HomeMy WebLinkAbout20192211.tiffCOn+rac+ zfl #e-j-7?O
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: May 18, 2021
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Agreement Amendment with UABACO, LLC
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 Agreement Amendment with UABACO, LLC. The
Department entered into a Child Protection Agreement for services with UABACO, LLC, identified as
Tyler ID 2019-2211 on June 12, 2019. The Agreement was amended again on May 13, 2020 to extend
the tern date through May 31, 2021. The Agreement is now being amended to renew for a third and final
year, for the period of June 1, 2021 through May 31, 2022 and to make changes to the Rate Schedule as
noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this
information.
$13.00/Test (10 Panel Quick Test)
$25.00/Test (11 Drug Panel — Panel -23964709)
$10.00/Test (5 Panel Quick Test)
$40.00/Drug (6 a.m. Test)
$12.00/Test (7 Drug Panel — Panel 2870)
$20.00/Test (8 Panel with Etg — Panel 96280)
$2.00/Test (Breathalyzer)
$40.00/Drug (Confirmation all drugs)
$40.00/Test (D vs L Isomer)
$80.00/Test (DHS Hair Test 5 Panel- Cocainc:,_`l'13t:_. Opiates, Arr1ntl+�leth,_PCI?)
7 panel I lair „hesti4 $90 (5 panel Plus; methadone, oxycodone)
9 panel Hair_ estirf $100 (7 panel Plus me:tlattdone,-benzo, fent)
$20.00/Test (Ecstasy Test)
$24.00/Test (EtG Single/ETS Urine Alcohol — Panel 2911)
$45.00/Test (Extended Opiates)
$55.00/Test (GHB)
$45.00/Test (Kratom)
$2.00/Episode (Medication Monitor and Antabuse Provision)
$40.00/Test (Metabolite)
$20.00/Test (Methadone — Panel 16)
Pass -Around Memorandum; May 18, 2021- ID 4770
asiboseil Arolo.d
O51acora
Page 1
00,x,-�a1(
4-19)0090
PRIVILEGED AND CONFIDENTIAL
$40.00/Test (Opiates)
$25.00/Test (Oral Fluid Confirmation)
$25.00/Test (Oral Swab Quick Test 6 Drug Panel)
$30.00/Test (Oxycodone Screen — Panel 87.5)
$40.00/Test (Phencyclidine, PCP)
$45.00/Test (Spice/K2 Screen — Panel 3502)
$175.00/Test (Steroid Test)
$30.00/Test (Suboxone Screen)
$45.00/Test (Synthetic Stimulants/Bath Salts/Khat Screen— Panel 3601)
$47.00/Test (Toxic Vapors)
$40.00/Test (Tramadol Screen)
$145.00/Test (Weld DIIS Designer/Synthetic Stimulant
135.00/1'est (,Weld DRS Oral SWAB Lab Test, 6 Panel)
I do not recommend a Work Session. I recommend approval of this Agreement Amendment.
Approve
Recommendation
Perry L. Buck
Mike Freeman
Scott K. James, Pro-Tem
Steve Moreno, Chair
Lori Saine
Schedule
Work Session
Other/Comments:
Pass -Around Memorandum; May 18, 2021 — ID 4770 page 2
AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND UABACO, LLC.
+h
This Agreement Amendment, made and entered into 9l.0 day of Matt' 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 UABACO, LLC., hereinafter referred to as the
"Contractor".
WHEREAS the parties entered into an Agreement for Monitored Sobriety Services, (the "Original
Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-
2211, approved on June 12, 2019.
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 May 31, 2020.
• The Original Agreement was amended on:
May 13, 2020 to extend the term date through May 31, 2021 and to amend the Rate
Schedule
The Amendments are identified by the Weld County Clerk to the Board of County
Commissioners as document number 2019-2211.
• 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
This agreement is being renewed for a third and final year, for the period of June 1, 2021 through May
31, 2022.
2. Exhibit D, Rate Schedule, is hereby amended as attached.
• All other terms and conditions of the Original Agreement remain unchanged.
02019- 021
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and
year first above written.
COUNTY;,
Al 1'EST:
Weld C
By:
diazAtiv
Clerk to the Board ' k' { / - WELD C UNTY, COLORADO
BOARD OF COUNTY COMMISSIONERS
Deputy Clerk t
ve Moreno, Chair MAY 2 6 2021
ONTRACTOR:
UABACO, LLC.
1907 Boise Avenue, Suite 2
Loveland, Colorado 80538
By:
Date:
Oh 11M
Mich Lam (IAay Ill, 20x119-55 MDT)
Nich Lam, Owner
May 10, 2021
EXHIBIT D
RATE SCHEDULE
1. Funding and Method of Payment
The Department agrees to reimburse the Contractor in consideration of the work and services performed
under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the
Contractor during the term of this Agreement shall be reported by the Department after May 31, 2022.
Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department
expenditures and shall not be reimbursed by the Department.
Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the
continuing availability of said funds for the purposes hereof. In the event that said funds, or any part
thereof, become unavailable as determined by the Department, the Department may immediately terminate
the Agreement or amend it accordingly.
2. Fees for Services
Rate
Unit Type
Service Name
$13.00
Test
10 Panel Quick Test
$25.00
Test
11 Drug Panel - Panel 2396
$10.00
Test
5 Panel Quick Test
$40.00
Drug
6 A.M. Test
$12.00
Test
7 Drug Panel - Panel 70
$20.00
Test
8 Panel with Ethyl Glucuronide (EtG) — Panel 280
$2.00
Test
Breathalyzer
$40.00
Drug
Confirmation all drugs
$40.00
Test
D vs Isomer
$80.00
Test
DHS Hair Test 5 Panel- Cocaine, THC, Opiates, Amp/Meth, PCP
$90.00
Test
7 Panel Hair Test (5 panel Plus methadone, oxycodone)
$100.00
Test
9 Panel Hair Test (7 panel Plus benzo, fent)
$20.00
Test
Ecstasy Test
$24.00
Test
EtG Single/ETS Urine Alcohol — Panel 2911
$45.00
Test
Extended Opiates
$55.00
Test
GHB
$45.00
Test
Kratom
$2.00
Episode
Medication Monitor and Antabuse Provision
$40.00
Test
Metabolite
$20.00
Test
Methadone — Panel 16
$40.00
Test
Opiates
$25.00
Test
Oral Fluid Confirmation
$25.00
Test
Oral Swab Quick Test 6 Drug Panel
$30.00
Test
Oxycodone Screen — Panel 87.5
$40.00
Test
Phencyclidine, PCP
$45.00
Test
Spice/K2 Screen — Panel 3502
$175.00
Test
Steroid Test
$30.00
Test
Suboxone Screen
$45.00
Test
Synthetic Stimulants/Bath Salts/Khat Screen — Panel 3601
$47.00
Test
Toxic Vapors
$40.00
Test
Tramadol Screen
$45.00
Test
Weld DHS Designer/Synthetic Stimulants
$35.00
Test
Weld DHS Oral SWAB Lab Test, 6 Panel
3. Submittal of Vouchers
Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other
supporting documentation, and monthly report if applicable, certifying that services authorized were
provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of
Paragraph 3 and Exhibit A.
Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department
by the 7`h day of the month following the month of service, but no later than 60 days from the date of
service. Requests for Reimbursement and/or supporting documentation received after 60 days from the
date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline
may result in termination of the Agreement.
For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client
and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement.
For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the
completed product.
For Monitored Sobriety services, proof of services rendered shall be the test result.
+sr tract Forr
New Contract Request
Entity Information
Entity Name
UABA LLC:
Contract Name*
rUABACO, LLC (AGREEMENT AM4EDNM4EN T )
Contract Status
CTB REVIEW
Contract Description*
BID# B1900025. TERM: Earl 21 -5,,'31
Entity I'[3
100032 "1 R
Contract ID
4770
Contract Lead.k
APEGG
Contract Lead Email
xlio veicigov.com
Contract Description 2
CONSENT. PA IS BEING R4 UTFO THROUGH THE. NORMAL. PROCESS. ETA TO CTB: 5
Contract Type'*
AMENDMENT
Amount*
C`7. Crt�
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
GM-
HLiman Se_rvi e4 '°veldgo .co
rte
Department Head Email
CM-HumanSesvices-
De-tHeac v.=eldgov.corn
County Attorney
GENERAL COUNTY`
A I 1 ORNEY EMAIL
County Attorney Email
CM ....
COUNTYATTORNEY WELDG
OV.COM
1-.....-I New Entity?
Requested BOCC Agenda
Date*
05/26r2021
Parent Contract ID
20192211
Requires Board Approval
YES
Department Project t
Due Date
05,'22 2021
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 riot in
OnBase
Contract Dates
Effective Date
Review Date*
;2022
Renewal Date.
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Committed Delivery Date
Contact Type Contact Email
Expiration Date'
+05(31 2022
Contact Phone 1Contact Phone 2
Purchasing Approver Purchasing Approvers Date
CONSENT 05 19 2021
Approval Process
Department Head
JAMIE ULRIC:H
DH Approved Date
05r 19,°2021
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
05 26'2021
Originator
APECC
Finance Approver
CONSENT
Finance Approved Date
Legal Counsel
CONSENT
Legal Counsel Approved Date
+�5 19;2021 05 19'2021
Tyler Ref ###
AC 052621
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: April 2, 2020
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Child Welfare 2020-21 Service Provider Agreement Amendments
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 Child Welfare 2020-21 Service Provider Agreement
Amendments. The Department entered into agreements with various Child Welfare service providers through
the 2019-20 Request for Proposal (RFP), identified as Tyler ID 2019-0707). These agreements were issued for
a period of three years with the option to renew annually. The attached list reflects the providers, services and
rates, including minor rate changes, the Department wishes to enter into for the period of June 1, 2020 through
May 31, 2021. The Human Services Advisory Commission (HSAC) has reviewed and approved this
information.
Upon Board approval of this pass -around, signed agreement amendments will be obtained from providers and
submitted to the Board for approval and Chair signature.
I do not recommend a Work Session. I recommend approval of these Agreement Amendments.
Mike Freeman, Chair
Scott James
Barbara Kirkrneyer
Steve Moreno, Pro-Tem
Kevin Ross
Approve
Schedule
Recommendation Work Session
Other/Comments:
Pass -Around Memorandum; April 2, 2020 — Not in CMS Page 1
covvseell-- Ared ,
03113 /go
03 A 3 /AO
i 1
ogoolo
VENDOR RENEWALS
Vendor
Program Area
Service Name
Supervised Visitation -In Office
Funding
Core
Rate
$ 116.00
Unit Type
Hour
Supervised Visitation-Larimer County
Care
$' 44,0.00
Hour
Supervised Visitation -Outside Larimer County
Core
$ 206.00
Hour
Visit, Cancellation
Core
$5 50.00
Hour
The Tennyson Center for Children
Day Treatment Services
Mileage
Core
$ 0.50
Mile
Special Education - ASPEN Excess Costs
Core;
$, 161.29
Day
Special Education - ASPEN Therapy
Core
$ 2,820.00
Month
Special Education - ASPEN Therapy & Excess Costs
Core
$ 6,046.00
Month
Special Education - Excess Costs
Core
$ 96.47
Day
Special Education - Therapy
Core
$' 1,770.00
Month
Special Education - Therapy & Excess Costs
Core
$ 3,700.00
Month
Third Way Center
Home Based Services
Next Steps Aftercare Program, Community Based
Core
$ 76.00
Day
Next Steps Aftercare Program, Home Based
Core
$ 55.00
Day
Transitions Psychology Group
Home Studies
Additional Adult(s), After 2
CW Block/Child Welfare Services
$' 250.00
Each
Full SAFE Home study, Up to 2 Adults
CW Block/Child Welfare Services
$ 1,200.00
Episode
Mileage
CW Block/Child Welfare Services
$ 0.56
Mile
Partial Home Study
CW Block/Child Welfare Services
$ 250.00
Episode
Updated SAFE Home Study, Up to 2 Adults
CW Block/Child Welfare Services
$ 600.00
Episode
Life Skills
Mileage
Core
$ 0.56
Mile
Parent Coaching, In Office or Video Conferencing
Core
$ 118.00
Hour
Hour
Parent Coaching, In -Home
Core
$ 177.00
Staffing, FTM, TDM, etc.
Core
$ 138.00
Hour
Therapeutic Visitation, In Office or Video
Conferencing
Core
$ 118.00
Hour
Therapeutic Visitation, In -Home
Core
$ 177.00
Hour
Mental Health Services
Co -Parent Consultation, In Office or Video
Conferencing
Core
$ 118.00
Hour
Co -Parent Consultation,; In -Home ,
Core -
$ 177.00
Hour
Co -Therapy Counseling, In Office
Core
$ 236.00
Hour
Couples Therapy, In Office or Video Conferencing
Core
$ 118.00
Hour
Couples Therapy, In -Home
Core
$ 177.00
Hour
Family Therapy, In Office or Video Conferencing
Core
$ 118.00
Hour
Family Therapy, In -Home
Core
$ 177.00
Hour
Individual Therapy, In Office or Video Conferencing ;
Core '
$ 118.00
Hour
Individual Therapy, In -Home
Core
$ 177.00
Hour
Mileage
Core
$ 0.56
Mile
Staffing, FTM, TDM, etc.
Core
$ 138.00
Hour
Treatment and Evaluation Services
Domestic Violence Intervention
DVOMB Evaluation
CW Block/Child Welfare Services
S 800.00
Episode
Mental Health Services
Psychological Evaluation
Core
$ 1,200.00
Episode
Sexual Abuse Treatment
Offense Specific Evaluation
Core
$' 900.00
Episode
UABACO, LLC
Monitored Sobriety Services
10 Panel Quick Test
CW Block/Child Welfare Services
$ 13.00
Test
11 Drug Panel (Panel 1709)
CW Block/Child Welfare Services
$ 25;00
Test
5 Panel Quick Test
CW Block/Child Welfare Services
$ 10.00
Test
6 Drug Panel (Panel 33)
CW Block/Child Welfare Services
$' 35.00
Test
6AM Testing
CW Block/Child Welfare Services
$ 40.00
Drug
WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION
2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: 82000037 13
VENDOR RENEWALS
Vendor
Program Area
Service Name
�1
8 Panel with EtG (Panel 968)
Breathalyzer:,
Confirmation All Drugs
rl
Panel ,(Panel 280),
Funding
CW Bk ck/Child'Weffere Services.- $
CW Block/Child Welfare Services
CW Bixk/Chilcl`Welfare Services
CW Block/Child Welfare Services
CV/ Block/Child,Vidifare Services
CW Block/Child Welfare Services
CW BIocldChild Welfare Services _
CW Block/Child Welfare Services
CW Biock/Chiid:Weifare Services'
CW Block/Child Welfare Services
CW Bteck/Child Welfare Services
CW Block/Child Welfare Services
CW Block/Child Welfare Services
CW Block/Child Welfare Services
Rate Unit Type
12:00
Test
$ 20.00
Test
2.00
$ 40.00
Test
Drug
Test
mss; L (Isomer)
40:00
Ecstasy Screen
ETG (Single)/E'TS Urine Alcohol' (Panel -29i 1)
Extended Opiates
GHB
$ 20.00
Test
24.00
Test,
Test
Test '
$ 45.00
55.00
Hair Test 5 Panel
$ 80.00
$ 45:00
$ 2.00
$ 40;00
$ 20.00
Test
Kratom
Test '.
Medication Monitor and Antabuse Provision
Episode
Metabolite
-Test
Methadone (Panel 16)
Opiates:
Oral Fluid Confirmation
Test
CW Block/Child Welfare Services '
CW Block/Child Welfare Services
40:00
Test
Test
$ 25.00
Oral Swab Quick Test 6:Drug Panel.
Oxycodone Screen (Panel 87.5)
Phencyclidine (PCP)
Spice/K2 Screen (Panel 3502)
Steroid Test
Suboxone Screen
CW Block/Child-Welfare Services
CW Block/Child Welfare Services
25,00
Test
Test
Test
$ 30.00
$ 40.00
$ 45.00
$ 175.00
$ 30.00
CV/ Block/Child Welfare services
CW Block/Child Welfare Services
Test
CW Block/Child Welfare -Services =_
CW Block/Child Welfare Services
Test
Test
Synthetic Stimulants/Bath Salts/Khat Screen (Panel
3601)
Toxic Vapors
Tramadol Screen
CW Block/Child Welfare Services
CW Block/Child Welfare Services
$ 45:00
$ 47.00
$ 40.00
$ 1,500.00
Tests.,:..
Test
`Pest . .
CW Block/Child Welfare Services
University of Northern Colorado
Youth 'Advocate Program
Child Mentoring and Family Support
Child Mentoring and Family Support
Campus Connections
Core
Episode
Mentoring - Wraparound Advocacy Services
No Show
Core
$ 45.00
$ 23.00
Hour
Core
Hour
WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: 82000037
14
Carri-eza. -1- 35?r
AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND UABACO, LLC
This Agreement Amendment, made and entered into ( 3 day of 1 .04-&-, , 2020 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 UABACO, LLC, hereinafter referred to as the "Contractor".
WHEREAS the parties entered into an Agreement for Monitored Sobriety Services, (the "Original Agreement")
identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2211, approved on June
12, 2019.
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 May 31, 2020.
• 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
This agreement is being renewed for a second full year term, for the period June 1, 2020 through May 31, 2021.
2. Exhibit D, Rate Schedule, 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.
COUNTY:
ATTEST: � l � � OARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board V LD COUNTY, COLORADO
By
a.
uty Clerk to the Board r '„`" -�� ke Freeman, Chair
C or)se IP 4e,e164.
05/15/40
MAY 1 3 2020
CONTRACTOR:
UABACO, LLC
1907 Boise Avenue, Ste. 2
Loveland, CO 80538
By:
Nich Lam, Owner
Date: Apr 292020
mix W�,
Nich Lam (Apr 29, 2020)
cc H50 Onerwist
O5/13/Q6
.014T-21 /
14Raafo
EXHIBIT D
RATE SCHEDULE
1. Funding and Method of Payment
The Department agrees to reimburse the Contractor in consideration of the work and services performed
under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the
Contractor during the term of this Agreement shall be reported by the Department after May 31, 2021.
Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department
expenditures and shall not be reimbursed by the Department.
Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the
continuing availability of said funds for the purposes hereof. In the event that said funds, or any part
thereof, become unavailable as determined by the Department, the Department may immediately
terminate the Agreement or amend it accordingly.
2. Fees for Services
$13.00/Test (10 Panel Quick Test)
$25.00/Test (11 Drug Panel — Panel 1709)
$10.00/Test (5 Panel Quick Test)
$40.00/Drug (6 a.m. Test)
$12.00/Test (7 Drug Panel — Panel 280)
$20.00/Test (8 Panel with Etg — Panel 968)
$2.00/Test (Breathalyzer)
$40.00/Drug (Confirmation all drugs)
$40.00/Test (D vs L Isomer)
$80.00/Test (DHS Hair Test 5 Panel)
$20.00/Test (Ecstasy Test)
$24.00/Test (EtG Single/ETS Urine Alcohol — Panel 2911)
$45.00/Test (Extended Opiates)
$55.00/Test (GHB)
$45.00/Test (Kratom)
$2.00/Episode (Medication Monitor and Antabuse Provision)
$40.00/Test (Metabolite)
$20.00/Test (Methadone — Panel 16)
$40.00/Test (Opiates)
$25.00/Test (Oral Fluid Confirmation)
$25.00/Test (Oral Swab Quick Test 6 Drug Panel)
$30.00/Test (Oxycodone Screen — Panel 87.5)
$40.00/Test (Phencyclidine, PCP)
$45.00/Test (Spice/K2 Screen — Panel 3502)
$175.00/Test (Steroid Test)
$30.00/Test (Suboxone Screen)
$45.00/Test (Synthetic Stimulants/Bath Salts/Khat Screen — Panel 3601)
$47.00/Test (Toxic Vapors)
$40.00/Test (Tramadol Screen)
3. Submittal of Vouchers
Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form,
other supporting documentation, and monthly report if applicable, certifying that services authorized
were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions
of Paragraph 3 and Exhibit A.
Contractor shall submit all Requests for Reimbursement and supporting documentation to the
Department by the 7th day of the month following the month of service, but no later than 60 days from
the date of service. Requests for Reimbursement and/or supporting documentation received after 60
days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the
60 -day deadline may result in termination of the Agreement.
For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client
and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement.
For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the
completed product.
For Monitored Sobriety services, proof of services rendered shall be the test result.
Contract Form
New Contract Request
Entity Information
Entity Name*
UABA LLC
Contract Name*
UABACO LLC (AGREEMENT AMENDMENT)
Contract Status
CTB REVIEW
Entity ID*
@00032710
❑ New Entity?
Contract ID
3577
Contract Lead *
CULLINTA
Contract Lead Email
cullinta@co weld.co.us
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description*
CONSENT. BID NO. 2000037. BOCC APPROVAL 04/15/20.
CHILD PROTECTION AGREEMENT AMENDMENT, TERM: 06/01/20 THROUGH 05/31/21. FUNDING: CORE/OTHER
Contract Description 2
Contract Type*
AGREEMENT
Amount *
$0.00
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM-
HumanServices@weldgov_com
Department Head Email
CM-HumanServices-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WELD
GOV.COM
Requested BOCC Agenda
Date*
04/15/2020
Due Date
04111/2020
Wi1l 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
Termination Notice Period
Review Date*
04/01/2021
Renewal Date
Committed Delivery Date Expiration Date*
05/31/2021
Contact Information
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
,JAMIE ULRICH
DH Approved Date
05/05/2020
Final Approval
BOCC Approved
BOCC Signed Daze
BOCC Agenda Date
05/13/2020
Originator
SNYDERKL
Contact Type Contact Email
Finance Approver
BARB CONNOLLY
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
France Approved Date
05/06/2020
Tyler Ref #
AG 051320
Legal Counsel
GABE KALOUSEK
Legal Counsel Approved Date
05/06/2020
Submit
CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND UA��O, L�C
This Agreement, made and entered into thV�day of 019, by and between the Board of Weld
County Commissioners, on behalf of the Weld County Departme of Human Services, hereinafter referred to as
the "Department' and UABACO, LLC, hereinafter referred to as t e "Contractor".
The parties to this Agreement understand and agree that the provisions of this Agreement specifically
include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response
to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule. Exhibit B, C, and D are attached
hereto and incorporated herein by this reference. Exhibit A is Weld County's Request for Proposal Number
B1900025, which is incorporated into this agreement by reference and will be provided upon request to the
Department.
WITNESSETH
WHEREAS, required approval, clearance, and coordination have been accomplished from and with
appropriate agencies; and
WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration or
other funding to the Department for Monitored Sobriety Services.
NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows:
1. Term
This agreement shall become effective on June 1, 2019, upon proper execution of this Agreement and
shall expire May 31, 2020, unless sooner terminated as provided herein. The agreement is for a period of
three years. However, the agreement must be renewed by both parties, in writing, on an annual basis.
2. Scope of Services
Services shall be provided by the Contractor to any person(s) eligible for services in compliance with
Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services.
3. Referrals, Billing and Tracking
a. Contractor understands and will comply with all aspects of the referral authorization, billing and
tracking requirements as set forth by the Department. Failure to comply with all aspects may result
in a forfeiture of payment.
b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-
mail address prior to the start of this Agreement. Contractor acknowledges that services are not
authorized until the Contractor has received an authorized referral form from the Department.
Contractor further acknowledges that services provided prior to the authorized start date or outside
the scope of services on the referral form will not be eligible for reimbursement.
Contractor acknowledges that any and all modifications to an existing referral must be approved
through the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210). No other
Department staff or other party to the case may authorize services or modifications to services.
c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation
by the 7th of the month, following the month of service, utilizing billing forms required by the
2019-2211
kfe,0090
Department. Contractor agrees to utilize the Client Verification Form for all scheduled and
unscheduled face-to-face services with the exception of home studies and monitored sobriety
testing. Contractor agrees that original complete Client Verification Forms are to be submitted with
the Request for Reimbursement. Requests for Reimbursement and Client Verification Forms received
after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure
to meet 60 -day deadline may result in termination of the Agreement.
d. Contractor agrees to submit a monthly report by the 7th of the month, following the month of service,
for each client receiving ongoing services. Monthly reports will be submitted through the
Department's online reporting system, unless otherwise directed or agreed to by the Department.
Monthly reports for ongoing services must include the following information, entered in the
"Narrative" box for each date of service:
a. Date and time of service
b. Where the service took place
c. Clinician/therapist name
d. Clients participating
e. What interventions were used, recommendations and/or goals discussed
f. Any and all safety concerns
One-time services will be verified through receipt of the completed product (ex. psychological
evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will
be the test result. A completed home study may be a full, partial or denied study, as determined by
the Department.
Contractor will document in detail any and all observed or verbalized concerns regarding any child
whom the Contractor is working with under the Agreement. Areas of concern may include, but are
not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be
reported immediately to the caseworker AND on the required monthly report.
4. Payment
a. The Department and the Contractor agree that all benefits from private insurance and/or other
funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's
Compensation must be exhausted before Core Services or other Department funds can be accessed
for services. Exceptions to this Paragraph may include, if approved by the Department, the following:
i. The service being provided by the contractor is not a Medicaid eligible service;
ii. The service is not deemed medically necessary;
iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider
or service be used;
iv. A Medicaid provider is not available to provide the needed service;
v. Medicaid is exhausted for the needed service; or
vi. Medicaid denied service.
vii. The client is not eligible for Medicaid.
b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit
B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate
Schedule, attached hereto and incorporated herein by reference, so long as services are rendered
satisfactorily and in accordance with the Agreement.
c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent
upon, the continuing availability of said funds for the purposes hereof.
2
d. The Department may withhold reimbursement if Contractor has failed to comply with any part of
the Agreement, including the Financial Management requirements, program objectives, contractual
terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may
appeal such circumstance in writing to the Director of Human Services. The decision of the Director
of Human Services shall be final.
5. Financial Management
At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall
comply with the administrative requirements, cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133.
6. Payment Method
Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D,
Rate Schedule:
a. If services are funded through Core Services, Contractor agrees to accept reimbursement
through ACH direct deposit one time per month.
b. If Contractor is not currently set up with the State of Colorado to accept direct deposit,
Contractor agrees to complete and submit an, which will be provided by the Department, with a
voided check. Failure to complete and submit this form and voided check in a timely and accurate
manner may result in a delay of payment.
c. Contractor agrees to accept payment through county warrant when funding source does not
allow for direct deposit.
7. Compliance with Applicable Laws
a. At all times during the performance of this Agreement, Contractor will strictly adhere to all
applicable Federal and State laws, order, and applicable standards, regulations, interpretations
and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all
applicant/recipient records, papers, documents, tapes and any other materials that have been or may
hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws
and regulations, including, but not limited to the following:
- Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil
Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45
C.F.R. Part 80 et. seq.; and
- all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of
race, creed, color, sex, or national origin, be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination under the approved Agreement.
- Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its
implementing regulations, 45 C.F.R. Part 84; and
- the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its
implementation regulations, 45 C.F.R. Part 91; and
Title VII of the Civil Rights Act of 1964; and
3
the Age Discrimination in Employment Act of 1967; and
the Equal Pay Act of 1963; and
- the Education Amendments of 1972; and
- Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and
- all regulations applicable to these laws prohibiting discrimination because of race, color,
national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome
(AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of
1973, as amended, cited above. If necessary, Contractor and the Department will resist in
judicial proceedings any efforts to obtain access to client records except as permitted by 42
C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken
to assure that small and minority businesses are utilized, when possible, as sources of
supplies, equipment, construction and services. This assurance is given in consideration of
and for the purpose of obtaining any all Federal and/or State financial assistance.
- Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks
for all employees, contractors and sub -contractors.
b. Contractor is further charged with the knowledge that any person who feels that s/he has been
discriminated against has the right to file a complaint either with the Colorado Department of Human
Services or with the United States Department of Health and Human Services, Office for Civil Rights.
c. Contractor assures that it will fully comply with all other applicable Federal and State laws which
may govern the ability of the Department to comply with the relevant funding requirements.
Contractor understands the source of funds to be accessed under the Agreement is determined by
the Department.
d. Contractor assures and certifies that it and its principals:
- Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transaction by a Federal or State department or agency;
and
- have not, within a three-year period preceding this Agreement, been convicted of or
had a civil judgment rendered against them for commission of fraud or criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State or
Local) transaction or contract under public transaction; violation of federal or state antitrust
statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction
of records, making false statements, or receiving stolen property; and
- are not presently indicted for or otherwise criminally or civilly charged by a government
entity (federal, state or local) with commission of any of the offenses enumerated in this
certification; and
- have not, within a three-year period preceding this Agreement, had one or more public
transactions (federal, state, or local) terminated for cause or default.
e. 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
4
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 the Department 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. 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 the
Department, 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., the
Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable
for actual and consequential damages.
f. 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.
8. Compliance with Child and Family Services Review
The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas;
Safety, Permanency and Well Being of families. For each outcome, data and performance indicators
measure each state's performance according to national standards and monitor progress over time.
Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance
services to families.
Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well
Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under
this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under
the Child and Family Services Review (CFSR), and will address the aforementioned three areas when
completing monthly reports as required by Paragraph 3(d) of this Agreement.
5
9. Insurance Requirements
Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld
County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent
acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while
performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless
Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents.
Contractor shall provide the liability insurances (including professional liability insurances where
necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged
in the performance of this Agreement which are required under Weld County's Request for Proposal, and
required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the
acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement.
At a minimum, Contractor shall procure, either personally or through its employer as applicable to the
Contractor's business, at its own expense, and maintain for the duration of the work, the following
insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners
of Weld County, its employees and agents, shall be named as additional named insured on the insurance,
where permissible the insurance provider.
a. General Requirements: Contractors must secure, at or before the time of execution of
any agreement or commencement of any work, the following insurance covering all operations,
goods or services provided pursuant to this request. Contractors shall keep the required insurance
coverage in force at all times during the term of the Agreement, or any extension thereof, and
during any warranty period. The required insurance shall be underwritten by an insurer licensed
to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall
contain a valid provision or endorsement stating "Should any of the above -described policies by
canceled or should any coverage be reduced before the expiration date thereof, the issuing
company shall send written notice to the Weld County Director of General Services by certified
mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such
cancellation or reduction unless due to non-payment of premiums for which notice shall be sent
ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the
Department must be notified by the Contractor. Contractor shall be responsible for the payment
of any deductible or self -insured retention. The Department reserves the right to require
Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or
self -insured retention to guarantee payment of claims. The insurance coverages specified in this
Agreement are the minimum requirements, and these requirements do not decrease or limit the
liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or
amounts of insurance that it may deem necessary to cover its obligations and liabilities under this
Agreement.
b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of
any Agreement, insurance in the following kinds and amounts:
i.Workers' Compensation Insurance as required by state statute, and Employer's Liability
Insurance covering all of Contractor's employees acting within the course and scope of
their employment. If Contractor is an Independent Contractor, as defined by the
Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must
submit to the Department a Declaration of Independent Contractor Status Form prior to
the start of this agreement.
ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 0110/93
or equivalent, covering premises operations, fire damage, independent Contractors,
6
products and completed operations, blanket contractual liability, personal injury, and
advertising liability with minimum limits as follows:
$1,000,000 each occurrence;
$2,000,000 general aggregate;
$50,000 any one fire; and
$500,000 errors and omissions.
iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per
person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property
damage applicable to all vehicles operating both on County property and elsewhere.
iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor
liability and pollution liability must provide the following:
If any aggregate limit is reduced by twenty-five percent (25%) or more
by paid or reserved claims, Contractor shall notify the Department within ten
(10) days and reinstate the aggregates required;
Unlimited defense costs in excess of policy limits;
Contractual liability covering the indemnification provisions of this
Agreement;
A severability of interests provision;
Waiver of exclusion for lawsuits by one insured against another;
A provision that coverage is primary; and
A provision that coverage is non-contributory with other coverage or
self-insurance provided by the Department.
v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and
professional liability policies, if the policy is a claims -made policy, the retroactive date
must be on or before the contract date or the first date when any goods or services were
provided to the Department, whichever is earlier.
c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator') at
or before the time of execution of this Agreement, and shall keep in force at all times during the
term of the Agreement as the same may be extended as herein provided, a commercial general
liability insurance policy, including public liability and property damage, in form and company
acceptable to and approved by said Administrator, covering all operations hereunder set forth in
the related Bid or Request for Proposal.
d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance
agent or broker and shall have its agent or broker provide proof of Contractor's required
insurance. The Department reserves the right to require Contractor to provide a certificate of
insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in
his sole discretion.
e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability,
liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured
as follows
f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation
rights against County.
g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or
other entities providing goods or services required by this Agreement shall be subject to all of the
requirements herein and shall procure and maintain the same coverages required of Contractor.
Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers
or other entities as insureds under its policies or shall ensure that all subcontractors maintain the
required coverages. Contractor agrees to provide proof of insurance for all such subcontractors,
independent contractors, sub -vendors, suppliers or other entities upon request by the
Department.
A provider of Professional Services (as defined in the Bid or RFP) shall provide the following
coverage:
Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and
$2,000,000 aggregate limit for all claims.
10. Certification
Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all
necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies
covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the
Contractor prior to the start of any Agreement.
11. Training
Contractor may be required to attend training at the request of the Department specific to services
provided under this Agreement. The Department will not compensate the Contractor for said training in
the form of registration fees, time spent traveling to and from training, attending the training or any other
associated costs unless otherwise agreed to by the Department.
12. Subpoenas
Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the
Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For
this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the
Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will
contact the Weld County Attorney's Office immediately at 970-400-6503, and advise that the subpoena
must be personally served.
13. Monitoring and Evaluation
Contractor and the Department agree that monitoring and evaluation of the performance of this
Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and
evaluation shall be provided to the Board of Weld County Commissioners, the Department and the
Contractor.
Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service
delivery, service quality, documentation, and invoicing during referral period and after services have
concluded. The Contractor will require clients sign releases of information. Contractor understands that
the Department will not reimburse for services rendered to Department clients until releases of
information are obtained.
Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to
monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The
monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any
8
program data, special analyses, on -site checking, formal audit examinations, or any other reasonable
procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not
unduly interfere with the work conducted under this Agreement.
14. Modification of Agreement
All modifications to this Agreement shall be in writing and signed by both parties.
15. Remedies
The Director of Human Services or designee may exercise the following remedial actions should s/he find
the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial
failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
- Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed.
- Deny payment or recover reimbursement for those services or deliverables, which have
not been performed and which due to circumstances caused by the Contractor cannot be
performed or if performed would be of no value to the Department. Denial of the amount
of payment shall be reasonably related to the amount of work or deliverables lost to the
Department.
- Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation
shall be recovered from Contractor by deduction from subsequent payments under this
Agreement or other agreements between the Department and Contractor, or by the
Department as a debt due to the Department or otherwise as provided by law.
16. Representatives
For the purpose of this Agreement, the individuals identified below are hereby designated representatives
of the respective parties. Either party may from time to time designate in writing a new or substitute
representative(s).
For Department:
Heather Walker, Child Welfare Division Head
17. Notice
For Contractor:
Nich Lam, Owner
All notices required to be given by the parties hereunder shall be given by certified or registered mail to
the individuals at the addresses set forth below. Either party may from time to time designate in writing a
substitute person(s) or address to whom such notices shall be sent.
For Department:
Judy A. Griego, Director
P.O. Box A
Greeley, CO 80632
(970)400-6510
9
For Contractor:
Nich Lam, Owner
1907 Boise Avenue, Suite 2
Loveland, CO 80538
(970) 556-2227
18. Litigation
Contractor shall promptly notify the Department in the event that Contractor learns of any actual
litigation in which it is a party defendant in a case that involves services provided under this Agreement.
Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any Federal or State court or administrative agency, shall deliver copies of such
document(s) to the Director of Human Services. The term "litigation" includes an assignment for the
benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure.
19. Termination
This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the
individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an
obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise
appropriated in each succeeding year, as this Agreement is subject to the availability of funding.
Therefore, the Department may terminate this Agreement at any time if the source of funding for the
services made available to the Contractor is no longer available to the Department, or for any other
reason. Contractor reserves the right to suspend services to clients if funding is no longer available.
20. No Third -Party Beneficiary Enforcement
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.
21. 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 of §§24-10-101 et. seq., as applicable now or hereafter amended.
22. Partial Invalidity of Agreement
If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held
or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions.
The parties hereto declare that they would have entered into this Agreement and each and every section,
subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more
sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional
or invalid.
23. Improprieties/Conflict of Interest
No officer, member or employee of Weld County and no member of their governing bodies shall have any
pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof.
The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department
when the Contractor also maintains a relationship with a third party and the two relationships are in
opposition. In order to create the appearance of a conflict of interest, it is not necessary for the
Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor
know that the two relationships are in opposition. During the term of the Agreement, Contractor shall
10
not enter into any third -party relationship that gives the appearance of creating a conflict of interest.
Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the
Department, a full disclosure statement setting forth the details that create the appearance of a conflict
of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute
grounds for the Department's termination, for cause, of its Agreement with the Contractor.
A conflict of interest or appearance of a conflict of interest may also apply to personal relationships
between providers and clients. If a provider has a personal relationship with a client to whom the
Contractor may provide services for, the Contractor must disclose that relationship to the Department.
Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of
Contractor, to any person for influencing or attempting to influence an officer or employee of an agency,
a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of an Federal contract, loan, grant, or cooperative agreement.
24. Storage, Availability and Retention of Records
Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during
business hours, have access to inspect and copy records, and shall be allowed to monitor and review
through on -site visits, all activities related to this Agreement, supported with funds under this Agreement,
to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and
evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The
results of the monitoring and evaluation activities shall be provided to the appropriate and interested
parties.
All such records, documents, communications, and other materials created pursuant or related to this
Agreement shall be maintained by the Contractor in a central location and shall be made available to the
Department upon its request, for a period of seven (7) years from the date of final payment under this
Agreement, or for such further period as may be necessary to resolve any matters which may be pending,
or until an audit has been completed with the following qualifications: If an audit by or on behalf of the
Federal and/or State government has begun but is not completed at the end of the seven (7) year period,
or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until
the resolution of the audit finding.
25. Confidentiality of Records
Contractor shall protect the confidentiality of all applicant records and other materials that are
maintained in accordance with this Agreement except for purposes directly connected with the
administration of Child Protection. No information about or obtained from any applicant/recipient in
possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's
parent or guardian unless in accordance with the Contractor's written policy governing access to,
duplication and dissemination of, all such information, in any form, including social networks. Contractor
shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality
requirements.
Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written
explanation of these confidentiality requirements before access to confidential data is permitted.
Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality
agreement and shall provide a copy of such agreement to the Department, if requested.
11
26. Proprietary Information
Proprietary information for the purposes of this Agreement is information relating to a party's research,
development, trade secrets, business affairs, internal operations and management procedures and those
of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third
parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither
party shall use or disclose directly or indirectly without prior written authorization any proprietary
information concerning the other party obtained as a result of this Agreement. Any proprietary
information removed from the Department's site by the Contractor in the course of providing services
under this Agreement will be accorded at least the same precautions as are employed by the Contractor
for similar information in the course of its own business.
27. Independence of Contractor: Not an Employee of Weld County
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.
Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or
understanding, except as expressly set forth in this Agreement. Contractor shall have the following
responsibilities with regard to workers' compensation and unemployment compensation insurance
matters: (a) provide and keep in force workers' compensation and unemployment compensation
insurance in the amounts required by law, and as set forth in Exhibit A provide proof thereof when
requested to do so by County.
28. Entire Agreement
This Agreement, together with all attachments hereto, constitutes the entire understanding between the
parties with respect to the subject matter hereof, and may not be changed or modified except as state in
Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs,
legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or
obligations hereunder without the prior consent of both parties.
29. Agreement Nonexclusive
This Agreement does not guarantee any work nor does it create an exclusive agreement for services.
30. Warranty
The Contractor warrants that services performed under this Agreement will be performed in a manner
consistent with the professional standards governing such services and the provisions of this Agreement.
The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training,
diligence and judgment provided by highly competent individuals and entities that perform services of a
similar nature to those described in this Agreement including Exhibits A, B, C, and D.
12
31. Acceptance of Services Not a Waiver
Upon completion of the work, the Contractor shall submit to the Department originals of all tests and
results, reports, etc., generated during completion of this work. Acceptance by the Department of reports
and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of
responsibility for the quality and accuracy of the services. In no event shall any action by the Department
hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or
default which may then exist on the part of the Contractor, and the Department's action or inaction when
any such breach or default shall exist shall not impair or prejudice any right or remedy available to the
Department with respect to such breach or default; and no assent, expressed or implied, to any breach of
any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a
waiver of any other breach. Acceptance by the Department of, or payment for, any services performed
under this Agreement shall not be construed as a waiver of any of the Department's rights under this
Agreement or under the law generally.
32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507
The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any
personal or beneficial interest whatsoever in the service or property which is the subject matter of this
Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which
would in any manner or degree with the performance of the Contractor's services and the Contractor,
shall not employ any person having such known interests. During the term of this Agreement, the
Contractor shall not engage in any in any business or personal activities or practices or maintain any
relationships which actually conflicts with or in any way appear to conflict with the full performance of its
obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may
result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of
the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or
hold any such position which either by rule, practice or action nominates, recommends, supervises
Contractor's operations, or authorizes funding to the Contractor.
33. 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.
34. 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.
35. Subcontractors
Contractor acknowledges that the Department 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 the Department's prior written consent, which may
be withheld in the Department's sole discretion.
13
36. Attorney's Fees/Legal Costs
In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties
agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by
or on its own behalf.
37. Ownership
All work and information obtained by Contractor under this Agreement or individual work order shall
become or remain (as applicable), the property of the Department. In addition, all reports, documents,
data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement
and all reports, test results and all other tangible materials obtained and/or produced in connection with
the performance of this Agreement, whether or not such materials are in completed form, shall at all times
be considered the property of the Department. Contractor shall not make use of such material for purposes
other than in connection with this Agreement without prior written approval of the Department.
38. 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.
39. 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.
14
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and
year first above written.
COUNTY:
ATTEST:
dlerAiA)
Weld C Clerk to the Board
By:
Deputy Clerk to t Boar. / ;� "C;'`�, a :.. ���.jsi �!I► Barbara Kirkmeyer, Chai
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
kUN 12 Ltd
ONTRACTOR:
UABACO, LLC
1907 Boise Avenue, Suite 2
Loveland, CO 80538
(970) 556-2227
By:
Date:
15
N/ h /OW
Nich Lam (May 10, 2019)
Nich Lam, Owner
May 10, 2019
QC) l9-DDII
EXHIBIT A
WELD COUNTY'S REQUEST FOR PROPOSAL
(Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon
request to the Department.)
This page intentionally left blank.
EXHIBIT B
CONTRACTOR'S RESPONSE TO REQUEST FOR PROPOSAL
BID NUMBER: B1900025
URINE COLLECTION AND
ANALYSIS
Category Description
B1900025 CHILD WELDFARE: MONITORED
SOBRIETY - URINE/BREATHALYZER
COLLECTION AND ANALYSIS
Submitted by: UABACO LLC
Submitted to: Weld County Department of Human Services
April 24, 2019
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 1 of 13
UABACO LLC
www.uabaco.com
1907 Boise Ave, Suite #2
Loveland, CO 80538
U.S.A
Tel: 970-292-8882 ext. 2
Fax: + 970-685-4238
116 West Harvard Street, Suite #3
Fort Collins, CO 80525
U.S.A.
Tel: 970-292-8882 ext. 3
Fax: + 970-685-4238
700 Ken Pratt Boulevard
Longmont, CO 80501
U.S.A.
Tel: 970-292-8882 ext. 4
Fax: + 970-685-4238
UABACO LLC: 61900025 URINE COLLECTION AND ANALYSIS
Page 2 of 13
Table of Contents
4 Introduction Letter
5-6.... Proposal Content
Attachments
A: Rates of Service
B: Certificate of Liability
C: Collection Procedure
D: Provider Information Form
E: Staff Data Sheet
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 3 of 13
Introduction Letter
Nich Lam is the sole owner of UABACO LLC, a veteran -owned business that handles biological
specimen collection for the 8th Judicial District and 20th Judicial District, among others. Nich single-
handedly began UABACO's operations in April of 2012. Nich previously oversaw the drug testing program
at the United States Army Battalion level while he was a Captain. This gave him the hands-on experience
needed to open this business. His previous work with Larimer County Community Corrections (Halfway
House) also gave him the needed experience on how to deal with a population that can be quite challenging.
Working with LCCC showed Nich that a late -night UA facility would be ideal to provide services to clients
with nighttime work. His intention has been to prevent people from getting revoked for failing to submit a
UA before other UA facilities close for the day, usually by 1900 hours.
UABACO LLC has grown immensely since 2012 due to the accuracy of our testing results, professional
atmosphere that clients and agencies encounter, and the courteous customer service that clients receive.
Nich has developed strong working relationships with Colorado Department of Corrections, Larimer Pre -
Trial Services and Alternative Sentencing Department (ASD), Larimer DHS-CYF, the Center for Family
Outreach, UC Health Mountain Crest Intensive Outpatient Alcohol Recovery Program, Department of
Transportation (DOT), Weld DHS, and many other collateral agencies.
Our employees have earned the right to call themselves experts because of their mastery of the
regulations and rules set in place for the collection of drug testing samples. The importance of etiquette and
reliable structure to fall back upon cannot be understated in this case, and UABACO is the epitome of
following through on the rules and getting results. When necessary, our employees have testified in court on
behalf of our work as well.
UABACO has been open since 2012 as a UA collection facility for the 8th Judicial District and has been
working with Weld DHS since 2013 in addition to the previously mentioned collateral agencies. We have
confidence in our working abilities as an established and experienced urinalysis collection facility and
believe that our convenient hours of operation make us uniquely suited to provide all services requested
within this bid.
Sincerely,
Nich Lam
UABACO LLC
Owner
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 4 of 13
PROPOSAL
UABACO LLC
Urine Collection and Analysis
Modalities, curriculum or tools that will be utilized in the delivery of the
service:
UABACO provides services that include but are not limited to: Breathalyzers, Hair Follicle
Testing, Oral Swab collections, Medication Monitoring, and Urine Testing. UABACO has
partnered with Norchem Labs, a subsidiary of Cordant Forensic Solutions, which is a leader in
the industry for all UA testing. This laboratory also provides oral swab specimen testing, and
hair follicle testing.
For collection procedure: Please see attachment "C"
Capacity to provide services:
Across the three UABACO locations, we serve an average of 250 clients seven days a week
between the hours of 11 AM and 12 AM. UABACO has built our business model to ensure that
male and female staff are available to facilitate drug testing every day. Each UABACO location
contains three separate bathrooms: These bathrooms include two that are anatomical sex specific
for the provision of UA's, and one for staff use only. Provision of services will never be
interrupted. UABACO's primary duty is urinalysis (UA), breathalyzer (BA), hair follicle (HFT),
and ORAL SWAB collections for Judicial Districts, Department of Human Services, Colorado
Department of Transportation, Peer Assistance, and other collateral agencies. The singular
reason for UABACO's existence is to provide UA, BA, HFT, and ORAL SWAB collection
services. UABACO utilizes two check -in counters at each location for maximum check -in
efficiency. UABACO uses a safe, confidential, and reliable software system that is built to keep
track of client appearances, testing results, case notes (for clients who may be less compliant or
intend to defy court orders), and pertinent Caseworker oversight.
Hours of operation: Monday -Sunday 11AM-12AM
Goals of the service:
UABACO is a biological specimen collection and testing agency and has been in operation since
April 2012. We provide monitored drug testing that is accessible, cost effective, and defendable
in a court of law. Our goal is to provide convenience for our clients, so we have structured our
business to make testing available for varying work and life schedules. Nich has built the
company on five core values: fast and accurate results, focus on customer needs, working
together as a team of professionals, following all rules and regulations to ensure every sample is
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 5 of 13
defendable in court, and making sure we are treating our customers with respect as we strive to
offer the best customer service experience possible.
Outcomes of the service:
In 2013, UABACO was awarded the bid to provide services to the 8th Judicial District. These
services have been provided without interruption. UABACO has continued to grow since 2013,
opening a second location in 2016 and a third in 2018 respectively. UABACO remains adaptive
to change and service requests made by collateral agencies. UABACO staff are continually
trained by Norchem Laboratories/Cordant Forensic Solutions Application Specialists as a
method of quality assurance for UA, BA, and ORAL SWAB collection services. This is done to
continuously improve our ability to maintain outstanding customer service and provide diligent
and expert services, all while maintaining an upbeat working environment. Nich honors the
Golden Rule — treat others the way you would like to be treated. Nich has developed a reputation
in the local community for providing accurate testing and ensuring all parties are informed of
testing results as those results are made available.
Target population for service:
UABACO has the seeks to provide services for individuals in any and all walks of life. We do
not discriminate based on race, gender, religion, national origin, physical or mental disability,
age, sexual orientation or gender identity.
Service Access:
UABACO currently has three locations across the front -range of Colorado. Clients may go to
whichever office is the most convenient for them.
1907 Boise Ave, #2 116 W Harvard St, #3 700 Ken Pratt Blvd, #121
Loveland, CO 80538 Fort Collins, CO 80525 Longmont, CO 80501
UABACO's Loveland and Longmont offices are wheelchair accessible.
Languages service is available in:
In keeping with the goal of providing high quality customer service, UABACO will provide
either a bi-lingual staff member for Spanish speaking clients or limited English Proficient clients
or will utilize voice -to -text and/or text -to -text online translation tools during its hours of
operation. All pertinent forms and signs in our building are in English as well as Spanish to serve
the needs of both language speakers.
Rates of service:
Please see attachment "A"
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 6 of 13
Attachment A-1: Rates of Service
Pricin
11 Drug Panel — Screen Only
• Panel 1709: Amphetamine/Methamphetamine, Barbiturates, Benzodiazepines,
Cocaine, Methadone, Opiates, PCP, PPX, THC/Cannabinoids, OXY, TRAM
$25.00
8 Drug Panel — Screen Only
• Panel 968: Amphetamine/Methamphetamine, Barbiturates, Benzodiazepines,
Cocaine, Opiates, THC/Cannabinoids, and EtG
$20.00
7 Drug Panel — Screen Only
• Panel 280: Alcohol, Amphetamine/Methamphetamine, Barbiturates,
Benzodiazepines, Cocaine, Opiates, THC/Cannabinoids
$12.00
Single EtG/EtS Urine Alcohol
• Panel 2911: Automatic Confirmation on positive screens without additional charge
$24.00
Oxycodone Screen
• Panel 87.5: Oxycodone only
$30.00
Methadone
• Panel 16: Methadone only
$20.00
Spice/K2 Screen
• Panel 3502: Marked as negative or present.
$45.00
Synthetic Stimulants/Bath Salts/Khat Screen
• Panel 3601: Marked as negative or present.
$45.00
Suboxone Screen
$30.00
Tramadol Screen
$40.00
Ecstasy Screen
$20.00
Toxic Vapors
$47.00
GHB
$55.00
Metabolite
$40.00
Opiates
Extended Opiates
$40.00
$45.00
Phencyclidine
$40.00
Steroids
$175.00
D VS L Isomer
$40.00
5 Panel Quick Test
• Cocaine, Opiates, THC, Methamphetamine, Amphetamine
$10.00
10 Panel Quick Test
• Same as 5 Panel Quick Test plus Benzodiazepines, Barbiturates, Methadone,
Oxycodone, and PCP
$13.00
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 7 of 13
Attachment A-2: Rates of Service
Oral Fluid Service
Pricing
6 Drug Panel — Screen Only
• Panel 33: Ethanol, Benzodiazepine, Cocaine, THC, Amphetamine/
Methamphetamine
$35.00
Oral Fluid Confirmation (by request)
$25.00
Oral Swab Quick Test 6 Drug Panel
• Cocaine, THC, Opiates, Amphetamine, Methamphetamine, and PCP
$25.00
Confirmation Testing
Pricing
Cocaine, PCP, Amphetamine/Methamphetamine, Benzodiazepines,
Buprenorphine/Suboxone, Methadone, Opiates, Etg/EtS, Toxic Vapors Confirmation by
LC/MS/MS
$40 per
confirmation
6AM Testing (Heroin or Morphine Metabolite). Can only be done when opiate metabolite
level has been ascertained through confirmatory testing and such testing yields a metabolite
level of above 2000 ng/mL.
$40 per
confirmation
Toxic Vapors
$45 per
confirmation
Hair Follicle Testing (Omega Laboratories)
Pricing
5 Panel Head Hair Test
• Cocaine, THC, Opiates (NOT PAIN PILLS OR SEMI -SYNTHETIC OPIOIDS),
Amphetamine/Methamphetamine, and PCP
$80
Breathalyzer and Med Monitor Services
Pricin
Breathalyzer
• Can be done for twice or thrice daily when alcohol abuse is known or suspected.
$2
Medication Monitor and Antabuse Provision
• Staff will facilitate breathalyzers before medication is provided to clients to
prevent cross -intoxication. In instances of Antabuse provision, staff will
facilitate breathalyzers to prevent significant client illness from alcohol
consumption.
• Please note that UABACO will not accept Methadone for Med Monitoring.
$2
• All medications are stored in a safe deposit box away from the public.
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 8 of 13
Attachment B
ACa d CERTIFICATE OF LIABILITY INSURANCE
BATE 1MNDONYYYI
OSt25.'"2U18
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), AUTHORI7.FD
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).
CONTACT Mictlnlle Landry
NULL:_...
U�? Fztl,, 070-223-7254
14"1- _Mlchelle@bobsanderson.ne:
NSURERISI AFFORDING COVERAGE
INSURER A Slate Farm Fire and Casualty Comonn'y
PRC017CER
StateFarrn
(0-#*-
INSURED
BOB SANDERSON
608 E HARMONY RD SUITE 201
^-CJRS C OLL:N1 ::U SlYS2S
UABA CO L LC
G'O NICH f APP
1703 FALCON RIDGE DR
FORT COLLINS, CO uos28
WC, Np1: 970--22ii3195
NYINLLR tl
_INSURER C .
iwAJNER Q
INSURER E
INSURER F :
NA1C sl
251143
COVERAGES
CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE PC...CIES OF INSLRANCF : ISTFD AFI OW HAvEr 9FFN ISSUED TD T4F =NSuRED NAMED A86VF FOR TI if PO_C:Y PERIOD
INDICATED- NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT! ! RESPECT TO WHICH THIS
CERNIFICA II: MAY BE ISSGEO OR MAY PERTAIN, THE INSURANCE AFFORDED RY -plc Pat ICIFS DFSCRIDCD HEREIN IS SUBJECT TO ALL IHE Ekr.IS,
EXCLUSIONS AND CONDIT IONS OF SUCH POLCIES. LIM S SHOWN WAY HAVE BEEN REDUCED BY PAID CLAIMS.
INsaT _ ADDL(sUBRf POLICY EFF ' POtiCY EXP
LTR TYPE OF MSURANCE "OM 11 WD,r Vt1(.MY !AminN ,�fF���(yryYY'O INM+DBn'YYYf LIMITS
XCO#N itAGIAL GENERAL LIABILITY ( EACH C CUR Z N.s s 1.00.0.000
- - _-- UAMAf.L IU 1<LN -.L+
i BRE , 3E`a lE. ccw"9CS^_?. 4..?'. _ ... _.
MED EA), V'rI ere pert.crt 5 5.000
A J Y I Y 96 -J35 -K962-4 041E12018 04.+012019 PENx t1N_AL_dAJ_ 1 NY S 1.000.000
~RFFFI AC :F[: R0.TE� 5 2,000,000
.; :'.l. A!MF-MADF e:f'C:I.IR
C F `I L Ak't2SK-A0.TF IJMIT APP„1F.;. PFR
• FI U
'VUC TrC, I
, I:If DI.k
AUTOMOBILE LIABILITY
ANY AU'
QWNLU
A: IU: VNLr-
1!wEU
AL' CG ONLY
i
I
1
`.ir�+SLOLiLJ
!MC*
`.1111M11 etialVEL,
AUTOS ONLY
wr.A.AJC I ,M1F 5
BUSINESS PROP 5 44,000
COM3INED BiN:iLE LIMIT $
1,1.17
tint1.I.Y BIJIIRY i?w x.r., $
r21,LY INJURY C.et •3.0t.,: 5
PRCYEi?-Y L IVAGE.
l.Jf «r .vim
5
UMaRELLA L.
iACESS LIAO
A M..S-VIADL
?LLI I KETEN N-'Jh5
LAU:Y •::CtiUItRLN'1_
AGGRESAIE
WORMERS COMPENSATION
AND EMPLOYERS LIABILITY
A,* PROPRIF7':RPAF"tlF FYFr.t.,F
A or, Cff rlCM3CR CYCLIACD,
'Mandatory in NH)
tl vu. des:rEc urea
DESCRIPTION OF OFERITICMS CMnn
Y+N
N
NrA Y 06 -CG -N040-5
03,38'2018
I •Fk � ' <Ir-4
rnn lE i:R _. ._ ..
03/30;201Q E EACF.,vr_ OJEVT �5 100.000
I i::i ARF • FA t-WRI O:'F:I 5 100.000
O' A.AiE •r'O_Cr ,_tinT ; ,5D0.09R
SCRIPnO14 OF OPFRATIDt1S 7 LOCATIONS 'Otte* FS (,ACONII 107. Add,
1907 Bode Ave Ste 7 Loveland, CO Rfh38
116 W Harvard St Ste 3 Fort Collins, CO 80525
CERTIFICATE HOLDER
el Remar
Wn, rqy tot IRtached A mAa ap car m rrqui
CANCELLATION
sl
APELD COUNTY DEPARTMENT OF HUMAN SERV ICES
!'S N i 11H AVf
GR.EELEY, CO 80631
ADDITIONAL INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTMOR17ED REPRESENTATIVE
- - _
—-r ,C { ( 1P -1 t ll
( \ �)!,./
ACORD 25 (2016103)
D1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
'IN" 466 31B40'.2 C3-15-70 'E
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 9 of 13
Attachment C-1: Collection Procedure
All clients will present photo identification prior to submitting their first urinalysis. Because UABACO has
built its business around the provision of these type of services, we have built our system to have the capability
of taking additional information to prevent fraud and criminal impersonation. If the client allows us to capture
a picture of their person upon their first visit, they will no longer be required to bring their ID when they are
required to submit. This capability helps clients who may have had their licenses revoked due to DUI related
instances.
1. After positive identification verification, staff will ascertain the type of sobriety monitor being requested by
the Caseworker, by using the initial referral sent by the Caseworker.
2. Based off the test that is requested by a Caseworker, UABACO staff will charge the client accordingly.
Once staff have identified the type of test being requested through the Caseworker, staff will proceed to
UABACO's software system to generate a client invoice based off the type of test requested.
3. A completed Chain of Custody form is filled out by the staff member and given to the testing client. Both
parties will verify that the information on the form is correct. Once the client has verified this information,
the client will affirm all listed information on the form by giving their signature, initials, and date in the
respective locations on the CoC form.
4. After the CoC form has been appropriately inscribed by the testing client, the check in procedure is
complete.
5. A same -sex staff member will accompany the respective same -sex client to the anatomical sex -specific UA
bathroom. To ensure privacy, the door to the UA bathroom will be closed after both parties have entered.
6. Staff will instruct the client to remove unnecessary garments and remove all items from their pockets prior
to the testing procedure. Personal effects can be placed on a table in the UA bathroom several feet away
from the toilet. Coats, sweaters, and other related clothing items will be hung up on a coat hook inside the
bathroom.
7. Clients will rinse their hands without the usage of soap to remove any possible adulterants that could be
underneath a client's fingernails or on their hands.
8. Clients will be handed an unused and sealed UA cup to submit into.
a. Female clients will place the UA cup into a collection tool known as "the wand." This tool is used
to prevent females from placing their hands on or in their genitals to activate internally stored
devices.
9. Clients will expose their genitals in full view of staff either through mirrored view or direct monitoring.
10. Clients will then produce, in full view of staff, a valid urine specimen. Again, this will occur under the
direct observation of staff.
a. Staff are trained to listen for any sound that is incongruent with the voiding of a natural urine
specimen. Physical behavior such as nervous shaking, later than usual appearance to the facility, or
excessive perspiration is also noted by staff.
11. Clients will place the urine specimen cup containing the voided urine specimen on a table where staff will
then validate the urine specimen by ascertaining the temperature of the given specimen.
a. The temperature of all urine specimens must fall within the temperature range of 90-100 degrees
Fahrenheit.
b. If a specimen's temperature is validated, staff will proceed to step 12 listed below. If the
temperature gauge is invalid, staff will request the client to pour their specimen into a new UA cup
with a differing temperature gauge. If there is still no temperature reading, staff will proceed to step
19 listed below.
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 10 of 13
Attachment C-2: Collection Procedure
c. Clients are expected to void between 15 and 30 milliliters of urine.
12. Once a given specimen has been validated by the staff, the client will peel the CoC seal from the form
completed previously and place it on top of the UA cup.
13. The client will ensure the UA cup is completely closed by applying reasonable pressure to the lid. Staff will
look at the UA cup to ensure that it is closed in its entirety and not ajar or incompletely closed resulting in
leaked specimens.
14. The CoC form and urine specimen will be sequestered into their respective bag sections by staff and by the
client.
a. CoC is placed in the rear section by staff and UA specimen is placed in the front section by the
client.
15. The foil at the top of the specimen bag will be peeled off. The adhesive lining that is revealed after the foil
is peeled off will be placed on the second hashed line on the specimen bag.
16. Clients will seal their specimen bag under direct observation by UABACO staff after the sealed specimen
and matching CoC form have been included inside the specimen bags' respective compartments.
17. The specimen will be placed into cold storage by the client, under direct observation from staff while being
recorded on camera.
18. The client will leave the premises after completion of the testing procedure.
INVALID UA
19. If a urine specimen does not have a valid temperature reading and staff have already requested the client to
pour their given sample into a new UA cup with a differing temperature gauge and still no temperature
reading is yielded, the staff will then reject the specimen.
20. Staff will instruct the client to dispose of the invalid urine specimen.
21. Staff will request the client to leave the premises if the client is refusing to submit a valid urine specimen.
22. Staff will immediately contact the pertinent Case Worker via e-mail letting them know of the incident.
a. Staff will report the incident in a more detailed manner to the pertinent Case Worker within 24
hours using standardized incident report formatting.
UA FALSIFICATION AND NON-COMPLIANCE
23. All instances of client non-compliance with the testing procedure or attempted falsification of the UA
sample will immediately be reported to the pertinent Case Worker. This will be done using standardized
incident report formatting.
24. Staff will request the client to surrender custody of the falsification device and, if successfully attained, the
device will be retained on company premises. The client will be informed of this policy at the time of their
requisition of custody of the falsification device.
25. If a client refuses to comply with the testing procedure or refuses to turn over custody of their device, a
formatted incident report will be provided to the pertinent Case Worker at the time of the infraction and
service will subsequently be refused for the day of the required UA.
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 11 of 13
Attachment D
PROVIDER INFORMATION FORM
Weld County Department of Human Services
LAEIAC0 lLC
AGENCY OR PRIVATE PRACTICE
TRAILS PRUS:L:ER :G ,:t (noMrl
Mich Lam - - - --- Qwrer
PRIMARY CONTACT - F U NAME PRIMARY CONTACT TITLE
1970,556.22271 IV0 685 42381
PHONE NUMBER
EXT FAX NUMBER
riKh Lem 7610 4obeco ;Orn seer rush.lart7611imad C4xn W isteeKit4s10.
PRIMARY CONTACT - E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS IIF APPUCABLEi
:907 Roue Avenue, Suite 2
AGENCY MAILING ADORESS
io Lien t CO IBA 3$
C f'+ ZIP
i _
REFERRAL CONTACT
Etna Duran
VIsTrIct SyQe`ret)Qr
REFFRRAL CONTACT - FULL NAME REFERRAL CONTACT TITLE
!WO
29:
18811
REFkKRAL CONTACT - PHONE NUMSER
2
rentab.u,abaco.torr Or dtstrlCt.:upervoux@uabacp Lorn
EXT REFERRAL CONTACT - E-MAIL ADDRESS
MLUNG CONTACT
Oneryeta Carrasw
BILLING CONTACT -- FULL !NAME
1970.292.88821
BlLuNG CONTACT — PHONE NUMBER
5
1-X1
I4cc(enJar3
BILLING CONTACT TITLE
bllwlitei4+athace cum
BILLING CONTACT E-MAIL ADDRESS
I certify that the services proposed for intended use by the Weld County Department of Human Services will meet
all the specifications it has so indicated in this bid term. I further affirm intention to enter into an agreement with
'Weld Count}. can behalf of the Weld Count} Department of Human Services, and compl> with all requirements of
he Contract, it- a« ardcd.
t he Board of Weld C ount> Commissioners reserve the right to reject am or all bids, to waive and informality in the
kids. and to accept the hid, or part of a hid, that, in the opinion of the Board. is in the best interests of the Board and
of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to
resident Weld County bidders in all cases where the bids are competitive in price and quality.
Signature of Authorized Representative:
Date of Signature:
UABACO LLC: B1900025 URINE COLLECTION AND ANALYSIS
Page 12 of 13
SISAWNV CINV NO11O311OO 3N1H11 SZ000619 :011 OOVEIVfl
STAFF DATA SHEET
PROPOSED SERVICE OR SERVICE TYPE:
Urinalysis and Breathalyzer Collection
BIDDER LEGAL ENTITY NAME:
UABACO LLC
APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION
SUPERVISOR II
No.
Last Name
First Name
Workit
Work Email
Education
Level
Degree Focus
Licensurei
Credentials
DORM
(If applicable(
last Name .
First Nane
1
Lam
Nich
970.556.2227
cicr.laT76(@)aacCBA
CJ,IENG
N/A
N/A
2
Duran
Elena
970.292.'::262)
district.E4ervisc
Masters
Social Work
Lam
Nich
3
Carrasco
Dawnyana
970.292.::'2(5)
oilling@caoacc.c
HS
Am
Nich
4Osborne
Dylan
970.292.9382(3}
to tcollirs.s,Jcen,Masters
Toxicology
Duran
Elena
5
Olson
Kenneth
970.292.':x2(4)
lcagmcrt.sacerz
BA 05/2019
SOC/CRIM
Duran
Elena
6Rumsey
Amanda
970.292.8382(5)
referrals@AbaccMasters
Clinical PSYCH
Duran
Elena
7Abeyta
Timothy
970.292.3382(2}
referraIs@AcaccHS
Duran
Elena
8
Hayes
Shauna
970.292.':,2(2}
referrals iIJacaccHS
Duran
Elena
9Hayes
Mariah
970.292.3382 (2}
referrals@JabaccHS
Duran
Elena
10Tarango
Rene
970.292.'::2(2}
referrals@JanaccHS/Trade
Welding
Duran
Elena
11
Jimenez
Lorena
970.292.8382(3}
referrals@JabaccHS
Duran
Elena
12
Cortez
Jonah
970.292.8882(3)
referrals@JabaccHS
Business
Duran
Elena
13
Sherry
Kayla
970.292: ; ;2 (2I
re.terrals@AcaccHS
Duran
Elena
14Hennig
Jared
970.292.::2(2}
referrals@AoaccHS
Duran
Elena
15
16
17
18
19
20
21
22
23
24
STAFF DATA SHEET
NFORMA11ON
WorkR
Work Nail
NIA
NIA
970.556.2227
licr lam76@Jac cc.ccm
970,292.8882
district.sner iscr@A co,com
3 luawtpunv
EXHIBIT C
SCOPE OF SERVICES
1. Contractor will provide Monitored Sobriety Services, as referred by the Department.
2. Services available under this agreement include, but are not limited to:
a. Breathalyzers
b. Hair Follicle Testing
c. Oral Swab Collections
d. Medication Monitoring
e. Urine Testing
3. Contractor utilizes Norchem Lab for its urine, oral swab and hair follicle testing.
4. Capacity for Services: Three (3) locations, Monday through Sunday, 11 a.m. to 12 a.m.
5. Goals of Service: Contractor is a biological specimen collection and testing agency with the following five
core values:
a. Fast and accurate results
b. Focus on customer needs
c. Working together as a team of professionals
d. Following all rules and regulations to ensure very sample is defendable in court
e. Treating customers with respect while striving to offer the best customer service experience
possible
6. Outcomes of Service:
a. Remain adaptive to change and services requests made by collateral agencies
b. Continual training for quality assurance
c. Accurate testing
d. Ensuring all parties are informed of testing results as those results are made available
7. Target Population:
a. Individuals in any and all walks of life
b. Contractor does not discriminate based on race, gender, religion, national origin, physical or
mental disability, age, sexual orientation or gender identity
8. Service Access:
a. 1907 Boise Avenue, #2, Loveland, CO 80538
b. 116 West Harvard Street, #3, Fort Collins, CO 80525
c. 700 Ken Pratt Boulevard, #121, Longmont, CO 80501
9. Language:
a. Bilingual capacity (Spanish)
b. Contractor will utilize voice -to -text and/or text -to -test online translation tools
c. All pertinent forms and signs are in English as well as Spanish
10. Contractor will respond to the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-
6210) within three (3) business days regarding the ability to accept the received referral.
11. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of
receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the
1
referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred
services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral
period, the Contractor will notify the caseworker and the Quality Assurance Team Supervisor
(hainleid@weldgov.com, 970-400-6210).
12. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated
absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate
Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor
understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part
of the client per month. After three (3) "no-shows, " Contractor will place client on a behavioral plan
requiring attendance or discharged client from services. Contractor must inform the caseworker and the
Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210).
13. Contractor understands that the Department will not reimburse Contractor for cancelled appointments
either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a
"makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client
(excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the
Contractor must request a makeup session from the Department prior to the makeup session occurring
(excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the
caseworker and the Quality Assurance Team Supervisor (hainleid@weldgov.com) immediately via email,
to discuss service continuation.
14. Contractor will identify in detail areas of continued concern and make recommendations to the
Department regarding continuation of services and/or the need for additional services.
15. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom
the Contractor is working with under an active referral. Areas of concern may include, but are not limited
to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported
immediately AND on the required monthly report.
16. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports
will be submitted per the online format required by the Department, unless otherwise directed by the
Department.
17. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare
Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team
Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented
service on the initial authorized referral form. This may include an increase or decrease in services hours,
change in frequency, change in location of services, transportation needs, or any change to the initial
referral or subsequent authorizations.
18. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings
include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making
meetings. Contractor may participate by phone, if approved by the Department.
19. Contractor will notify the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210) of
new staff who will manage and/or administer the services with the following information:
a. Staff member name and contact information
2
b. Education level/degree (if applicable)
c. Licensure/credentials (if applicable)
d. Department of Regulatory Authority (DORA) number (if applicable)
e. Supervisor name and contact information
The Department reserves the right to decline the new staff members managing and/or administering
services to Department clients.
3
EXHIBIT D
RATE SCHEDULE
1. Funding and Method of Payment
The Department agrees to reimburse the Contractor in consideration of the work and services performed
under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the
Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020.
Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department
expenditures and shall not be reimbursed by the Department.
Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the
continuing availability of said funds for the purposes hereof. In the event that said funds, or any part
thereof, become unavailable as determined by the Department, the Department may immediately
terminate the Agreement or amend it accordingly.
2. Fees for Services
$13.00/Test (10 Panel Quick Test)
$25.00/Test (11 Drug Panel — Panel 1709)
$10.00/Test (5 Panel Quick Test)
$40.00/Drug (6 a.m. Test)
$12.00/Test (7 Drug Panel — Panel 280)
$20.00/Test (8 Panel with Etg — Panel 968)
$2.00/Test(Breathalyzer)
$40.00/Drug (Confirmation all drugs)
$40.00/Test (D vs L Isomer)
$80.00/Test (DHS Hair Test 5 Panel)
$20.00/Test (Ecstasy Test)
$24.00/Test (EtG Single/ETS Urine Alcohol — Panel 2911)
$45.00/Test (Extended Opiates)
$55.00/Test (GHB)
$2.00/Episode (Medication Monitor and Antabuse Provision)
$40.00/Test (Metabolite)
$20.00/Test (Methadone — Panel 16)
$40.00/Test (Opiates)
$25.00/Test (Oral Fluid Confirmation)
$25.00/Test (Oral Swab Quick Test 6 Drug Panel)
$30.00/Test (Oxycodone Screen — Panel 87.5)
$40.00/Test (Phencyclidine, PCP)
$45.00/Test (Spice/K2 Screen — Panel 3502)
$175.00/Test (Steroid Test)
$30.00/Test (Suboxone Screen)
$45.00/Test (Synthetic Stimulants/Bath Salts/Khat Screen — Panel 3601)
$47.00/Test (Toxic Vapors)
$40.00/Test (Tramadol Screen)
3. Submittal of Vouchers
Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form,
other supporting documentation, and monthly report if applicable, certifying that services authorized
were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions
of Paragraph 3 and Exhibit A.
Contractor shall submit all Requests for Reimbursement and supporting documentation to the
Department by the 7th day of the month following the month of service, but no later than 60 days from
the date of service. Requests for Reimbursement and/or supporting documentation received after 60
days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the
60 -day deadline may result in termination of the Agreement.
For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client
and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement.
For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the
completed product.
For Monitored Sobriety services, proof of services rendered shall be the test result.
Hello