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Home My WebLink About20221825.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #1 FOR EQUIFAX VERIFICATION SERVICES FOR USE OF THE WORK NUMBER AND AUTHORIZE CHAIR TO SIGN AND SUBMIT ELECTRONICALLY 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 Contract Amendment #1 for Equifax Verification Services for Use of the Work Number 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 the Colorado Department of Human Services, Division of Child Support Services, on behalf of TALX Corporation, commencing June 1, 2022, and ending May 31, 2023, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, 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 Contract Amendment #1 for Equifax Verification Services for Use of the Work Number 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 the Colorado Department of Human Services, Division of Child Support Services, on behalf of TALX Corporation, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to electronically sign and submit said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of June, A.D., 2022, nunc pro tunc June 1, 2022. BOARD OF COUNTY COMMISSIONERS WE J D COUNTY, COLORADO ATTEST: ...0% Weld County Clerk to the Board County Attorney Date of signature: 7/7/2-2 SEotttt K. James, Chair Perry L. B Steve Mor Lori Sarne cc:1-ISD 7/27/22 2022-1825 HR0094 Con-vaCf I Pif 590q PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 24, 2022 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Colorado Department of Human Services' Amendment #1 for use of The Work Number Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Amendment #1 with the Colorado Department of Human Services for The Work Number. The Colorado Department of Human Services (CDHS) has issued an Amendment #1 for access to Equifax Verification Services (EVS) for The Work Number. The State contracts with TALX Corporation for EVS, which is the largest proprietary database of up-to-date employment and income data. The Work Number is used by the Assistance Payments, Child Support, Family Resource and Employment Services Divisions to verify income resulting in more efficient eligibility determination, fraud prevention and work activity participation. This Amendment adds an additional term which will be June 1, 2022 through May 31, 2023 and establishes a minimum financial obligation for each county in the event that the statewide minimum is not met. Weld's portion of the total minimum financial obligation is $372,045.25. I do not recommend a Work Session. I recommend approval of this Amendment #1 and authorize the Chair to sign via DocuSign. Approve Recommendation Perry L. Buck Mike Freeman, Pro -Tern Scott K. James, Chair Steve Moreno Lori Saine Schedule Work Session Other/Comments: Pass -Around Memorandum; May 24, 2022 - CMS ID 5904 2022-1825 0(0/21 WR-00c1,4 DocuSign Envelope ID: 3E37F8E2-3B47-43EF-BCC6-C9EF2D90643A CONTRACT AMENDMENT #1 SIGNATURE AND COVER PAGE State Agency Department of Human Services Division of Child Support Services Original Contract Number 21 IHGA 168856 Contractor Amendment Contract Number Weld County 22 IHGA 175897 Current Contract Maximum Amount Contract Performance Beginning Date Initial Term 6/1/2022 6.1.2021 — 5.31.2022 $243,604.28 Extension Terms Current Contract Expiration Date 6.1.2022 — 5.31.2023 $372,045.25 5/31/2023 Total for All Fiscal Years $615,649.53 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizing his or her signature. CONTRACTOR Signed: Weld County —DocuSgned by: _.• Scoff �. jA44 '5 STATE Jared Department Michelle Barnes, Signed: OF COLORADO S. Polis, Governor of Human Services Executive Director —DocuSigned by: 150,4.4.72. Pa,,4.d• N. —FF03737468F842E... Printed Name: Scott K. James '—E158D59FC154462... Printed Name: Barry J. Pardus Title: Chairman, Board of weld Coure.Commissioners Deputy Director - OES Date: 6/27/2022 Date: 5/13/2022 In accordance with §24-30-202 C.R.S., this Amendment authorized STATE Robert By: is not valid until signed and dated below by the State Controller or an delegate. CONTROLLER Jaros, CPA, MBA, JD e—DocuSigned by: I;vi: 14Va$a.Ndon. Andrea Eurich /' r'°l °ik629?41n Williamson 6/27/2022 Amendment Effective Date: Amendment Contract Number: Page 1 of 3 Rev. 1/14/19 1. PARTIES This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE AND TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown on the Signature and Cover Page for this Amendment. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment or June 1, 2022, whichever is later and shall terminate on the termination of the Contract. 4. PURPOSE The State entered into a Contract with the TALX Corporation, a provider of Equifax Verification Services ("EVS"), for use of The Work Number. The State and the County entered into a Contract that allows the County to participate with the State acting as a pass -through entity to benefit from bulk pricing on income verification from The Work Number. This Amendment adds an additional term and modifies the Contract Maximums Amount. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Expiration Date shown on the Signature and Cover Page for this Amendment. B. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. C. Exhibit A — Statement of Work is modified by the addition of Exhibit A-1 — Statement of Work, attached and incorporated herein. D. Exhibit C — Amendment 9 — 22 IHGA 169011 is modified by the addition of Exhibit C-1 — Amendment 11— 22 IHGA 175559, attached and incorporated herein. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except Amendment Contract Number: Page 2 of 3 Rev. 1/14/19 as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Amendment Contract Number: Page 3 of 3 Rev. 1/14/19 Exhibit A-1 — Statement of Work A. Background For purposes of this Exhibit A, Contractor may also be referred to as "County." The State has entered into a contract (Exhibit B — Universal Membership Agreement - 16 IHEA 83111) with TALX Corporation, a provider of Equifax Verification Services ("EVS") and intends to execute an amendment (Exhibit C — Amendment 11 - 22 IHGA 175559) to the Universal Membership Agreement (collectively "Work Number Agreement"). The Work Number Agreement allows EVS to provide employment verification services directly to Colorado counties. The State acts only as a pass -through entity, meaning that EVS will bill the State for fees incurred by the counties, and the State will then bill the counties individually. The Work Number Agreement is between the State and EVS with participating counties each signing Participation Agreements (see Exhibit 1 to Universal Membership Agreement). The Work Number Agreement obligates the counties collectively and Contractor individually to pay EVS via the State for services rendered so the State and County are entering into this Contract to memorialize the State's and County's responsibilities as they relate to the Work Number Agreement. B. Payment County shall pay the State for County's use of services within the scope of the Work Number Agreement. The State shall promptly pass through County's payments to EVS in accordance with the Work Number Agreement. Except within its role as a pass through entity, the State is not liable for County's obligations incurred under this Contract or the Work Number Agreement. The State shall provide each County an invoice at least 30 days prior to the date the payment is due to EVS. The State shall ensure that any payment to the State is paid over to EVS prior to the date that payment is due to EVS. C. Annual Minimum The Work Number Agreement by the terms of the Schedule A obligates each Participating County, through the State as the pass -through entity, to pay the Participating County's proportionate share of the Annual Minimum Payment as set forth in this Contract and Exhibit 1 to the Schedule A. The Minimum Payment for the period of June 1, 2022 to May 31, 2023 is $4,857,250.00, which is based upon an estimated 725,000 income verification requests at $6.65 per income verification request, plus a $3,000 per month service fee. County's responsibility for its share of any deficiency survives termination of this Contract or the Work Number Agreement. County is responsible for its percentage of the Annual Minimum Payment based upon the following formula: [County's Minimum Usage] / [Total Participating counties' Previous Usage] = County Percentage [County Percentage] X [Annual Minimum Payment] + [Admin Feel= County Financial Obligation IF County's Actual Annual Payment is less than County's Financial Obligation, THEN County is considered a Deficient County and shall pay any deficiency according to the following formula: [Annual Minimum Payment] — [Total Actual Annual Payment] = Total Deficiency [County Financial Obligation] — [County Actual Annual Payment] = County Deficiency [County Deficiency] / [Total counties' Deficiency] = Deficient County Percentage [Deficient County Percentage] X [Total Deficiency] = Deficient County Payment to State Page 1 of 3 This table represents each county's financial obligation: County Minimum Usage (June 2022 - May 31, 2023) Minimum Cost (June 2022 - May 31, 2023) Account Service Fee (June 2022 - May 31, 2023) Total Financial Obligation (June 2022 - May 31, 2023) Adams 46,847 $311,532.55 $2,326.20 $313,858.75 Alamosa 68 $452.20 $3.38 $455.58 Arapahoe 90,549 $602,150.85 $4,496.23 $606,647.08 Archuleta 65 $432.25 $3.23 $435.48 Bent 23 $152.95 $1.14 $154.09 Boulder 21,395 $142,276.75 $1,062.37 $143,339.12 Broomfield 4,015 $26,699.75 $199.37 $26,899.12 Clear Creek 23 $152.95 $1.14 $154.09 Conejos 98 $651.70 $4.87 $656.57 Crowley 194 $1,290.10 $9.63 $1,299.73 Delta 813 $5,406.45 $40.37 $5,446.82 Denver 110,665 $735,922.25 $5,495.09 $741,417.34 Douglas 2,139 $14,224.35 $106.21 $14,330.56 Eagle 1,519 $10,101.35 $75.43 $10,176.78 Elbert 23 $152.95 $1.14 $154.09 El Paso 53,389 $355,036.85 $2,651.04 $357,687.89 Fremont 3,315 $22,044.75 $164.61 $22,209.36 Grand/Jackson 211 $1,403.15 $10.48 $1,413.63 Gunnison 193 $1,283.45 $9.58 $1,293.03 Jefferson 48,601 $323,196.65 $2,413.29 $325,609.94 Kiowa 23 $152.95 $1.14 $154.09 Kit Carson 23 $152.95 $1.14 $154.09 Lake 222 $1,476.30 $11.02 $1,487.32 La Plata/San Juan 1,961 $13,040.65 $97.37 $13,138.02 Larimer 35,329 $234,937.85 $1,754.27 $236,692.12 Las Animas 360 $2,394.00 $17.88 $2,411.88 Mesa 6,778 $45,073.70 $336.56 $45,410.26 Moffat 367 $2,440.55 $18.22 $2,458.77 Montezuma 2,475 $16,458.75 $122.90 $16,581.65 Morgan 4,601 $30,596.65 $228.46 $30,825.11 Park 23 $152.95 $1.14 $154.09 Pitkin 82 $545.30 $4.07 $549.37 Prowers 23 $152.95 $1.14 $154.09 Pueblo 16,387 $108,973.55 $813.70 $109,787.25 Rio Grande/Mineral 109 $724.85 $5.41 $730.26 Routt 492 $3,271.80 $24.43 $3,296.23 San Miguel/Ouray 180 $1,197.00 $8.94 $1,205.94 Summit 480 $3,192.00 $23.83 $3,215.83 Weld 55,532 $369,287.80 $2,757.45 $372,045.25 CDHS SNAP QA 408 $2,713.20 $20.26 $2,733.47 HCPF 215,000 $1,429,750.00 $10,675.86 $1,440,425.86 Page 2 of 3 TOTAL 725,000 $4,821,250.00 $36,000.00 $4,857,250.00 D. Miscellaneous Provisions 1. State is acting as a fiscal agent for County, passing through payment of all costs from County to EVS, including the Annual Minimum Payment. The State shall not be liable for any debt or payment obligation, including the Annual Minimum Payment, incurred by County pursuant to this Contract or the Work Number Agreement, provided, however, that any failure by the State to pass through such payments from County shall constitute a breach of this Contract by the State. The State shall be obligated to pay over to EVS any funds received from a County. Upon breach of this agreement by the State, the County shall have the right to terminate this Contract upon written notice and at least thirty (30) days in which the State may cure the breach or any other remedy allowed by law. If County fails to pay the State for County's costs incurred under this Contract or the Work Number Agreement, the State shall have the right to terminate this Contract upon written notice and at least thirty (30) days in which County may cure the breach. 2. The Work Number Agreement is for the benefit of County. Any amendments or changes to the Work Number Agreement or any new Schedule A or amendments to Schedule A must be signed by or approved by a person authorized by the governing body for each County in accordance with the County's local procedures prior to the amendment or change being effective as to a participating county. The State shall not execute amendments or revisions to the Work Number Agreement or Schedule A that bind any participating county without the participating counties' consent as provided herein. 3. County's liability for any unpaid fees owed under this Contract or the Work Number Agreement shall survive termination of this Contract as to County who has not paid all required fees until the State receives payment from County. 4. Annual Termination: Unless specified elsewhere in this Contract or the Work Number Agreement, the State or County may only terminate this Contract, upon 60 days written notice, so as to align with the end of an annual term stated in the Work Number Agreement. If a County elects to terminate it shall not be obligated to expend any funds, including any annual minimum payment, for the years following its termination. 5. The State may execute similar agreements with new counties not originally part of this Contract or the Work Number Agreement. If the State executes a similar agreement with a new county or counties, the State and County will recalculate the annual minimum for the subsequent annual term. 6. County hereby grants the State authority to do the following: a. Extend until May 31, 2023 the State's agreement with TALX corporation; and b. Amend, in accordance with this Contract, the State's contract with TALX Corporation. Page 3 of 3 Exhibit C-1 — Amendment 11— 22 IHGA 175559 AMENDMENT 11 TO: THE UNIVERSAL MEMBERSHIP AGREEMENT This Amendment 11 is entered into by and between TALX Corporation, a provider of Equifax Verification Services ("TALX" or "EVS") and The State of Colorado, Colorado Department of Human Services ("CDHS" or "Agency") jointly "the Parties," with reference to the following: WHEREAS, the Parties entered into that certain Universal Membership Agreement, last signed by the parties on or about August 26, 2015 (the "Agreement"); and WHEREAS, the Parties made effective the Schedule A — The Work Number® Express Social Service on October 19, 2016 (the "Schedule A"); and WHEREAS, the CDHS exercised its first optional annual renewal term (as permitted in Section II of Schedule A, by means of that certain Successive Term 1 Schedule A made effective by the parties on December 28, 2016 (the "Successive Term Schedule A"); and WHEREAS, the Parties amended the Successive Term Schedule A to provide verification of employment and income services for 2 (two) additional months, beginning January 1, 2018 through February 28, 2018 (the "Temporary Extension Period") while the State worked to get approval from the participating counties to authorize the successive term; and WHEREAS, CDHS exercised its second optional renewal term (as permitted in Section II of Schedule A, by means of that certain Amendment 1 to Schedule A made effective by the parties on February 28, 2018, for the term beginning March 1, 2018 and ending on February 28, 2019 ("Amendment 1"); and WHEREAS, the Parties subsequently amended the Successive Term Schedule A to provide verification of employment and income services for 3 (three) additional months, March 1, 2019 through May 31, 2019 (the "Second Temporary Extension Period; Amendment 2") while the State worked to get approval from the participating counties to authorize the successive term; and WHEREAS, the Parties subsequently amended the Schedule A to provide verification of employment and income services for 3 (three) additional months, beginning June 1, 2019 through August 31, 2019 (the "Third Temporary Extension Period; Amendment 3") while the State continued to evaluate the new pay date enhancement in order to determine the number of transactions needed for the new contract; and WHEREAS, the Parties subsequently amended the Schedule A to provide verification of employment and income services for 2 (two) additional months, beginning September 1, 2019 through October 31, 2019 (the "Fourth Temporary Extension Period; Amendment 4") while the State continued to evaluate the new pay date enhancement in order to determine the number of transactions needed for the new contract; and Amendment #11 to the Universal Membership Agreement Page 1 of 6 CUS-22-22202 State of Colorado - Department of Human Services JKR 4.25.2022 WHEREAS, the Parties subsequently amended the Schedule A to (i) provide verification of employment and income services for 1 (one) additional year, beginning November 1, 2019 through October 31, 2020, (2) add a Scope of Work, and (3) amend the Service Description Overview ("Amendment 5); and WHEREAS, the Parties subsequently amended Schedule A in order to provide the verification of employment and income services for 1 (one) additional month, from November 1, 2020 through November 30, 2020 (the "Fifth Temporary Extension Period; Amendment 6"); and WHEREAS, the Parties subsequently amended Schedule A in order to provide the verification of employment and income services for 4 (four) additional months from December 1, 2020 through March 31, 2021 (the "Sixth Temporary Extension Period; Amendment 7"); and WHEREAS, the Parties subsequently amended Schedule A in order to provide the verification of employment and income services for 2 (two) additional months from April 1, 2021 — May 31, 2021 (the "Seventh Temporary Extension Period; Amendment 8"); and WHEREAS, the Parties subsequently amended the Agreement in order to provide the verification of employment and income services for 1 (one) additional year from June 1, 2021 — May 31, 2022 and allow Colorado government entities, "Participating Entities", in addition to their existing Participating Counties, to use the Services pursuant to the terms of the Agreement (the "Third Successive Schedule A; Amendment 9"); and WHEREAS, the Parties subsequently amended the Agreement in order to add a new Section to the Statement of Work to Schedule A for Participating Entities only regarding Web Services and to allow HCPF a Pilot Period ("Amendment 10"); and WHEREAS, the Parties desire to add access to the system by Batch with the applicable terms and conditions outlined herein; and amend the Agreement as set forth below. All other terms and conditions of the Agreement, as previously amended, remain unchanged and in full force and effect. For purpose of this Amendment 11, all capitalized terms used herein and otherwise defined shall have the meaning set forth in the Agreement. NOW, THEREFORE, upon Colorado State Controller signature, and effective on June 1, 2022 , the Parties do hereby agree to amend the Agreement as follows: This Amendment 11 may be executed in multiple, identical, original counterparts, each of which shall be deemed to be an original, but all of which, taken together, shall constitute one and the same document. A. CDHS hereby exercises a one (1) year extension beginning June 1, 2022 and ending on May 31, 2023. Amendment #11 to the Universal Membership Agreement Page 2 of 6 CUS-22-22202 State of Colorado - Department of Human Services JKR 4.25.2022 B. Pricing Terms & Conditions: Verification Fees: Employment Summary (SSN Search) shall remain unlimited at no charge. Income Verifications Minimum Annual Fixed Fee (June 1, 2022 — May 31, 2023) $4,821,250 Transaction Ceiling (Total # of Transactions) (June 1, 2022 — May 31, 2023) 725,000 Cost Above Ceiling (Per Transaction) $6.65 • Monthly Account Servicing Fee for the Fourth Successive Schedule Extension Period: $3,000.00 • The Fixed Fee for the products listed will be payable as the Transactions come in (billed at the Cost Above Ceiling rate per Transaction). At the end of the Extension Period, if CDHS has not met the Minimum Annual Fixed Fee, the difference between the Minimum Annual Fixed Fee and that for the Transactions paid will be due and payable. • The above pricing reflects the rate for each successful Transaction and is based on one use/decision per Transaction. A "Transaction" is defined by a database search which successfully returns Data. Each employer returned in a Verification Report constitutes a separate "Transaction". For example, two (2) employers returned in a Verification Report will count as two (2) separate Transactions. • Each Transaction performed above the included Total Number of Transaction Ceiling, will be charged at the Cost Above Ceiling Per Transaction fee noted above and shall be billed beginning in the month in which the Transaction Ceiling has been exceeded. • EVS may modify the Service Descriptions or Fee on thirty (30) days' notice to CDHS. CDHS may terminate the Service within thirty (30) days after notice of a modification to the Service Description or Fee on written notice to EVS. Absence of such termination shall constitute CDHS's agreement to such modification. • Notwithstanding anything herein or the Agreement to the contrary, in the event CDHS terminates the Agreement or Schedule A prior to the end of the current term, CDHS shall pay one hundred percent (100%) of the remaining Minimum Annual Fixed Fee amount due under the current term obligation, including any Cost Above Ceiling overage fees that have been incurred, but not paid. Should CDHS cancel prior to the end of the month, that month (and any Cost Above Ceiling overage fees incurred in that month) shall be considered part of the remaining Minimum Annual Fixed Fee. C. Exhibit 1 to Schedule A is in addition to the existing Exhibit 1(s) to Schedule A as follows: County Minimum Usage (June 2022 - May Minimum Cost (June 2022 - Account Service Fee (June 2022 - Total Financial Obligation (June 31, 2023) May 31, 2023) May 31, 2023) 2022 - May 31, 2023) Adams 46,847 $311,532.55 $2,326.20 $313,858.75 Alamosa 68 $452.20 $3.38 $455.58 Arapahoe 90,549 $602,150.85 $4,496.23 $606,647.08 Archuleta 65 $432.25 $3.23 $435.48 CUS-22-22202 Amendment #11 to the Universal Membership Agreement State of Colorado - Department of Human Services JKR 4.25.2022 Page 3 of 6 Bent 23 $152.95 $1.14 $154.09 Boulder 21,395 $142,276.75 $1,062.37 $143,339.12 Broomfield 4,015 $26,699.75 $199.37 $26,899.12 Clear Creek 23 $152.95 $1.14 $154.09 Conejos 98 $651.70 $4.87 $656.57 Crowley 194 $1,290.10 $9.63 $1,299.73 Delta 813 $5,406.45 $40.37 $5,446.82 Denver 110,665 $735,922.25 $5,495.09 $741,417.34 Douglas 2,139 $14,224.35 $106.21 $14,330.56 Eagle 1,519 $10,101.35 $75.43 $10,176.78 Elbert 23 $152.95 $1.14 $154.09 El Paso 53,389 $355,036.85 $2,651.04 $357,687.89 Fremont 3,315 $22,044.75 $164.61 $22,209.36 Grand/Jackson 211 $1,403.15 $10.48 $1,413.63 Gunnison 193 $1,283.45 $9.58 $1,293.03 Jefferson 48,601 $323,196.65 $2,413.29 $325,609.94 Kiowa 23 $152.95 $1.14 $154.09 Kit Carson 23 $152.95 $1.14 $154.09 Lake 222 $1,476.30 $11.02 $1,487.32 La Plata/San Juan 1,961 $13,040.65 $97.37 $13,138.02 Larimer 35,329 $234,937.85 $1,754.27 $236,692.12 Las Animas 360 $2,394.00 $17.88 $2,411.88 Mesa 6,778 $45,073.70 $336.56 $45,410.26 Moffat 367 $2,440.55 $18.22 $2,458.77 Montezuma 2,475 $16,458.75 $122.90 $16,581.65 Morgan 4,601 $30,596.65 $228.46 $30,825.11 Park 23 $152.95 $1.14 $154.09 Pitkin 82 $545.30 $4.07 $549.37 Prowers 23 $152.95 $1.14 $154.09 Pueblo 16,387 $108,973.55 $813.70 $109,787.25 Rio Grande/Mineral 109 $724.85 $5.41 $730.26 Routt 492 $3,271.80 $24.43 $3,296.23 San Miguel/Ouray 180 $1,197.00 $8.94 $1,205.94 Summit 480 $3,192.00 $23.83 $3,215.83 Weld 55,532 $369,287.80 $2,757.45 $372,045.25 CDHS SNAP QA 408 $2,713.20 $20.26 $2,733.47 HCPF 215,000 $1,429,750.00 $10,675.86 $1,440,425.86 TOTAL 725,000 $4,821,250.00 $36,000.00 $4,857,250.00 CUS-22-22202 Amendment #11 to the Universal Membership Agreement State of Colorado - Department of Human Services JKR 4.25.2022 Page 4 of 6 D. Agency Use of Service. The parties agree to amend Schedule A — The Work Number® Express Social Service Verification — Fees and Service Description in order to add eBatch Services and access. The parties agree to revise Sections I (a), I(b) and I(c) in their entirety to now read as follows: I) (a) - Product. i. The Work Number® Express Social Service Verification. A Social Service verification report provided via the Service ("Verification Report") will include, without limitation and as available, the Consumer's (i) employer name, (ii) employment status, (iii) employer address, (iv) employment dates, (v) position title, (vi) medical and dental insurance information, (vii) employer wage garnishment address, (viii) pay rate, (ix) up to three (3) years of year-to-date gross income details, and (x) up to three (3) years of pay period detail. Data provided may be from current or prior employers. ii. The Work Number® eBatch Employment Verification. An Employment Verification, provided in a batch -only delivery mode ("eBatch Service"), includes the Consumer's (i) employer name, (ii) employer address, (iii) employment status, (iv) most recent hire date, (v) total length of service, and (vi) position title, where available. iii. The Work Number® eBatch Income Verification. An Employment and Income Verification, provided in a batch -only delivery mode ("eBatch Service"), includes the Consumer's (i) employer name, (ii) employer address, (iii) employment status, (iv) most recent hire date, (v) total length of service, (vi) position title, where available, and up to three years of income history, where available. I) (b) — Input Requirements. i. Online. Agency shall request access to Data and Service by inputting the Consumer's social security number at the relevant EVS website. ii. eBatch (Employment and/or Income). Agency may request the Data and Service be delivered via `batch' by creating and delivering a request file of a minimum of one hundred (100) social security numbers to EVS using EVS's standard format and secure batch website. If utilized, the `batch' Service requires the Agency or Participating County, to periodically create and deliver a request file of Consumer social security numbers to EVS. EVS will process the request file and deliver a return file of "Active" only Employment or Income Verifications on social security numbers for which it has Data. Each party will bear the cost of producing their batch files. Upon submission of a file, Agency is obligated to pay all charges and/or fees in accordance with the Payment Terms and Pricing between EVS and Agency. Agency is responsible for providing a file in the correct format and for ensuring that the file being submitted is not in error. I)(c) — Output. i. Online. The Service will be delivered online, providing automated access to requested Data. ii. eBatch (Employment and/or Income). Upon submission of a file, Agency is obligated to pay all resultant Fees in accordance with the Agreement. Following a batch submission consistent with the input requirements above, EVS will deliver a return file of Data via the secure batch website. Amendment #11 to the Universal Membership Agreement Page 5 of 6 CUS-22-22202 State of Colorado - Department of Human Services JKR 4.25.2022 IN WITNESS WHEREOF, the Parties have executed this 11TH Amendment through their duly authorized representatives. STATE OF COLORADO Jared Polis, GOVERNOR Colorado Department of Human Services Michelle Barnes, Executive Director By (signature): Name (print): Title: Date: TALX Corporation, provider of Equifax Verification Services By (signature): Name (print): Title: Date: This Amendment 11 is not valid until signed and dated below by the Colorado Department of Human Services' Controller or Deputy Controller COLORADO DEPARTMENT OF HUMAN SERVICES CONTROLLER By (signature): Name/Title: (print): Date: Amendment #11 to the Universal Membership Agreement Page 6 of 6 CUS-22-22202 State of Colorado - Department of Human Services JKR 4.25.2022 Contract Form New Contract Request Entity Information Entity Name* Entity ID* COLORADO DEPARTMENT OF HUMAN (CP©0003650 SERVICES Contract Name* COLORADO DEPARTMENT OF HUMAN SERVICES (WORK NUMBER AMENDMENT #1) Contract Status CTB REVIEW ❑ New Entity? Contract ID 5904 Contract Lead* COBBXXLK Contract Lead Email cobbxxIkrco.weld.co.us Parent Contract ID 20211367 Requires Board Approval YES Department Project # Contract Description AMENDMENT #1 (21 IHGA 16494) TO THE ANNUAL CONTRACT (21 IHGA 168856) WITH THE STATE FOR USE OF THE WORK NUMBER. 21 IHGA 168856. I ERM: JUNE 1, 2022 TO MAY 31, 2023, REQUEST CHAIR TO SIGN AGREEMENT VIA DOCUSIGN Contract Description 2 PA ROUTING THROUGH NORMAL APPROVAL PROCESS. ETA TO CTB 5 , 26,, 22. Contract Type* AMENDMENT Amount* S725,000.00 NO Automatic Renewal IGA Department HUMAN SERVICES Department Email CM- HumanServices� weldgov.co m Department Head Email CM-HumanServices- DeptHead aweldgov.com County Attorney GENERAL COUNTY A I ORNEY EMAIL County Attorney Email CM- COU NTYA I I ORN EYi@WELDG OV,COM Requested BOCC Agenda Date* 06 22 2022 Due Date 06,18;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 OnBase Contract Dates Effective Date Review Date* 03; 3112023 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Committed Delivery Date Expiration Date* 05;31/2023 Contact Type Contact Email Contact Phone I Contact Phone 2 Purchasing Approver Purchasing Approved Date Approval Process Department Head JAMIE ULRICH DH Approved Date 06x"21 ,?2022 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06;27x'2022 Originator COBBXXLK Finance Approver CHERYL PATTELLI Legal Counsel BRUCE BARKER Finance Approved Date Legal Counsel Approved Date 06121 x2022 06;''21 ;2022 Tyler Ref # AG 062722 Cheryl Hoffman From: Sent: To: Cc: Subject: Attachments: Good afternoon, COMMUNICATION ITEM: Attached please find the Holdover Provision/End of Term Extension letter for the TALX Corporation, a provider of Equifax Verification Services (EVS) (WorkNumber), 21 IHGA 168856, also known as: Windy Luna Tuesday, May 30, 2023 4:39 PM CTB HS -Contract Management COMMUNICATION ITEM & FAST TRACK ITEM: Holdover Provision/End of Term Extension for (21 IHGA 168856) Work Number Holdover Provision 21 IHGA 168856 - 052223.pdf Tyler I D# 2020-3607. Tyler ID// 2021-1367. Tyler I D# 2022-1825. ID if ezor, ig.42,Lefeot, This letter is effective June 1, 2023, and extends the term date through July 31, 2023. During the Holdover Period the maximum amount payable is $62,007.54. FAST TRACK ITEM: This item is known as (CMS 7048), and has been entered for tracking purposes only. Please let me know if you need anything else. Thank you, Windy Luna Contract Management and Compliance Coordinator Weld County Dept. of Human Services 315 N. 11th Ave.. Bldg A PO Box A Greeley, CO 80632 (970) 400-6544 (970) 353-5212 i>lwluna@weld.gov 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. Co Mhvn : Co, -No n -S 1 °6/07/23 O2oaoz-ioca� /--Pecog4- DocuSign Envelope ID: A0BB846C-15BF-4BC2-9A44-FF5F4D182D79 Original CMS #168856 Holdover Letter CMS # 184042 Holdover Letter eClearance # 2309462 May 22, 2023 Weld County Jamie Ulrich P.O. Box 758 Greeley, CO 80632 RE: Notice of Exercise of Holdover Provision/End of Term Extension Dear Jamie Ulrich, You are hereby notified that in accordance with provision 2.D of contract routing number 21 IHGA 168856 between the State of Colorado, Department of Human Services, and Weld County, the State hereby exercises the holdover provision (otherwise referred to as "End of Term Extension") for a period not to exceed two months (Holdover Period), effective June 01, 2023, at the same rates and terms of the contract. During the Holdover Period, the maximum amount payable is $62,007.54. The Holdover Period ends July 31, 2023, or when a new contract executes, whichever occurs first. If you have any questions or need additional information, please reach out to Jacques Livingston at Jacque.Livingston@state.co.us, or 303-866-3378. Thank you, DocuSigned by: tea. V Perev C16[3D6O`C164462_.. Barry Pardus Colorado Department of Human Services 1575 Sherman Street Denver, Colorado, 80203 Holdover Letter Page 1 of 1 Cheryl Hoffman From: Sent. To. Subject: noreply@weldgov corn Tuesday, May 30, 2023 4 42 PM CM-ClerktoBoard, Windy Luna, Lesley Cobb, CM-HumanServices-DeptHead Fast Tracked Contract ID (7048) Contract # 7048 has been Fast Tracked to CM -Contract Maintenance You will be notified in the future based on the Contract information below Entity Name COLORADO DEPARTMENT OF HUMAN SERVICES Contract Name COLORADO DEPARTMENT OF HUMAN SERVICES HOLDOVER PROVISION/END OF TERM EXTENSION (TALX/WORKNUMBER/EQUIFAX) (21 IHGA 16856) Contract Amount $62,007 54 Contract ID 7048 Contract Lead WLUNA Department HUMAN SERVICES Review Date 5/31/2023 Renewable Contract NO Renew Date Expiration Date 7/31/2023 Tyler Ref # Thank -you Hello