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Home My WebLink About20202925.tiffConti/ac+ j311 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: September 13, 2022 1861 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services C O U N T Y RE: Amendment Agreement with Michelle Ammerman Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Amendment Agreement with Michelle Ammerman. On September 23, 2020, the Department entered into an Agreement for Professional Services, known as Tyler ID 2020-2925, with Michelle Ammerman for Trust -Based Relational Intervention® caregiver training. On August 30, 2021, the Agreement was amended to extend the term date through September 30, 2022 and update the Exhibit A, Scope of Services. The Department would now like to renew this Agreement for an additional year to extend the term date through September 30, 2023. This amendment will also make minor changes to the Exhibit A, Scope of Services. Additionally, the Department wishes to approve a $5.00 increase in rates for services. The rates will now be as follows: $130.00 per hour for on -site and/or virtual education and training services. $55.00 per hour for training preparation and evaluation services. I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Approve Schedule Recommendation Work Session Other/Comments: Perry L. Buck Mike Freeman, Pro-Tem Scott K. James, Chair Steve Moreno Lori Saine Pass -Around Memorandum; September 13, 2022 — CMS ID 63 Page I l 9/ipla� orOJ 2 *v AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND AMMERMAN, MICHELLE This Agreement Amendment, made and entered into 1 11 day of 2022 by and between the Board of Weld County Commissioners, on behalf of the Weld County lepaBmenl of Human Services, hereinafter referred to as the "Department", and Ammerman, Michelle, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Trust -Based Relational Intervention® training, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2020-2925, approved on September 23, 2020. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on September 30, 2021. • The Original Agreement was amended on: • August 30.2021 to extend the term date to September 30, 2022 and to amend the Exhibit C, Scope of Services. • The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2020-2925. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Extend the term date to October 1, 2022 through September 30, 2023. 2. Exhibit A, Scope of Services, is amended as attached. 3. Exhibit B, Rate Schedule, is amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: �' �/'. ��i�• BOA F COUNTY COMMISSIONERS Weld Co ty lerk to the Boar WEL OUNTY, COLORADO By: Deputy Clerk the Board co K. James, Chair SEP 1 9 2022. �mmerman, Michelle 10218 Bluegrass Street Firestone, Colorado 80504 By: ✓ 1 --.-- Michelle Ammerman, Owner Date: Sep 6, 2022 Exhibit A Scope of Services GENERAL DESCRIPTION OF PRIMARY OBJECTIVE Provide ongoing training on the Trust -Based Relational Intervention® (TBRI®) model to professionals and care providers involved with children who have experienced trauma and/or prenatal substance exposure. This training provides a foundation for understanding how trauma impacts the development of children. It provides a foundation for interpreting children's behavior and responding appropriately and creating a practical framework for intervention and application. II. SERVICE DETAILS 1. Modalities, Curriculum or Tools: Trust -Based Relational Intervention® (TBRI®) Caregiver Training Curriculum. 2. Anticipated Frequency of the Service: Education and Training: The contractor will provide the Trust -Based Relational Intervention® Caregiver Training classes as requested by The Department. 3. Anticipated Duration of the Service: a. TBRI® Caregiver Training Series: The entire Trust -Based Relational Intervention® Caregiver Training Series includes Twenty Fours (24) hours of training. The curriculum is divided into four (4) modules; 1. TBRI® Introduction and Overview 2. Connecting Principles 3. Empowering Principles 4. Correcting Principles. b. These modules can be taught individually as 6 -hour courses, or the series can be presented as an 8-12 week class that meets 2-3 hours per week. c. TBRI® Introduction and Overview can be held as a stand-alone, 3-6 hour class. 4. Target Population: Foster, kinship and adoptive parents, visitation supervisors and staff, child welfare and family resource division staff and biological parents at the discretion of the Department. 5. Service Location: Contractor will provide services at any Weld County facility or other locations within Weld County specified by the Department. Mileage will be charged, at the rate specified below, from the contractor's home address, 10218 Bluegrass Street, Firestone, Colorado, 80504. The contractor will also provide the TBRI® Introduction and Overview module training virtually, as requested by the Department. The contractor will provide access to a virtual meeting platform for each virtual training. 6. Class Materials and Preparation Time: a. Preparation Time: The contractor will request that the Department notify the contractor of the number of class participants a minimum of I week prior to each in -person training module. The contractor will require 1-2 hours to prepare class materials for each module, depending on the number of participants and the format of the training (in -person or virtual). The contractor will also require 1-2 hours to following each class to clean up, create and send certificates, tabulate, and review evaluations and record participant attendance. b. Materials: The contractor will provide all the materials needed for each training module including PowerPoint presentation, light refreshments, fidgets, materials for class activities and an electronic version of class handouts. For In -person training, the Department will be responsible for providing printed copies of the class handouts for each class participant, these will be provided electronically to the Department by the contractor in advance. 7. Technology: a. In -Person Training: The contractor will provide a personal computer and the PowerPoint presentation. The Department will be responsible for providing a projector, screen and sound system. b. Virtual Training: The contractor will provide access to a virtual meeting platform such as 'zoom meeting' for each virtual training. 8. Measurement: The contractor will provide an evaluation to each class participant, following each training module. The evaluation will assess for the relevance, effectiveness and intuitiveness of the curriculum, as well as the contractor's ability to present the curriculum in a comprehensive, understandable and efficient manner. The contractor will provide a summary of the evaluation results following each training series. The contractor will require 3 hours to prepare each evaluation summary. 9. Language: English only. 10. Medicaid Eligibility: Services are not Medicaid eligible. 11. Transportation: Contractor does not provide transportation. III. TERMS 1. Contractor will respond to the Family Resource Division Head (WITKOWJX@w� eldaov.com, 970- 400-6777) within three (3) business days regarding the ability to provide a training series. 2. Contractor understands that the Department will not reimburse Contractor for cancelled trainings. 3. Contractor will submit a summary of the evaluations for each class series. The summary will be submitted to the Family Resource Division Head, unless otherwise directed by the Department. Exhibit B Rate Schedule I. PAYMENT FOR SERVICES I. Contractor shall submit an itemized monthly invoice certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of this Agreement. 2. The County agrees to reimburse the Contractor for the work and services performed under this Agreement. 3. The total amount to be paid to the Contractor is as follows; a. $130.00/hour for on -site and/or virtual education and training services. b. $55.00/hour for training preparation and evaluation services. c. $.02 less than the Internal Revenue Service (IRS) mileage rate for travel to and from in -person training location. 4. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible County expenditures and shall not be reimbursed by the County. 5. Payment pursuant to this Agreement, whether in whole in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. If said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. New Contract Request Entity Information Entity Name° Entity ID* ❑ New Entity? AMMERMAN, MICHELLE Y00038681 Contract Name' Contract ID Parent Contract ID AMMERMAN, MICHELLE (AMENDMENT) 6319 20202925 Contract Status Contract Lead Requires Board Approval CTB REVIEW APEGG YES Contract Lead Email Department Project ;t apeggAeldgov.corn, cobbx x l kWwe l d g ov. c o m Contract Description* CONSENT. AMENDMENT EXTENDING TERM DATE TO SEPTEMBER 30, 2023. IJPDATEING EXBHIBIT A AND B. TBRI TRAINER FOR FRD. Contract Description 2 PA IS ROUTING THROUGH THE NORMAL PROCESS, ETA TO CTB 9,` 15,,x'22. Contract Type* Department Requested 11OCC Agenda Due Date AMENDMENT HUMAN SERVICES Date* 09 24 2022 09,E 28;? 2022 Amount' Department Email $0.00 CM- Will a work session with 11OCC be required?* # urnanServlcesC eldgov.co NO Renewable' rn NO Does Contract require Purchasing Dept. to be included? Depaitinent Head Email Automatic Renewal CMeve rsoot - OeptHeadOwe l d g ov. cos ray Grant County Attorney GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Emil CM COUNTYATTORNEYrOWELOC OS.COM if this is a renewal enter previous Contract ID If this is part of a NSA enter EISA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left bask if those contracts are not in On8ase Contract Dates Effective Date Review Date* Renewal Date 07;+28, 2023 Termination Notice Period Committed Delivery lDate Expiration Date* 09;'29x'2023 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone I Contact Phone 2 Purchasing Purchasing Approver Purchasing Aoved Date CONSENT 09,'09; 2022 Approval Process Department Head Finance Approver Legal Counsel JAMIE ULRICH CONSENT CONSENT Dti Approved Date Finance Approved a Legal Counsel Approved Date 09x'09/ 2022 09,r 09 , 2022 09 r 09,`2022 Final Approval MCC Approved 8OCC Signed Date 8OCC Agenda Date 09,` 19,E 2022 Originator APEGG Tyler Ref f AC 091922 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: August 24, 2021 Corry e t S2 0Q TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Amendment Agreement with Michelle Ammerman Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Amendment Agreement with Michelle Ammerman. On September 23, 2020, the Department entered into an Agreement for Professional Services, known as Tyler ID 2020-2925, with Michelle Ammerman for Trust -Based Relational Intervention® caregiver training. The Department would like to renew this Agreement for an additional year. Minor changes have been made to the Scope of Services to update the number of hours the contractor will require to prepare class materials and to complete work following each class such as sending out certificates and recording participant attendance. The new term of the Agreement is October 1, 2021 through September 30, 2022. I do not recommend a Work Session. I recommend approval of this Agreement Amendment and authorize the Chair to sign. Approve Schedule Recommendation Work Session Other/Comments: Perry L. Buck_______ Mike Freeman Scott K. James, Pro -Tern Steve Moreno, Chair Lori Saine Pass -Around Memorandum; August 24, 2021 — ID ,5206 Page 1 �� c.�• On 6Q st K SO 006>0 - o9 G�5 0,nrlS i1 O€ 131 <et QQG o� olwaI Karla Ford From: Sent: To: Cc: Subject: Approve Sent from my iPhone Mike Freeman Tuesday, August 24, 2021 12:13 PM Steve Moreno Karla Ford Re: Please Reply- PA FOR ROUTING: FR Ammerman Amend 1 (CMS 5206) On Aug 24, 2021, at 1:43 PM, Steve Moreno <SMORENO@weldgov.com> wrote: Approve Sent from my iPhone On Aug 24, 2021, at 10:08 AM, Karla Ford <kford@weldgov.com> wrote: Please advise if you approve recommendation. Thanks! Karla Ford R Office Manager, Board of Weld County Commissioners 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kford@weidgov.com :: www.weld ov.com :: **Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.m.** <image002.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: Alison Pegg <apegg@weldgov.com> Sent: Tuesday, August 24, 2021 10:53 AM To: Karla Ford <kford@weldgov.com> Cc: Barb Connolly <bconnolly@weldgov.com>; Bruce Barker <bbarker@weldgov.com>; Chris D'Ovidio <cdovidio@weldgov.com>; Esther Gesick <egesick@weldgov.com>; HS - Contract Management <HS-ContractManagement@co.weld.co.us>; Lennie Bottorff <bottorl l@weldgov.com> Subject: PA FOR ROUTING: FR Ammerman Amend 1 (CMS 5206) Good morning Karla, 1 is AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND AMMERMAN, MICHELLE L This Agreement Amendment, made and entered into _.Z� day of S_I 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Hum ervices, hereinafter referred to as the "Department", and Ammerman, Michelle, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Trust -Based Relational Intervention® training, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2020-2925, approved on September 23, 2020. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on September 30, 2021. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Extend the term date to October 1, 2021 through September 30, 2022. 2. Exhibit C, Scope of Services, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: �H! '�• `�C-.f"'r'� BOARD OF COUNTY COMMISSIONERS WELD OUNTY, COLORADO Steve Moreno, Chair AUG 3 o 2021 Ammerman, Michelle 10218 Bluegrass Street Firestone, Colorado 80504 By: ✓�, Michelle Ammerman, Owner Date: Aug 16, 2021 Exhibit A Scope of Services I. GENERAL DESCRIPTION OF PRIMARY OBJECTIVE Provide ongoing training on the Trust -Based Relational Intervention® (TBRI®) model to professionals and care providers involved with children who have experienced trauma and/or prenatal substance exposure. This training provides a foundation for understanding how trauma impacts the development of children. It provides a foundation for interpreting children's behavior and responding appropriately and creating a practical framework for intervention and application. II. SERVICE DETAILS 1. Modalities, Curriculum or Tools: Trust -Based Relational Intervention® (TBRI®) Caregiver Training Curriculum. 2. Anticipated Frequency of the Service: Education and Training: The contractor will provide the Trust -Based Relational Intervention® Caregiver Training classes as requested by the Department. 3. Anticipated Duration of the Service: a. TBRI® Caregiver Training Series: The entire Trust -Based Relational Intervention® Caregiver Training Series includes Twenty Fours (24) hours of training. The curriculum is divided into four (4) modules; 1. TBRI® Introduction and Overview 2. Connecting Principles 3. Empowering Principles 4. Correcting Principles. b. These modules can be taught individually as 6 -hour courses, or the series can be presented as an 8-12 week class that meets 2-3 hours per week. c. TBRI® Introduction and Overview can be held as a stand-alone, 3-6 hour class. 4. Target Population: Foster, kinship and adoptive parents, visitation supervisors and staff, child welfare and family resource division staff and biological parents at the discretion of the Department. Service Location: Contractor will provide services at any Weld County facility or other locations within Weld County specified by the Department. Mileage will be charged, at the rate specified below, from the contractor's home address, 10218 Bluegrass Street, Firestone, Colorado, 80504. The contractor will also provide the TBRI® Introduction and Overview module training virtually, as requested by the Department. The contractor will provide access to a virtual meeting platform for each virtual training. 6. Class Materials and Preparation Time: a. Preparation Time: The contractor will request that the Department notify the contractor of the number of class participants a minimum of I week prior to each in -person training module. The contractor will require 1-2 hours to prepare class materials for each module, depending on the number of participants and the format of the training (in -person or virtual). The contractor will also require 1-2 hours to following each class to clean up, create and send certificates, tabulate and review evaluations, and record participant attendance. b. Materials: The contractor will provide all the materials needed for each training module including PowerPoint presentation, light refreshments, fidgets, materials for class activities and an electronic version of class handouts. For In -person training, the Department will be responsible for providing printed copies of the class handouts for each class participant, these will be provided electronically to the Department by the contractor in advance. 7. Technology: a. In -Person Training: The contractor will provide a personal computer and the PowerPoint presentation. The Department will be responsible for providing a projector, screen, and sound system. b. Virtual Training: The contractor will provide access to a virtual meeting platform such as 'Zoom meeting' for each virtual training. 8. Measurement: The contractor will provide an evaluation to each class participant, following each training module. The evaluation will assess for the relevance, effectiveness, and intuitiveness of the curriculum, as well as the contractor's ability to present the curriculum in a comprehensive, understandable, and efficient manner. The contractor will provide a summary of the evaluation results following each training series or individual module, as requested by the Department. The contractor will require 3 hours to prepare each evaluation summary. 9. Language: English only. 10. Medicaid Eligibility: Services are not Medicaid eligible. 11. Transportation: Contractor does not provide transportation. III. TERMS 1. Contractor will respond to the Family Resource Division Head (WITKOWJX(weldaov.com, 970- 400-6777) within three (3) business days regarding the ability to provide a training series. 2. Contractor understands that the Department will not reimburse Contractor for cancelled trainings. Contractor will submit a summary of the evaluations for each class held per invoicing period. The summary will be submitted to the Family Resource Division Head, unless otherwise directed by the Department. Exhibit B Rate Schedule I. PAYMENT FOR SERVICES 1. Contractor shall submit an itemized monthly invoice certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of this Agreement. 2. The County agrees to reimburse the Contractor for the work and services performed under this Agreement. 3. The total amount to be paid to the Contractor is as follows; a. $125.00/hour for on -site and/or virtual education and training services. b. $50.00/hour for training preparation and evaluation services. c. $.02 less than the Internal Revenue Service (IRS) mileage rate for travel to and from in -person training location. 4. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible County expenditures and shall not be reimbursed by the County. 5. Payment pursuant to this Agreement, whether in whole in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. If said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. New Contract Request Entity Information Entity Name* e* Entity ID* ❑ New Entity? AMMERMAN, AID, MICHELLE O00038661 Contract Name Contract ID AMMERMAN, MICHELLE (AGREEMENT AMENDMENT) 5206 Contract Status Contract Lead * CTB REViEW APEGG Contract Lead Email apegg@weIdgovcom;cobbx xlk@weldgov.com Parent Contract ID 20202925 Requires Board Approval YES Department Project # Contract Description * AGREEMENT AMENDMENT #1. NEW TERM_ OCTOBER. 1, 2021 THROUGH SEPTEMBER 30, 2022. Contract Description 2 PA IS BEING ROUTED THROUGH THE NORMAL PROCESS, ETA TO CTB: 8/26,/21, Contract Type Department Requested BOCC Agenda Due Date AMENDMENT HUMAN SERVICES Date* 09/25,12021 09129 2021 Amount * Department Email $0.€00 CM- Will a work session with BOCC be required?* HumanServices@eldgov.co NO Rerlewable* m NO Does Contract require Purchasing Dept. to be included? Department Head Email Automatic Renewal CM -Hu manService s- DeptHead eldgov.corr Grant County Attorney GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@LDG OV.CCM If this is a renewal enter previous Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date * Renewal Date 08101 12022 Termination Notice Period Committed Delivery Date Expiration Date 0930/2022 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date CONSENT 08/19/2021 Approval Process Department Head Finance Approver JAIME ULRICH CCNET DH Approved Date Finance Approved e CS 19.2021 €18'19 2021 Final Approval 8OCC Approved Tyler Ref # Ac)53C2 8OCC Signed Date 8OcC Agenda Date 08`30 2)21 Originator APEGG Legal Counsel CONSENT Legal Counsel Approved Date 08119x`2021 RESOLUTION RE: APPROVE AGREEMENT FOR PROFESSIONAL SERVICES FOR TRUST -BASED RELATIONAL INTERVENTION (TBRI) CAREGIVER TRAINING CURRICULUM AND AUTHORIZE CHAIR TO SIGN - MICHELLE AMMERMAN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement for Professional Services for Trust -Based Relational Intervention (TBRI) Caregiver Training Curriculum between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Michelle Ammerman, commencing October 1, 2020, and ending September 30, 2021, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for Professional Services for Trust -Based Relational Intervention (TBRI) Caregiver Training Curriculum between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Michelle Ammerman, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of September, A.D., 2020. ATTEST: Y-4etW J v• •ci Weld County Clerk to the Board BY: Deputy Clerk to the Board APPR VEDA OR 1161 Coun y Attorney Date of signature: a/q/2o cc. HS D Io%l/2O BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair reno, d-Tem Sc6tK. James ara Kirkmeyer rUSED Kevin D. Ross 2020-2925 H R0092 nt-mct _O 4#(41O5 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: September 15, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Professional Services Agreement for Services with Michelle Ammerman for Trust -Based Relational Intervention® Caregiver Training Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Professional Services Agreement for Services with Michelle Ammerman. The Department is requesting to enter into an agreement for Trust - Based Relational Intervention® Caregiver Training. The major provisions of this Agreement are as follows: Tenn Service(s) and Funding Rate(s) October 1, 2020 — Trust -Based • $125.00/hour for on -site and/or virtual September 30, Relational education and training services. 2021 Intervention® Caregiver • $50.00/hour for training preparation and Training evaluation services. • $.02 less than the Internal Revenue Service (IRS) mileage rate for travel to and from in - person training location. Pass -Around Memorandum: September 15, 2020 —CMS 4105 94j Page I 2020-2925 PR©©12 PRIVILEGED AND CONFIDENTIAL I do not recommend a Work Session. I recommend approval of this Agreement and authorize the Chair to sign. Approve Recommendation Mike Freeman, Chair Scott James ____ Barbara Kirkmeyer _ Steve Moreno, Pro -Tern Kevin Ross ft- Schedule Other/Comments: Work Session Pass -Around Memorandum; September i 5, 2020 — CMS 4105 Page 2 WELD COUNTY AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN WELD COUNTY AND AMMERMAN, MICHELLE THIS AGREEMENT is made and entered into thiV 2 o lay 2020, by and between the County of Weld, a body corporate and politic of the State of Colorad6, bf and through its Board of County Commissioners, whose address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County," and Ammerman, Michelle, who whose address is 10218 Bluegrass Street, Firestone, CO, 80504, hereinafter referred to as "Contractor". WHEREAS, 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; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibit A, Scope of Services and Exhibit B, Rate Schedule, which forms an integral part of this Agreement. Exhibit A and B are specifically incorporated herein by this reference. 2. Service or Work. Department of Human Services will provide the materials, equipment and/or products necessary for the outlined scope of services and the Contractor agrees to diligently provide all services and labor, as described in Exhibit A. 3. Term. The term of this Agreement shall be from October 1, 2020, through September 30, 2021, or Contractor's completion of the responsibilities described in Exhibit A. This Agreement may be extended annually upon written agreement of both parties. 4. Termination. County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. 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 Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services. 6. Compensation/Contract Amount. County agrees to pay an amount as set forth in the Rate Schedule described in Exhibit B for the term of this Agreement, as set forth in Paragraph 3. County agrees to pay Contractor through an invoice process during the course of this Agreement in accordance with the Scope of Services as described in Exhibit A. Contractor agrees to submit invoices which detail the work completed by Contractor. The County will review each invoice and if it agrees Contractor has completed the invoiced items to the County's satisfaction, it will remit payment to Contractor. Contractor agrees to work within the confines of the Scope of Services outlined in Exhibit A. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. 7. Independent Contractor. Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this Project without County's prior written consent, which may be withheld in County's sole discretion. 9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. 10. Confidentiality. Contractor agrees to keep confidential all of County's confidential information. Contractor 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. Contractor agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this agreement. 11. Warranty. Contractor warrants that the services performed under this Agreement will be performed in a manner consistent with the standards governing such services and the provisions of this Agreement. Contractor further represents and warrants that all services shall be performed by qualified personnel in a professional and workmanlike manner, consistent with industry standards, and that all services will conform to applicable specifications. 12. Acceptance of Services Not a Waiver. 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 Contractor. 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. Contractor shall procure at least the minimum amount of automobile liability insurance required by the State of Colorado for the use of any personal vehicle. Proof of said automobile liability insurance shall be provided to County prior to the performance of any services under this Agreement. 14. 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, 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 2 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 15. Indemnity. The Contractor shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, 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 Contractor to conform to any statutes, ordinances, regulation, law or court decree. 16. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. 17. 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. 18. Compliance with Law. Contractor 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. Non -Exclusive Agreement. This Agreement is nonexclusive, and County may engage or use other Contractors or persons to perform services of the same or similar nature. 20. Entire Agreement/Modifications. 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 Agreement 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 §24-50-507. The signatories to this Agreement state that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. 23. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 24. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 25. No Third -Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 26. 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, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 28. Public Employment Retirement Program. Contractor is responsible for notifying Weld County of any previous participation in the Colorado Public Employee Retirement Program. Contractor must notify Weld county of the most recent employment for a PERA contributing employer. 29. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and County within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to 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 Contractor 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, Contractor shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-103 prior to the effective date of the contract. 30. Acknowledgment. County and Contractor 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 duly executed the Agreement as of the day, month, and year first above written. ATTEST: �j„dT,/�s11J �i•O'� WeldAinty Clerk to the Board COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ttt tINVi1tIitO1 Ammerman, Michelle 10218 Bluegrass Street Firestone, CO 80504 By: /�//G�L2�21>flyl`L1�iGl`I Mc e e Ammerman, uwner Date: Sep 12, 2020 o1oo2 2 — o2yo2 Exhibit A Scope of Services I. GENERAL DESCRIPTION OF PRIMARY OBJECTIVE Provide ongoing training on the Trust -Based Relational Intervention® (TBRI®) model to professionals and care providers involved with children who have experienced trauma and/or prenatal substance exposure. This training provides a foundation for understanding how trauma impacts the development of children. It provides a foundation for interpreting children's behavior and responding appropriately and creating a practical framework for intervention and application. II. SERVICE DETAILS Modalities, Curriculum or Tools: Trust -Based Relational Intervention® (TBRI®) Caregiver Training Curriculum. 2. Anticipated Frequency of the Service: a. Education and Training: The Trust -Based Relational Intervention® Caregiver Training Series curriculum is broken down into four (4), 6 -hour modules. b. The contractor will provide the entire training series up to four times a year as requested by the Department. c. The contractor will provide introduction and overview classes up to once per month as requested by the Department. 3. Anticipated Duration of the Service: a. TBRI® Caregiver Training Series: The entire Trust -Based Relational Intervention® Caregiver Training Series includes Twenty Fours (24) hours of training. The curriculum is divided into four (4) modules; 1. TBRI® Introduction and Overview 2. Connecting Principles 3. Empowering Principles 4. Correcting Principles. b. These modules can be taught individually as 6 -hour courses, or the series can be presented as an 8-12 week class that meets 2-3 hours per week. c. TBRI® Introduction and Overview can be held as a stand-alone, 3-6 hour class. 4. Target Population: Foster, kinship and adoptive parents, visitation supervisors and staff, child welfare and family resource division staff and biological parents at the discretion of the Department. 5. Service Location: Contractor will provide services at any Weld County facility or other locations within Weld County specified by the Department. Mileage will be charged, at the rate specified below, from the contractor's home address, 10218 Bluegrass Street, Firestone, CO, 80504. The contractor will also provide the TBRI® Introduction and Overview module training virtually, as requested by the Department. The contractor will provide access to a virtual meeting platform for each virtual training. 6. Class Materials and Preparation Time: a. Preparation Time: The contractor will request that the Department notify the contractor of the number of class participants a minimum of I week prior to each training module. The contractor will require 1-3 hours to prepare class materials for each module, depending on the number of participants and the format of the training (in -person or virtual). b. Materials: The contractor will provide all the materials needed for each training module including; PowerPoint presentation, light refreshments, fidgets, materials for class activities and an electronic version of class handouts. For In -person training, the Department will be responsible for providing printed copies of the class handouts for each class participant, these will be provided electronically to the Department by the contractor in advance. 7. Technology: a. In -Person Training: The contractor will provide a personal computer and the PowerPoint presentation. The Department will be responsible for providing a projector, screen and sound system. b. Virtual Training: The contractor will provide access to a virtual meeting platform such as 'zoom meeting' for each virtual training. 8. Measurement: The contractor will provide an evaluation to each class participant, following each training module. The evaluation will assess for the relevance, effectiveness and intuitiveness of the curriculum, as well as the contractor's ability to present the curriculum in a comprehensive, understandable and efficient manner. The contractor will provide a summary of the evaluation results following each training series or individual module, as requested by the Department. The contractor will require 2 hours to prepare each evaluation summary. 9. Language: English only. 10. Medicaid Eligibility: Services are not Medicaid eligible. 11. Transportation: Contractor does not provide transportation. III. TERMS 1. Contractor will respond to the Family Resource Division Head (WITKOWJX(a,weldgov.com, 970- 400-6777) within three (3) business days regarding the ability to provide a training series. 2. Contractor understands that the Department will not reimburse Contractor for cancelled trainings. 3. Contractor will submit a summary of the evaluations for each class held per invoicing period. The summary will be submitted to the Family Resource Division Head, unless otherwise directed by the Department. Exhibit B Rate Schedule I. PAYMENT FOR SERVICES Contractor shall submit an itemized monthly invoice certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of this Agreement. 2. The County agrees to reimburse the Contractor for the work and services performed under this Agreement. The total amount to be paid to the Contractor is as follows; a. $125.00/hour for on -site and/or virtual education and training services. b. $50.00/hour for training preparation and evaluation services. c. $.02 less than the Internal Revenue Service (IRS) mileage rate for travel to and from in -person training location. 4. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible County expenditures and shall not be reimbursed by the County. 5. Payment pursuant to this Agreement, whether in whole in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. If said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. ACc.RQ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD YYYY) 08/28/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ashley Doebbeling NAME: Brightway Insurance, The Doebbeling Agency HO No .970-829-8440 Not 970-232-2139 E-MAIL Ashle Doebbelin Bri htwa com ADDRESS: y g@ g y' 3675 S. College Avenue g Suite 20 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: United States Liability Insurance Company 25895 Fort Collins CO 80525 INSURED INSURER B : Michelle Ammerman INSURER C INSURER D 10218 Bluegrass Street INSURER E: Firestone CO 80504 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLi LTR TYPE OF INSURANCE 'SUBR POLICY NUMBER POLICY EFF POLICY EXP - MMIDDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S 1.000,000 CLAIMS -MADE J OCCUR DAMAGE TO RENTED 50,000 PREMI ES jaoccurrencel S MED CXP (Any one person) S 5,000 A ' I � CX 1556552 09/01/2020 09/01 /2021 � PERSONAL & ADV INJURY I S OGCREGATE APPLIEa PER: '� GENERAL AGGREGATE � S 2000_000 r�N'1_ PRO- _LOU POLICY (T JEC � PRODUCTS - COMP OP AGO OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s _Ea accidents --......--- ANY AUTO BODILY INJURY (Per persnnl S SCHEDULED BODILY INJURY jeer accident) S AUTOS ONLY AUTOS 1 HIRED' NON -OWNED PROPERTY DAMAGE s _,.,_,,. AUTOS ONLY AUTOS ONLY _ (Per accident_ r—_ I S . J UMBRELLA LIAB I OCCUR. EACH OCCURRENCE S SS LIAB CLAIMS -MADE AGGREGATE ! 5 --.. DEDERETENTIONS WORKERS COMPENSATION 1 PER AND EMPLOYERS' LIABILITY YIN _-- STATUTE_ ER _ __ ANYPROPRIETOR'PARTNER:EXECUTIVE E.LEACH ACCIDENT . FFICER(MyEXCLUDED? N I A - - - (Mandator in NHEMSE, E.L. DISEASE - EA EMPLOYEE S If yesdescribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S Each claim $1,000,000 Specified Professions Professional A Liabiltiy ' X CX 1556552 09/01/2020 09/01/2021 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured: Board of County Commissioners of Weld County and its Officers/Employees CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Weld County ACCORDANCE WITH THE POLICY PROVISIONS. 1150O Street AUTHORIZED REPRESENTATIVE Greeley CO 80631 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD New Contract Request Entity Information Entity Name' Entity ID * ❑ New Entity? AMMERMAN, MICHELLE xO00038661 Contract Name * MICHELLE, AMMERMAN (PROFESSIONAL SERVICES AGREEMENT) Contract Status CTB REVIEW Contract ID 4105 Contract Lead CULLINTA NTA Contract Lead Email cuII inta:?co.weId.co. us:cobb xxIkco.weId.co.us Parent Contract ID Requires Board Approval YES Department Project # Contract Description * NEW PROFESSIONAL SERVICES AGREEMENT FOR TRUST -BASED RELATIONAL INTERVENTION CAREGIVER TRAINING. TERM 1001 /20 THROUGH 0930/20. Contract Description 2 Contract Type* Department Requested BOCC Agenda Due Date AGREEMENT HUMAN SERVICES Date 1003/2020 10:07.2020 Amount* Department Email $0.00 CM- Will a work session with SOCC be required?* Hur-nanServices 4^eldgov.coo NO Renewable* m YES Does Contract require Purchasing Dept. to be included? Department Head Email Automatic Renewal CM-HumanServices- DeptHeada5weldgov.com Grant County Attorney GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY aWELDG OV.COM 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 Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 09:17/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 0923:2020 Originator COBBXXLK Review Date'* 07.31:2021 Committed Delivery Date Renewal Date 07,31;2021 Expiration Date 09,30/2021 Contact Type Contact Email Contact Phone I Contact Phone 2 Purchasing Approved Date Finance Approver BARB CONNOLLY Finance Approved Date 0921 2020 Tyler Ref AG 092320 Legal Counsel CARE KALOUSEK Legal Counsel Approved Date 09212020 Hello