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Home My WebLink About20192266.tiffPRIVILEGED AND CONFIDENTIAL OA ni"ra Ct (-I Co% MEMORANDUM DATE: April 20, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Transitions Psychology Group, LLC Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Agreement Amendment with Transitions Psychology Group, LLC. The Department entered into a Child Protection Agreement for Services with Transitions Psychology Group, LLC; identified as Tyler ID 2019-2266 on June 17, 2019. The Agreement was amended on October 21, 2019 to amend the Scope of Services and Rate Schedule and on May 11, 2020 to extend the term date through May 31, 2021. The Agreement is now being amended to renew for a third and final year, for the period of June 1, 2021 through May 31, 2022, and to make changes to the Rate Schedule as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Rate Schedule Changes: • $90.00 per episode no-show rate was added to each service (up to two episodes per client). I do not recommend a Work Session. I recommend approval of this Agreement Amendment. Approve Recommendation Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Salm Schedule Work Session Other/Comments; Pass -Around Memorandum; April 20, 2021 - ID 4696 Page 1 0,Q)ns-cn+- A Oc-t i a� /� 1 ec:01.6v-ae-2(..pb) �O 19 -aaCoG I -I R©09O AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND TRANSITIONS PSYCOLOOGY GROUP, LLC/ This Agreement Amendment, made and entered into d� day of /`"'� pr i I 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Transitions Psychology Group, LLC, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home Studies, Life Skills, and Mental Health Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2266, approved on June 17, 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: October 21, 2019 to amend the Scope of Services and Rate Schedule. May 11, 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 2019-2266. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a third and final year, for the period of June 1, 2021_ through May 31, 2022. 2. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: i mil/ Cam• K ; Weld Co ty lerk to the Boa By: Deputy Clerk BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair CONTRACTOR: APR 2 8 2021 Transitions Psychology Group, LLC 7521 West 20th Street, Building M-2 Greeley, Colorado 80634 By: Date: By: Date: NowaAAllri�e Norma A Alkire (Apr 9, 2.11109 MEW Norma Alkire, Co -Owner Apr 9, 2021 L' egrA'o�y creep/ 5 Creed s Apr 9, z0zt tt:a6 MDT) Gregory Creed, Co -Owner Apr 9, 2021 02.019- 02.2106 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2022. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Home Studies Rate Unit Type Service Name $250.00 Each Additional adult(s), after 2 $1,200.00 Episode Full SAFE Home Study, up to 2 adults $0.56 Mile Mileage, after first 30 miles $250.00 Episode Partial Home Study, 1 interview and 2 phone contacts $600.00 Episode Update SAFE Home Study, up to 2 adults Life Skills Rate Unit Type Service Name $138.00 Hour Family Team Meeting (FTM) Team Decision Making Meeting (TDM), Staffing — Per Therapist $177.00 Hour Therapeutic Visitation, In -Home $118.00 Hour Therapeutic Visitation, In -Office or Video Conferencing $0.56 Mile Transportation after first 30 miles $90.00 Episode No-show Mental Health Services Rate Unit Type Service Name $177.00 Hour Co -Parent Consultation, In -Home $118.00 Hour Co -Parent Consultation, In -Office or Video Conferencing $236.00 Hour Co -Therapy Counseling, In -Office $177.00 Hour Couples Therapy, In -Home $118.00 Hour Couples Therapy, In -Office or Video Conferencing $138.00 Hour Family Team Meeting (FTM) Team Decision Making (TDM) Meeting, Staffing — Per Therapist $177.00 Hour Family Therapy, In -Home $118.00 Hour Family Therapy, In -Office or Video Conferencing $177.00 Hour Individual Therapy, In -Home $118.00 Hour Individual Therapy, In -Office or Video Conferencing $0.56 Mile Transportation after first 30 miles $90.00 Episode No-show 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. New Contract Request Entity. Information Entity Name* TRANSITIONS PSYCHOLOGY GROUP, LLC'. Entity ID* gO0014378 Contras Name* Contract ID TRANSITIONS PSYCHOLOGY GROUP, LLC (AGREEMENT 4696 AMENDMENT) Contract Status C"TB REVIEW Contras Description* BID [31900025 TERM: 6 ''U21-5,'31 `22. Contract Lead* APEGG ❑ New Entity? Parent Contract ID 20192266 Requires Board Approval YES Contract Lead Email Department Project apegggueldgov.com cobbx x1k _lwetdgov.com Contras Description 2 CONSENT. PA IS BEING SENT THROUGH THE NORMAL ROUTE, ETA TO CTB: 4;`22 Contras Type* AMENDMENT Amount* S0.00 Renewable* NO Automatic Renewal Grant !GA Department HUMAN SERVICES Department Email CM- HumanSerr; icesk5'weidgov.co m Department Head Email CM-HurnanServices- DeptHead Avelclgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email Chi COUN TYA I I ORNEY.'4,WELDG O .COM Requested BOCC Agenda Date* 05; 26 2021 Due Date 0:5'22'2021 Will a work session with BOCC be required?'* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID if this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number- should be left blank if those contracts are not in OnBase Contract Elates Effective Date Review Date* 04 01 12022 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JAMIE ULRICH DH Approved Date 04/19:2021 Final Approval BOCC Approved ROCC Signed Date ROCC Agenda Date 04:28;2021 Originator APEGG Committed Delivery Date Expiration Date* 05131/2022 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Finance Approver CONSENT Purchasing Approved Date 04 19;'2021 Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 04,19/2021 04 192021 Tyler Ref # AG 042821 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 C..eet 5e--11- eriJeA_ O,5l l 1 /2® c.e /4529 Chgcl s /a, AOl q-�G6 ��qd VENDOR RENEWALS Vendor Program Area Service Name Supervised Visitation -In Office Funding Core Rate $ 116.00 Unit Type Hour Supervised-Visitation-Larimer County Core $ 140.00. Hour Supervised Visitation -Outside Larimer County Core $ 206.00 Hour Visit Cancellation Core $ 50.00 Hour The Tennyson Center for Children Day Treatment Services Mileage Core $ 0.50 Mile Special Education - ASPEN Excess Costs Core S 161.29 Day Special Education - ASPEN Therapy Core $ 2,820.00 Month Special Education - ASPEN Therapy Et Excess Costs Core $ 6,046.00 Month Special Education - Excess Costs Core $ 96.47 Day Special Education - Therapy Core $ 1,770.00 Month Special Education - Therapy & Excess Costs Core $ 3,700.00 Month Third Way Center Home Based Services Next Steps Aftercare Program, -Community Based Core $ 76.00 Day Next Steps Aftercare Program, Home Based Core $ 55.00 Day Transitions. Psychology Group Home Studies Additional Adult(s), After.2 CW Block/Child Welfare Services $ 250.00 Each Full SAFE Home study, Up to 2 Adults CW Block/Child Welfare Services $ 1,200.00 Episode Mileage CW Block/Child Welfare Services S 0.56 Mile Partial Home Study CW Block/Child Welfare Services $ 250.00 Episode Updated SAFE Home Study, Up to 2 Adults CW Block/Child Welfare Services $ 600.00 Episode Life Skills Mileage Core $ 0.56 Mile Parent Coaching, In Office or Video Conferencing Core $ 118.00 Hour Parent Coaching, In -Home Core $ 177.00 Hour Staffing, FTM, TDM, etC. Core $ 138.00 Hour Therapeutic Visitation, In Office or Video Conferencing Core $ 118.00 Hour Therapeutic Visitation, In -Home Core S 177.00 Hour Mental Health Services Co -Parent Consultation, In Office or Video Conferencing Core $ 118.00 Hour Co -Parent Consultation, In -Horne Core $ 177,00 Hour Co -Therapy Counseling, In Office Core $ 236.00 Hour Couples Therapy, In Office or Video Conferencing Core $ 118.00 Hour Couples Therapy, In -Home Core $ 177.00 Hour Family Therapy, In Office or Video Conferencing Core $ 118.00 Hour Family Therapy, In -Home Core $ 177.00 Hour Individual Therapy, In Office or Video Conferencing Core $ 118.00 Hour Individual Therapy, In -Home Core $ 177.00 Hour Mileage = Core $ 0.56 Mile Staffing, FTM, TDM, etc. Core $ 138.00 Hour Treatment and Evaluation Services Domestic Violence Intervention DVOMB Evaluation CW Block/Child Welfare Services $ 800.00 Episode Mental Health Services Psychological Evaluation Core $ 1,200.00 Episode Sexual Abuse Treatment Offense Specific Evaluation Core $ 900.00 Episode UABACO, LLC Monitored Sobriety Services 10 Panel Quick Test CW Block/Child Welfare Services $ 13.00 Test 11 Drug Panel (Panel 1709) ` CW Block/Child Welfare Services $ 25.00 Test 5 Panel Quick Test CW Block/Child Welfare Services $ 10.00 Test 6 Drum Panel (Panel 33) CW Block/Child Welfare Services $ 35.00 Test 6AM Testing CW Block/Child Welfare Services $ 40.00 Drug WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: 82000037 13 # 3576 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND TRANSITIONS PSYCHOLOGY GROUP, LLC J This Agreement Amendment, made and entered into // day of 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Depa t of Human Services, hereinafter referred to as the "Department", and Transitions Psychology Group, LL , hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills, Home Studies and Mental Health Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2266, approved on June 17, 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 October 21, 2019. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2266. • 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. ®�/i/a.a. cc.: !A SO O n f6a st 05/1DIDO 2.011- 2266 N-Roci90 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: di:do) ei < i Weld County Clerk to the Board By: puty Clerk to the Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair CONTRACTOR: MAY 1 12020 Transitions Psychology Group, LLC 7521 West 20th Street, Building M-2 Greeley, CO 80634 By: Date: By: Date: Gr�o�y S lreeR' Gregory Creed, Co -Owner May 4, 2020 Nerstu, A/.a�irt Norma .re Nava 2.201 Norma Alkire, Co -Owner May 4, 2020 Contract Form New Contract Request Entity Information Entity Name* Entity ID* TRANSITIONS PSYCHOLOGY GROUP, @00014378 LLC Contract Name* Contract ID TRANSITIONS PSYCHOLOGY GROUP, LLC (AGREEMENT 3576 AMENDMENT) Contract Status CTB REVIEW 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. B20©0037. BOCC APPROVAL 04/15/20 CHILD PROTECTION AGREEMENT AMENDMENT TERM: 06/01/20 THROUGH 05/31/21 FUNDING: CORE/OTHER. Contract Description 2 Contract Type AGREEMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant ICA Department HUMAN SERVICES Department Email CM- HumanServices@aeldgov.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 MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in Onaase 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 Nam Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 05/05/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05/11/2020 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 051120 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 05/06/2020 Submit n - rat* 4t d ( O PRIVILEGED AND CONFIDENTIAL DATE: August 27, 201 n p Board County Commissioners — Pass -Around FR: Judy A. Oriego9 Director, Human ,,ervices Department of BALM11 Services' Agreement -Amendment with Transitions Psychology Group, LC Please review and. indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approv of the artme � �'s Agree <lent Amendment with Truss ions •s� Psycho Gr pup, LLC The Departmeni entered into an agreement with Transitions Psychology Group, ', C, vvith a term of June 19 2019 throw May 31, 2020, for Home Studies, Life Skirls and Mental Health Services. This agreement is identified as 2019-2266, approved on kuite 17, 2019. At this time the Department would i e to add Parent Coaching as an available service under the agreement. The associated rates for this senate are 1 7,0071 o r (Parent Coaching, In -Horne) $11 o o (Parenting Coaching, In -Office or Video Conferencing) $138.00/Hour (Family Team Meeting (FTM), T eani Decision Making Meeting (TDM), Staftings or Court Facilitation Meetings — Per Therapist) .56/Mile (Travel outside 30 miles one way from 725' �� . 20th Street, Bldg. M-2„ Greeley, Colorado 80634O Inclusive of multiple stops.) do not recommend a Work Session. I recommend approval of this Arne dmento Sean P. Conway Mike Freeman, Proal ern. Scott James Barbara Kirkmeyer, Chat Steve Moreno a lN?�^t?ra�u'.Llr +'a '1 .rl iaptti Approve Schedule Recommendation Worls Session Pass -Around Mem randurn; August 27, 2019 — CMS 3101 a � ;CIL. 0 '0,2 if'/� 'e., Other/Comments .4 — Page 1 02o/9 Me0 6 �% Karla Ford From: Sent: To: Subject: Barbara Kirkmeyer Thursday, August 29, 2019 6:26 AM Karla Ford Re: PA FOR ROUTING: Transitions Amendment (CMS 3101) Approve Sent from my iPhone On Aug 28, 2019, at 7:23 AM, Karla Ford <kford eldsov.com> wrote: Please advise if you approve recommendation. Thank your Karla Ford Office Manager, Board of weld County Commissioners 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kfordAweldgov.com :: www.weld ov.coni u My working hours are Monday -Thursday 7:00a.m.-4:00 p.m. Friday 7:00a.m. - .boon <image003.jpg> Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tobi Cullins <cuilir7ta c weldgov.com> Sent: Tuesday, August 27, 2019 5:03 PM To: Karla Ford <kford@weldp,ov.com> Cc: Barb Connolly <bconnlly@weldgov.com>; Bruce Barker <bbarker@weldgo‘Lcom>; Esther Gesick <ggesick weldgov.com>; HS Contract Management <11S -Conn act lianagement@co.weid.coms>; Jamie Ulrich <ulrichff@weldgov.corri>; Judy Griego <griegoia@weldgpv.com>; Lennie Bottorff <botto tel l @weld ov.co n» Subject: PA FOR ROUTING: Transitions Amendment (CMS 3101) Good afternoon, Please see attached PA for routing related to an amendment to the Department's existing agreement with Transitions Psychology Group. This item is in CMS (ID 3101) and has been reviewed/initialed off by Commissioner James. Thank you. Regards, Tobi A. Cullins Contract Management and Compliance Coordinator Administration Support Unit (ASU) AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND TRANSITIONS PSYCHOLOGY GROUP, LLC This Agreement Amendment made and entered into day of �� 2019 b and between the Board g y y of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Transitions Psychology Group, LLC, hereinafter referred to as the G6Contractor". WHEREAS the parties entered into an Agreement for Home Studies, Life Skills and Mental Health Services ("Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2266, approved on June 17, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2020. ® These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Exhibit C, Scope of Services, is hereby amended as attached. 2. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: .Y „tide �#4 Weld C unto Clerk to the Boar By: Deputy Clerk t r the Bo rd t: ts� f �r --Z1W COUNTY: BOARD OF COUNTY COMMISSIONF RS WEI, COUNTY, COLOR A,P O ara Kirkmeyer, Chair CONTRACTOR: OCT 2 1 2019 Transitions Psychology Group, LLC 7251 West 20th Street, Building M-2 Greeley, Colorado 80634 (970) 336-1123 By: Gregory S. Creed (Aug 15, 2019) Gregory Creed, Co -Owner Date: Aug 15, 2019 By: Date: Alarm,* &kite - Norma Andre IAug IS, 2019) Norma Alkire, Co -Owner Aug 15, 2019 -mot: EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Home Studies, Life Skills and Mental Health Services, as referred by the Department. 2. Home Studies: a. Contractor will utilize and follow the Structured Analysis Family Evaluation (SAFE) developed by the Consortium of Children and all of the associated standardized tools and forms, including: i. SAFE Questionnaire I and II ii. Compatibility Inventory iii. Reference Letters iv. Home Study Interview v. Psychosocial Inventory Contractor will verify all references and include Indian Child Welfare Act (ICWA)/Indian heritage, results from urinalysis, if requested by the Department, and all additional collateral information gather from applicants. b. Capacity for Services: i. Initial SAFE Home Study: Three (3) to six (6) weeks with cooperation of family members. ii. SAFE Home Study Update: Two (2) to four (4) weeks. c. Goals of Service: The goal of the service is to provide SAFE home study evaluations and reports of families applying to be foster care providers, kinships placements and for adoption with the purpose of ensuring that each placement is safe and healthy for the child(ren) being placed. d. Outcomes of Service: Provide a balanced and accurate report to help facilitate decision for the safe and healthy placement of children and youth. e. Target Population for Service: i. Children and youth, all ages, requiring out -of -home placement. ii. Family members of all ages that are providing homes for children in need, young families to grandparents, willing to become kinship placements. I Service Access: i. All interviews for services related to this program will take place in the home. Services will be provided within a 30 -mile catchment area from 7251 W 20th Street, M-2, Greeley, CO 80634. ii. Contractor will provide services outside the 30 -mile catchment area for an additional fee. g. Language: English and Spanish, full proficiency level. 3. Life Skills — Therapeutic Visitation: Contractor provides in -home, in -office and community -based therapeutic visitation. Therapeutic Visitation is an enhanced supervised visitation service that incorporates concepts from a variety of therapeutic disciplines: individual therapy, couple's therapy, family therapy, play therapy, Parent -Child Interactional Therapy and parenting skills education are blended to create individualized interventions for each referred family. The contact between parents and children is structured to provide for the safety and well-being of children while maintaining the continuity of family relationships. Therapeutic visitation provides opportunities to learn and practice positive parenting, to more effectively manage family conflict, and to develop and access resources in the community. Additional time is spent with parents outside of and during visits to provide feedback and education and address identified 1 needs. Continuous assessment of the parents' capacity to appropriately care for their children is provided. Contractor utilizes, when appropriate, for the case the Life Skills Assessment (LSA) tool developed by our team to assess areas of family functioning including household management and environment, parenting styles and capabilities, family interactions and safety, child well-being, support network and community resources, and motivation and commitment. The LSA incorporates solution -focused scaling and offers a pre- and post -assessment of improvement based on a single case research model. The providers are knowledgeable about child development and able to identify concerns about the physical, emotional, educational and behavioral well-being of the child and make appropriate recommendations to address these concerns. Contractor will maintain regular contact and work closely with case workers and other team members through case management, staffings, and Family Team Meetings in an effort to coordinate services and provide quality services. a. Capacity for Services: Up to 8 hours of service/week. Families generally receive between 2 and 4 hours of service per week. b. Goals of Services: i. Ensure the safety, well-being and permanence of the children. ii. Provide parents effective parenting tools and the means to improve family communication and conflict management. iii. Family interventions geared toward improving family functioning in order to meet the needs of the children. c. Outcomes of Service: Outcomes of these services are measured by the achievement of goals in the treatment plan that move the family towards reunification through improved family functioning. Specifically, Contractor will assess improvement in parental capacities to use effective and positive parenting techniques, and improved family functioning in the areas of communication, togetherness, flexibility, family structure. d. Target Population: i. Families involved in the Child Welfare system, who have children that are in danger of being removed or who have been removed. ii. Children of all ages, newborn to adolescents. iii. Parents, children, extended family members and other important caregivers in the children's lives. e. Service Access: i. Contractor has the capacity to provide services that accommodate needs of our clients. We provide services at our main office, in -home, in the community, and video conferencing utilizing FaceTime or the Zoom platform. ii. In office, 7251 W. 20`h St., Bldg. M-2, Greeley, Colorado 80634. iii. In -home and community -based services within a 30 -mile catchment area of 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. iv. Contractor will provide services outside the 30 -mile catchment area for an additional fee. I Language: English and Spanish, full proficiency level. 4. Life Skills — Parent Coaching: Contractor provides in -home, in -office and community -based Life Skills Parent Coaching. Services are designed to enable parents to more effectively parent their children through a combination of modalities including counseling, coaching and intensive parenting education services. Services can be utilized as a supplement to therapeutic visitation or as a stand-alone service with families. The primary focus of treatment is to empower and to equip parents with the tools they need to successfully raise their children in a safe and nurturing environment in the home. Services can address various areas of family functioning that can include but not limited to household management and environment, parenting styles and capabilities, family interactions and safety, child well-being, support network and community resources, and motivation and commitment. Intervention and treatment goals are tailored for each family. Contractor will incorporate many effective and proven parenting methods available including the Positive Discipline curriculum developed by Jane Nelson, Ed.D., Common Sense Parenting (CSP) curriculum 2 developed by Boys' Town, Emotion Coaching Parenting developed by the Gottman Institute, and 123 Magic Parenting Program developed by Thomas Phelen, PhD. Contractor will maintain regular contact and work closely with case workers and other team members through case management, staffings, and Family Team Meetings to coordinate services and to provide top quality services. a. Capacity for Services: Up to 8 hours of service/week. Families generally receive between 2 and 4 hours of service per week. b. Goals of Services: i. Ensure the safety, well-being and permanence of the children. ii. Provide parents effective parenting tools and the means to improve family communication and conflict management. iii. Family interventions geared toward improving family functioning in order to meet the needs of the children. c. Outcomes of Service: Outcomes of these services are measured by the achievement of goals in the treatment plan that move the family towards reunification through improved family functioning. Specifically, Contractor will assess improvement in parental capacities to use effective and positive parenting techniques, and improved family functioning in the areas of communication, togetherness, flexibility, family structure. d. Target Population: i. Families involved in the Child Welfare system, who have children that are in danger of being removed or who have been removed. ii. Children of all ages, newborn to adolescents. iii. Parents, children, extended family members and other important caregivers in the children's lives. e. Service Access: i. Contractor has the capacity to provide services that accommodate needs of our clients. We provide services at our main office, in -home, in the community, and video conferencing utilizing FaceTime or the Zoom platform. ii. In office, 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. iii. In -home and community -based services within a 30 -mile catchment area of 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. iv. Contractor will provide services outside the 30 -mile catchment area for an additional fee. f. Language: English and Spanish, full proficiency level. 5. Mental Health Services: Contractor provides outpatient mental health services to DHS families in the following modalities: individual therapy, family therapy, couple therapy, parent consultation, co -parent consultation and co -therapy. Individual therapy includes strength -based brief therapies with a trauma focus as necessary. EMDR (Eye Movement Desensitization and Reprocessing) is available as a treatment modality. EMDR is a powerful process designed to resolve memories of a past difficult emotional experience affecting current functioning. Family therapy is based in family systems therapy. Family therapy utilizes family system models designed to improve family functioning. Family characteristics such as communication, togetherness, flexibility, family structure, family lifecycle, multigenerational issues, interactions and resiliencies are assessed and treated. Couples are treated in Gottman Method couple's therapy (Gottman, J., 2015), which utilizes a couple assessment that identified strengths and area that need improvement. Couples are provided practical tools designed to help them effectively manage conflict and obtain couple and family stability through the strengthening of the relationship. Parent consultation provides intervention for parents of intact families, who display a need to acquire new skills in order to meet the behavioral, emotional and developmental needs of their children. All interventions are tailored to effectively meet the needs of the family utilizing strategies from Common Sense Parenting (Boys Town Press, 2006), Positive Discipline (Nelsen, J., 2006), 123 Magic Parenting Program (Phelen, T.W., 2010), and Emotion Coaching (Gottman, J., 1997). Co -therapy is designed to bridge services between programs 3 and to promote change in families in complex cases that need an additional intervention in order to affect positive change. It requires pre -approval and is limited to 1-3 sessions per case. a. Capacity for Services: i. Individuals one 1 -hour appointment per week, couples 1-2 hours per week and family 1-2 hours per week. ii. Individuals and families that requires more intensive services due to crises or current needs for intervention can have up to 4 hours of service per week. b. Goals of Service: i. Improve mental health functioning of individual clients. ii. Improve family functioning. iii. Revitalize couple relationships. iv. Help individuals and families in the Child Welfare System to thrive and have an overall greater ability to provide safe, nurturing and caring homes for children. c. Outcomes of Service: Outcomes of these services are measured by improved mental health functioning of individuals measured by achievement of goals in the treatment plan and by self - report pre- and post- measurements of said goals on 1-10 scales. Outcomes in family therapy are noted in improved family functioning in the areas of communication, togetherness, flexibility, family structure reported by the therapist in collaboration with the family. Outcomes from couple therapy are based on the acquisition of practical skills in the target areas identified in the couple assessment. d. Target Population: Families involved in the Child Welfare system. Individual therapy can treat clients from school age children, adolescents and adults. Family therapy services may include parents, children, grandparents, other important caregivers in the children's lives, and extended family members. Couple therapy is geared toward parents that intend on maintaining or forming a common household. e. Service Access: i. Contractor has the capacity to provide services that accommodate needs of our clients. We provide services at our main office, in -home, in the community, and video conferencing utilizing FaceTime or the Zoom platform. ii. In office, 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. In -home and community -based services within a 30 -mile catchment area of 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. iv. Contractor will provide services outside the 30 -mile catchment area for an additional fee. f. Language: English and Spanish, full proficiency level. 6. Contractor will respond to the Quality Assurance Team Supervisor (hainlejd(aweldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 7. 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 (hainlejdAweldgov.com, 970-400-6210). 8. 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 (hainlejdAweldgov.com, 970-400-6210). 4 9. 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 (hainlejdAweldgov.com) immediately via email, to discuss service continuation. 10. 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. 11. 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. 12. 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. 13. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 14. 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. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 15. Contractor will notify the Quality Assurance Team Supervisor (hainlejdAweldgov.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. 5 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 Home Studies: $250.00/Each (Additional adult(s), after 2) $1,200.00/Episode (Full SAFE Home Study, up to 2 adults) $ .56/Mile (Travel outside 30 miles one way from 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. Inclusive of multiple stops.) $250.00/Episode (Partial Home Study, 1 interview and 2 phone contacts) $600.00/Episode (Update SAFE Home Study, up to 2 adults) Life Skills: $138.00/Hour (Family Team Meeting (FTM) Team Decision Making Meeting (TDM), Staffings or Court Facilitation Meetings — Per Therapist) $177.00/Hour (Therapeutic Visitation or Parent Coaching, In -Home) $118.00/Hour (Therapeutic Visitation or Parent Coaching, In -Office or Video Conferencing) $ .56/Mile (Travel outside 30 miles one way from 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. Inclusive of multiple stops.) Mental Health Services: $177.00/Hour (Co -Parent Consultation, In -Home) $118.00/Hour (Co -Parent Consultation, In -Office or Video Conferencing) $236.00/Hour (Co -Therapy Counseling, In -Office) $177.00/Hour (Couples Therapy, In -Home) $118.00/Hour (Couples Therapy, In -Office or Video Conferencing) $138.00/Hour (Family Team Meeting (FTM) Team Decision Making Meeting (TDM), Staffing — Per Therapist) $177.00/Hour (Family Therapy, In -Home) $118.00/Hour (Family Therapy, In -Office or Video Conferencing) $177.00/Hour (Individual Therapy, In -Home) $118.00/Hour (Individual Therapy, In -Office or Video Conferencing) $ .56/Mile (Travel outside 30 miles one way from 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. Inclusive of multiple stops.) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Farm New Contract Request Entity Information Entity Name* Entity ID • TRANSITIONS PSYCHOLOGY GROUP. W001437 LLC Contract Name* TRANSITIONS PSYCHOLOGY GROUP (AGREEMENT AMENDMENT] Contract Status CTB REMEli.' Contract Description* AGREEMENT AMENDMENT Contract Description 2 Contract Type* AGREEMENT Amount* SC DC Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Ernail M- HumanSerricesweldgov .eom Department Head Email CM-HumanSeNices- DeptHead@ee(dgov r.am County Attorney GENERAL COUNTY ATTORNEY Er`,1A1L County Attorney Email CM- COUNTYA 1 ORNEY@',r1ELD OV. COM ❑ New Entity? Contract ID 31D1 Contract Lead* CULLINTA Coritract Lead Email cullinta@coweld cc, us Requested BOCC Agenda Date * 09104Q019 044010 Parent Contract ID 201'i2?tin Requires Board Approval YES Department Project # Due Date 08131/2019 Will a work session with B©CC 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 MSA Contract ID Note. the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in ©nBase Contract Dates Effective Date Termination Notice Period Review Date* 04'01?202© Renewal Date Committed Delivery Date Expiration Date. C-7,31+2020 Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JUDY GRIEGG DH Approved Date 1016/2019 16/2019 Final Approval BOCC Approved MCC Signed Date BOCC Agenda Date 10'21/2019 Originator CULLI NTA Contact Type Contact Email Finance Approver CONSENT Contact Phone 1 Purchasing Approved Date 10/16/2019 Finance Approved Date 10 1612019 Tyler Ref AG 102119 Legal Counsel CONSENT Contact Phone 2 Legal Counsel Approved Date 10/16/2019 Submit /D 700 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND TRANSITIONS PSYCHOLOGY GROUP, LLC This Agreement, made and entered into thViday of 2019, by and between the Board of Weld County Commissioners, on behalf of the Weld County Departm of Human Services, hereinafter referred to as the "Department' and Transitions Psychology Group, LLC, 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 Home Studies, Life Skills and Mental Health Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2019, upon proper execution of this Agreement and shall expire May 31, 2020, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's 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 bo&s5k1k3 AatiAdo- cc: : Glablet,e&OFsP) /g uz- tst-vct 2019-2266 /-koo.?O 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 0, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. 2 d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an, which will be provided by the Department, with a voided check. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and 3 - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this 4 contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5- 102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to the Department, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5- 103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR) and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 5 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 0110/93 or equivalent, covering premises operations, fire damage, independent Contractors, 6 products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; - Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors, suppliers or other entities upon request by the Department. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-400-6503 and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any 8 program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Child Welfare Division Head Gregory Creed, Co -Owner 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 9 For Contractor: Gregory Creed, Co -Owner 7251 West 20th Street, Building M-2 Greeley, CO 80634 (970)590-1424 18. Litigation Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall 10 not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 11 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work, nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by the Department of reports and incidental materials) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 13 36. Attorney's Fees/Legal Costs In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 14 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ef:drAt6dv • jedi0; e1 BOARD OF COUNTY COMMISSIONERS Weld . r ty Clerk to the Board WELD COUNTY, COLORAD By:,/ r � � il. :. 117.11.- p Deputy Clerk to (IPe Boa d -ri j� 1 arbara Kirkmeyer, hair 15 JUN 17 2019 CONTRACTOR: Transitions Psychology Group, LLC 7251 West 20th Street, Building M-2 Greeley, CO 80634 (970) 336-1123 By. Grego�OC , Cteed (M�7 Date: By: Date: Gregory Creed, Co -Owner May 7, 2019 ,Tth•wt Satin Norma Alkire (May 7, 2019) Norma Alkire, Co -Owner May 7, 2019 v7o�4 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page intentionally left blank. EXHIBIT B CONTRACTOR'S RESPONSE TO REQUEST FOR PROPOSAL 7251 W. 20th St. Bldg. M-2 Greeley, CO 80634 Tel. (970)336-1123 FAX (970)351-0182 • 0.1 1 J1ltlJl !� YSYLffOLOGC -. �,,. .Lc Y January 28, 2019 Weld County Department of Human Services RE: South County Visitation Services Bid To Whom It May Concern, Transitions Psychology Group, LLC (Transitions) has been providing high quality services to our community since 2001 with our cohesive team of skilled and innovative behavioral health professionals. Over the years, we have built a solid reputation as an agency and we always do our best to maintain that reputation with integrity. We provide ethical and effective psychological services for individuals, couples, families in Weld County. We developed our programs to serve client populations in Weld County through the Department of Human Services. Transitions has many years of experience in delivering high quality visitation services to Weld County and we have gained the esteem of the professional, social services and legal communities. We are accustomed to fallowing guidelines and to delivering effective and timely services to Weld County families and have many years of proven service. Transitions has an efficient system of service delivery and responds to each referral in a timely manner. In each of our programs, we use a tailored approach in working with all of our clients that emphasizes their personal goals and the treatment goals set by WCDHS. Transitions has maintained a positive and constructive relationship with the Department over the years. We hope to continue serving Weld County by developing our programs in a way that improve effectiveness, utilization of resources and enhance our community as a whole. Please feel free to contact us with any questions you may have. Thank you for your consideration and we look forward to assisting you in your home study process. Sincerely, 4 ' ✓1 ,66 -10 -'1 -re( ---I /24-2 L7/(kilk, c+h)c, Gregory S. Creed, PhD, LPC Norma A. Alkire, MA, LAC, LPC Co -Director Co -Director Enclosure: Exhibit B, Exhibit C, Exhibit D, Certificates of Insurance, and copies of Licensures EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services Transitions Psychology Group, LLC AGENCY OR PRtVATE PRACTICE Gregory Creed, PhD, LPC PRIMARY CONTACT- FULL NAME ( 970 ) 590-1424 PHONE NUMBER greg.creed@counselingtransitions.com PRIMARY CONTACT - E-MAIL ADDRESS 7251 W. 20th Street, Building M-2 AGENCY MAILING ADDRESS EXT. 1527837 TRAILS PROVIDER ID (If Known) Co -Owner PRIMARY CONTACT -TITLE ( 970) 351-0182 FAX NUMBER AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) Greeley CITY 80634 ZIP REFERRAL CONTACT Brenda Settgast REFFERAL CONTACT- FULL NAME ( 970 ) 336-1123 REFERRAL CONTACT- PHONE NUMBER EXT. Office Manager REFERRAL CONTACT - TITLE support@counselingtranstions.com REFERRAL CONTACT - E-MAIL ADDRESS Brenda Settgast BILLING CONTACT - FULL NAME ( 970) 336-1123 BI W NG CONTACT - PHONE NUMBER EXT. BILLING CONTACT Office Manager BILLING CONTACT - TITLE support@counselingtranstions.com BILLING CONTACT- E-MAIL ADDRESS 1 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 Authorize d/Reprgsentative: hOA) Date of Signature: Bid No.: B1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Transitions Psychology Group, LLC Home Studies 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. The program will utilize the Structured Analysis Family Evaluation (SAFE) home study process to provide home studies and home study updates for kinship care, foster care, kinship foster care, parent care, foster -adopt, adoption and for Interstate Compact on the Placement of Children (ICPC) purposes. The program will utilize all of the standardized tools, forms for documentation, the interview process, and supervision indicated by the Structured Analysis Family Evaluation (SAFE) program. SAFE home study reports and SAFE home study update reports will be submitted to DHS within the SAFE timeline guidelines utilizing the SAFE home study template. The structured home study process uses the following standardized tools: • SAFE Questionnaire I and II • Compatibility Inventory • Reference Letters • Home Study Interview • Psychosocial Inventory All references will be followed up for verification. Additionally, documentation including ICWA/Indian Heritage, results from UA and any additional collateral information gathered from applicants will be reviewed and utilized appropriately in the home study process. 4. Capacity to Provide Services (ex. 4 hours/week). Questionnaires will be administered to both parents or to the adult in a single parent household followed by interviews with each parent. Additional adults living in the home will be given questionnaires as determined necessary. Each parent will have 2 interviews in conjunction with each questionnaire. The second interview will follow the first with a minimum of 7 days between interviews. There will be a family interview as well as individual interview with each child and each additional adult living in the home. The process of completing an initial SAFE home study report, with the cooperation of family members will normally take 3-6 weeks. The SAFE home study update will take 2-4 weeks. 5. Goals of the service. The goal of the service is to provide SAFE home study evaluations and reports of families applying to be foster care providers, kinships placements and for adoption with the purpose of ensuring that each placement is safe and healthy for the child(ren) being placed. 6. Outcomes of service. To provide a balanced and accurate report to help facilitate decisions for the safe and healthy placement of children in Weld County. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 7. Target population for service. The program will address the needs of children of all ages needing to be placed in care. Family members of all ages who are providing homes for children in need will be the target of these services from young families to grandparents willing to become kinship placements for their grandchildren. 8. Service access. All interviews for services related to this program take place in the home. Services are provided within a 30 -mile catchment area from the Transitions Psychology Group office located at 7251 W 20th Street, M-2, Greeley, CO 80634. Additionally, we will home study service outside the 30 - mile catchment area with an additional charge for travel billed at the rate listed below. 9. Languages service is available in. English and Spanish. Spanish-speaking services are available at full professional proficiency. 10. Rates of service. • Full SAFE Home Study with up to 2 Adults: $1200 • Updated SAFE Home Study with up to 2 Adults: $600 • Each Additional Adult in the Home: $250/adult • Partial Home Study (when cancelled by client or deemed inappropriate to continue), billable after the first interview and two phone contacts: $250 flat fee • Travel: Billed at $0.56 per mile for travel outside of the 30 -mile one-way catchment area (inclusive of multiple stops). Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Transitions Psychology Group, LLC Life Skills 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Transitions provides in -home, in -office and community -based treatment on our Life Skills therapeutic visitation program. The program is an enhanced supervised visitation service that incorporates concepts from a variety of therapeutic disciplines: individual therapy, couple's therapy, family therapy, play therapy, Parent -Child Interactional Therapy and parenting skills education are blended to create individualized interventions for each referred family. The contact between parents and children is structured to provide for the safety and well-being of children while maintaining the continuity of family relationships. Therapeutic visitation provides opportunities to learn and practice positive parenting, to more effectively manage family conflict, and to develop and access resources in the community. Additional time is spent with parents outside of and during visits to provide feedback and education and address identified needs. Continuous assessment of the parents' capacity to appropriately care for their children is provided. Transitions utilizes, when appropriate, for the case the Life Skills Assessment (LSA) tool developed by our team to assess areas of family functioning including household management and environment, parenting styles and capabilities, family interactions and safety, child well-being, support network and community resources, and motivation and commitment. The LSA incorporates solution -focused scaling and offers a pre- and post -assessment of improvement based on a single case research model. The providers are knowledgeable about child development and able to identify concerns about the physical, emotional, educational and behavioral well-being of the child and make appropriate recommendations to address these concerns. Providers maintain regular contact and work closely with case workers and other team members through case management, staffings, and Family Team Meetings in an effort to coordinate services and to provide top quality services to Weld County Families. 4. Capacity to Provide Services (ex. 4 hours/week). Transitions utilizes a team approach to working with families, which enables us to meet the needs of the family and the demands of the referral. We have the capacity to work with families for up to 8 hours of service/week, though that is not typical. Most families receive between 2 and 4 hours of service per week. 5. Goals of the service. The goals of service on the Life Skills program is to ensure the safety, well-being and permanence of the children. Parents are given effective parenting tools and the means to improve family communication and conflict management. Family interventions are geared toward improving family functioning in order to meet the needs of the children. 6. Outcomes of service. Outcomes of these services are measured by the achievement of goals in the treatment plan that move the family towards reunification through improved family functioning. Specifically, we assess improvement in parental capacities to use effective and positive parenting techniques, and improved family functioning in the areas of communication, togetherness, flexibility, family structure. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 7. Target population for service. This program serves a population of families that are involved with the Child Welfare system, who have children that are in danger of being removed or who have been removed. Our programs can accommodate families with children of all ages from newborn infants to adolescents. We are able to work with parents, children, extended family members and other important caregivers in the children's lives. 8. Service access. Transitions has the capacity to provide services that accommodate needs of our clients. We provide services at our main office, in -home, in the community, and video conferencing utilizing FaceTime or the Zoom platform. Transitions Psychology Group, LLC office is located at 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. Our office is ADA accessible. We provide in -home and community - based services within a 30 -mile catchment area at the in -home rate listed below. Additionally, we will provide in -home or community -based outside the 30 -mile catchment area with an additional charge for travel billed at the mileage rate listed below. 9. Languages service is available in. English and Spanish. Spanish-speaking services are available at full professional proficiency. 10. Rates of service. • Therapeutic visitation in -office or video conferencing: $118 per face -face hour • Therapeutic visitation in -home: $177 per face -face hour • Co -therapy in -office: $236 per face -face hour • Family Team Meetings (FTM), Staffings and Court Facilitation Meetings: $138 per hour per therapist • Travel: Billed at $0.56 per mile for travel outside of the 30 -mile one-way catchment area (inclusive of multiple stops). Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Transitions Psychology Group, LLC Mental Health Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Transitions provides outpatient mental health services to DHS families in the following modalities: individual therapy, family therapy, couple therapy, parent consultation, co -parent consultation and cotherapy. Individual therapy includes strength -based brief therapies with a trauma focus as necessary. EMDR (Eye Movement Desensitization and Reprocessing) is available as a treatment modality. EMDR is a powerful process designed to resolve memories of a past difficult emotional experience affecting current functioning. Family therapy is based in family systems therapy. Family therapy utilizes family system models designed to improve family functioning. Family characteristics such as communication, togetherness, flexibility, family structure, family lifecycle, multigenerational issues, interactions and resiliencies are assessed and treated. Couples are treated in Gottman Method couple's therapy (Gottman, J., 2015), which utilizes a couple assessment that identified strengths and area that need improvement. Couples are provided practical tools designed to help them effectively manage conflict and obtain couple and family stability through the strengthening of the relationship. Parent consultation provides intervention for parents of intact families, who display a need to acquire new skills in order to meet the behavioral, emotional and developmental needs of their children. All interventions are tailored to effectively meet the needs of the family utilizing strategies from Common Sense Parenting (Boys Town Press, 2006), Positive Discipline (Nelsen, J., 2006), 123 Magic Parenting Program (Phelen, T.W., 2010), and Emotion Coaching (Gottman, J., 1997). Cotherapy is designed to bridge services between programs and to promote change in families in complex cases that need an additional intervention in order to affect positive change. It requires pre -approval and is limited to 1-3 sessions per case. 4. Capacity to Provide Services (ex. 4 hours/week). Individuals normally have one 1 -hour appointment per week, couples 1-2 hours per week and family 1-2 hours per week. However, individuals and families that requires more intensive services due to crises or current needs for intervention can have up to 4 hours of service per week. 5. Goals of the service. The goals of these services are to improve mental health functioning of individual clients, improve family functioning and to revitalize couple relationships with the objective of helping individuals and families in the Weld County Child Welfare System to thrive and have an overall greater ability to provide safe, nurturing and caring homes for children. 6. Outcomes of service. Outcomes of these services are measured by improved mental health functioning of individuals measured by achievement of goals in the treatment plan and by self -report pre- and post- measurements of said goals on 1-10 scales. Outcomes in family therapy are noted in improved family functioning in the areas of communication, togetherness, flexibility, family structure reported by the therapist in collaboration with the family. Outcomes from couple therapy are based on the acquisition of practical skills in the target areas identified in the couple assessment. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 7. Target population for service. In general, the target population is families involved in the Child Welfare system. Individual therapy can treat clients from school age children, adolescents and adults. Family therapy services may include parents, children, grandparents, other important caregivers in the children's lives, and extended family members. Couple therapy is geared toward parents that intend on maintaining or forming a common household. 8. Service access. Transitions has the capacity to provide services that accommodate needs of our clients. We provide services at our main office, in -home, in the community, and video conferencing utilizing FaceTime or the Zoom platform. Transitions Psychology Group, LLC office is located at 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. Our office is ADA accessible. We provide in -home and community - based services within a 30 -mile catchment area at the in -home rate listed below. Additionally, we will provide in -home or community -based outside the 30 -mile catchment area with an additional charge for travel billed at the mileage rate listed below. 9. Languages service is available in. English and Spanish. Spanish-speaking services are available at full professional proficiency. 10. Rates of service. • Individual, family, couples counseling, parent and co -parent consultation in -office or video conferencing: $118 per face -face hour • Individual, family, couples counseling, parent and co -parent consultation in -home: $177 per face -face hour • Co -therapy in -office: $236 per face -face hour • Family Team Meetings (FTM), Stallings and Court Facilitation Meetings: $138 per hour per therapist • Travel: Billed at $0.56 per mile for travel outside of the 30 -mile one-way catchment area (inclusive of multiple stops). Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Transitions Psychology Group, LLC South County Visitation Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Transitions utilizes a variety of modalities and tools in the delivery of our services keeping in mind the needs of the children and families in question. Visitation Assessment: Transitions is willing to utilize the visitation assessment tool developed by Weld County, which is a standardized and effective tool used to determine level of service and family needs. We are also equipped to assess families based on parent -child interactional data gathered in observations and collateral data received from the Department. In addition, we evaluate family functioning according to family adaptability, cohesion and communication according to the FACES -IV (Family Adaptability and Cohesion Scales -IV). The Visitation Assessment is accomplished in observation of three face -face visits. A written report with recommendations for services is provided with these services. These services will be provided by a qualified professional with a master's degree, proper training and experience, and registered with the Department of Regulatory Agencies. Intermittent Visitation, Supervised Visitation, Safe Exchanges: Transitions will provide services in these areas by candidates with a minimal bachelor level of education in the helping professions. At the supervised visitation level, providers will assist in parent education, hands-on parenting skills and improving the bond between parents and children. Therapeutic Visitation: These services are provided by trained professionals with a minimum of a master's degree in the helping professions. All providers are registered on DORA. Therapeutic Visitation services provide hands-on parent education through modeling, teaching and feedback in the moment. Children are supported in feeling safe, acknowledged and understood in their visits with parents. Parent Education: Parent education normally takes place within the therapeutic visitation. When a need for additional parent education outside of visits is identified at any of the three levels of service, Transitions is equipped to provide those services utilizing master -level providers. These services help to avoid a placement of children out of the home and to prepare parents to receive their children into their care again. A variety of methods and tools will be utilized in this program, all tailored to most effectively meet the needs of the parents and family members. Transitions staff are skilled and educated in promoting healthy and positive parent -child relationships in families. We utilize Positive Discipline curriculum developed by Jane Nelson, Ed.D, Common Sense Parenting (CSP) curriculum developed by Boys' Town, Emotion Coaching Parenting developed by the Gottman Institute, and 123 Magic Parenting Program developed by Thomas Phelen, PhD.. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 4. Capacity to Provide Services (ex. 4 hours/week). Frequency of services are determined by court orders and the referral from the Department of Human Services: typically 1-4 hours of service/week. Services are time -limited and increased only with adequate and necessary justification for extensions of time. Visitation Assessment is completed in 3 sessions followed by recommendations for services within 48 - hours of the final session. Intermittent Visitation is time -limited to 30-45 days. Supervised visitation and Therapeutic Visitation are time limited for 60-90 days with the need for justification for continuation of services after 90 days. A staffing will need to take place for every 30 days of continuation beyond the 90 -day period. Transitions has the capacity to provide services for up to 200 hours per month on this program. New professional staff will be hired and trained based on needs of the program. 5. Goals of the service. The primary goals of services are to strengthen families to ensure the safety, permanence and well-being of children in families that are involved in Child Protection services. The program has the corollary goals of assessing and enhancing family functioning, improving parent -child interaction, educating parents on child development and equipping them with more effective parenting skills. 6. Outcomes of service. The effectiveness of services is gauged by meeting the above -mentioned goals within the time frames stipulated for services. Outcomes are measured by improvement in the family's ability to provide for the increased safety, achievement of permanency and the ability to accommodate the needs for wellbeing of children. 7. Target population for service. The target populations include families that are involved with Child Welfare for the protection of children. Transitions is equipped to handle cases involving family with children of all ages from infants to adolescents. 8. Service access. Transitions will provide office -based, community -based, in -home and, when appropriate and necessary, video/phone conferencing services for the South County Visitation Services program. At present, Transitions does not have an office near Fort Lupton. We request permission to utilize the Department South County Office (2950 9th Street, Fort Lupton, CO) and at the Del Camino office (4209 CR 24%, Longmont, CO). Once our program is established, we will search for adequate office space in the South County area. In -home services and community -based services within a 30 - mile radius of the Department South County Office will be provided at the in-home/with transportation rate listed below. For distances greater than the 30 -mile one-way, there will be an additional charge for travel listed below. 9. Languages service is available in. Services will be provided primarily in English. Spanish-speaking services are currently available at full professional proficiency for Level III services, for Parenting Education at Level III one -one services, and for Parenting Classes upon request. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 10. Rates of service. Visit Assessments: • Full Visit Assessment: $450/episode includes 3 face -face visits and written report Intermittent Visitation (Level!): • Hourly Rate: $98/episode up to 1 -hour of face -face Supervised Visitation (Level II): • Hourly Rate (without transportation): $65/face-face hour • Hourly Rate (in -home; with transportation): $98/face-face hour Therapeutic Visitation (Level III): • Hourly Rate (without transportation): $113/face-face hour • Hourly Rate (In-home/with transportation): $170/face-face hour Safe Exchanges: • $30/episode Parent Education (outside of regular visits): • Hourly Rate for Level II One -One Parent Education o Hourly Rate (without transportation): $113/face-face hour o Hourly Rate (in-home/with transportation): $170/face-face hour • Hourly Rate for Level III One -One Parent Education o Hourly Rate (without transportation): $113/face-face hour o Hourly Rate (in-home/with transportation) $170/face-face hour Family Engagement Meetings/Court Facilitation Meetings/Staffings: • Hourly rate (Level I & II Visitation Workers): $65/hour • Hourly Rate (Level III Visitation Workers): $113/hour Monthly Meetings with Weld County FSVC and Transitions Supervisor: • Monthly Rate: $113/hour Transportation: • Travel: Billed at $0.56 per mile for travel outside of the 30 -mile one-way catchment area (inclusive of multiple stops). Bid No.: 1900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: South County Visitation Services BIDDER LEGAL ENTITY NAME: ransitions Psychology Group, LLC APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION • . SUPERVISOR INFORMATION No. Last Name • First Name Work# ' Work Email - Education ° Level Degree Focus, . Licensure/ = Credentials DORA # (If applicable) . Last Name , First Name Work # Work Email . 1 Alkire Norma 970-336-1123 norma.alkire@coi MA Counseling LPC/LAC LPC-4453/ACD-141 2 Frost Helen 970-336-1123 hafrost.lcswcouns MSW Social Work LCSW CSW.09924261 3 Creed Gregory 970-336-1123 greg.creed@coun PhD Counseling LPC LPC-2869 4 Villumsen Lory 970-336-1123 lory.villumsen@ya MA Sociology NLC.0108372 5 Nally Kathryn 970-336-1123 knallycounseling@ MA Counseling LPC-C LPCC.0015339 Alkire Norma 970-590-9861 norma.alkire@cou 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 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) inselingtransitions.com Bid No.: B1900025 CI CW 1O 01 10 CERTIFICATE OF COMMERCIAL LIABILITY INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Producer. ALAN GUNTHER Named Insured: TRANSITIONS PSYCHOLOGY GROUP, LLC General Liability Insurer Name: Policy Number: Type of Coverage: I I Occurrence I I Claims -made I Retroactive Date (if claims -made): Policy Effective Date: I Policy Expiration Date: Limits of Insurance: $ Each Occurrence $ Damage To Premises Rented To You (any one premises) $ Medical Expense (any one person) $ Personal And Advertising Injury $ General Aggregate $ Products/Completed Aggregate General Aggregate Limit applies per. I Policy I I Project I I Location Automobile Liability Insurer Name: Policy Number. 1 - Any Auto 2 - Owned Autos Only 3 - Owned Priv. Pass. Autos Only 4 - Owned Autos Other Than Priv. Pass. Autos Only 5 - Owned Autos Subject to No Fault 6 — Owned Autos Subject to a Compulsory UM Law 7 - Specifically Described Autos 8 — Hired Autos Only 9 — Nonowned Autos Only Policy Effective Date: I Policy Expiration Date: Limits of Insurance: Combined Single Limit (each accident) BI Per Person BI Per Accident L PD Per Accident Umbrella Liability Insurer Name: Allstate Insurance Company Policy Number: 648816772 Type of Coverage: x Occurrence Claims -made Retroactive Date (if claims -made): Policy Effective Date: 05-25-2018 Policy Expiration Date: 05-25-2019 Deductible: Self -Insured Retention: Limits of Insurance: $ 1,000,000 Each Occurrence Personal And Advertising Injury $ 1,000,-000 General Aggregate (other than a covered auto) CI CW 10 01 10 Includes copyrighted material of Insurance Services Office, Inc Page 1 of 2 with its permission. Allstate Insurance Company Insured Full Copy Workers' Compensation And Employer's Liability Insurer Name: Policy Number: Proprietors/partners/executive officers are: I I Included I I Excluded Policy Effective Date: I Polio/ Expiration Date: Limits of Insurance: Workers' Compensation: I Statutory I Other: Employer's Liability: $ Employer's Liability — Disease Policy Limit $ Employer's Liability — Disease (Each Employee) Limit $ Employer's Liability— Each Accident Limit Professional Liability Insurer Name: Description of Coverage: Policy Number: Type of Coverage: I I Occurrence I I Claims -made I Retroactive Date (if claims -made): Policy Effective Date: I Policy Expiration Date: Limits of Insurance: $ Each Occurrence $ Aggregate Description of OperationslLocations/Vehides/Endorsements/Special Provisions Additional Insured Status I General Liability I I Automobile Liability I I Umbrella Liability I I Professional Liability THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH AD- DITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDI- CATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILnY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Certificate Holder. WELD COUNTY DEPARTMENT OF HUMAN SERVICES PO BOX A GREELEY, CO 80632-0136 Date: 05-22-18 Authorized Representative: ALAN GUNTHER Page 2 of 2 Includes copyrighted material of Insurance. Services Office, Inc CI CW 10 01 10 with its permission. Allstate Insurance Company Insured Full Copy CERTIFICATE OF INSURANCE - COMMERCIAL ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOTAMEND, EXTEND CR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Description of Operation: CERTIFICATE HOLDER NAMED INSURED Nam and Address of Party to Whom this Certificate is Issued Name and Address of Insured WELD COUNTY DEPARTMENT OF HUMAN SERVICES PO 30X A GREELEY, CO 80632-0136 TRANSITIONS PSYCHOLOGY GROUP, LLC 7251 W 20TH ST UNIT M2 GREELEY, CO 60634-4626 Location Address (if different than above) This is to certify that policies of insurance listed below have been issued to the insure name abovesubiectto the expiration date Indicated below, notwithstanding any requi rement, term or cond ition of any contract or other document with respect to wfiich 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. TYPE OF INSURANCE AND LIMITS Policy Number: 648816769 Effective Date: 05-25-2018 Expiration Date: 05-25-2019 COVERAGE SUMMARY BUSINESS LIABILITY AMOUNT COMPREHENSIVE LIABILITY $ 1,000,000 Per Occurrence DAMAGE TO PREMISES RENTED TO YOU S 50, 000.00 Any One Premises MEDICAL PAYMENTS $ 10,000 Per Person OTHER THAN PRODUC IS/ COMPLETED OPERATIONS AGGREGATE S 2, 000, 000.00 PRODUCTS / COMPLETED OPERATION AGGREGATE $ 2, 000, 000.00 PROPERTY INSURANCE POLICY TYPE x SPECIAL FORM ❑ BROAD FORM BASIC FORM BUILDING .Replacement Cost Actual BUILDERS RISK SPECIAL FORM Cash Value Blanket Limit Cash Value ❑ Blanket Limit Wind YES x NO x CONTENTS S 50, 000 Ill Replacement Cost ❑ Actual Deductible $ 1,000 Wind Deductible % 0 Exclude ADDRIONAL COVERAGE'S: DATA COMPROMISE,EQUIPMENT 3REAKDOWN,MEDICAL OFFICE. SHIELD ENHANCEMENT,ADDITIONAL INSURED MORTGAGE CLAUSE — The policy contains a Mortgage Clause in favor of: Mortgagee Address CERTIRCATE PERIOD THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES. Standard Time at the location of the Insured Premises. has been issued. The provisions of the policy shall prevail POLICY INCEPTION DATE: 05-25-2018 IN 12:01 AM ❑ 12:00 NOON PROVISIONS This form is not the contract of insurance, but attests that a policy as identified above in all respects. SHOULD THE ABOVE DESCRIBE D P OLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ALAN GUNTFER 05-22-18 Authorized Representative Date CICW010114 Insured Full Copy EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Home Studies, Life Skills and Mental Health Services, as referred by the Department. 2. Home Studies: a. Contractor will utilize and follow the Structured Analysis Family Evaluation (SAFE) developed by the Consortium of Children and all of the associated standardized tools and forms, including: i. SAFE Questionnaire I and II ii. Compatibility Inventory iii. Reference Letters iv. Home Study Interview v. Psychosocial Inventory Contractor will verify all references and include Indian Child Welfare Act (ICWA)/Indian heritage, results from urinalysis, if requested by the Department, and all additional collateral information gather from applicants. b. Capacity for Services: i. Initial SAFE Home Study: Three (3) to six (6) weeks with cooperation of family members. ii. SAFE Home Study Update: Two (2) to four (4) weeks. c. Goals of Service: The goal of the service is to provide SAFE home study evaluations and reports of families applying to be foster care providers, kinships placements and for adoption with the purpose of ensuring that each placement is safe and healthy for the child(ren) being placed. d. Outcomes of Service: Provide a balanced and accurate report to help facilitate decision for the safe and healthy placement of children and youth. e. Target Population for Service: i. Children and youth, all ages, requiring out -of -home placement. ii. Family members of all ages that are providing homes for children in need, young families to grandparents, willing to become kinship placements. f. Service Access: i. All interviews for services related to this program will take place in the home. Services will be provided within a 30 -mile catchment area from 7251 W 20`h Street, M-2, Greeley, CO 80634. ii. Contractor will provide services outside the 30 -mile catchment area for an additional fee. g. Language: English and Spanish, full proficiency level. 3. Life Skills: Contractor provides in -home, in -office and community -based therapeutic visitation. Therapeutic Visitation is an enhanced supervised visitation service that incorporates concepts from a variety of therapeutic disciplines: individual therapy, couple's therapy, family therapy, play therapy, Parent -Child Interactional Therapy and parenting skills education are blended to create individualized interventions for each referred family. The contact between parents and children is structured to provide for the safety and well-being of children while maintaining the continuity of family relationships. 1 Therapeutic visitation provides opportunities to learn and practice positive parenting, to 'more effectively manage family conflict, and to develop and access resources in the community. Additional time is spent with parents outside of and during visits to provide feedback and education and address identified needs. Continuous assessment of the parents' capacity to appropriately care for their children is provided. Contractor utilizes, when appropriate, for the case the Life Skills Assessment (LSA) tool developed by our team to assess areas of family functioning including household management and environment, parenting styles and capabilities, family interactions and safety, child well-being, support network and community resources, and motivation and commitment. The LSA incorporates solution -focused scaling and offers a pre- and post -assessment of improvement based on a single case research model. The providers are knowledgeable about child development and able to identify concerns about the physical, emotional, educational and behavioral well-being of the child and make appropriate recommendations to address these concerns. Contractor will maintain regular contact and work closely with case workers and other team members through case management, staffings, and Family Team Meetings in an effort to coordinate services and provide quality services. a. Capacity for Services: Up to 8 hours of service/week. Families generally receive between 2 and 4 hours of service per week. b. Goals of Services: i. Ensure the safety, well-being and permanence of the children. - ii. Provide parents effective parenting tools and the means to improve family communication and conflict management. iii. Family interventions geared toward improving family functioning in order to meet the needs of the children. c. Outcomes of Service: Outcomes of these services are measured by the achievement of goals in the treatment plan that move the family towards reunification through improved family functioning. Specifically, Contractor will assess improvement in parental capacities to use effective and positive parenting techniques, and improved family functioning in the areas of communication, togetherness, flexibility, family structure. d. Target Population: i. Families involved in the Child Welfare system, who have children that are in danger of being removed or who have been removed. ii. Children of all ages, newborn to adolescents. iii. Parents, children, extended family members and other important caregivers in the children's lives. e. Service Access: i. Contractor has the capacity to provide services that accommodate needs of our clients. We provide services at our main office, in -home, in the community, and video conferencing utilizing FaceTime or the Zoom platform. ii. In office, 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. iii. In -home and community -based services within a 30 -mile catchment area of 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. iv. Contractor will provide services outside the 30 -mile catchment area for an additional fee. f. Language: English and Spanish, full proficiency level. • 4. Mental Health Services: Contractor provides outpatient mental health services to DHS families in the following modalities: individual therapy, family therapy, couple therapy, parent consultation, co -parent consultation and co -therapy. Individual therapy includes strength -based brief therapies with a trauma focus as necessary. EMDR (Eye Movement Desensitization and Reprocessing) is available as a treatment 2 modality. EMDR is a powerful process designed to resolve memories of a past difficult emotional experience affecting current functioning. Family therapy is based in family systems therapy. Family therapy utilizes family system models designed to improve family functioning. Family characteristics such as communication, togetherness, flexibility, family structure, family lifecycle, multigenerational issues, interactions and resiliencies are assessed and treated. Couples are treated in Gottman Method couple's therapy (Gottman, J., 2015), which utilizes a couple assessment that identified strengths and area that need improvement. Couples are provided practical tools designed to help them effectively manage conflict and obtain couple and family stability through the strengthening of the relationship. Parent consultation provides intervention for parents of intact families, who display a need to acquire new skills in order to meet the behavioral, emotional and developmental needs of their children. All interventions are tailored to effectively meet the needs of the family utilizing strategies from Common Sense Parenting (Boys Town Press, 2006), Positive Discipline (Nelsen, J., 2006), 123 Magic Parenting Program (Phelen, T.W., 2010), and Emotion Coaching (Gottman, J., 1997). Co -therapy is designed to bridge services between programs and to promote change in families in complex cases that need an additional intervention in order to affect positive change. It requires pre -approval and is limited to 1-3 sessions per case. a. Capacity for Services: i. Individuals one 1 -hour appointment per week, couples 1-2 hours per week and family 1- 2 hours per week. ii. Individuals and families that requires more intensive services due to crises or current needs for intervention can have up to 4 hours of service per week. b. Goals of Service: i. Improve mental health functioning of individual clients. ii. Improve family functioning. iii. Revitalize couple relationships. iv. Help individuals and families in the Child Welfare System to thrive and have an overall greater ability to provide safe, nurturing and caring homes for children. c. Outcomes of Service: Outcomes of these services are measured by improved mental health functioning of individuals measured by achievement of goals in the treatment plan and by self - report pre- and post- measurements of said goals on 1-10 scales. Outcomes in family therapy are noted in improved family functioning in the areas of communication, togetherness, flexibility, family structure reported by the therapist in collaboration with the family. Outcomes from couple therapy are based on the acquisition of practical skills in the target areas identified in the couple assessment. d. Target Population: Families involved in the Child Welfare system. Individual therapy can treat clients from school age children, adolescents and adults. Family therapy services may include parents, children, grandparents, other important caregivers in the children's lives, and extended family members. Couple therapy is geared toward parents that intend on maintaining or forming a common household. e. Service Access: i. Contractor has the capacity to provide services that accommodate needs of our clients. We provide services at our main office, in -home, in the community, and video conferencing utilizing FaceTime or the Zoom platform. ii. In office, 7251 W. 20th St., Bldg. M-2, Greeley, Colorado 80634. iii. In -home and community -based services within a 30 -mile catchment area of 7251 W. 20`h St., Bldg. M-2, Greeley, Colorado 80634. iv. Contractor will provide services outside the 30 -mile catchment area for an additional fee. f. Language: English and Spanish, full proficiency level. 3 5. Contractor will respond to the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 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 (hainleid@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 (hainleid@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 (hainleid@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 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. The Department will reimburse for actual participation in the meeting only so long as the 4 meeting is at least one hour in length, the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 14. Contractor will notify the Quality Assurance Team Supervisor (hainleid@weldsov.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. 5 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 Home Studies: $250.00/Each (Additional adult(s), after 2) $1,200.00/Episode (Full SAFE Home Study, up to"2 adults) $ .56/Mile (Mileage, after first 30 miles) $250.00/Episode (Partial Home Study, 1 interview and 2 phone contacts) $600.00/Episode (Update SAFE Home Study, up to 2 adults) Life Skills: $138.00/Hour (Family Team Meeting (FTM) Team Decision Making Meeting (TDM), Staffing— Per Therapist) $177.00/Hour (Therapeutic Visitation, In -Home) $118.00/Hour (Therapeutic Visitation, In -Office or Video Conferencing) $ .56/Mile (Transportation after first 30 miles) Mental Health Services: $177.00/Hour (Co -Parent Consultation, In -Home) $118.00/Hour (Co -Parent Consultation, In -Office or Video Conferencing) $236.00/Hour (Co -Therapy Counseling, In -Office) $177.00/Hour (Couples Therapy, In -Home) $118.00/Hour (Couples Therapy, In -Office or Video Conferencing) $138.00/Hour (Family Team Meeting (FTM) Team Decision Making Meeting (TDM), Staffing — Per Therapist) $177.00/Hour (Family Therapy, In -Home) $118.00/Hour (Family Therapy, In -Office or Video Conferencing) $177.00/Hour (Individual Therapy, In -Home) $118.00/Hour (Individual Therapy, In -Office or Video Conferencing) $ .56/Mile (Transportation after first 30 miles) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client. Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Hello