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HomeMy WebLinkAbout20210522.tiffC4rrtvacl-1Dt#(csi8' AMENDMENT TO THE MEMORANDUM OF UNDERSTANDING (MOU) BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND ENVISION, CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES This Amendment to the Memorandum of Understanding (MOU), made and entered into �tb day of U'JCt b- , 2022 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Envision, Creative Support for People with Developmental Disabilities, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an MOU to ensure efficient communication and collaboration between the two oreanizations specific to the Children's Habilitation Residential Program (CHRP) and other Home and Community Based Services (HCBS) waiver services, (the "Original MOU") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2021-0522, approved on February 24, 2021. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on December 31, 2021. • The Original Agreement was amended on: • December 15, 2021 to extend the term date through December 31, 2022. • The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2021-0522. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term The Term of this Agreement shall be from January 1, 2023, through December 31, 2023. This Agreement may be extended annually upon written agreement of both parties. • All other terms and conditions of the Original Agreement remain unchanged. cor�s�n+ wr.e�d�a. L2 11/3o�aa 2021-05ZZ �ii3a22 �r�ooa3 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Sco . James, Chair NO`! 3 3 ?f12'1 Envision, Creative Support for People with Developmental Disabilities 1050 371 Street P.O. Box 200069 Evans, Colorado 80620 By: l c Celeste Ewert, Executive Director Date: Nov 28, 2022 bZt'a.1 _ 6 .0202 SIGNATURE REQUESTED: Weld/2023 Envision MOU Amendment #2 (f) Final Audit Report 2022-11-28 Created: 2022-11-22 By: Alison Pegg (apegg@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAufpXk8AZJ6avtAu-yWC3Y7J6aDDtQxOu "SIGNATURE REQUESTED: Weld/2023 Envision MOU Amend ment #2 (f)" History Document created by Alison Pegg (apegg@co.weld.co.us) 2022-11-22 - 5:52:52 PM GMT- IP address: 204.133.39.9 . Document emaled to cewert@envisionco.org for signature 2022-11-22 - 553:17 PM GMT Email viewed by cewert@envisionco.org 2022-11-22 - 5:53:45 PM GMT- IP address: 40.94.25.254 Email viewed by cewert@envisionco.org 2022-11-28 - 4:12:30 PM GMT- IP address: 67.177.236.246 6p Signer cewert@envisionco.org entered name at signing as Celeste Ewert 2022-11-28 - 4:13:53 PM GMT- IP address: 67.177.236.246 Sf Document e -signed by Celeste Ewert (cewert@envisionco.org) Signature Date: 2022-11-28 - 4:13:55 PM GMT - Time Source: server- IP address: 67.177.236.246 O Agreement completed. 2022-11-20-4 1355PM GMT Pes eyed by Adobe Acrobat Sign New Contract Request Entity Information Entity Name* Entity ID * ❑ New Entity? ENVISION O001002342 Contract Name* Contract ID Parent Contract ID ENVISION (AMENDMENT #2) 6518 20210522 Contract Status Contract Lead* Requires Board Approval CTB REVIEW APEGG YES Contract Lead Email Department Project # apegg@weIdgovcotncobbx xlkritweidgov.corn Contract Description* CONSENT. EXTENDING TERM DATES TO JANUARY 1, 2023 THROUGH DECEMBER 31, 202 3. Contract Description 2 NO PA IS NEEDED AS WE ARE JUST EXTENDING TERM DATES. Contract Type* Department Requested 13OCC Agenda Due Date AMENDMENT HUMAN SERVICES Date* 121`24/2022 12282022 Amount* Department Email $0.00 CM- Will a work session with BOCC be required?* HumanServicesTweldgovco NO Renewable* NO Does Contract require Purchasing Dept. to be included? Department Head Email Automatic Renewal CM-HumanServices- DeptHead#uneldgovcom Grant County Attorney GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY#WELOG OV.COM If this is a renewal enter previous Contract ID If this is part of a NSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnRase Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JAMIE ULRICH DH Approved Date 11128/2022 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 11,'30.2022 Originator APEGG Review Date* Renewal Date 11/0112023 Committed Delivery Date Expiration Date* 12 292023 Contact Type Contact Email Contact Phone I Contact Phone 2 Purchasing Approved Date 11282022 Finance Approver CONSENT Finance Approved Date 11x28/2022 Tyler Ref # AG 113022 Legal Counsel CONSENT Legal Counsel Approved Date 11,28 `022 C6Y4raCi' it -453'7q PRIVILEGED AND CONFIDENTIAL. MEMORANDUM DATE: November 2, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Memorandum of Understanding (MOU) Amendment with Envision, Creative Support for People with Developmental Disabilities (Envision) 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 Memorandum or Understanding (MOW Amendment with Envision, Creative Support for People with Developmental Disabilities. The Department is requesting an Amendment to the existing Memorandum of Understanding (MOU) with Envision, Creative Support for People with Developmental Disabilities (Envision) to continue the term of the MOU for the next year. This will ensure the continuation of efficient communication and collaboration between the two organizations specific to the Children's Habilitation Residential Program (CHRP) and other Home and Community Based Services (HCBS) waiver services. This Amendment will extend the term of this MOU to January 1, 2022 through December 31, 2022 with the option to extend annually upon written agreement of both parties. The Department has no financial obligations under this MOU. I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Approve Schedule ee !rndation Work Session Perry L. Buck Mike Freeman Via Imn4 Scott K. James, Pro -Tern Steve Moreno, Chair Lori Saine Other/Comments: Pass -Around Memorandum; November 2, 2021 - CMS ID 5379 Page 1 Karla Ford From: Sent: To: Subject: Attachments: Approve Sent from my iPhone Mike Freeman Tuesday, November 2, 2021 3:23 PM Karla Ford Re: Please Reply - PA FOR ROUTING: CW Envision Amendment (CMS 5379) image002jpg; image001 jpg; 110221 CW Envision Amendment (CMS 5379).pdf On Nov 2, 2021, at 5:22 PM, Karla Ford <kford@weldgov.com> wrote: Please advise if you approve recommendation. Thank you. Karla Ford R 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.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: Heather Looney <hlooney@weldgov.com> Sent: Tuesday, November 2, 2021 3:19 PM To: Karla Ford <kford@weldgov.com> Cc: HS -Contract Management <HS-ContractManagement@co.weld.co,us>; Barb Connolly <bconnolly@weldgov.com>; Bruce Barker <bbarker@weldgov.com>; Chris D'Ovidio <cdovidio@weldgov.com>; Esther Gesick <egesick@weldgov.com>; Lennie Bottorff <bottorll@weldgov.com> Subject: PA FOR ROUTING: CW Envision Amendment (CMS 5379) Good afternoon Karla, Please see the attached PA that has been approved for routing: CW Envision Amendment (CMS 5379). Thanks you, Heather Looney Contract Management and Compliance Coordinator Weld County Dept. of Human Services 315 N. 11th Ave., Bldg A PO Box A Greeley, CO 80632 V(970) 400-6544 1 AMENDMENT TO THE MEMORANDUM OF UNDERSTANDING (MOU) BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND ENVISION, CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES This Amen 74 nt to the Memorandum of Understanding (MOU), made and entered into this day of 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Envision, Creative Support for People with Developmental Disabilities, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an MOU to ensure efficient communication and collaboration between the two organizations specific to the Children's Habilitation Residential Program (CHRP) and other Home and Community Based Services (HCBS) waiver services, (the "Original MOU") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2021-0522, approved on February 24, 2021. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on December 31. 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. Term The Term of this Agreement shall be from January 1, 2022, through December 31, 2022. This Agreement may be extended annually upon written agreement of both 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. ATTEST: Weld County Clerk to the Board Deputy Clerk to the Board Lj BOARD OF COUNTY COMMISSIONERS WELDpOUNTY, COLORADO Moreno, Chair DEC 1 5 2021 Envision, Creative Support for People with Developmental Disabilities 1050 37th Street P.O. Box 200069 Evans, Colorado 80620 By: Celeste Ewert, Executive Director Date: Oct 29, 2021 foal - o,5a� New Contract Request Entity Information Entity Name * Entity ID * ❑ New Entity? ENVISION 00002342 Contract Name * Contract ID Parent Contract ID ENVISION 2022 AMENDMENT #1 TO MEMORANDUM OF 5379 20210522 UNDERSTANDING Contract Lead * Requires Board Approval Contract Status HLOONEY YES CTB REVIEW Contract Lead Email Department Project # hlooneyweldgov.com;cobb xxlkwveldgov.com Contract Description * CONSENT - ENVISION 2022 AMENDMENT #1 TO MOU (TO COORDINATE SERVICES FOR CHILDREN DETERMINED TO HAVE AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY (IDD). ) EXTENDING FOR YEAR TWO;TERM: JANUARY 1, 2022 - DECEMBER 31, 2022. Contract Description 2 PA IS BEING ROUTED THROUGH NORMAL PROCESS. ETA TO CTB: 11:04 2021. Contract Type * Department Requested BOCC Agenda Due Date AMENDMENT HUMAN SERVICES Date* 12:25 2021 1229'2021 Amount* Department Email $0.00 CM- will a work session with BOCC be required?* HumanServicesreldgov.co NO Renewable m NO Does Contract require Purchasing Dept. to be included? Department Head Email Automatic Renewal CM -Human Services- DeptHeadweldgov.com Grant County Attorney GENERAL COUNTY ICA ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORN EYc-&WELDG 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 On Base Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JAMIE ULRICH DH Approved Date 12102021 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 12152021 Originator HLOONEY Review Date 10/282022 Committed Delivery Date Renewal Date Expiration Date* 12,30;2022 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approved Date 12:10(2021 Finance Approver CONSENT Finance Approved Date 12110:2021 Tyler Ref # AG 121521 Legal Counsel CONSENT Legal Counsel Approved Date 12,:10?2021 RESOLUTION RE: APPROVE MEMORANDUM OF UNDERSTANDING FOR CHILDREN'S HABILITATION RESIDENTIAL PROGRAM (CHRP) AND HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER SERVICES AND AUTHORIZE CHAIR TO SIGN - ENVISION WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Memorandum of Understanding for the Children's Habilitation Residential Program (CHRP) and other Home and Community Based Services (HCBS) Waiver Services 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 Envision, commencing January 1, 2021, and ending December 31, 2021, with further terms and conditions being as stated in said memorandum of understanding, and WHEREAS, after review, the Board deems it advisable to approve said memorandum of understanding, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Memorandum of Understanding for the Children's Habilitation Residential Program (CHRP) and other Home and Community Based Services (HCBS) Waiver Services 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 Envision, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said memorandum of understanding. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 24th day of February, A.D., 2021, nunc pro tunc January 1, 2021. ATTEST: C/�J W ..�C',4o•4 Weld County Clerk to the Board rry L.`uck rney Date of signature: Ofd(' BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO StevMoreno, Cpzrir ke Freeman ine cc: H5D 2021-0522 3/10/2_i HR0093 C(jy�rLLG-i' it�-Iy5I PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: February 9, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Memorandum of Understanding (MOU) with Envision, Creative Support for People with Developmental Disabilities 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 Memorandum of Understanding (MOU) with Envision, Creative Support for People with Developmental Disabilities. The Department has entered into a Memorandum of Understanding (MOU) with Envision Creative Support for People with Developmental Disabilities (Envision) to ensure efficient communication and collaboration between the two organizations specific to the Children's Habilitation Residential Program (CHRP) and other Home and Community Based Services (HCBS) waiver services. Envision assists children who are determined to have intellectual or developmental disability (IDD) or developmental delay in receiving services they are entitled to. When there are concerns of abuse or neglect, the Department will work to alleviate risk and partner with Envision to get the correct services in the home. An Envision Intake Case Manager (ICM) will be co -located within the Division of Child Welfare in order to ensure early identification of children and families who will benefit from Envision's assistance. Additionally, the ICM will help educate families and Department staff on services that are available within the community. The Department will provide the 1CM with information regarding child protection or safety issues within the home of IDD children. This agreement is effective January 1, 2021 through December 31, 2021 with the option to renew, in writing, on an annual basis. The County has no financial obligations under this MOU. Legal (G. Kalousek) has reviewed and approved the MOU. Pass -Around Memorandum; February 9, 2021 — ID 4451 Page 1 2021-0522 PRIVILEGED AND CONFIDENTIAL I do not recommend a Work Session. I recommend approval of this MOU and authorize the chair to sign. Approve Schedule Recommendation Work Session Perry L. Buck Mike Freeman Scott K. James, Pro -Tern Steve Moreno, Chair Lori Saine Pass -Around Memorandum; February 9, 2021 - ID 4451 Page 2 MEMORANDUM OF UNDERSTANDING BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND ENVISION, CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES THIS MEMORANDUM OF UNDERSTANDING is entered into this 91 day of F¢,brQc r', 2021, by and between the Board of County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as "Human Services," and Envision, Creative Support for People with Developmental Disabilities, hereinafter referred to as "Envision". Purpose 1. To establish the protocol for the coordination of the Human Services, the Child Welfare and Family Resource Divisions and Envision Case Management, specific to the Children's Habilitation Residential Program (CHRP) and other Home and Community Based Services (HCBS) waiver services. 2. Human Services and Envision share the value that children with special needs, specifically children determined to have an intellectual or developmental disability (IDD) or developmental delay should be able to receive services they are entitled to with the least amount of trauma and distress to child(ren) and families. Envision is better able to meet the needs of these children and families when there is no indication of abuse or neglect. When there are concerns of abuse or neglect, Human Services will work to alleviate risk and partner with Envision to get the correct services in the home. 3. Human Services and Envision each have individual roles concerning the welfare of current and potential populations served. It is in the best interest of shared clients that good communication and cooperation is the standard between these programs. 4. In order to ensure efficient communication and collaboration, Envision will provide an Intake Case Manager (ICM) who will act as a liaison between Envision and Human Services staff. The ICM will be co - located in the Division of Child Welfare in order to ensure that: a. Children who are eligible for CHRP and/or Children's Extensive Support (CES) waivers are identified early on in the assessment process, including children and families working with prevention, b. Families and caseworkers are educated about the services that are available within the community through the CHRP and/or CES waivers and c. IDD determination and CHRP eligibility are completed in a timely manner. Term of this Memorandum of Understanding This Memorandum of Understanding ("MOU" or "Agreement") shall be effective beginning January 1, 2021 and shall end December 31, 2021. This MOU may be renewed by both parties, in writing, on an annual basis. Responsibilities of Envision Intake Case Manager (ICM) Liaison • Complete application processes with the caseworker and/or family. • Attend Review, Evaluate and Direct (RED) Team, Family Team meetings, Team Decision Making (TDM) Meetings, and Group Supervision as needed to assess the needs of IDD children and families. • Provide quarterly training to new casework staff around the CHRP and CES waivers. • Carry a caseload of Human Services children and families, including Child Welfare and Prevention cases, and prioritize these cases above other work -related requirements within the time allotted to Human Services. • Set up regular times to be available for Human Services caseworkers and outreach staff to drop -in to discuss children and families on their caseloads who may be IDD and CHRP eligible. • Present data, in conjunction with the Child Welfare Liaison, to Human Services Administration at least quarterly or as requested. • Participate in state meetings and trainings as requested by Human Services. Responsibilities of Human Services Child Welfare Liaison and/or Quality Assurance Staff or Caseworker • Meet regularly with the ICM to discuss workload. • Conduct monthly staffings with the ICM and Envision Quality Assurance Director to review children in various stages of referral process. • Assist the ICM to gather all information needed to determine the child(ren)'s eligibility for services. • Provide ICM information related to the child protection/safety issues of the home. • Inform the ICM when a case has closed. • Determine if the child needs to be placed out of the home and contact the ICM regarding placement. • Review the Placement Information Form to identify children who may be eligible for waiver services and provide that information to the ICM. Expected Outcomes • Increased collaboration between Envision Case Management and Human Services, particularly the Child Welfare and Family Resource Divisions. • Early identification of children who may be IDD and who may qualify for CHRP or CES waivers. • Reduction in the number of families who enter Child Welfare due to inability to receive necessary services and thus avoid Child Welfare involvement and keep child(ren) at home. • Provision of services and placement through the CHRP waiver rather than through Child Welfare services and funds. • Reduction in length of time cases are open by providing families with the appropriate services they need to successfully support their child(ren) to return home. • Streamline process for children who are aging out of foster care and entering adult IDD services. Modifications. This Agreement may be modified in writing, in whole or in part, upon approval of the signers. Termination. This Agreement may be terminated by any of the signers upon thirty (30) days written notice. Entire Agreement/No Third -Party Beneficiary. This Memorandum of Understanding contains the entire agreement and understanding between the parties to this Memorandum of Understanding and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. It is the express intention of the parties that any entity other than the undersigned parties receiving services or benefits under this Memorandum of Understanding shall be deemed an incidental beneficiary only. No Waiver of Immunity. No portion of this Memorandum of Understanding shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Memorandum of Understanding be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Memorandum of Understanding. Independent Contractor. The Envision liaison shall perform his/her duties hereunder as an independent contractor and not as an employee of County. Envision liaison shall be solely responsible for his/her acts performed pursuant to this Agreement. Under no circumstances shall Envision liaison be deemed to be an agent or employee of Weld County. Envision liaison is not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage. Unemployment insurance benefits will not be available to Envision liaison for services provided under this Agreement. Envision shall pay when due any/all applicable employment taxes and income taxes and local head taxes (if applicable) incurred as a result of the services provided under this Agreement. Severability. If any provision of this Memorandum of Understanding should be held to be invalid, illegal, or unenforceable for any reason, the validity, legality, and enforceability of the remaining provisions shall not in any way be affected or impaired thereby. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. �C COUNTY: ATTES • c� V• ;zi BOARD OF COUNTY COMMISSIONERS Weld ou lerk to the Bo WELD COUNTY, COLORADO Deputy Clerk the Board ��J ve Moreno, Chair FEB 2 4 2021 Celeste Ewert, Executive Director 1050 37th Street P.O. Box 200069 Evans, Colorado orado 80620 By: ll iil /t,tn,�/Vtn Celeste Ewert, Executive Director Date: Feb 3, 2021 a22-1 o0ZZ New Contract Request Entity Information EntityName* Entity 1O* ❑ New Entity? ENViSION @00002342 Contract Name * ENVISON 2021 MEMORANDUM OF UNDERSTANDING Contract Status CTB REViEW Contract ID 4451 Contract Lead APEGG Contract Lead Email apegg@weIdgovcorn obbx xi eldgov.cotn Parent Contract ID Requires Board Approval YES Department Project # Contract Description A NEW MOU TO COORDINATE SERVICES FOR CHILDREN DETERMINED TO HAVE AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY (IDI t). TERM: JANUARY 1, 2021 THROUGH DECEMBER 31, 2021. Contract Description 2 PA IS BEING ROUTED THROUGH NORMAL PROCESS. ETA TO CTB: 2 11. Contract Type Department Requested BOCC Agenda Due Date AGREEMENT HUMAN SERVICES Date* 0213;2021 02E1✓,' -2021 Amount * Department Email $0.00 CM- Will a work session with BOCC be required?* HumanServices eldgov.co NO Renewable * YES Does Contract require Purchasing Dept. to be inciu Department Head Email Automatic Renewal CM-HumanServiices- DeptHead(weidgov.corn Grant County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@-. ELDG 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 OnSase Contract Dates Effective Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 02/11/2021 Final Approval Approved 80CC 5fgned Date 80CC Agenda Date 02124/2021 Originator APEGG Contact Type Review Date * 11,`01'2021 Committed Delivery Date [rnil 1I Renewal Date * 12/3]:2021 Expiration Date Contact Phone I Purchasing Approved Date Finance Approver RR CONNOLLY Finance Approved Date 02,/10/2021 Tyler Ref # AG 022421 Contact Phone 2 Legal Counsel CAPE K..ALOUSEK Legal Counsel Approved Date 02/172021 Hello