The URL can be used to link to this page

Browse Search

Home My WebLink About20192144.tiffPRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 11, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Denver Area Youth Services Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Agreement Amendment with Denver Area Youth Services. The Department entered into a Child Protection Agreement for services with Denver Area Youth Services, identified as Tyler ID 2019-2144 on June 10, 2019. The Agreement was amended on The Agreement was amended on May 13, 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 Scope of Services and Rate Schedule as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Score of Services ChLrIgcs:, • The provider bid in this year's Request for Proposal to add six (6) additional services to their current Agreement: Aftercare Services, Foster Parent Consultation, Kinship Services (Therapeutic), Life Skills (Therapeutic), Life Skills (Supervised), and Mental Health Services. These new services are now reflected in the provider's Scope of Services. Rate Schedule Changes: • The following rates were added for the new Aftercare Services, Foster Parent Consultation, Kinship Services (Therapeutic), Life Skills (Therapeutic), Life Skills (Supervised), and Mental Health Services: Foster Care/Adoption Support Rate Unit Type Hour Service Name $135.00_ $90.00 Foster Parent Consultation, In-Home/Community Foster Parent Consultation, In -Office or Telehealth $120,00 $90.00 Hour Hour Foster Parent Consultation In -Office with Transportation Family Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professionals Staffing Pass -Around Memorandum; May 11, 2021 — ID 4751 agnseAi+ Ay)(letzz, o-5/1-7rDi Page 1 X019 -a 1(49 HR0090 PRIVILEGED AND CONFIDENTIAL $135.00 Hour Kinship Services (Therapeutic), In-Home/Community $90.00 Hour Kinship Services (Therapeutic), In -Office or Telehealth $120.00 Hour Kinship Services (Therapeutic), In -Office with Transportation $0.50 Mile Mileage $50.00 Each No Show Life Skills Rate Unit Type Service Name $85.00 Hour Family Team Meeting (FTM), Team Decision Making (TDM), Professionals Staffing $115.00 Hour Life Skills (Supervised), In-Home/Community $70.00 Hour Life SkillskSupervised). In -Office or Telehealth $100.00 Hour Life Skills (Supervised), In -Office with Transportation $125.00 Hour Life Skills (Therapeutic), In-Home/Community $85.00 $115.00 Hour Hour Life Skills (Therapeutic), In -Office or Telehealth Life Skills (Therapeutic), In -Office with Transportation _$0.50 Mile Milea e $50.00 Each No Show Mental Health Services Rate Unit Type Service Name $90.00 Hour Family Team Meeting (FTM), Team Decision Making (TDM), Professionals Staffing $135.00 Hour Mental Health Services, In-Home/Community $90.00 Hour Mental Health Services, In -Office or Telehealth $120.00 Hour Mental Health Services, In -Office with Transportation $0.50 Mile Mileage $50.00 Each No Show I do not recommend a Work Session. I recommend approval of this Agreement Amendment. Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Approve Schedule Recommendation Work Session Other/Comments: Page 2 Pass -Around Memorandum; May 11, 2021 —1D 4751 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND DENVER AREA YOUTH SERVICES +h This Agreement Amendment, made and entered into I I day of 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Denver Area Youth Services, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home Based Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2144, approved on June 10, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on May 31, 2020. • The Original Agreement was amended on: May 13, 2020 to extend the term date through May 31, 2021. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2144. • 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 3l, 2022. 2. Exhibit C, Scope of Services, is hereby amended as attached. 3. 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. C�( (/`�� I� COUNTY: ATTEST• dirAdA) p• *.dO;O ' BOARD OF COUNTY COMMISSIONERS Weld ou y _ lerk to the Boar. WELQ,COUNTY, COLORADO By: �T Deputy Clerk the Bard / �� ' l(d.%%►�� Steve Moreno, Chair CONTRACTOR: enver Area Youth Services 1530 West 13'x' Avenue Denver, Colorado 80204 By: Date: il/oc2 c�'.Ae6an tea. MAY 1 7 2021 Noel A. d'Albertis, Executive Director Chief Executive Officer Apr 29, 2021 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Home Based Services, Aftercare Services, Foster Parent Consultation, Kinship Services (Therapeutic), Life Skills (Therapeutic), Life Skills (Supervised), and Mental Health Services as referred by the Department. 2. Home Based Services a. Contractor utilizes the following evidence -based practices in the provision of services under this agreement: i. Alternatives for Families -Cognitive Behavioral Therapy (AF-CBT) ii. Child -Parent Psychotherapy (CPP) Parent Child Interaction Therapy (PCIT) b. Service levels available under this agreement include: i. Low Package: One (1) to two (2) hours of service per week. Eighty-five percent (85%) of the allotted time is spent with the client working on the treatment plan. This package is primarily used for families stepping down services and preparing for case closure. ii. Moderate Package: Three (3) to five (5) hours of service per week. Eighty-five (85%) of the allotted time is spent with the client working on the treatment plan. iii. High Package: Six (6) to eight (8) hours of service per week. Seventy-five percent (75%) of the allotted time is spent with the client working on the treatment plan. This package is recommended for families with more complex issues or with greater need for support. iv. Intensive Package: Nine (9) to eleven (1 1) hours of service per week. Seventy-five percent (75%) of the allotted time is spent with the client working on the treatment plan. This package is recommended for families in crisis and in need of immediate stabilization and to prevent impending out -of -home placement and is general on a short-term basis for immediate family preservation. Services continue at a lower level once family stabilization is evident. c. Capacity: Monday through Friday, 8:00 a.m.-9:00 p.m. Weekends upon request, 9:00 a.m. to 6:00 p.m. d. Goals of Service: i. Help strengthen the family and prevent out -of -home placement or strengthen the family in order to hasten the safe return of the child when out -of -home placement has occurred. ii. Address specific needs as outline in the referral. e. Outcomes of Services: Eighty percent (80%) or more of clients successfully discharge from services with no identified, immediate safety concerns. f. Target Population: Any individual or family identified for needed services regardless of age, gender or other specific characteristics, traits or needs. g. Service Access: Home -based, community -based, video-conferencing, phone conferencing and other alternatives as approved by the Department. h. Language: English only. 3. Aftercare Services: a. Modalities, curriculum, and tools used in deliver of service: i. Basic Needs Assessment ii. Clinical Case Management iii. Parent Coaching and Skill Building iv. Individual Therapy v. Family Therapy vi. Psychoeducation on Child Development and Trauma vii. Crisis Intervention b. Anticipated frequency of service: i. One (1) to two (2) hours per week. c. Anticipated duration of service: i. Two (2) to four (4) months. d. Goals of the service: i. Maintain established stability in the home to prevent disruption in placement. ii. Maintain adequate parenting skills that address concerns related to original county involvement. iii. Identify and address child(ren)'s behaviors that create a challenge for parents. e. Outcomes of the service: i. Child(ren) remains safely in home. ii. Parents use appropriate guidance and parenting skills to maintain a safe environment for their child(ren). iii. Parents/family receive no additional involvement from the county during the course of services. f. Target population: i. All ages and genders. g. Language i. English only. h. Medicaid eligibility i. This service is eligible for Medicaid. 4. Foster Parent Consultation a. Modalities, curriculum, and tools used in deliver of service: i. Basic Needs Assessment ii. Clinical Case Management iii. Parent Coaching and Skill Building iv. Individual Therapy v. Family Therapy vi. Psychoeducation on Child Development and Trauma vii. Crisis Intervention b. Anticipated frequency of service: i. One (I) to three (3) hours per week. c. Anticipated duration of service: i. Three (3) to six (6) weeks. d. Goals of the service: i. Establish stability in out -of -home placement through demonstrated skills used to appropriately manage behaviors among all family members. ii. Provide psychoeducation on child development and trauma to help foster parents gain an understanding of challenging behaviors and reactions. iii. Establish appropriate parenting skills and structure that support the specific needs of the child placed in the home. e. Outcomes of the service: i. Identify triggers and reactionary behaviors that create conflict in the home. ii. Identify methods and skills that foster parent(s) can utilize to address specific behaviors causing disruption in the home. iii. Establish and maintain stability in the home through developmentally appropriate acquired knowledge and skills that address the specific child's need in the home. f. Target population: i. All ages and genders. g. Language: i. English only. h. Medicaid eligibility: i. This service is eligible for Medicaid. 5. Kinship Services (Therapeutic) a. Modalities, curriculum, and tools used in deliver of service: i. Basic Needs Assessment ii. Clinical Case Management Parent Coaching and Skill Building iv. Individual Therapy v. Family Therapy vi. Psychoeducation on Child Development and Trauma vii. Crisis Intervention viii. Intrafamilial therapy as indicated and appropriate. b. Anticipated frequency of service: i. One (1) to two (2) hours per week. c. Anticipated duration of service: i. Three (3) to six (6) months. d. Goals of the service: i. Establish stability in kinship placement through demonstrated skills used to appropriately manage behaviors among all family members. ii. Provide psychoeducation on child development and trauma to help foster parents gain an understanding of challenging behaviors and reactions. iii. Establish appropriate parenting skills and structure that support the specific needs of the child placed in the home. iv. Identify and address intrafamilial conflicts and dysfunctional relationships creating challenges to maintaining kinship placement. e. Outcomes of the service: i. Identify triggers and reactionary behaviors that create conflict in the home. ii. Identify methods and skills that kinship provider can utilize to address specific behaviors causing disruption in the home. Establish and maintain stability in the home through developmentally appropriate acquired knowledge and skills that address the specific child's need in the home. iv. Address dysfunctional intrafamilial relationships to prevent placement disruption. f. Target population: i. All ages and genders. g. Language: i. English only. h. Medicaid eligibility: i. This service is Medicaid eligible. 6. Life Skills (Therapeutic) a. Modalities, curriculum, and tools used in deliver of service: i. Basic Needs Assessment ii. Clinical Case Management iii. Parent Coaching and Skill Building iv. Psychoeducation on Child Development and Trauma v. Child Centered Therapeutic Interventions vi. Supervision and Feedback b. Anticipated frequency of service: i. As needed, typically, one (1) to two (2) hours per visit with one (1) to (2) visits per week. Contractor is able to do more or less as required by Court or County. c. Anticipated duration of service: i. As needed, typically three (3) to six (6) months. d. Goals of the service: i. Maintain safety and appropriate interactions between parent and child during visits. ii. Provide guidance and skills for parents to help build a healthier relationship with their child(ren). iii. Provide psychoeducation about trauma and child development and the effects of out -of - home placement on behaviors. iv. Improve attachment between parent and child. e. Outcomes of the service: i. Identify parent strengths and areas for improvement in parenting skills. ii. Implement identified parenting strategies to strengthen parenting bond with child(ren). Identify parenting stressors that lead to maladaptive parenting skills. iv. Assist with developing appropriate parenting skills. f. Target population: i. All ages and genders. g. Language: i. English only. h. Medicaid eligibility: i. This service is not Medicaid eligible. 7. Life Skills (Supervised) a. Modalities, curriculum, and tools used in deliver of service: i. Basic Needs Assessment ii. Clinical Case Management iii. Parent Coaching and Skill Building iv. Psychoeducation on Child Development and Trauma v. Supervision and Feedback b. Anticipated frequency of service: i. As needed, typically, one (1) to two (2) hours per visit with one (1) to (2) visits per week. Contractor is able to do more or less as required by Court or County. c. Anticipated duration of service: i. As needed, typically three (3) to six (6) months. d. Goals of the service: i. Maintain safety and appropriate interactions between parent and child during visits. ii. Provide guidance and skills for parents to help build a healthier relationship with their child(ren). iii. Provide psychoeducation about trauma and child development and the effects of out -of - home placement on behaviors. iv. Improve attachment between parent and child. e. Outcomes of the service: i. Identify parent strengths and areas for improvement in parenting skills. ii. Implement identified parenting strategies to strengthen parenting bond with child(ren). iii. Identify parenting stressors that lead to maladaptive parenting skills. iv. Assist with developing appropriate parenting skills. f. Target population: i. All ages and genders. g. Language: i. English only. h. Medicaid eligibility: i. This service is not Medicaid eligible. 8. Mental Health Services a. Modalities, curriculum, and tools used in deliver of service: i. Basic Needs Assessment ii. Clinical Case Management iii. Individual Therapy iv. Family Therapy v. Psychoeducation on Child Development and Trauma vi. Crisis Intervention b. Anticipated frequency of service: i. One (1) to two (2) hours per week. c. Anticipated duration of service: i. Three (3) to six (6) months. d. Goals of the service: i. Improve individual mental health status through individual therapy. ii. Improve family functioning through improved coping mechanisms and behaviors. iii. Provide psychoeducation about specific mental health diagnosis and the impact on the family system particularly related to child safety. iv. Improve attachment between parent and child e. Outcomes of the service: i. Identify and address mental health diagnosis and the impact on child safety and familial relations. ii. Identify and address issues related to maladaptive behaviors and coping mechanisms that negatively impact the family system. Create and implement plans for when the parent feels unable to safely parent the child. f. Target population: i. All ages and genders. g. Language: i. English only. h. Medicaid eligibility: i. This service is Medicaid eligible. Terms I. Contractor will respond to the Quality Assurance Team (HS-CWQualityAssurance(aweldgov.com within three (3) business days regarding the ability to accept the received referral. 2. 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 HS- CWQualityAssurance(a,weldgov.com. 3. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understands that the Department will not reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the part of case participants who cancel without 24 hour notice. 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 HS-CWQualityAssurance(a weldgov.com. 4. 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 HS-CWQualityAssurance(a-weldgov.com immediately via email, to discuss service continuation. 5. 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. 6. 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. 7. 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. 8. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Quality Assurance Team. Any changes to visitation referrals will be approved by the caseworker, their supervisor, or the Family Support and Visitation Center. 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. 9. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as there is written authorization from the Quality Assurance Team, and 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. The Facilitator will be responsible for filling out the time attended on the Client Verification Form. 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. 10. Contractor will notify the Quality Assurance Team HS-CWQualitvAssurancenweldzov.com 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. 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 Foster Care/Adoption Support Rate Unit Type Service Name $135.00 Hour Foster Parent Consultation, In-Home/Community $90.00 Hour Foster Parent Consultation, In -Office or Telehealth $120.00 Hour Foster Parent Consultation, In -Office with Transportation $90.00 Hour Family Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professionals Staffing $135.00 Hour Kinship Services (Therapeutic), In-Home/Community $90.00 Hour Kinship Services (Therapeutic), In -Office or Telehealth $120.00 Hour Kinship Services (Therapeutic), In -Office with Transportation $0.50 Mile Mileage $50.00 Each No Show Home Based Services Rate Unit Type Service Name $135.00 Hour Aftercare Services, In-Home/Community $90.00 Hour Aftercare Services, In -Office or Telehealth $120.00 Hour Aftercare Services, In -Office with Transportation $90.00 Hour FTM, TDM, Professionals Staffing $2,275.00 Month High Package $2,800.00 Month Intensive Package $925.00 Month Low Package $0.50 Mile Mileage $1,700.00 Month Moderate Package $50.00 Each No Show Life Skills Rate Unit Type Service Name $85.00 Hour FTM, TDM, Professionals Staffing $115.00 Hour Life Skills (Supervised), In-Home/Community $70.00 Hour Life Skills (Supervised), In -Office or Telehealth $100.00 Hour Life Skills (Supervised), In -Office with Transportation $125.00 Hour Life Skills (Therapeutic), In-Home/Community $85.00 Hour Life Skills (Therapeutic), In -Office or Telehealth $115.00 Hour Life Skills (Therapeutic), In -Office with Transportation $0.50 Mile Mileage $50.00 Each No Show Mental Health Services Rate Unit Type Service Name $90.00 Hour FTM, TDM, Professionals Staffing $135.00 Hour Mental Health Services, In-Home/Community $90.00 Hour Mental Health Services, In -Office or Telehealth $120.00 Hour Mental Health Services, In -Office with Transportation $0.50 Mile Mileage $50.00 Each 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 Th 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 antraact c)rrn Entity Information Entity Name.* Entity I D * DENVER AREA YOUTH SERVICES 00035665 Contract Name* Contract ID [-] New Entity? Parent Contract ID DENVER AREA YOUTH SERVICES (AGREEMENT AMENDMENT) 47 51 20192144 - Contract Status CT`B REVIEW Contract Description* BI9p0025. TERM: 6i1,r21-5, s1 22. Contract Lead * APEGG Contract Lead Email ape7rrg eldgov.com:cobbx xJI<Awe dgov.com Contract Description 2 l:.:ONSE.NT. PA IS BEING ROUTED THROUGH NORMAL. PROCESS,. ETA TO CTB' 5/13,2 Contract Type* AMENDMENT Amount* S0.00 Renewable* NO Automatic Renewal Grant. IGA Department HUMAN SERVICES Department Email CM HumanSe; vices AveeCJgov„co rn. Department Head Email CM-HumanServic;es- DeptHearkgwelcJ gov,c©m County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email COUNTY"ATTORNEY =WELDG OV.COM Requested BOCC Agenda Date* 35'26x'2021 Requires Board Approval YES Department Project # Due Date 05 22,021 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 Nct.e: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date 0 , O1 2O22 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing .Approver CONSENT Approval Process Department Head JAMIE t ILRICH DH Approved Date O5 O5 -2O21 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05117 2O21 Originator AFEGG Committed Delivery Date Contact Type Contact Email Finance Approver CONSENT Expiration Date 05i31 2022 Contact Phone 1 Contact Phone 2 Purchasing Approved Date O5, O5j2O21 Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date O5 05 2O21 05,`0512021 Tyler Ref # AC O51 721 Corri-ea-d-- .1'V .4 35'35 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 Recommendation Work Session Schedule Other/Comments: Pass -Around Memorandum; April 2, 2020 — Not in CMS ©5/O/1Lo O 13 `g•.° Page 1 10;O061O VENDOR RENEWALS Vendor Program Area Service Name Anger Management Treatment - Out of Office Funding CW Block/Child Welfare Services Rate $ 180.00 Unit Type Hour Staffing, FTM, TOM, etc. CW WOO/Child WelfarelServlCe5 $ 125.00 Hour Foster Care/Adoption Support BCBA Foster Parent Consultation - In Office Core $ 125.00 Hour BCBA Foster Parent Consultation - Out of Office Core $ 180:00 Hour Foster Parent Consultation - In Office Core $ 125.00 Hour Foster Parent Consultation - Out of Office Core $ 180.00 Hour Staffing, FTM, TDM, etc. Core $ 125.00 Hour Life Skills Staffing, FTiA, TOM, etc: Core $ 125.00 Hour Therapeutic Visitation - In Office Core $ 125.00 Hour Therapeutic Visitation - Out of Office Core $ 180.00 Hour Mental Health Services Adaptive Behavioral Evaluation Core $ 350.00 Hour BCBA Adaptive Behavioral Evaluation Core $ 350:00 Hour BCBA Behavioral Evaluation Core $ 350.00 Hour BCBA Consultation - In Office Core $ 125.00 Hour BCBA Consultation - Out of Office Core $ 180.00 Hour Behavioral Evaluation Core $ 350.00 Hour Consultation - In Office Core $ 125.00 Hour Consultation - Out of Office Core $ 180.00 Hour Counseling/Psychotherapy -In Office Core $ 125.00 Hour Counseling/Psychotherapy - Out of Office Core $ 180:00 Hour Developmental Disabilities Evaluation Core $ 350.00 Hour Family Therapy - In Office Core $ 125.00 Hour. Family Therapy - Out of Office Core $ 180.00 Hour Home Based Therapy Core $ 180.00 Hour Learning Disability/Attention Deficit Disorder Evaluation Core $ 350.00 Hour Psychological Evaluation Core $ 350.00 Hour Psychotherapy for Individuals with Limited Cognitive Abilities - In Office Core $ 125.00 Hour Psychotherapy for; individuals with Limited Cognitive Abilities - Out of Office Core $ 180.00 Hour Staffing, FTM, TDM, etc. Core $ 125.00 Hour Trauma Informed Assessments/Evaluation Core $ 350,00 Hour Relinquishment Counseling Relinquishment Counseling - In Office CW Block/Child Welfare Services $ 125.00 Hour Relinquishment Counseling - Out of Office CW Blocic/Child Welfare Services $ 180.00 Hour Staffing, FTM, TDM, etc. CW Block/Child Welfare Services $ 125.00 Hour Sexual Abuse Treatment ° ` Sex Offender Specific Evaluation P Core $ 350.00 Hour Sexual Abuse Counseling - In Office Core $ 125.00 Hour Sexual Abuse Counseling - Out of Office Core $ 180:00 Hour Staffing, FTM, TDM, etc. Core $ 125.00 Hour Substance Abuse Treatment. Staffing, FTM; TDM; etc. Core $ 125:00 Hour Substance Abuse Treatment - In Office Core $ 125.00 Hour Substance Abuse Treatment - Out of Office Core $ 180.00 Hour Denver Area Youth Services Home Based Services High Package Core $ 2,275.00 Month Intensive Package Core $" 2,800.00 Month Low Package Core $ 925.00 Month Moderate Package Gore $ 1,700.00 Month Denver Children's Home Child Mentoring and Family Support Behavior Coaching Core $ 48.00 Hour WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: B2000037 Coe-utd- .z"� 3,59:E AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND DENVER AREA YOUTH SERVICES This Agreement Amendment, made and entered into ' 3 day of 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Denver Area Youth Services, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home Based Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2144, approved on June 10, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2020. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a second full year term, for the period June 1, 2020 through May 31, 2021. • 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:' dernotJ Je:&04 Weldounty Clerk to the Board By a pputy Clerk to the Board Cm ti5e,-14". 4.enalvt, 05/13/2© COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair CONTRACTOR: Denver Area Youth Services 1530 West 13th Avenue Denver, CO 80204 MAY 1 3 2020 By: Noel A. d'Albertis, Executive Director/CEO Date: Apr 29, 2020 44,LI eeA2a&,.L. cc : E-1Sp Or\0-1+Se-- 05l13! o-40 I- 0090 Contract Form New Contract Request Entity Information Entity Name* Entity ID* DENVER AREA YOUTH SERVICES @00035665 Contract Name* DENVER AREA YOUTH SERVICES (AGREEMENT AMENDMENT) Contract Status CTB REVIEW Contract ID 3595 Contract Lead* CULLINTA Contract Lead Email cullinta@co.weld co us New Entity? Parent Contract ID Requires Board Approval YES Department Project # Contract Description* CONSENT. BID NO. B2000037. BOCC APPROVAL 04/15/20 CHILD PROTECTION AGREEMENT AMENDMENT. TERM: 06/01120 THROUGH 05/31/21. FUNDING: CORE/OTHER. Contract Description 2 Contract Type* AGREEMENT Amount $0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov.com Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV. COM Requested BOCC Agenda Date* 04/15/2020 Due Date 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 MCA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Buse Contract Dates Effective Date Review Date* Renewal Date 04/0112021 Termination Notice Period Committed Delivery Date Expiration Date* 05/3112021 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 05/05/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05/13/2020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 05/06/2020 Tyler Ref It AG 051320 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 05/06/2020 Submit /D az,&,24 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND DENVER AREA YOUTH SERVICES (DAYS) i This Agreement, made and entered into th9Qday o County Commissioners, on behalf of the Weld County Departm the "Department' and Denver Area Youth Services (DAYS), hereinafter referred to as the "Contractor". 2019, by and between the Board of Weld t of Human Services, hereinafter referred to as 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 Based Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2019, upon proper execution of this Agreement and shall expire May 31, 2020, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Quality Assurance Team Supervisor (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 10,io-i9 city)_40,6te Lo - / 9 r J 2019-2144 *0090 Department. Contractor agrees to utilize the Client Verification Form for all scheduled and unscheduled face-to-face services with the exception of home studies and monitored sobriety testing. Contractor agrees that original complete Client Verification Forms are to be submitted with the Request for Reimbursement. Requests for Reimbursement and Client Verification Forms received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet 60 -day deadline may result in termination of the Agreement. d. Contractor agrees to submit a monthly report by the 7th of the month, following the month of service, for each client receiving ongoing services. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Date and time of service b. Where the service took place c. Clinician/therapist name d. Clients participating e. What interventions were used, recommendations and/or goals discussed f. Any and all safety concerns One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will be the test result. A completed home study may be a full, partial or denied study, as determined by the Department. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual 2 terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an, which will be provided by the Department, with a voided check. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and 3 - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5- 4 102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to the Department, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5- 103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR) and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent 5 acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 0110/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; 6 - $50,000 any one fire; and - $500,000 errors and omissions. iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, 7 independent contractors, sub -vendors, suppliers or other entities upon request by the Department. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-400-6503 and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 8 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Child Welfare Division Head Noel A. d'Albertis, Chief Executive Officer 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 400-6510 18. Litigation For Contractor: Noel A. d'Albertis, Chief Executive Officer 1530 West 132fi Avenue Denver, CO 80204 (303) 302-3257 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the 9 benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the 10 Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services 11 under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work, nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by the Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a 12 waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 36. Attorney's Fees/Legal Costs In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 13 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severabilitv 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: d� �D;� BOARD OF COUNTY COMMISSIONERS Weld ty erkto the Board WELD COUNTY, COLORADO By: Deputy Clerk to 15 Barbara Kirkmeyer Chair CONTRACTOR: N 0 1019 Denver Area Youth Services (DAYS) 1530 West 136 Avenue Denver, CO 80204 (303) 302-3257 Noel ,4,e4theitir Noel A d'Atbertis (May 2, 2019) By: Date: Noel A. d'Albertis, Chief Executive Officer May 2, 2019 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 FOR REQUEST FOR PROPOSAL DENVER!AREA'YOUTH SERVICES To: Weld County Department of Human Services, Resource Unit Attn: HS Contract Management P.O. Sax A, 315 A North 11th Ave. Greeley, CO 80631 Denver Area Youth Services (DAYS' is a non-profit, human services organization located in central Denver at 1530 W. 13th Ave. Denver, CO 80204. DAYS was established in 1982 and provides services throughout Colorado. DAYS currently provides home -based services in Denver, Adams, and Boulder Counties. DAYS' services for families involved in the child welfare system include individual and family therapy, Multisystemic Therapy (MST), in -home therapy services, family preservation services, removal prevention services, and adoption preservation services. DAYS staff are well versed in assisting families and children with issues related to child maltreatment, separation and loss, trauma, poverty, parenting, substance abuse, mental illness, and domestic violence. DAYS staff possess a working understanding of the following: providing services to assist families to safely care for their children, promoting child well- being and family stability, crisis intervention, and recommending permanent family living arrangements. DAYS has successfully been providing intensive home -based services to Weld County for the fast three years. DAYS is known for its responsiveness to case workers, referrals, and staffing cases with supervisors. DAYS is also dedicated to judicious billing and financial management, we work closely with the billing department to ensure timely and accurate billing for services. Most importantly, DAYS works with families and stakeholders to ensure families receive appropriate and thoughtful care that directly resolves the issues that brought them into services. This is done with respect, communication, and dedication to keeping children and families safe. DAYS staff are master's level clinicians who receive regular supervision and are required to complete ongoing training and education that is relevant to the populations we serve. DAYS is organized, responsive, and can quickly and successfully schedule requested services. DAYS process includes the following: DAYS may or may not staff a case over the phone or via email with a supervisor; DAYS receives a referral via email and makes contact with the identified client within 24 hours; DAYS will attempt to get a face-to-face meeting scheduled within 7 days; clients who are initially unresponsive will receive daily phone calls, contact attempts via text and/or email, and in some cases the clinician will drop by the home to make initial contact; finally DAYS will contact the assigned case worker to staff the case within the first week of receiving the referral. DAYS staff and supervisors are available to Weld County 24/7 via email and cell phone. This methodology has proven successful for clients and families, case workers and DAYS staff. DAYS is highly organized and has the capacity to meet the needs of any and all referrals from Weld County. For additional information, please feel free to contact Noel d'Albertis at ndalbertis@denveryouthservices.org or via phone at 303-302-3257. 1530 W. 13t Ave., Denver CO 80204 • Ph: 303-698-2300 • Fax: 303-698-2903 • Email: ndalbertis@denveryouthservices.org EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services Denver Area Youth Services - DAYS 45069 AGENCY OR PRIVATE PRACTICE Noel A. d'Albertis, MSW, MBA PRIMARY CONTACT- FULL NAME ( 3O3)3O2-3257 PHONE NUMBER Noel A. d'Albertis, MSW MBA TRAILS PROVIDER ID (If Known) CEO PRIMARY CONTACT - TITLE J 720 )253-O8O8 EXT. FAX NUMBER PRIMARY CONTACT -E-MAIL ADDRESS 1530 W. 13th Ave AGENCY MAILING ADDRESS Denver www.denveryouthservices.or8 AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) CITY 80204 ZIP REFERRAL CONTACT Noel A. d'Albertis, MSW, MBA REFFERAL CONTACT— FULL NAME (303)302-3257 REFERRAL CONTACT — PHONE NUMBER EXT. CEO REFERRAL CONTACT - TITLE ndalbertis@denveryouthservices.org REFERRAL CONTACT — E-MAIL ADDRESS Noel A. d'Albertis, MSW, MBA BILLING CONTACT —FULL NAME (303)302-3257 BILLING CONTACT- PHONE NUMBER BILLING CONTACT CEO BILLING CONTACT -TITLE ndalbertis@denveryouthservices.org EXT. BILLING CONTACT- E-MAIL ADDRESS I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. Signature of Authorized Representative: Date of Signature: / — 62- t(-1 Y Bid No.: B 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. DAYS' key concepts and strategies for home -based intervention services, which are based in promoting and sustaining child safety and well-being include: 1) provide a continuum of services by providing both therapeutic help and environmental supports for the family; 2) strengthen parents' coping and adaptive capacities; 3) maintain accessibility through 24/7 availability and bi- lingual services; 4) work collaboratively with other community providers to ensure comprehensive and effective services (and reduce duplication of services); 5) offer aftercare services for ongoing support; and 6) maintain judicious budgeting, financial management and reporting. DAYS' therapeutic, crisis, concrete, and collateral services incorporate the aforementioned key concepts and strategies. DAYS is committed to protecting children, working with families, and respecting the process of change. Denver Area Youth Services (DAYS) Nome Based Intervention DAYS is committed to evidence -based practice as the underpinning of its service provision. DAYS pays to train its clinicians in evidence -based practice and to maintain certification in specialized training to ensure optimal service provision for its clients and families. DAYS utilizes the following evidence -based practices: Alternatives for Families -Cognitive Behavioral Therapy (AF-CBT)- is an evidence -based treatment designed to improve relationships between children (patients) and parents (caregivers) in families involved in physical force and/or coercion and chronic hostility. AF-CBT emphasizes training in both inter and intrapersonal skills. The program is designed to enhance self-control, strengthen positive -parenting practices, improve family cohesion, improve communication, improve problem -solving, enhance child coping and social skills, and prevent further instances of hostility and possible abuse. AF-CBT is a family -centered intervention designed with broad clinical targets in which both children and caregivers are important participants in treatment. Appropriate candidates for AF-CBT include families and their children (5-17) with externalizing behavioral problems who are at risk of physical abuse. Child -Parent Psychotherapy (CPP)- is an intervention for children from birth through age 5 who have experienced at least one traumatic event (e.g., maltreatment, the sudden or traumatic death of someone close, a serious accident, sexual abuse, exposure to domestic violence) and, as a result, are experiencing behavior, attachment, and/or mental health problems, including posttraumatic stress disorder (PTSD). The primary goal of CPP is to support and strengthen the relationship between a child and his or her parent (or caregiver) as a vehicle for restoring the child's sense of safety, attachment, and appropriate affect and improving the child's cognitive, behavioral, and social functioning. Page 1 of 3 EXHIBIT C PROPOSAL TEMPLATE The type of trauma experienced, and the child's age or developmental status determine the structure of CPP sessions. For example, with infants, the child is present, but treatment focuses on helping the parent to understand how the child's and parent's experience may affect the child's functioning and development. With older children, including toddlers, the child is a more active participant in treatment, and treatment often includes play as a vehicle for facilitating communication between the child and parent. When the parent has a history of trauma that interferes with his or her response to the child, the therapist (a master's- or doctoral -level psychologist, a master's -level social worker or counselor, or a supervised trainee) helps the parent understand how this history can affect perceptions of and interactions with the child and helps the parent interact with the child in new, developmentally appropriate ways. Parent Child interaction Therapy (PCIT) - is an empirically -supported treatment for conduct - disordered young children that places emphasis on improving the quality of the parent -child relationship and changing parent -child interaction patterns. In PCIT, parents are taught specific skills to establish a nurturing and secure relationship with their child while increasing their child's prosocial behavior and decreasing negative behavior. This treatment focuses on two basic interactions: Child Directed Interaction (CDI) is similar to play therapy in that parents engage their child in a play situation with the goal of strengthening the parent -child relationship; Parent Directed Interaction (PDI) resembles clinical behavior therapy in that parents learn to use specific behavior management techniques as they play with their child. 4. Capacity to Provide Services (ex. 4 hours/week). DAYS is available to provide services Monday through Friday, 8:00am to 9:00pm. Weekends are also available upon request, 9:00am to 6:00pm. S. Goals of the service. The goal of DAYS services is to help strengthen the family and prevent out of home placement, or in cases where a child has already been removed, strengthen the family in order to hasten the safe return of the child. Additionally, DAYS focuses its services on meeting the specific needs addressed in any given referral as an ongoing part of goal attainment. 6. Outcomes of service. DAYS outcome target is 80% or more of clients successfully discharge from services through case closure via the county or voluntary closure of services with no identified, immediate safety concerns. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. DAYS does not view any neighborhood or area in Weld County as its targeted clientele. DAYS is willing and able to work with any individual or family identified for needed services regardless of age, gender, or other specific characteristics, traits, or needs. 8. Service access. DAYS is available to provide home -based, community -based, video-conferencing, phone conferencing and other alternatives that would make our services more accessible to families. Our staff are creative in their approach to engaging and accessibility. 9. Languages service is available in. Page 2 of 3 EXHIBIT C PROPOSAL TEMPLATE All services are provided in English 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Rates: Low Package -$765 per month: 1-2 hours of service per week. 85% of the allotted time is spent with the client working on the treatment plan. This package is primarily used for families stepping down services and preparing for case closure. Moderate Package -$1,645 per month (most common): 3-5 hours of service per week. 85% of the allotted time is spent with the client working on the treatment plan. This is the most typical service authorization. High Package - $2,100 per month: 6-8 hours of services per week. 75% of the allotted time is spent with the client working on the treatment plan. This package is recommended for families with more complex issues or with greater need for support. Intensive Package - $2,600 per month: 9-11 hours of service per week. 75% of the allotted time is spent with the client working on the treatment plan. This package is recommended for families in crisis and in need of immediate stabilization and to prevent impending out -of -home placement. Generally used on a short-term basis for immediate family preservation. Services are continued at a lower level once family stabilization is evident. Note 1: Please note all packages assume 4.3 weeks per month in calculation of minimum service hours and rate. DAYS will not adjust rate or service hours based on 4 -week months versus 5 -week months. Note 2: In regard to billing, DAYS will prorate monthly rate based on total number of completed service hours in a month if services hours do not meet the required minimum. Example: A family at a moderate level of services requires a minimum 8 hours of service for the month. The family and clinician are only able to complete 6 hours of service for the month (for various reasons e.g. cancellations, no shows, etc.). DAYS will charge the moderate rate of services at 75%. Calculation = 6 hours/8 hours = 0.75 Page 3 of 3 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 DIIE klE OR SERVICE TYPE: Home Based Intervention n BIDDER LEGAL ENTITY NAME: Denver Area Youth Services APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION No. Last Name First Name Work# Work Email Education ' Level Degree Focus icensure/ Credentials DORA # If applicable 1 • ' b- Noel 303-302-3257 ndalbertis@denv- 2 Courtney 303-698-230Q egriffin@denvery•Master's Social Work ane LCSW CSW00000917b- rtis Mycorn Rene 303-698-2300 rmycorn denverWlaster's Social Wor Iluzenis Maddie 303-698-230Q mhuzenis@denveSocial Work MSVV Griffin Villemonte Jamie 303-698-230Q jvillemortePdenMaster's Social Work SVV Griffin 9 10 11 12 13 14 15 16 17 III 20 EMI 21 11111.11111111111 22 MEM 24 25 r 26IIIIIIIIIIIIIII MI 27 - 28 Bid No.: 81900025 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.) Bid No.: B1900025 ndalbertis@denveryouthservices.org cgriffin@denveryouthservices.org cgriffin@denveryouthservices.org cgriffin@denveryouthservices.org ABC RLIF CERTIFICATE OF LIABILITY INSURANCE DATE (MWODM'YY) 12/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORRED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and condttions of the po Icy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Associates Insurance Group 7395 E. Orchard Rd. Greenwood Village INSURED Denver Area Youth Services 1530 W.1361 Ave. Denver CO 80111 CO 80204 MNTACT JUSNn Cowan NAME: Ent, (303) 793-3388 IFAX cowan�getagc.com . Noh (303) 7933386 ADDRESS: ) iNSURER(SIAFFORDBIG COveRAGE INSURER A: Philadelphia Indemnity Insurance Company INSURER B: Pinnacol Assurance NAIC # 18058 41190 INSURER C : INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: Master THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVL REVISION NUMBER: INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOPOLICY WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. went IL7RR TYPE OF INSURANCE Hl9OL 11V IQ POLICY NUMBER POLICY YYTUDAABODNY JMINDDIT POLMY TY), LIMITS X COMMERCIAL GENERAL LIABILITY ®OCCUR EACH OCCURRENCE f 1,000,000 CLARLS•#AADE Professional Llabiltty PREMISES (EB ossurrence) S 1 °I:043°X A PHPK1887218 MED EXP(My one person) S 5,000 10/22/2018 10/2212019 PERSONAL 6ADVINJURY $ 1,000.000 MEWL X AGGREGATE UMITAPPLIES PER: E LOC PRODUCTS - COMP/OP AGO $ 3,000,000 OTHER i S AUTOMOBILE LUtBIL(TY ANY AUTO COMBINED SINGLE LIMIT tEs accident) f 1,000,000 A ` X ULED PHPK1887218 BODILY INJURY(Per person) S AUTOSownrE ONLY x 74 U703 X AUTOS N ED 10/22/2018 10/22/2019 BODILY INJURY(Per:modem) f AUT03 ONLY TOCSNO AT ONLY (Per PRer OPERTY accident $ $ A X UMBRELLA LtAB EXCESS UAB )< OCCt1R PHU8843415 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 10/22/2018 10/22/2019 j 1RETENTION AGGREGATE $ 1.GOO ,000 oE0 $ S WORKER, COMPENSATION AND EMPLOYERS' UABIUTY Y t N ANY %'Q )TAME I ( ERµ B PR OP RIETOR/PART17EVECUTiYE El OFFICERMIE/4YiEREXCLUDED? NIA 4144793 01/0112Dt9 01/01/2020 E.L. EACH ACCIDENT $ 1,ODO,D00 (Mandatory In NH) describe under Hyee, EL DISEASE EMPLOYEE S 1,000,000 DESCRIPTION OF OPERATIONS below El. DISEASE - POLICY LIMIT S 1.13(XL DO A Sexual Abuse / Molestation PHSO1380377 10/22/2018 10/22/2019 Each Occurrence Aggregate $300,000 $600,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES r1CArrn tilt saerrr.,..., o......... ate_...... __._ t__ _.._ _.. ... re Specs Fa redo red CERTIFICATE HOLDER Weld County 1160 'O' St. Greeley I CO 80831 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rirr l �. ai.s DENVERlAREAYYOUTH SERVICES To: Weld County Department of Human Services, Resource Unit Attn: HS Contract Management P.O. Box A, 315 A North 11th Ave. Greeley, CO 80631 Denver Area Youth Services (DAYS) is a non-profit, human services organization located in central Denver at 1530 W. 13th Ave. Denver, CO 80204. DAYS was established in 1982 and provides services throughout Colorado. DAYS currently provides home -based services in Denver, Adams, and Boulder Counties. DAYS' services for families involved in the child welfare system include individual and family therapy, Multisystemic Therapy (MST), in -home therapy services, family preservation services, removal prevention services, and adoption preservation services. DAYS staff are well versed in assisting families and children with issues related to child maltreatment, separation and loss, trauma, poverty, parenting, substance abuse, mental illness, and domestic violence. DAYS staff possess a working understanding of the following: providing services to assist families to safely care for their children, promoting child well- being and family stability, crisis intervention, and recommending permanent family living arrangements. DAYS has successfully been providing intensive home -based services to Weld County for the last three years. DAYS is known for its responsiveness to case workers, referrals, and staffing cases with supervisors. DAYS is also dedicated to judicious billing and financial management, we work closely with the billing department to ensure timely and accurate billing for services. Most importantly, DAYS works with families and stakeholders to ensure families receive appropriate and thoughtful care that directly resolves the issues that brought them into services. This is done with respect, communication, and dedication to keeping children and families safe. DAYS staff are master's level clinicians who receive regular supervision and are required to complete ongoing training and education that is relevant to the populations we serve. DAYS is organized, responsive, and can quickly and successfully schedule requested services. DAYS process includes the following: DAYS may or may not staff a case over the phone or via email with a supervisor; DAYS receives a referral via email and makes contact with the identified client within 24 hours; DAYS will attempt to get a face-to-face meeting scheduled within 7 days; clients who are initially unresponsive will receive daily phone calls, contact attempts via text and/or email, and in some cases the clinician will drop by the home to make initial contact; finally DAYS will contact the assigned case worker to staff the case within the first week of receiving the referral. DAYS staff and supervisors are available to Weld County 24/7 via email and cell phone. This methodology has proven successful for clients and families, case workers and DAYS staff. DAYS is highly organized and has the capacity to meet the needs of any and all referrals from Weld County. For additional information, please feel free to contact Noel d'Albertis at ndalbertisPdenveryouthservices.org or via phone at 303-302-3257. 1530 W. 13th Ave., Denver CO 80204 • Ph: 303-698-2300 • Fax: 303-698-2903 • Email: ndalbertis@denveryouthservices.org EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services Denver Area Youth Services - DAYS 45069 AGENCY OR PRIVATE PRACTICE Noel A. d'Albertis, MSW, MBA PRIMARY CONTACT- FULL NAME ( 3031302-3257 PHONE NUMBER Noel A. d'Albertis. MSW, MBA TRAILS PROVIDER ID (If Known) CEO PRIMARY CONTACT - TITLE i 720 )253-0808 EXT. FAX NUMBER PRIMARY CONTACT — E-MAIL ADDRESS 1530 W. 13th Ave AGENCY MAILING ADDRESS Denver www.denveryouthservices.org AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) CITY 80204 ZIP REFERRAL CONTACT Noel A. d'Albertis, MSW, MBA REFFERAL CONTACT— FULL NAME (303)302-3257 REFERRAL CONTACT— PHONE NUMBER EXT. CEO REFERRAL CONTACT - TITLE ndalbertis@denveryouthservices.org REFERRAL CONTACT— E-MAIL ADDRESS BILLING CONTACT Noel A. d'Albertis, MSW, MBA BILLING CONTACT —FULL NAME (3031302-3257 BILLING CONTACT- PHONE NUMBER EXT. CEO BILLING CONTACT -TITLE ndalbertis@denveryouthservices.org BILLING CONTACT - E-MAIL ADDRESS I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. Signature of Authorized Representative: Date of Signature: / — / L Bid No.: B1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. MST is an evidence -based program that empowers youth (aged 12-17) and their families to function responsibly over the long term. MST reduces delinquent and antisocial behavior by addressing the core causes of such conduct — and views the client as a network of systems including family, peers, school, and neighborhood. Therapists have small caseloads and provide services in the home at times convenient to the family. The average length of treatment is between 3 and 5 months, and therapists and provider agencies are held accountable for achieving change and positive outcomes. Denver Area Youth Services (DAYS) Multisystemic Therapy (MST) Therapists work in the home, school and community and are on call 24/7 to provide caregivers with the tools they need to transform the lives of troubled youth. Research demonstrates that MST reduces criminal activity and other undesirable behavior. **Please note MST is a new program for Denver Area Youth Services. We are in the process of implementation and will have a team available to provide services beginning March of 2019. Staff are not listed as we are in the midst of the hiring process for the MST Team. 4. Capacity to Provide Services (ex. 4 hours/week). DAYS MST services are available 24/7. 5. Goals of the service. The goal of DAYS MST services is to: • Eliminate or significantly reduce the frequency and severity of the youth's referral behavior(s) • Empower parents with the skills and resources needed to: o Independently address the inevitable difficulties that arise in raising children and adolescents o Empower youth to cope with family, peer, school, and neighborhood problems' 6. Outcomes of service. MST reports the following outcomes:" • 54% fewer out -of -home placements • 91% of youth living at home • 86% in school or working • 87% no juvenile arrests 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. MST target population requires the following: Youth, 12 to 17 years old, with possible substance abuse issues who are at risk of out -of -home placement due to antisocial or delinquent behaviors and/or youth involved with the juvenile justice system 8. Service access. Page 1 of 2 EXHIBIT C PROPOSAL TEMPLATE DAYS is available to provide home -based, community -based, video-conferencing, phone conferencing and other alternatives that would make our services more accessible to families. Our staff are creative in their approach to engaging and accessibility. 9. Languages service is available in. All services are provided in English 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (Le., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Rates: MST Package -$1,500 per month: 3-4 hours of service per week. Note 1: Please note all packages assume 4.3 weeks per month in calculation of minimum service hours and rate. DAYS will not adjust rate or service hours based on 4 -week months versus 5 -week months. Note 2: In regard to billing, DAYS will prorate monthly rate based on total number of completed service hours in a month if services hours do not meet the required minimum. Example: A family receiving MST services requires a minimum 4 hours of service for the month. The family and clinician are only able to complete 3 hours of service for the month (for various reasons e.g. cancellations, no shows, etc.). DAYS will charge the MST rate of services at 75%. Calculation = 3 hours/4 hours = 0.75 'http://www.mstservices.com; https://cd n 2. hubspot.net/hu bfs/295885/MST%20Redesign/Marketi ng%20Callateral/Marketing%20Kit%20Co1 later a I %20Digita I%20Fi les/Fa ct%20Sheet/Fact%20Sh eet%20MST%20Th era py%20Overvi ew%20 '' "http://www.mstservices.com; h ttps://cd n 2. hubspot.net/h u bfs/295885/MST%20Redesign/Ma rketi ng%20Co I Iateral/Marketi ng%20 Kit%20Col I ate r a I%20Digital%20Files/Fact%20Sheet/Fact%20Sheet%20MST%20Th era py%20Overview%20 Page 2 of 2 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage andjor admini Staff aata aneet per proposed service. Bidder should Q5reti ViztsIdE OR SERVICE TYPE: ,Multisystemic Therapy not BIDDER LEGAL ENTITY NAME.Denver a Youth Services .,. Der Arervic . _ L APP CABLE STAFF MEMBER CONRTRACTOR INFORMATION" _OR '__� d �. ' `DORA No. Last Name First Name ` work# Work E -mail E Education Level Degree Focus Licensure/ Credentials # (If - d _ .deny applicable} t Est Marne 1 Albertis Noel 303-302-3257 ndalbertis Master's Social Wou_._ rk an • MSW n/a 2 Griffin Courtney 303-698-2300 cgriffin@denvery. Master's Social Work an LCSW CSW00000917 d'Albertis 3 TBA 4 4 TBA TBA 6 TBA 810 �� N 111 12� �■I 13 14 15 16 17 18�i��l 19' 20 21 �■ � 3 22 1 23 IIII II ii 2425 26 27 28 Bid No.: B1900025 STAFF DATA, SHEET EXHIBIT a (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.) Bid No.: 61900025 ndalbertis@denveryouthservices.org ACORE1• CERTIFICATE OF LIABILITY INSURANCE DATE (MMID0/YYTY) 12/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT Nthe certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WANED, subject to the terns and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Associates Insurance Group 7395 E. Orchard Rd. Greenwood Village INSURED COVERAGES Denver Area Youth Services 1530 W. 13th Ave, Denver CO 80111 CO 80204 CONTACT Justin Cowan NAME: P ONE ExD: (303)793-3388 o. ADDRESS: jcowan@getagc.com (A/CC, No): (303) 793-3358 INSURER(S) AFFORDING COVERAGE INSURER A: Philadelphia indemnity insurance Company INSURER B: Pinnacol Assurance NAIC i 18058 41190 INSURER C : INSURER 0 : INSURER E : INSURER F CERTIFICATE NUMBER: Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUDL Were L7R IM96 WVD A A X CWMS-MADE r X Professional Liability TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY OCCUR GENLAGGREGATE LIMITAPPLIES PER: X POLICY ECT OTHER AUTOMOBILE LIABILITY A B A ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB EXCESS UAB DEO ] RETENTION S LOC POLICY NUMBER PHPK1887218 �#�YDIYYYY) 10/2212018 POLICY EXP ,MMIDO/Yrril 10/22/2019 LIMITS EACH OCCURRENCE DAMAGE -TO RENTED PREMISES (Ea oemerence) MED EXP (Any one person) PERSONAL 3ADV INJURY GENERAL AGGREGATE PRODUCTS -COMP/OPAGG s 1,000,000 s 100,000 s 5,000 s 1,000,000 s 3,000,000 s 3,000,000 S X SCHEDULED AUTOS X NON•OWNED AUTOS ONLY i< PHPK1887218 10/22/2018 10/22!2019 COMBINED SINGLE Lima (Ea sodded) BODILY INJURY (Per person) s 1,000,000 S BODILY INJURY (Per accident) PROPERTY DAMAGE (Per soctdent_ S S S OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILD Y Y IN ANY PPROPRIETOR/PAR UDERR/ETXECUTIVE Q OFFICER/MEMBER (Mandatory In NN) If yes, describe under DESCRIPTION OF OPERATIONS below Sexual Abuse / Molestation N/A PHU8843415 4144793 PHSD138O377 10/22/2018 01/01/2019 10/22/2019 01/01/2020 EACH OCCURRENCE AGGREGATE s 1.000,000 s 1,000,000 >I 6 A TE I ER' E.L. EACH ACCIDENT EL. CLSEASE - EA EMPLOYEE E.L. DISEASE • POLICY LIMIT Each Occurrence 10/22/2018 10/22/2019 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached d mom spice la 'yanked) a s 1,000,000 s 1,000,000 s 1,000,000 $300,000 $500,000 CERTIFICATE HOLDER Weld County 1150'O' St. Greeley I CO 80831 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2018103) RI 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (' DAYS err DENVER AREA YOUTH SERVICES Intensive Home -Based Services Fee for Service Schedule (updated 2/19) Definitions: Face to Face —Actual time spent with client and/or family members or guardians including but not limited to kinship, foster parent, and other guardians other than biological parent(s). Case Management- Actual time spent coordinating services, scheduling, staffing, supervision, team meetings, family meetings, court, FIDOS reporting, case notes and recording, client contact other than face to face, information gathering and sharing from collaterals, and other non -face to face services. This includes telephone, texting, emails, and face to face contact. Travel —Actual time spent traveling to and from client's home. Transportation of client, and or family members, to destinations for the purpose of conducting services. Low Package $925/month Face to Face: 5 Hours/Month Case Management: 5 Hours/Month Travel: 2.5 Hours/Month This package is primarily used for families stepping down services and preparing for case closure. Moderate Package $1,700/month Face to Face: 10 Hours/Month Case Management: 7.5 Hours/Month Travel: 5 Hours/Month This is the most typical service authorization. High Package $2,275/month Face to Face: 15 Hours/Month Case Management: 10 Hours/Month Travel: 7.5 Hours/Month This package is recommended for families with more complex issues or with greater need for support. Intensive Package $2,800/month Face to Face: 20 Hours/Month Case Management: 12.5 Hours/Month Travel: 10 Hours/Month This package is recommended for families in crisis and in need of immediate stabilization and to prevent impending out -of -home placement. Generally used on a short-term basis for immediate family preservation. Services are continued at a lower level once family stabilization is evident. Page 1 of 2 DAYS DENVER AREA YOUTH SERVICES Hourly Rate for Other Services Case Management Services to Support Engagement Please note this is billed in 15 -minute increments. Mileage Rate for Locations > 30 -mile radius from Greeley Page 2 of 2 $60/Hour $0.55/mile EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Home Based Services, as referred by the Department. 2. Contractor utilizes the following evidence -based practices in the provision of services under this agreement: a. Alternatives for Families -Cognitive Behavioral Therapy (AF-CBT) b. Child -Parent Psychotherapy (CPP) c. Parent Child Interaction Therapy (PCIT) 3. Service levels available under this agreement include: a. Low Package: One (1) to two (2) hours of service per week. Eighty-five percent (85%) of the allotted time is spent with the client working on the treatment plan. This package is primarily used for families stepping down services and preparing for case closure. b. Moderate Package: Three (3) to five (5) hours of service per week. Eighty-five (85%) of the allotted time is spent with the client working on the treatment plan. c. High Package: Six (6) to eight (8) hours of service per week. Seventy-five percent (75%) of the allotted time is spent with the client working on the treatment plan. This package is recommended for families with more complex issues or with greater need for support. d. Intensive Package: Nine (9) to eleven (11) hours of service per week. Seventy-five percent (75%) of the allotted time is spent with the client working on the treatment plan. This package is recommended for families in crisis and in need of immediate stabilization and to prevent impending out -of -home placement and is general on a short-term basis for immediate family preservation. Services continue at a lower level once family stabilization is evident. 4. Capacity: Monday through Friday, 8:00 a.m.-9:00 p.m. Weekends upon request, 9:00 a.m. to 6:00 p.m. 5. Goals of Service: a. Help strengthen the family and prevent out -of -home placement or strengthen the family in order to hasten the safe return of the child when out -of -home placement has occurred. b. Address specific needs as outline in the referral. 6. Outcomes of Services: Eighty percent (80%) or more of clients successfully discharge from services with no identified, immediate safety concerns. 7. Target Population: Any individual or family identified for needed services regardless of age, gender or other specific characteristics, traits or needed. 8. Service Access: Home -based, community -based, video-conferencing, phone conferencing and other alternatives as approved by the Department. 9. Language: English only. 10. Contractor will respond to the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 11. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210). 12. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part of the client per month. After three (3) "no-shows, "Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210). 13. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team Supervisor (hainleid@weldgov.com) immediately via email, to discuss service continuation. 14. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 15. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 16. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 17. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 18. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. Contractor may participate by phone, if approved by the Department. 19. Contractor will notify the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210) of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 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 $925.00/Month (Low Package, 5 hours/month with client) $1,700.00/Month (Moderate Package, 10 hours/month with client) $2,275.00/Month (High Package, 15 hours/month with client) $2,800.00/Month (Intensive Package, 20 hours/month with client) 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