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Home My WebLink About20192577.tiffPRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: March 30, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Protection Agreement Amendments for 2019- 20 Core/Non-Core Contracted Services 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 Protection Agreement Amendments for 2019- 20 Core/Non-Core Contracted Services. The Department entered into Agreements with various Child Welfare service providers through the 2019-2020 Request for Proposal (RFP), Bid Number: B1900025, identified as Tyler ID 2019-0707. These Agreements were issued for a period of three (3) years with the option to renew annually. The Department is requesting to renew the current Agreements with no changes for 34 providers reflected in the attached list. Agreements will be renewed for the third and final year for the period of June 1, 2021 through May 31, 2022. 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. 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; March 30, 2021— CMS ID — Various c�C Page 1 020/9- a-577 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRACEFUL OAKS YOUTH RANCH This Agreement Amendment, made and entered into / day of _ „ 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Hum. Services, hereinafter referred to as the "Department", and Graceful Oaks Youth Ranch, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Child Mentoring and Family Support, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2577, approved on July 3, 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: December 11, 2019 to amend the Rate Schedule. May 13, 2020 to extend the term date through May 31, 2021. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019.5043 and 2019-2577. • 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. • 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. ddriLe/t) CI • a-dO'"- BOARD OF COUNTY COMMISSIONERS Weld you / Jerk to the Board WELD COUNTY, COLORADO By: Deputy Cler' o the : oard / / '`` Steve Moreno, Chair APR 1 9 2021 Graceful Oaks Youth Ranch 8098 County Road 14 Fort Lupton, Colorado 80621 By: Date: Chalae Catde9e Chalae Cartledge (Apr 9, 2021 0 :08 MDT) Chalae Cartledge, Founder/CEO Apr 9, 2021 Contract Form Entity Information New Contract Request Entity Name* Entity ID* GRACEFUL OAKS YOUTH RANCH g00040947 Contract Name* Contract ID ❑ New Entity? Parent Contract ID GRACEFUL OAKS YOUTH RANCH (AGREEMENT AMENDMENT) 4650 201 92577 Contract Status CTB REVIEW Contract Lead* APEGG Contract Lead Email apegg@weldgov.com;cobbx xlk@weldgov.com Requires Board Approval YES Department Project # Contract Description* BID #B1900025. TERM: 6,r1 /21-5 /31 r'22. ORIGINAL TYLER ID IS: 2019-2577, HOWEVER 2019-5043 IS ALSO ASSOCIATED WITH THIS AGREEMENT. Contract Description 2 CONSENT. PA WAS SENT TO CTB ON 3/31/21 Contract Type* AMENDMENT Amount* 40.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov.co m Department Head Email CM-HumanServices- DeptHead weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORN EY@WELDG OV.COM Requested BOCC Agenda Date* 05r26r2021 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 RSA enter MA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Base Contract Dates Effective Date Review Date* 04,/01!2022 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Committed Delivery Date Expiration Date* 05:31;2022 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date CONSENT 04J13;2021 Approval Process Department Head JAMIE ULRICH DH Approved Date 04/13/2021 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 04 19:2021 Originator APEGG Finance Approver CONSENT Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 04:' 13 r 2021 04;' 13,E 2021 Tyler Ref # AG 041921 3600 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 Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; April 2, 2020 — Not in CMS Page 1 c95 /13 A0 ti5r 65hs � ©5/is/ 0 2otq- 2 ?� PR coqo VENDOR RENEWALS Vendor Program Area Day Treatment Services Service Name IDD Special Education Costs Funding Core Rate $ 2,644.00 Unit Type Month Regular Special Education Costs Core $ 1,430.00 Month Therapeutic Et IDD Special Education Costs Core $ 4,394.00 Month Therapeutic Et Regular Special Education Costs Core $ 3,180.00 Month Therapeutic Costs Core $ 1,750.00 Month Devereux Cleo Wallace Day Treatment Services Educational Costs Core $ 67.36 Day Full Therapeutic Et Educational Costs Core $ 164.36 Day Therapeutic Costs Core $ 97.00 Day Done On Time, LLC Monitored Sobriety Services 8 Panel Urinalysis CW Block/Child Welfare Services $ 25.00 Test Breathalyzer CW Block/Child Welfare Services $ 5.00 Test Confirmation Testing, Per Drug CW Block/Child Welfare Services $ 25.00 Drug Hair CW Block/Child Welfare Services $ 135.00 Test Oral Swab CW Block/Child Welfare Services $ 45.00 Test Empowering Choices Therapy -Manchester, Keith Sexual Abuse Treatment Family Therapy Core $ 90.00 Episode Individual Therapy Core $'-- 75.00 Episode Staffing, FTM, TDM, Court, etc. Core $ 75.00 Month Flynn Counseling, LLC Mental Health Services Mental Health Evaluations Core $ 300.00 Episode Sexual Abuse Treatment Boundaries Course -Group Core $ 40.00 Hour Boundaries Course -Individual Core $ 80.00 Hour Family Therapy/Parent Support Core $ 80.00 Hour Female Offenders Individual Treatment Core $ 80.00 Hour Informed Supervision Core $ 80.00 Hour Juvenile Offense Specific Treatment: Contact Offense Group Core $ 40.00 Hour Juvenile Offense Specific Treatment: Individual Core $ 80.00 Hour Juvenile Offense Specific Treatment: Internet Offense Group Core $ 40.00 Hour " Juvenile Offense Specific Treatment: Non -Contact Offense Group Core $ 40.00 Hour Multidisciplinary Team Meetings (MDT)/Staffings "Core $ 80.00 Hour Psychosexual Evaluations Core $ 850.00 Episode Sexually Reactive Individual Treatment Core $ 80.00 Hour Young Adult Sex Offense Treatment: Contact Offense Group Core $ 40.00 Hour Young Adult Sex Offense Treatment: Individual Core $ 80.00 Hour Young Adult Sex Offense Treatment: Internet Offense Group Core $ 40.00 Hour Young Adult Sex Offense Treatment: Non -Contact Offense Group Core $ 40.00 Hour Frances Garcia -Garcia Family Guidance Mentoring FTMs Core $ 85.00 Episode Mentoring Core $, 65.00 Hour Graceful Oaks Youth Ranch Child Mentoring and Family Support Certified Equine Sessions Core $ 60.00 Hour Empowering Youth Leadership Camp Core $ 250.00 Episode Equine Mentoring Session Core $ 25.00 Hour Greeley Counseling Center, P.C. ` Mental Health Services Parent/Child Interactional Evaluation Core $ 300.00 Hour Psychological Evaluation - Adult or Adolescent Core $ 300.00 Hour Staffing, FTM TDM, Court Facilitation, etc. Core $ 150.00 Hour Griffith Centers for Children, Inc. - Chins Up Child Mentoring and Family Support Mentoring Services Core $ 49.00 Hour WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: B2000037 4 x .4* 36O© AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRACEFUL OAKS YOUTH RANCH This Agreement Amendment, made and entered into c-.) day of Matt"' 12020 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 Graceful Oaks Youth Ranch, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Child Mentoring and Family Support (Certified Equine Sessions), the Original Agreement') identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2577, approved on July 3, 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. • The Original Agreement was amended on December 11, 2019. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2577. • 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 of June 1, 2020 through May 31, 2021. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: diSfel&V CI • Weld County Clerk to the Board By Clerk to the Board COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair MAY 1 3 2020 CONTRACTOR Graceful Oaks Youth Ranch 8098 County Road 14 Fort Lupton, CO 80621 By: Date: Chalae Cartled e(Apr23,2020) Chalae Cartledge, Founder/CEO Apr 23, 2020 03/13 /Ac cc: �Sb Qn%ctotgrc- OS/ l 3(Q,m ?�lg-2377 t4.Aoogo New Contract Request Entity Information Entity Name* Entity ID* GRACEFUL OAKS YOUTH RANCH @40040947 Contract Name* GRACEFUL OAKS (AGREEMENT AMENDMENT) Contract Status CTB REVIEW Contract ID 3600 Contract Lead* CULLINTA ❑ New Entity? Parent Contract ID Requires Board Approval YES Contract Lead Email Department Project # cullinta@co weld co.us Contract Description* CONSENT. BID NO. 2000037. BOCC APPROVAL 04/15/20. CHILD PROTECTION AGREEMENT AMENDMENT. TERM: 06/01/20 THROUGH 05/31121. 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 04/11,2020 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 RASA Contract ID Note_ the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 04/01/2021 Termination Notice Period 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 05/0512020 Final Approval BOCC Approved BOCC Signed Date 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 Finance 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 GRACEFUL OAKS YOUTH RANCH This Agreement, made and entered into the,2 dray of t 2019, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of HYaman Services, hereinafter referred to as the "Department' and Graceful Oaks Youth Ranch, hereinafter referred to as the "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 Core Services or other funding to the Department for Child Mentoring and Family Support (Certified Equine Sessions). 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 Response to Request for 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 (hainleid@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 0,0 mer,+ Citraet, O7103/II 7_3,/g 2019-2577 HR0090 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. 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 2 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 the Age Discrimination in Employment Act of 1967; and the Equal Pay Act of 1963; and 3 - 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 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- 4 102(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. 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 5 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, 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; 6 $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 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. 8 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: For Contractor: Heather Walker, Child Welfare Division Head Chalae Cartledge, Founder/Chief Executive Officer 17. Notice 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 18. Litigation For Contractor: Chalae Cartledge, Founder/Chief Executive Officer 8098 County Road 14 Fort Lupton, CO 80621 (303)588-7780 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 9 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 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 10 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. 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 11 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. 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 12 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. 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. 13 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: Weld Co By: Deputy Clerk tothBoartl BOARD OF COUNTY COMMISSIONERS y Clerk to the Board WELD COUNTY, COLORADO 15 rbara Kirkmeyer, Ch. r 3UL 0 3 2019 CONTRACTOR: Graceful Oaks Youth Ranch 8098 County Road 14 Fort Lupton, CO 80621 (303) 588-7780 Chalae Caytiedge Chalae Cartledge (Apr 28, 2019) By: Date: Chalae Cartledge, Founder/Chief Executive Officer Apr 28, 2019 00 ! ct — 0S-17 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 PROPSOAL Graceful C)aks Youth Ranch County Road 14. Fort Lupton. CO 80621 Chalae Cartledge 8098 County Road 14 Ft. Lupton, Co 80621 programs (a,govr. org Tobi A. Cullins Contract Management and Compliance Coordinator cullintaAweldgov.com Dear Tobi, My name is Chalae Cartledge, and I am the Founder of Graceful Oaks Youth Ranch. Charlene Montgomery contacted us about a potential opportunity to work with Child Welfare Management. We are excited about a partnership to serve children, youth, and families in Weld County. Our mission at Graceful Oaks is to mentor children, empower youth to lead, foster emotional healing, and strengthen families. We have designed our youth and family programs to help others overcome difficult situations in life as they experience hope and empowerment at the Ranch through Equine Mentoring Sessions, Empowering Youth Leadership Camps, and Certified Equine Sessions. Thank you for taking the time to review our bid and documents to be considered for this opportunity. Sincerely, Chalae Cartledge EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services roc?w AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID (If Known) PRIMARY CONTACT FULL NAME U PRIMARY CONTACT - TITLE IR)3 50Ei 77:70 PHONE NUMBER p (0,6-jraols orcd'- PRIMARY CONTACT E MAIL ADD SS EXT. FAX NUMBER AGENCY/R,IACTIcEWEBADDREfit(IFAPPLICABLE) AGENCY MAILING ADDRESS CITY 8091: 0011W./77 // ri. ZIP REFERRAL CONTACT ome/i I REFFERAL CONTACT FULL NAME .� ,c170 , LA( - 1.26 REFERRAL CONTACT PHONE NUMBER EXT. [(mantel rvi (3 Keaqui-eA- REFERRAL CONTACT - TITLE fq v cf lcliov,040/i REFERRAL CONTACT E MAIL ADDRESS BILLING CONTACT BILLING CONTACT FULL NAME 303 , 58e- 77�� BILLING CONTACT PHONE NUMBER EXT. (' BILLING CONTACT - TITLE BKLING CONTACT E -Mat ABIDRESS 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 form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract. if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids. to waive any informality in the bids, and to accept the bid, or part of a bid, 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: N't 1AA- 6c (//3 � Date of Signature: /,' /e / Bid No.: B 1900025 EXHIBIT C CERTIFIED EQUINE HOUR PROPOSAL 1. Bidder's legal entity name: 2. Program name or service type being proposed: / (elk 1 O G rC y t v T(./1 e d - 6711 i ✓1 c' l u r 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Curriculum activities to connect participants with horses include: • Ground exercises that include brushing, leading, lunging (horse travels around participant while on a lead) • Painting a live horse (applying washable paint on the horse itself) to express a participant's emotions • Direct and drive horse, while on ground, through arena obstacle courses • Other activities depending on individual's unique life experiences 4. Capacity to Provide Services (ex. 4 hours/week). Certified equine hours are scheduled for one hour per week for a single participant. The duration of the service would be between one and three months (per participant, once a week), depending on individual life experiences. Participant times are variable but need to be scheduled one week in advance. Graceful Oaks has the capacity to manage up to 10 sessions per week, Monday — Thursday. Developing a trusting relationship with child is first priority. Once this relationship has been established, we welcome parental involvement, when agreed upon Graceful Oaks Management and Child Welfare Division, at no additional fee. 5. Goals of the service. The certified equine hours are designed to help participants find their personal power using their voice, establish and define healthy boundaries for themselves, and build trust between a partner (the horse) and themselves. 6. Outcomes of service. Positive, tactile experiences with horses have proven to enhance relationships with other people, elevate self-esteem, reduce fear and anxiety and depression, and restore hope in an individual's future. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. The hours proposed are designed for boys and girls, ages 10 and older who have experienced divorce by parents, domestic violence, sexual abuse, parental alcohol abuse and more. Special sessions may also be tailored for teenage or adult participants. 8. Service access. Note: Bidder must indicate capacity for video conferencing, phone conferencing and in person. if office -based, bidder should provide full physical addresses for all locations. If provided outside the Bid No.: 1900025 EXHIBIT C CERTIFIED EQUINE HOUR PROPOSAL office, bidder should note home -based and/or community -based, and geographical area(s) bidder is willing to travel to. The services will be provided on -site at Graceful Oaks Youth Ranch, located on the eastern side of Frederick, Colo., 8098 County Rd. 14, Ft. Lupton, CO 80621. Wireless phone service is available from this location. 9. Languages service is available in. Note: Bidder should note the language and level of proficiency. Management staff are 100 percent proficient in English. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Services will be provided at a rate of $60 per hour, per student. Bid No.: 1900025 EXHIBIT C EQUINE MENTORING SESSIONS PROPOSAL 1. Bidder's legal entity name: 2. Program name or service type being proposed: Graceful Oaks Youth Ranch Equine Mentoring Sessions 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Participants will engage with horses and ranch animals in practical exercises including: • Grooming • Tack use and maintenance • Leading and communicating with ranch animals • Feeding • Games and crafts (activity center) 4. Capacity to Provide Services (ex. 4 hours/week). Equine mentoring sessions take place one hour per week per participating child. The duration of the service will be between two and three months per child, depending on individual life experiences. Participant times vary but need to be scheduled at least one week in advance. Graceful Oaks has the capacity to manage up to 10 sessions per week, with a maximum of two participants per session, Monday through Thursday. 5. Goals of the service. The goal of this service is to provide hope and emotional support to children who are working through difficult times in their lives. 6. Outcomes of service. Through direct mentoring and the exercises noted above, participating children will gain self- confidence, team -building and communications skills, and empowerment within a safe environment to achieve personal goals. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. The sessions proposed are for boys and girls ages 5 and older (up to 17) who have experienced difficult family environments and basic challenges at school. 8. Service access. Note: Bidder must indicate capacity for video conferencing, phone conferencing and in person. If office -based, bidder should provide full physical addresses for all locations. If provided outside the office, bidder should note home -based and/or community -based, and geographical area(s) bidder is willing to travel to. The services will be provided on -site at Graceful Oaks Youth Ranch, located on the eastern side of Frederick, Colo., 8098 County Rd. 14, Ft. Lupton, CO 80621. Wireless phone service is available from Bid No.: 1900025 EXHIBIT C EQUINE MENTORING SESSIONS PROPOSAL this location. 9. Languages service is available in. Note: Bidder should note the language and level of proficiency. Management staff are 100 percent proficient in English. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Services will be provided at a rate of $25 per session per student. Bid No.: 1900025 EXHIBIT C EQUINE MENTORING HOUR PROPOSAL 1. Bidder's legal entity name: 2. Program name or service type being proposed: Graceful Oaks Youth Ranch Equine Mentoring Hour 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Participants will engage with horses and ranch animals in practical exercises including: ❑ Grooming Tack use and maintenance C Leading and communicating with ranch animals Feeding Games and crafts (activity center) 4. Capacity to Provide Services (ex. 4 hours/week). Equine mentoring hour takes place one hour per week per participating child. The duration of the service will be between two and three months per child, depending on individual life experiences. Participant times vary but need to be scheduled at least one week in advance. Graceful Oaks has the capacity to manage up to 10 hours per week, with a maximum of two participants per hour, Monday through Thursday. Developing a trusting relationship with child is first priority. Once this relationship has been established, we welcome parental involvement, when agreed upon Graceful Oaks Management and Child Welfare Division, at no additional fee. 5. Goals of the service. The goal of this service is to provide hope and emotional support to children who are working through difficult times in their lives. 6. Outcomes of service. Through direct mentoring and the exercises noted above, participating children will gain self- confidence, team -building and communications skills, and empowerment within a safe environment to achieve personal goals. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. The hour proposed are for boys and girls ages 5 and older (up to 17) who have experienced difficult family environments and basic challenges at school. 8. Service access. Note: Bidder must indicate capacity for video conferencing, phone conferencing and in person. If office -based, bidder should provide full physical addresses for all locations. If provided outside the office, bidder should note home -based and/or community -based, and geographical area(s) bidder is willing to travel to. The services will be provided on -site at Graceful Oaks Youth Ranch, located on the eastern side of Bid No.: 1900025 EXHIBIT C EQUINE MENTORING HOUR PROPOSAL Frederick, Colo., 8098 County Rd. 14, Ft. Luton, CO 80621. Wireless phone service is available from this location. 9. Languages service is available in. Note: Bidder should note the language and level of proficiency. Management staff are 100 percent proficient in English. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Services will be provided at a rate of $25 per hour per student. Bid No.: 1900025 EXHIBIT C CERTIFIED EQUINE SESSIONS PROPOSAL 1. Bidder's legal entity name: 2. Program name or service type being proposed: Graceful Oaks Youth Ranch Certified Equine Sessions 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Curriculum activities to connect participants with horses include: • Ground exercises that include brushing, leading, lunging (horse travels around participant while on a lead) • Painting a live horse (applying washable paint on the horse itself) to express a participant's emotions • Direct and drive horse, while on ground, through arena obstacle courses • Other activities depending on individual's unique life experiences 4. Capacity to Provide Services (ex. 4 hours/week). Certified equine sessions are scheduled for one hour per week for a single participant. The duration of the service would be between one and three months (per participant, once a week), depending on individual life experiences. Participant times are variable but need to be scheduled one week in advance. Graceful Oaks has the capacity to manage up to 10 sessions per week, Monday —Thursday. 5. Goals of the service. The certified equine sessions are designed to help participants find their personal power using their voice, establish and define healthy boundaries for themselves, and build trust between a partner (the horse) and themselves. 6. Outcomes of service. Positive, tactile experiences with horses have proven to enhance relationships with other people, elevate self-esteem, reduce fear and anxiety and depression, and restore hope in an individual's future. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. The sessions proposed are designed for boys and girls, ages 10 and older who have experienced divorce by parents, domestic violence, sexual abuse, parental alcohol abuse and more. Special sessions may also be tailored for teenage or adult participants. 8. Service access. Note: Bidder must indicate capacity for video conferencing, phone conferencing and in person. If office -based, bidder should provide full physical addresses for all locations. If provided outside the office, bidder should note home -based and/or community -based, and geographical area(s) bidder is willing to travel to. The services will be provided on -site at Graceful Oaks Youth Ranch, located on the eastern side of Bid No.: 1900025 EXHIBIT C CERTIFIED EQUINE SESSIONS PROPOSAL Frederick, Colo., 8098 County Rd. 14, Ft. Lupton, CO 80621. Wireless phone service is available from this location. 9. Languages service is available in. Note: Bidder should note the language and level of proficiency. Management staff are 100 percent proficient in English. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Services will be provided at a rate of $60 per session, per student. Bid No.: 1900025 EXHIBIT C EMPOWERING YOUTH LEADERSHIP CAMPS PROPOSAL 1. Bidder's legal entity name: 2. Program name or service type be- ing proposed: Graceful Oaks Youth Ranch Empowering Youth Leadership Camps 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Leaders of the program will use a variety of tools and methods to teach participants the elements of running an active ranch environment. Services and program modules include: a. Animal feeding and care b. Equine grooming, maintenance and relationship building c. Facilities maintenance d. Budget management e. Time management f. Leadership skill development (conflict resolution, relationship building, customer service) 4. Capacity to Provide Services (ex. 4 hours/week). Participants will be required to participate in the program during a selected week per month, 9-11am during the summer, and 4:30-6:30pm during the school year. Graceful Oaks has the capacity to wel- come a maximum of 10 participants per one -week module and must have a minimum of four partici- pants to offer the program. (If an insufficient number of participants are able to participate in a week-long module, Graceful Oaks will schedule alternative programs for other audiences. Therefore, Weld County Child Welfare Division will need to notify Chalae Cartledge - via email - about participation status at least one week in ad- vance of a schedule class module) 5. Goals of the service. The goals of the program will be to empower participants to learn, through direct experience and par- ticipation, how to manage and operate a ranch facility, using the tools noted in No.3 above. 6. Outcomes of service. Practical skills conveyed will help prepare participants for the business environment (their first job) and equip each to excel in a business environment. Successful participants will receive a certificate of com- pletion that may be used as a reference with prospective employers. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. This program will be made available to boys and girls, ages 13 and older, who are referred by Weld County Child Welfare Division. 8. Service access. Note: Bidder must indicate capacity for video conferencing, phone conferencing and in person. Bid No.: 1900025 EXHIBIT C EMPOWERING YOUTH LEADERSHIP CAMPS PROPOSAL If office -based, bidder should provide full physical addresses for all locations. If provided outside the office, bidder should note home -based and/or community -based, and geographical area(s) bidder is willing to travel to. The services will be provided on -site at Graceful Oaks Youth Ranch, located on the eastern side of Fred- erick, Colo., 8098 County Rd. 14, Ft. Lupton, Colo. 80621. Wireless phone service is available at this lo- cation. 9. Languages service is available in. Note: Bidder should note the language and level of proficiency. Management staff are 100 percent proficient in English. 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Services will be provided at a rate of $250 per student for each one -week camp per month. Bid No.: 1900025 EXHIBIT D PROPOSED SERVICE OR SERVICE TYPE: Certified Equine Sessions, Equine Mentoring Sessions, Empowering Youth Leadership Camps BIDDER LEGAL ENTITY NAME: Graceful Oaks Youth Ranch APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION No. Last Name First Name Work# Work Email Education Level Degree Focus Licensure/ Credentials 1 Cartledge Chalae 303-5887780 programs@govr.org College Sports Marketing FBEAP Certified 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Bid No.: B1900025 EXHIBIT D SUPERVISOR INFORMATION DORA # (If applicable) Last Name'` First Name Work # programs@goyr.org Cartledge Chalae 303-588-7780 Bid No.: 81900025 January 18, 2019 To Whom It May Concern: Our time at Graceful Oaks was a memorable one. It was a great experience learning about how a ranch works, what it takes to make it run on a daily basis, and that different animals need care -wise. It really takes a village to make something run well, and the people who support Graceful Oaks have a distinct passion for the ranch and its mission. I have cherished my time working with different people on different activities, and am so grateful God has blessed me with a new forever friend. I will continue supporting the ranch as it serves youth in a unique and powerful way. My girls were involved in the Youth Leadership Development Program over the summer. Here is what they had to say: "I learned many things; how to take care of horses, what it takes to plan a big party, how to work with strangers to put together different programs like Family Fun Night. Planning big parties, now that was fun! You would get together with everyone and discuss important details of planning that party. I learned you have to work with EVERYONE to set it up properly, and be confident in your abilities. I learned why it was so important to take proper care of horses, why it is important to muck! I started to get the hang of doing all these tasks, so as I kept coming to the ranch, I went straight to work, knowing that day would be a success." "At Graceful Oaks Youth Ranch, I have learned many things, including how to take care of horses, goats, chickens, as well as getting a place ready for a big party. But none of these things will show how much it has taught me how big of an impact kindness has on those who rarely receive it. Going through the Leadership Program showed me that hard work has to be put into everything, and that if you keep a good attitude no matter what, everyone will be in a better mood. The group activities helped us learn how to work together, help in the community, and how and when to lead." If you are looking for something new and different, more than a typical day camp, come share in the laughter and work at Graceful Oaks! Sincerely, The Roalstad Family 3 January 2019 To Whom It May Concern: Please accept this letter of recommendation for Graceful Oaks Youth Ranch (GOYR), specifically, GOYR's Session Program and Youth Leadership Program. Our son participated in GOYR's pilot session program and has participated in the Youth Leadership Program since 2017. The first time we heard about GOYR, our son was at a low point in his life. He was 13 years old, and believing that he was of no value to this world. His behavior, attitude, and physical demeanor was suffering. As a parent, our hearts were broken because no matter how much we tried to convey to him that he is priceless, the world can have a strong influence in convincing a child otherwise. He needed to learn of his extreme value, but that had to come from somewhere in addition to home. Our son was accepted to GOYR's pilot session program where he worked one on one with Chalae Cartledge. This program was able to address his unique situation and gave him the tools to meet the challenges that young people face in today's society. He learned that his choices can make the future either easy or difficult, depending on which path he chose to follow. Since starting the program, our son has matured and developed confidence. He stops and thinks before reacting to a question or situation. He is less impulsive, and more readily thinks through how he can make better choices. Equally important was how his feelings changed. This program had an impact on his character, not just his decision -making process. We asked him if he believed GOYR was making a difference in his life. Was it truly working in his heart? Our son's response was very clear, "Yes! It has made a difference." He explained that since starting the program he has learned to trust himself and others more. Working with the horses has taught him that he has to trust the horse, trust that it will not harm him. Not only does he have to trust the horse, but the horse has to trust him. He has learned that in showing the horse that it can trust him to care for it, that he will not harm it, and that he will love it, that the horse has started to show signs of affection and trust in return. This is a huge breakthrough for him as he does not show his feelings easily. The program has also taught him to relax and not to stress about all of life's additional distractions. He mentioned that helping the horses has taught him that life happens, but how we react can make a difference. He is happier and more confident. He has become aware that although he may not always feel comfortable in social situations (e.g. maybe he is in a group where he feels a little out of place) he can have confidence even if he feels out of place. He can remain true to what he knows is right and that the choices he makes are his own. The Empowering Youth Leadership Program has enabled our son to turn what he has learned in the session program into practice. He has completed two years in the Empowering Youth Program, learning how to apply the mission of GOYR into a working, practical lifestyle. Through this program, our son has accepted the responsibility of leading the Archery Range during events at GOYR. He is excited to lead guests in learning about archery. He is happier, more mature, a better listener, and has greater self-confidence, translating what he has learned at GOYR into his everyday life. Being a part of GOYR is one of the best decisions we have made. Although we understand life always presents additional challenges, we are excited to see all of the wonderful things that our son will continue to learn from participating in this program as he grows into a young man. We are also excited to see him continue to apply what he has learned toward making a difference in this world. We give our strongest recommendation for GOYR and the unique programs it offers. Sincerely, Wendi and Brian Copello GRACOAK-01 RGARRISON ,a►coRO CERTIFICATE OF LIABILITY INSURANCE 4.-----2 DATE D/YYYY) 2/7/2/7/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Basin Pacific Insurance & Benefits 1800 Blankenship Road Suite 200 West Linn, OR 97068 CONTACT NAME: PHONE ,HO No, Ext): (503 342-6575 FAX ) IA/c, No):(503) 419-6060 E-MAIL ADDRESS: ctrautman@basinpacific.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Alliance of Nonprofits for Insurance 10023 INSURED Graceful Oaks Youth Ranch Fort Lupton, CO 80621 INSURER B : INSURER C: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF IMM/OD/VYYYI POLICY EXP IMMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 2018-49562 12/5/2018 12/5/2019 EACH OCCURRENCE S 2,000,000 CLAIMS -MADE X OCCUR DAMAGEES (Ea TO RENTED occurrence) PREMIS S 100,000 MED EXP (Any one person) $ 5'000 PERSONAL R. ADV INJURY $ 1'000'000 GEN'L AGGREGATE POLICY OTHER LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 2'000'000 PRODUCTS 1,000,000 $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS AUUTOS ONL� COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY accidentDAMAGE $ $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N/A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Weld County Child Welfare Division tY PO Box A Greeley, CO 80632 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Certified Equine Sessions, Empowering Youth Leadership Camp, and Equine Mentoring Sessions, as referred by the Department. 2. Certified Equine Sessions: a. Services will include: i. Ground exercises that include brushing, leading, lunging (horse travels around participant while on a lead) ii. Painting a live horse (applying washable paint on the horse itself) to express a participant's emotions iii. Direct and drive horse, whole on ground, through arena obstacle course iv. Other activities depending on the participant's unique life experiences b. Capacity for Services: i. One (1) hour per week per participant, for two (2) to three (3) months, depending on individual life experiences. ii. Contractor can provide up to ten (10) hours per week, Monday through Thursday, with a maximum of two (2) participants per hour. Participant times can vary but must be scheduled one week in advance. iv. Parental involvement is welcomed at no additional charge, once a trusting relationship is established with the participant. c. Goals of Service: i. Help participants find their personal power using their voice ii. Help participants establish and define healthy boundaries iii. Build trust between a partner (the horse) and themselves d. Outcomes of Service: i. Enhanced relationships ii. Elevated self-esteem Reduction in fear, anxiety and depression iv. Restored hope for the future e. Target Population: Male and female youth, age 10 and older, who have experienced divorced parents, domestic violence, sexual abuse, parental alcohol abuse and more. Special sessions may be tailored for teenage and/or adult participants. f. Service Access: Graceful Oaks Youth Ranch, 8098 County Road 14, Fort Lupton, CO 80621. g. Language: English only. 3. Empowering Youth Leadership Camps: a. Services will include: i. Animal feeding and care ii. Equine grooming, maintenance and relationship building iii. Facilities maintenance iv. Budget management 1 v. Time management vi. Leadership skill development (conflict resolution, relationship building, customer service) b. Capacity for Service: i. Contractor will schedule the program during a selected week per month, 9 a.m. to 11 a.m. during the summer, and 4:30 p.m. to 6:30 p.m. during the school year. ii. Contractor requires a minimum of four (4) participants per week long program. The maximum number of participants is ten (10). iii. The Department must confirm participants with Contractor a minimum of one week prior to the scheduled program week. c. Goals of Service: Empower participants to learn, through direct experience and participation, how to manage and operate a ranch facility. d. Outcomes of Service: i. Participants will learn practical skills to prepare them for the business environment (their first job) and will be equipped to excel in a business environment. ii. Successful participants will receive a certificate of completion that may be used as a reference for future employment. e. Target Population: Male and female youth, ages 13 and older. f. Service Access: Graceful Oaks Youth Ranch, 8098 County Road 14, Fort Lupton, CO 80621. g. Language: English only. 4. Equine Mentoring Hour: a. Services will include: i. Grooming ii. Tack use and maintenance iii. Leading and communicating with ranch animals iv. Feeding v. Games and crafts (activity center) b. Capacity for Services: i. One (1) hour per week per participant, for two (2) to three (3) months, depending on individual life experiences. ii. Contractor can provide up to ten (10) hours per week, Monday through Thursday, with a maximum of two (2) participants per hour. iii. Participant times can vary but must be scheduled one week in advance. iv. Contractor welcomes parental involvement is welcomed at no additional charge, once a trusting relationship is established with the participant. a. Goals of Service: Provide hope and emotional support to children who are working through difficult times in their lives. b. Outcomes of Service: Children will gain self-confidence, team building and communication skills, and empowerment within a safe environment to achieve personal goals. 2 c. Target Population: Male and female youth, ages five (5) to 17, who have experienced difficult family environments and basic challenges at school. d. Service Access: Graceful Oaks Youth Ranch, 8098 County Road 14, Fort Lupton, CO 80621. e. Language: English only. 5. Contractor will respond to the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 6. 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 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 (hainlejd@weldgov.com, 970-400-6210). 7. 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). 8. 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 (hainlejd@weldgov.com) immediately via email, to discuss service continuation. 9. 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. 10. 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. 11. 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. 12. 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 3 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. 13. 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. 14. Contractor will notify the Quality Assurance Team Supervisor (hainleid@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 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. 4 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 $60.00/Hour (Certified Equine Sessions) $250.00/Episode (Empowering Youth Leadership Camp) $25.00/Hour (Equine Mentoring Session) 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' 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 i New Contract Request Entity information Entity Name* GRACEFUL OAKS YOUTH RANCH Contract Name* GRACEFUL OAKS YOUTH RANCH Contract Status CTB REAEV: Entity ID @OOD4D947 ❑ New Entity? Contract ID 2787 Contract Lead* CULLINTA Contract Lead Email cullinta@co.weid.eo.us Contract Description* CONSENT. NEIN AGREEMENT FOR SERVICES. FUNDING: CORE.+OTHER Contract Description 2 BID NO. 81900028 Contract Type* AGREEMENT Amount* $0.00 Renewable* YES Automatic Renewal Grant EGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov.com Department Head Email CM-HurnanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email Clv1- COUNTYAI IORNEY@ ELD GOV.COM Parent Contract ID 20190707 Requires Board Approval YES Department Project # TERM: JUNE 1, 2019 -MAY 31. 2020. Requested BQCC Agenda Date* 06/12/2019 Due Date 06/03/2019 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID if this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Base Contract Dates Effective Date Termination Notice Period Review Date " 04/(31/2020 Committed Delivery Date Renewal Date D6/01/2020 Expiration Date Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JUDY GRI EGO DH Approved Date D7/01/2019 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 01/0312019 Originator CULLINTA Contact Type Contact Ernail Finance Approver CONSENT Contact Phone 1 Contact Phone 2 Purchasing Approved Date 0710112019 Finance Approved Date 07701/2019 Tyler Ref # AG07I)319 Legal Counsel CONSENT Legal Counsel Approved Date 07/01/2019 Submit Hello