents of the Request for Proposal contained herein (including, but not limited to, product specifications and scope of services), and the formal acceptance of the proposal by Weld County, together constitutes a contract, with the contract date being the date of formal acceptance of the proposal by Weld County. 5. Weld County reserves the right to reject any and all proposals, to waive any informality in the proposals, and to accept the proposal that, in the opinion of the Board of County Commissioners, is to the best interests of Weld County. The proposal(s) may be awarded to more than one vendor. FIRM BY (Please print) BUSINESS ADDRESS CITY, STATE, ZIP CODE TELEPHONE NO SIGNATURE DATE FAX TAX ID # E-MAIL **ALL BIDDERS SHALL PROVIDE A W-9 WITH THE SUBMISSION OF THEIR BID** WELD COUNTY IS EXEMPT FROM COLORADO SALES TAXES. THE CERTIFICATE OF EXEMPTION NUMBER IS #98-03551-0000. YOU DO NOT NEED TO SEND BACK PAGES 1 - 5. BID REQUEST #B1900131 Page 26 New Contract Request EnterInformation Entity me TURN KEY HEALTH CLINICS Contract Name lx FATE ME D I CAL.jIE Contract Status CTh REVIEW Entity * C @00041688 [tract ID 3297 Contract Lead ti Contract Lead Email mete ` _weir.co.us;s tI a wv"eg&vi..corn Contract Description CONTRACT FOR IN MATE MEDICAL SERVICES AND DEL CAAIHNO SW SUBSTATION Contract DescriptDescription 2 Contract Type* CONTRACT Amount $47284,42000 .eeable t S naic Renewal Gran t. Department SHERIFF Department Email CM -Sheriff eldgov.com Department Head Email CM -Sheriff - De Head@we dgov. com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNIEYONVELD GOB . OM is a rPnevital enter previous Contract ID a this is n of a MSA enter MS . ontract ID Requested RCC Agenda da Date* 121116/2019 Parent Contract I Requires BoardAp royal YES Department Project Due Date 12/12/2019 Will a work session th BOCC be required?* HAD Does Contract require Purchasing Dept. to be included' YES BidiRFP - . B ` 90013.1 Note:: the Previous Contract tract umber" and Master Services Agreement Number should be left blank if those contracts are not in Ongase Contract . s Effective Date Termination Notice Period Review Date* 10/01/2020 Committed Vie" ate Renewal Date* 12/31/2020 Expiration Date I•i Contact Typ Contact a Contact Phone. Contact Phone 2 Purchasing Approved Date 1210912019 Finance Approver BARB CONNOLLY Finance Approved Date 12/09/2019 Tyler Ref AG 121119 Contact r a i Contact In Contact Name • Pu rchasing Pk rchasing Approver ROB TURF Approva Process Department Head DONNIE :PATCH DH Approved Date 12/09/2019 aocc Approved O C Sign e 'ate 8OCC Agenda Date 12/11/2019 /201 Originator SKOHLGRAF Legal Counsel BOB CHE Legal Counsel Approved Date 1.210 019 • ,.. 4 STEVE REAMS TO: Board of County Commissioners FROM: Lt. Matt Elbe DATE: 10/30/19 SUBJECT: Inmate Medical Services (B1900131) The Weld County Sheriff's Office recently initiated an RFP process for Inmate Medical Services. There were seven vendors and three of them were found to meet minimum requirements and specifications. Of these three vendors, Turn Key Health was the low bid and put forward a comprehensive proposal that the Weld County Sheriff's Office believes is in line with our expectations related to inmate health care services in the jail. Therefore, the Weld County Sheriff's Office is recommending the Inmate Medical Services contract be awarded to Turn Key Health. Respect fu I ly, Elb' Detentions Lieutenant Weld County Sheriff's Office Southwest Substation 4209 WCR 24 1/2 Longmont, Colorado 80504 (720)652-2415 Fax (720) 652-4217 lv Headquarters 1950 O Street Greeley, Colorado 80631 (970)356-4015 Fax (970)304-6467 Toll Free (800)436-9276 www.weldsheriff.com Southeast Substation 2950 9"' Street Fort Lupton, Colorado 80621 (303) 857-2465 Fax (303) 7-2422 0160/9- �5a� Esther Gesick From: Sent: To: Subject: Attachments: Hi Esther, Rob Turf Wednesday, November 6, 2019 10:56 AM Esther Gesick FW: Medical Services bid TURN KEY REVISED 10-29-19 (#2).pdf The amount for the award for B1900131 that I read at the Board Meeting was from the first bid, not the revised bid. What needs to happen now? Best, Rob Turf Title: Purchasing Manager Department: Purchasing Address: 1150 "0" Street Greeley, CO 80631 tel: 970-400-4216 fax: 970-336-7226 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: Sonja Kohlgraf <skohlgraf@weldgov.com> Sent: Wednesday, November 6, 2019 10:45 AM To: Rob Turf <rturf@weldgov.com> Subject: RE: Medical Services bid Hello Rob, I reached out to Lt. Elbe to confirm the amount. The dollar amount indicated is not what was discussed in the work session and the numbers that were given to the Commissioners. Those numbers were based on the revised staffing and price proposal to include the PM shift LPN. See the attached revised staffing and pricing proposal document that is reflective of what the base price will be. 2020 base price with this revised proposal is $4,284,420. 1 Because it was recorded for the incorrect amount, is there something we need to do in order to update that information? Thank you, Sonja Koh ir°aaf MBA WCSO Budget/Business Manager Phone: 970-400-2872 From: Rob Turf <rturf�Elrjgoy,.con> Sent: Wednesday, November 6, 2019 9:31 AM To: Sonja Kohlgraf <skohigraf@weldgov.com> Subject: Medical Services bid Hi Sonja, The figure I read was $4,094,988 for the first year of the North jail complex per the submitted bid. It might not be the same figure the SO contract for, but was the number I had access to. Best, Rob Turf Title: Purchasing Manager Department: Purchasing Address: 1150 "0" Street Greeley, CO 80631 tel: 970-400-4216 fax: 970-336-7226 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: Weld County N Admin <E5192-05255@co.weld.co.us> Sent: Wednesday, November 6, 2019 9:29 AM To: Rob Turf <rturf@weldgov.com> Subject: Attached Image 2 4 TRN HEALTH REQUESTED PROPOSAL REVISION The additional 2.1 LPN FTEs would increase the total proposed staffing allocation at the Weld County North Jail Complex to 29.90 FTEs. Along with the Booking Substation 1.75 FTEs, the revised total staffing allocation for the operation increases to 31.65 FTEs. REV SED FIRST YEAR PRICING O e EL Weld County North jail Complex (29.90 FTEs) $4,284,42000 Weld County Booking Substation (1.75 FTEs) 171,600.00 Total Operation (31.65 FTEs) $49456,02O.00 The remainder of the terms and conditions in Turn Key's original proposal shall continue to be honored as presented and remain unchanged. We appreciate the opportunity to provide our revised staffing and pricing model, and we look forward to your response. 1 0/29/1 9 Flint J od, CEO Date BID#B1900131 WELD COUNTY NORTH JAIL COMPLEX AND a OO ING SUBSTATION October 29, 2019 PAGE 2 i Kiir TURNHEALTH REQUESTED PROPOSAL REVISION REVISED STAFFING PLAN ,�: Turn Key Health Clinics welcomes the opportunity to submit a revised staffing plan for the Weld County North Jail Complex. Our revision is based on new information that indicates the evening medication administration is more extensive than we originally anticipated. We believe that by adding an additional 12 hours of LPN coverage each day (84 hours a week), our revised matrix will adequately address the medication administration needs of the facility. Staffing Allocation for Weld County North Jail Complex - Revised 10/28/19 POSITION Monday Tuesday Wednesday Thursday Friday Saturday Sunday Hrs/ Wk FTE DAY SHIFT Health Services Administrator 8 8 8 8 8 40 1.00 Administrative Assistant / UM 8 8 8 8 8 40 1.00 Director of Nursing 8 8 8 8 8 40 1.00 Medical Director 8 8 0.20 ARNP/PA 8 8 8 8 32 0.80 Psychiatrist / Psych Practitioner 8 8 16 0.40 Dentist 8 8 0.20 Dental Assist 8 8 0.20 Quality Assurance / Community Coordinator 8 8 8 8 8 40 1.00 Charge RN 12 12 12 12 12 12 12 84 2.10 RN -2E 12 12 12 12 12 12 12 84 2.10 RN - Clinic 12 12 12 12 12 12 12 84 2.10 RN - Booking 12 12 12 12 12 12 12 84 2.10 LPN - Med Pass/Clinical 12 12 12 12 12 12 12 84 2.10 LPN - Med Pass/Clinical 12 12 12 12 12 12 12 84 2.10 CMA / Records 8 8 8 8 8 40 1.00 Total Da Hours / FTE 144 120 128 120 120 72 72 776 19.40 NIGHT SHIFT Charge RN 12 12 12 12 12 12 12 84 2.10 RN - 2E 12 12 12 12 12 12 12 84 2.10 RN - Clinic 12 12 12 12 12 12 12 84 2.10 RN - Booking 12 12 12 12 12 12 12 84 2.10 LPN - Medpass Clinical 12 12 12 12 12 12 12 84 2.10 Total EVENING Hours / FTE 60 60 60 60 60 60 60 420 10.50 Total Hours / FTE 204 180 188 180 180 132 132 1,196 29.90 BID#B1900131 October 29, 2019 WELD COUNTY NORTH JAIL COMPLEX AND BOOKING SUBSTATION PAGE 1 DATE OF BID: OCTOBER 14, 2019 REQUEST FOR: IN ` _TE uri ERIC L SERVICES DEPARTMENT: SHERIFF'S OFFICE BID NO: #B19 0131 PRESENT DATE: OCTO APPROVAL TE: /0 /3° ER 16, 2019 ** WELD COUNTY PURCHASING 1150 O Street, Room 107, Greeley, CO 80631 E -Mail: cmpetersRweldgov.com E-mail: reverett@weldgov.com E-mail: rturf@weldgov.com Phone: (970) 400-4223, 4222 or 4216 Fax: (970) 336-7226 Continued to November 6, 2019 VENDORS RI°` C' E-: TIONAL HEALTH SERICES, INC. 4960 SW 72ND ST., STE. 400 MIAMI, FL 33155 CBE' MEDICL P.C. 980 HARVEST DR., STE. 202 BLUE BELL, PA 19422 CORRECTION: ,}L HE ;,LT P/4 T'I4, <_ RS 1125 17TH ST., STE. 1010 DE NVE . CO 80202 CORRH EALT'- LLC 6303 GOLIAD AVE. DALLAS, TX 75214 S= UTHERN HEALTH PAPA" ERS, INC. 2030 HAMILTON PLACE BLVD., STE. 140 CHATTANOOGA, TN 37421 TURN KEY HEALTH CLINICS, LLC 19 NE 50TH ST. OKLAHOMA CITY, OK 73105 WELL PATH LLC 1283 MURFREESBORO RD., STE. 500 NASHVILLE, TN 37217 THE SHERIFF'S OFFICE IS THE BIDS. ** 02.0//-* 3-0<4 SO Oa tft WELD COUNTY PURCHASING 1150 O Street, Room 107, Greeley, CO 80631 E -Mail: cmpeters(a weldgov.com E-mail: reverett(a�weldgov.com E-mail: rturf a(�.weldgov.com Phone: (970) 400-4223, 4222 or 4216 Fax: (970) 336-7226 DATE OF BID: OCTOBER 14, 2019 REQUEST FOR: INMATE MEDICAL SERVICES DEPARTMENT: SHERIFF'S OFFICE BID NO: #B1900131 PRESENT DATE: OCTOBER 16, 2019 APPROVAL DATE: OCTOBER 30, 2019 VENDORS ARMOR CORRECTIONAL HEALTH SERVICES, INC. 4960 SW 72ND ST., STE. 400 MIAMI, FL 33155 CBH MEDICAL P.C. 980 HARVEST DR., STE. 202 BLUE BELL, PA 19422 CORRECTIONAL HEALTH PARTNERS 1125 17TH ST., STE. 1010 DENVER, CO 80202 CORRHEALTH, LLC 6303 GOLIAD AVE. DALLAS, TX 75214 SOUTHERN HEALTH PARTNERS, INC. 2030 HAMILTON PLACE BLVD., STE. 140 CHATTANOOGA, TN 37421 TURN KEY HEALTH CLINICS, LLC 19 NE 50TH ST. OKLAHOMA CITY, OK 73105 WELL PATH LLC 1283 MURFREESBORO RD., STE. 500 NASHVILLE, TN 37217 THE SHERIFF'S OFFICE IS REVIEWING THE BIDS. 1O/ICo 2019-4524 300090 Hello