The URL can be used to link to this page

Browse Search

Home My WebLink About20192019PRIVILEGED AND CONFIDENTIAL MEMORANDUM C0rtil7Ctc+ 5Z3� DATE: September 7, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Lutheran Family Services Rocky Mountains 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 Lutheran Family Services Rocky Mountains. The Department entered into a Child Protection Agreement for Services with Lutheran Family Services Rocky Mountains, identified as Tyler ID 2019-2019 on May 29, 2019. The Agreement was amended on May 11, 2020 to extend the term date through May 31, 2021; September 28, 2020 to amend the Scope of Services and Rate Schedule; and finally on April 19, 2021 to extend the term date through May 31, 2022. The Agreement is being amended once again to add the homebased rates as noted below. Life Skills Rate Unit Type Service Name $95.00 Hour Homebased Supervised Visit $132.00 Hour Therapeutic Homebased + Parent Coach, flat fee for 1.25 hours I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Approve Recommendation • 1(iQimaa Schedule Work Session Other/Comments: Pass -Around Memorandum; September 7, 2021 c'"° Page 1 j'fr-ithae CYa/I5 Oit-ft314-e(1-1Dy 9- /5 .'02-/ aoia-ao�q Ht20Cclo Karla Ford From: Sent: To: Subject: yes Lori Saine Weld County Commissioner, District 3 1150 O Street PO Box 758 Greeley CO 80632 Phone: 970-400-4205 Fax: 970-336-7233 Email: Isaine@weldgov.com webSite: www.co.weld.co.us In God We Trust Lori Saine Tuesday, September 7, 2021 11:58 AM Karla Ford RE: Please Reply - PA FOR ROUTING: Cw LFS Amendment (CMS 5238) Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Karla Ford <kford@weldgov.com> Sent: Tuesday, September 7, 2021 11:19 AM To: Lori Saine <Isaine@weldgov.com> Subject: Please Reply - PA FOR ROUTING: ClAi LFS Amendment (CMS 5238) Importance: Nigh Please advise if you approve recommendation. Karla Ford Office Manager, Board of weld County Commissioners 1150 0 Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 ;: kford@weidgov,com :: www.welcigovscom *Please mote my working hours are Monday -Thursday 7:00a.m.-5:00p.m.** t AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND LUTHERAN FAMILY SERVICES ROCKY MOUNTAINS This Agreement Amendment, made and entered into 1'"W day of SeA'Q,V kile.✓ 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 Lutheran Family Services Rocky Mountains, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills and Parent Education, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2019, approved on May 29, 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 11, 2020 to extend the term date through May 31, 2021. September 28, 2020 to amend the Scope of Services and Rate Schedule. April 19, 2021 to extend the term date through May 31, 2022. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2019. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld .un C erk�e Boar( / ' By: ddrAvt) ...Vim; Deputy Cler COUNTY: BOARD OF COUNTY COMMISSIONERS WELDOUNTY, COLORADO Steve Moreno, Chair CONTRACTOR: SEP 1 5 2021 Lutheran Family Services Rocky Mountains 363 South Harlan Street, Suite #200 Denver, Colorado 80226 By: Date: James Horan, President/Chief Executive Officer 020 / 9' P/ 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 Life Skills Rate Unit Type Service Name $85.00 Hour Supervised Visitation $90.00 Hour Team Decision Meetings (TDM), Staffings $95.00 Hour Therapeutic Parenting Time, minimum of 1.5 hours $95.00 Hour Homebased Supervised Visit $132.00 Hour Therapeutic Homebased + Parent Coach, flat fee for 1.25 hours Parent Education Rate Unit Type Service Name $135.00 Class Nurturing Parent: Drop -In Session $197.00 Class Nurturing Parent/Nurturing Fathers: English $213.00 Class Nurturing Parent: Spanish $97.50 Class Nurturing Parent: Teen Parents Class $120.00 Class Parenting Your Teen Class $105.00 Class RETHINK: Anger Management for Parents Class 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 7t' day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Form New Contract Request Entity Information Entity Name* LUTHERAN FAMILY SERVICES OF COLORADO Entity ID* �fl0010375 New Entity? Contract Name* Contract ID LUTHERAN FAMILY SERVICES OF COLORADO (AGREEMENT 5238 AMENDMENT) Contract Status CTB REVIEW Contract Lead* APEGG Contract Lead Email apeggiveldgov.com;cobbx xlkC)weldgov.com Parent Contract ID 20192019 Requires Board Approval YES Department Project # Contract Description* AGREEMENT AMENDMENT #4. CORE SERVICES. UPDATED RATE SCHEDULE WITH OUT OF OFFICE RATES. Contract Description 2 PA IS BEING ROUTED THROUGH THE NORMAL PROCESS. ETA TO CTB: 9 9f 21. Contract Type* AMENDMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant ICA Department Requested I3OCC Agenda Due Date HUMAN SERVICES Date* 09,11 2021 09.15;2021 Department Email CM- HumanServicesgweldgov.co m Department Head Email CM-HumanServices- DeptHead a�weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY:-fTWELDG OV.COM Will a work session with ROCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* 04£01/2022 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JAMIE ULRICH DH Approved Date 09/0912021 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 0911512021 Originator APEGG Committed Delivery Date Contact Type Contact Email Finance Approver CONSENT Expiration Date* 05/31;2022 Contact Phone 1 Purchasing Approved Date 09/09/2021 Finance Approved Date 09,0912021 Tyler Ref it AG091521 Legal Counsel CONSENT Contact Phone 2 Legal Counsel Approved Date 09/09!2021 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: March 30, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Protection Agreement Amendments for 2019- 20 Core/Non-Core Contracted Services Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Child Protection Agreement Amendments for 2019- 20 Core/Non-Core Contracted Services. The Department entered into Agreements with various Child Welfare service providers through the 2019-2020 Request for Proposal (RFP), Bid Number: B1900025, identified as Tyler ID 2019-0707. These Agreements were issued for a period of three (3) years with the option to renew annually. The Department is requesting to renew the current Agreements with no changes for 34 providers reflected in the attached list. Agreements will be renewed for the third and final year for the period of June 1, 2021 through May 31, 2022. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Upon Board approval of this pass -around, signed Agreement Amendments will be obtained from providers and submitted to the Board for approval and Chair signature. 1 do not recommend a Work Session. I reconunend approval of these Agreement Amendments. Approve Recommendation Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Schedule Work Session Other/Comments: Pass -Around Memorandum; March 30, 2021— CMS ID — Various Page 1 e - (;)Ar y&f,0- C-6? 020 / 9-c a / f o f q -01 l 1.1-k_oO 9O AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND LUTHERAN FAMILY SERVICES ROCKY MOUNTAINS This Agreement Amendment, made and entered into day of 021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human ervices, hereinafter referred to as the "Department", and Lutheran Family Services Rocky Mountains, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills and Parent Education, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2019, approved on May 29, 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 11, 2020 to extend the term date through May 31, 2021. September 28, 2020 to amend the Scope of Services and Rate Schedule. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2019. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a third and final year, for the period of June 1, 2021 through May 31, 2022. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST• d‘rhA) C/• 4ideO;tli BOARD OF COUNTY COMMISSIONERS Weld •un Clerk to the Bo rd WELD COUNTY, COLORADO Deputy Cler Moreno, Chair APR 1 9 2021 TRACTOR: theran Family Services Rocky Mountains 363 South Harlan Street, Suite #200 Denver, Colorado 80226 By: James Horan, President/Chief Executive Officer Date: Apr 8, 2021 02a/9- ae/9 Contract Form Entity Information New Contract Request Entity Name* LUTHERAN FAMILY SERVICES OF COLORADO Entity ID* gO0010375 Contract Name* LUTHERAN FAMILY SERVICES (AGREEMENT AMENDMENT) Contract Status CTB REVIEW Contract Description* BID #B190O025 TERM. 6 1 21-5;`31/22. Contract Description 2 CONSENT. PA WAS SENT TO Contract Type* AMENDMENT Amount* $0.00 Renewable* NO Automatic Renewal IGA CTB ON 3/31/21. Department HUMAN SERVICES Department Email CM- HumanServices �weldgov.co m Department Head Email CM-HumanServices- DeptHead^weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY &WELDG OV. COM If this is a renewal enter previous Contract ID If this is part of a NSA enter MSA Contract ID Contract ID 4658 Contract Lead* APEGG ❑ New Entity? Parent Contract ID 20192019 Requires Board Approval YES Contract Lead Email Department Project # apegg@weldgov.comcobbx xlkgovweldgov.com Requested I3OCC Agenda Date* 05,26;2021 Due Date 05122_2021 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? Note. the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* 04 01:2022 Renewal Date Termination Notice Period Contact Information. Contact Info Contact Name Purchasing Committed Delivery Date Contact Type Contact Email Expiration Date* 05,x'31 /20'22 Contact Phone I Contact Phone 2 Purchasing Approver Purchasing Approved Date CONSENT 04,14'2021 Approval Process Department Head JAMIE ULRICH DH Approved Date 04/14/2021 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 04/19/2021 Originator APEGG Finance Approver CONSENT Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 04,14 2021 04:' 14;`2021 Tyler Ref # AG 041921 Cpr17rAc_4 ZP 4;k Li/33 PRIVILEGED AND CONFIDENTIAL Co.tSe-r-1-- O1 l2 zj /6 MEMORANDUM DATE: September 29, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment Lutheran Family Services Rocky Mountains 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 Lutheran Family Services Rocky Mountains. The Department entered into a Child Protection Agreement for Services, identified as Tyler ID 2019-2019, on May 29, 2019 for the term June 1, 2019 through May 31, 2020. The agreement was amended on May 11, 2020 to extend the term from June 1, 2020 through May 31, 2021. The vendor has requested to add the Nurturing Fathers Program and the associated rates: Life Skills: $85.00/Hour (Supervised Visitation) $90.00/Hour (Team Meetings, Staffing.$) $95.00/Hour (Therapeutic Parenting time, minimum of 1.5 hours) Parent Education: $135.00/Class (Nurturing Parent: Drop -1n Session) $197.00/Class (Nurturing Parent/Nurturing Fathers: English) $213.00/Class (Nurturing Parent/Nurturing, Fathers: Spanish) $97.50/Class (Nurturing Parent: Teen Parents Class) $120.00/Class (Parenting Your Teen Class) $105.00/Class (RETHINK: Anger Management for Parents Class) I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro -Tem Kevin Ross Approve Recommendation Work Session Schedule Other/Comments: Pass -Around Memorandum; September 29, 2021100� - CMS 4133 ee: 9- 02g-020 Page 1 2o�q-2©1� 14Roolo AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND LUTHERAN FAMILY SERVICES ROCKY MOUNT INS ,Q� This Agreement Amendment, made and entered into �v day of 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld C my partment of Human Services, hereinafter referred to as the "Department", and Lutheran Family Services Rocky Mountains, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2019, approved on May 29, 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 ended on May 31, 2020. • The Original Agreement was amended on May 11, 2020. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2019. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Exhibit C, Scope of Services, is hereby amended as attached. 2. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTE We Co /n/9CC - to t j : Gard 'mm. „of IV Deputy ,dilerAvo COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ike Freeman, Chair ONTRACTOR: SEP 2 8 2020 Lutheran Family Services Rocky Mountains 363 South Harlan Street, Ste. #200 Denver, CO 80226 By: Date: James Horan, President/CEO Sep 23, 2020 Goo f CC. ti -15- 2019_2019 cN /2 3/tea I Roa p EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Life Skills and Parent Education, as referred by the Department. 2. Life Skills: a. Services available under this agreement include: i. Supervised Visitation: Contractor's Visitation Supervisor will be physically present with the family at all times allowing for immediate intervention, coaching and role modeling. Contractor's Visitation Supervisors are training in the Nurturing Parenting Curriculum, principals of that curriculum are shared throughout visits with caregivers and children. Contractor can administer the Adult Adolescent Parenting Inventory (AAPI) before and after services at the request of the Department. ii. Therapeutic Parenting Time: A more interactive visitation that includes an additional half hour of clinical work with the caregiver only (no children present). Contractor will utilize the Nurturing Parenting Curriculum and will administer the Adult Adolescent Parenting Inventory (AAPI) before the start of services and at the completion of services. Results of the AAPI will be reported to Department. All services will be provided by Bachelor level contractors and staff, or Master's in Counseling candidates. All staff will participate in clinical supervision with a licensed clinician. b. Capacity to Provide Services: Contractor can provide services up to 30 families per week for up to four (4) hours per week per family. Contract can provide additional hours upon request c. Goals of Service: i. Provide an opportunity for children to maintain contact with their parents or other family members a safe, neutral location. ii. Parents will develop and improve parenting skills and an understanding of child development. Contractor will assist the parent in identifying verbalizations or actions that prevent the development of a healthy and productive relations with their child. d. Outcomes of Service: i. 1,500 hours of visitation will be safety provided. ii. Seventy-five percent (75%) of participants completing the AAPI will demonstrate an improvement in parenting attitudes and knowledge. e. Target Population: Families involved with the Department that have had, or are at risk of having, their children removed from the home due to imminent safety concerns. Contractor serves all age ranges. f. Service Access: i. CareHouse Supervised Visitation Center, 800 8th Avenue, Greeley, CO 80631. Contract can record visits at the request of the Department. 1. Mondays, Wednesdays and Fridays, 9:00 a.m. to 8:00 p.m. 2. Saturdays, 10:00 a.m. to 3:00 p.m. 3. Sundays, 12:00 p.m. to 5:00 p.m. ii. In cases where less structure is required, services can be conducted in the community or in the home. 1 g. Language: English. Supervised Visitation services are provided in Spanish as needed. 3. Parent Education: a. The following five (5) classes are available under this agreement: i. Nurturing Skills for Teens ii. Nurturing Parenting iii. RETHINK Anger Management for Parents iv. Parenting Your Teen v. Nurturing Fathers b. Capacity for Services: i. Contractor will serve approximately 500 unduplicated parents and caregivers and 200 children. ii. Classes are between two (2) and four (4) sessions, and classes are held approximately 15 times per month. Contractor will hold approximately 180 classes during the term of this agreement. c. Goals of Service: i. To help prevent child abuse and neglect. ii. Teach parents safe and effective discipline methods, appropriate developmental expectations, and healthy communication. Preserve and strengthen families, with a focus on building coping techniques and resiliency that allow parents to safety parent. d. Outcomes of Service: i. 90% of parents who graduate from a class will complete the appropriate, specific pre - and post-tests. ii. 70% of parents who complete pre- and post-test evaluations will demonstrate one or more of the following: 1. Reduced anger responses to children's behaviors 2. Use of more appropriate and safer parenting techniques 3. Decreased family stress levels 4. Increased positive intra-family communications 5. Increased knowledge of child/youth development e. Target Population: i. Contractor will serve parent or caregivers living in Weld County with one or more of the following characteristics: 1. Individuals responsible for a child wishing to strengthen their knowledge or skill base 2. Individuals responsible for a child who may be at high risk for abusing and/or neglecting their children due to socioeconomic or social isolation issues 3. Court -mandated parents who may not have custody of their children and who are working to regain custody 4. Parents involved in the child welfare system who are at risk of having custody of their child removed due to abuse or neglect allegations 5. Parents who are involved in court -mediated divorce proceedings 6. New and/or first-time parents 2 7. Victims of domestic violence ii. Contractor will serve single -parent or two -parent households, as well as households in which the caregiver in the home may not be a "parent" but they are fulfilling a parenting role. Contractor will serve individuals from a variety of age ranges; teenage parents to grandparents raising grandchildren. f. Service Access: i. Contractor will conduct classes in a variety of locations including 800 8' Street, Greeley, CO 80631, the 19`h Judicial District and Greeley schools upon request. ii. Classes are conducted in person and there is no capacity for video/phone conferencing. g. Language: English and Spanish. 4. 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. 5. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210). 6. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part of the client per month. After three (3) "no-shows, "Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210). 7. 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. 8. 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. 9. 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. 3 10. 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. 11. 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. 12. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 13. Contractor will notify the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210) of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 4 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Life Skills: $85.00/Hour (Supervised Visitation) $90.00/Hour (Team Meetings, Staffings) $95.00/Hour (Therapeutic Parenting time, minimum of 1.5 hours) Parent Education: $135.00/Class (Nurturing Parent: Drop -In Session) $197.00/Class (Nurturing Parent/Nurturing Fathers: English) $213.00/Class (Nurturing Parent/Nurturing Fathers: Spanish) $97.50/Class (Nurturing Parent: Teen Parents Class) $120.00/Class (Parenting Your Teen Class) $105.00/Class (RETHINK: Anger Management for Parents Class) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Form New Contract Request Entity Information Entity Name* LUTHERAN FAMILY SERVICES OF COLORADO Entity ID"' `00010375 Contract Name* LUTHERAN FAMILY SERVICES OF COLORADO (AGREEMENT AMENDMENT) Contract Status CTB REVIBV Contract ID 4133 Contract Lead* C U LLI NTA ❑ New Entity? Parent Contract ID 20192019 Requires Board Approval YES Contract Lead Email Department Project # cullintagco.weld.co.us;cobb xxlkgoco.weld.co.us Contract Description* CHILD PROTECTION AGREEMENT AMENDMENT. ADDING NURTURING FATHER'S PROGRAM AND RATES. FUNDING: CORE OTHER Contract Description 2 Contract Type* AGREEMENT Amount* 50.00 Renewable* YES Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServicesvveldgov.co rn Department Head Email CM-HumanServices- DeptHeadgweldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTO RN EYgWELDG OV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Requester) BOCC Agenda Date* 10,'07 2020 Due Date 10/03/2020 Will a work session with BDCC be required?* NO Does Contract require Purchasing Dept. to be included? Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Review Date* (73;01;2021 Committed Delivery Date Renewal Date* 05'31x2021 Expiration Date Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date CONSENT 09/2412020 Approval Process Department Head JAMIE ULBICH DH Approved Date 09/24/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 09'28,2020 Originator CDBBXXLK Finance Approver CONSENT Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 09/2412020 09;24/2020 Tyler Ref # AG 092820 Coedr:oe,d- XV -Ak 356O PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: April 2, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Welfare 2020-21 Service Provider Agreement Amendments Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Child Welfare 2020-21 Service Provider Agreement Amendments. The Department entered into agreements with various Child Welfare service providers through the 2019-20 Request for Proposal (RFP), identified as Tyler ID 2019-0707). These agreements were issued for a period of three years with the option to renew annually. The attached list reflects the providers, services and rates, including minor rate changes, the Department wishes to enter into for the period of June 1, 2020 through May 31, 2021. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Upon Board approval of this pass -around, signed agreement amendments will be obtained from providers and submitted to the Board for approval and Chair signature. I do not recommend a Work Session. I recommend approval of these Agreement Amendments. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; April 2, 2020 — Not in CMS Cpnyped- (..& 145064,13- 0541 /20 ®.5 f A/20 Page 1 2(2 9- i*oogo VENDOR RENEWALS Vendor Program Area Mediation Service Name - /anon Seances Funding Care Rate S 250.00 Unit Type Hour Julie A. roggins, Attorney at Gaw,'P.C. Knipscheer and Associates, Inc. Polygraph Services Polygraph CW Block/Child Welfare Services $ 250.00 Episode Lutheran FamilyServices Rocky Mountains Life Skills Supervised Visitation Core $ 85.00 " Hour Team Decision Meetings, Staffing Core $ 90.00 Hour Therapeutic Parenting Time Core $ 95.00 Hour Parent Education Nurturing Parent: Drop -In Session CW Block $ 135.00 Class Nurturing Parent: English CW Block $ 197.00 Class Nurturing Parent: Spanish CW Block $ 213.00 Class Nurturing Parent: Teen :Parents Class CW Block $ 97,50 Class Parenting Your Teen Class CW Block $ 120.00 Class RETHINK: Anger Management for Parents Class CW Block $ 105.00 Class Maple Star Colorado Home Studies Full SAFE Home Study CW Block/Child Welfare Services $ 1,425.00 Episode Full SAFE Home Study, EXPEDITED CW Block/Child Welfare Services $ 1,625.00 Episode Incomplete SAFE Home Study CW Block/Child Welfare Services $ 52.00 Hour Mileage for Home Study' CW Block/Child Welfare Services $ 0.56 Mile SAFE Home Study Update CW Block/Child Welfare Services $ 725.00 Episode Life Skills Family Engagement Meetings Core $ 50.00 Hour Intake Core $ 60.00 Hour Parent Assessment Scale Core $ 50,00 Hour Parent Coaching, One -on -One Core $ 55.00 Hour Professional Staffing, In -Person or Telephonic Core $ 50.00 Hour Supervised Facilitated Visitation Core $ 60.00 Hour Supervised Facilitated Visitation, ln_, home/Community Core $ 90.00 Hour Therapeutic Visitation Core $ 86.00 Hour Therapeutic Visitation, In-home/Community Core $ 129.00 Hour Transportation for All Visitation Core $ 0.56 Mile Martinez, Tim Sexual Abuse Treatment Cognitive Behavioral Therapy Core $' 75.00 Hour EMDR Therapy Core $ 75.00 Hour Family Therapy Core $' 75.00 Hour Healthy Sexuality Core $ 75.00 Hour Offense Specific Juvenile Evaluation with Abel Assessment Core $ 1,200.00 Episode Offense Specific Juvenile Evaluation Without Abel Assessment Core $ 900.00 Episode Offense Specific Treatment Family Therapy Core $ 75.00 Hour Offense Specific Treatment Individual Therapy Core $ 75.00 Hour Trauma Informed Care Core $ 75.00 Hour Treatment Team Meeting Participation Core $ 75.00 Hour Milestones Counseling Services Foster Care/Adoption Support Family Team Meeting (FTM), Team Decision Making Meeting (TDM), etc, tore $ 80.00` Hour Foster Parent Consultation Core $ 110.00 Hour Mileage Reimbursement Core $; 0.56 Mile Mount Saint Vincent Home Day Treatment Services Day Treatment Services Core $ 135.00 Day Mental Health Services Follow-up NMT Consultation After %3 Months Core $ 150.00 Hour Mileage Core $ 0.54 Mile WELD COUNTY DEPT. OF HUMAN SERVICES • CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: 82000037 8 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND LUTHERAN FAMILY SERVICES ROCKY MOUNTAINS This Agreement Amendment, made and entered into APT/ day of , 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Dep ent of Human Services, hereinafter referred to as the "Department", and Lutheran Family Services Rocky Mountains, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2019, approved on May 29, 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: v�Je140341 Weld County Clerk to the Board By: eputy Clerk to the Board COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair MAY 1 12020 CONTRACTOR: Lutheran Family Services Rocky Mountains 363 South Harlan Street, Ste. #200 Denver, CO 80226 By: Date: 7afreer hf)tair James Horan (Apr 20, 2020) James Horan, President/CEO Apr 20, 2020 co: HST On Beavge 051(ale• X0/9-�0/ f 090 Contract Form Entity Information New Contract Request Entity Name* Entity ID* LUTHERAN FAMILY SERVICES OF @00010375 COLORADO Contract Name* LUTHERAN FAMILY SERVICES OF COLORADO (AGREEMENT AMENDMENT) Contract Status CTB REVIEW Contract ID 3560 Contract Lead* CULLINTA ❑ New Entity? Parent Contract ID Requires Board Approval YES Contract Lead Email Department Project # cullinta@coweld co us Contract Description* CONSENT, BID NO. B2000037. BOCC APPROVAL 4.15.20. CHILD PROTECTON AGREEMENT AMENDMENT TERM 06/01/20 THROUGH 05!31/20 FUNDING: CORE/OTHER Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Re * NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email C M- HumanServices@weldgov com Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV.COM Requested BOCC Agenda Date* 04/15/2020 Due Date 04111/2020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 04/01/2021 Termination Notice Period Committed Delivery Date Expiration Date* 05/31/2021 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 04/30/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05/1112020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 05/04,2020 Tyler Ref, AG 051120 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 05/047020 Submit CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND LUTHERAN FAMILY SERVIC ROCKY MOUNTAINS nail( This Agreement, made and entered into thay of 2019by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of u an Services, hereinafter referred to as the "Department' and Lutheran Family Services Rocky Mountains, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule. Exhibit B, C, and D are attached hereto and incorporated herein by this reference. Exhibit A is Weld County's Request for Proposal Number 81900025, 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 Life Skills and Parent Education. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2019, upon proper execution of this Agreement and shall expire May 31, 2020, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Response to Request for Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation by the 7th of the month, following the month of service, utilizing billing forms required by the 6/6: 1 Aluzzi 040) 2019-2019 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 rh of the month, following the month of service, for each client receiving ongoing services. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Date and time of service b. Where the service took place c. Clinician/therapist name d. Clients participating e. What interventions were used, recommendations and/or goals discussed f. Any and all safety concerns One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will be the test result. A completed home study may be a full, partial or denied study, as determined by the Department. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. 2 d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit 8, 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. se . and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and 3 - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this 4 contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5- 102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to the Department, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5- 103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR) and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 5 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, 6 products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; - Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors, suppliers or other entities upon request by the Department. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Tra Wing Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-400-6503 and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any 8 program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: Heather Walker, Child Welfare Division ;Head 17. Notice For Contractor: James Barclay, President and Chief Executive Officer All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970)400-6510 9 For Contractor: James Barclay, President and Chief Executive Officer 363 South Harlan Street, Suite #200 Denver, CO 80226 (303) 922-3433 18. Litigation Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§2410-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall 10 not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 11 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work, nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by the Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 13 36. Attorney's Fees/Legal Costs In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 14 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: AlerAVV Je140 l0. Weld County Clerk to the Board By: Deputy Clerk to t 15 BOARD OF COUNTY COMMISSIONERS WE 3+ COUNTY, COLORADO arbara Kirkmeyer, CONTRACTOR: 1VIAY 2 2 2019 Lutheran Family Services Rocky Mountains 363 South Harlan Street, Suite #200 Denver, CO 80226 (303) 922-3433 By: Date: James Barclay, President and Chief Executive Officer May 10, 2019 O2azo/% EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page intentionally left blank. EXHIBIT B CONTRACTOR'S RESPONSE TO REQUEST FOR PROPOSAL Introduction Letter 1. Ability to deliver the services as proposed and comply with the specific requirements set forth by the Weld County, as stated in the Request for Proposal (RFP) and in Exhibit A, Sample Agreement: Lutheran Family Services Rocky Mountains (LFS) is proposing to provide three services through this bid: the Parent Education and Support (PES) Program, the CareHouse Visitation and Exchange Program, and SafeTouch: Body Safety Program services. LFS has been providing Visitation and SafeTouch services to the Weld County community for 7 years, and PES has been provided for 35 years. LFS has successfully contracted with Weld County DHS during this time to provide these services. LFS is confident in its ability to deliver services as proposed and comply with specific requirements set forth by Weld County, as has been done in the past. LFS has extensive experience planning, implementing, managing, and developing large-scale grants from federal agencies. Each year, the agency receives more than $11 million in government grant and contract funding. Agency and program staff have expansive background in administering multiple projects simultaneously while adhering to the contractual requirements of each program including varying project purposes and eligible populations. LFS has successfully balanced and maintained these numerous projects by making use of a comprehensive client intake/eligibility process and ongoing staff training. Kim Penney, the Program Director, has 7 years of experiencing providing prevention services to vulnerable populations. Through this work, she has years of experience in successful program delivery and reporting information to monitoring and funding agencies. The LFS Prevention staff and contractors have a broad range of skills and expertise, which help make the programs successful. All staff members and contractors have post -secondary education; these range from Bachelor to Masters levels. Of note, three LFS Visitation contractors are Master's in Counseling candidates. 2. Capacity to be organized, responsive, and to quicldy and successfully schedule services as requested: LFS has a long history of successful delivery of the services outlined above. The capacity to be organized and responsive arises from the way staffing patterns are arranged and office hours are maintained. The Visitation Supervisor has coordinated the program for 21 years, as she supervised the program through another agency before it was acquired by LFS in 2012. She is able to be responsive to caseworkers, attorneys, judges and funders by maintaining office hours 5 days a week, including weekends and evenings, and by having a Visitation Program Assistant who can also schedule and monitor visits, collect data, and report to referring parties. The organization of this program is evidenced by successful visitation services delivered to over 1,000 unduplicated adults and children each year. Both the SafeTouch and Parent Education and Support (PES) Programs remain organized and responsive by having assigned coordinators who schedules classes, collects and evaluates program data, and communicates with all parties such as program participants, school administration, county DHS staff, probation officers and other members of the court system. SafeTouch additionally employs a bi-lingual and bi-cultural educator while PES employs contractors with years of teaching experience; some of these contractors are also bi-lingual and bi-cultural. SafeTouch schedules classes a semester ahead to ensure that over 9,000 Weld County students can receive services annually and PES schedules weekly to ensure that approximately 500 unduplicated adults and children receive services annually. All employees receive supervision by the Program Director on a regular and frequent basis to ensure that services continue to be delivered in a way that best serves clients, referring parties, and funding partners. EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services Lutheran Famitv Services Rocky Mountains 45080 AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID (If Known) James Barclay PRIMARY CONTACT- FULL NAME 1 3031922-3433 PHONE NUMBER )im.barclavtmlfsrm.orit PRIMARY CONTACT - E-MAIL ADDRESS 363 S. Harlan Street suite 8200 AGENCY MAIUNG ADDRESS Deliver President and CEO PRIMARY CONTACT • TITLE j3031922-7335 EXT FAX NUMBER www.ifsrm.org AGENCY/PRACTICE WEB ADDRESS OF APPUCABLE) CRY 80226 ZIP Kim PEn_n, gL REFFERAL CONTACT- FULL NAME 1970)232-1156 REFERRAL CONTACT REFERRAL CONTACT -PHONE NUMBER EXT. Program Director, Foster Care & Family Services North REFERRAL CONTACT• TITLE Kim DenneyOlfsrm.org REFERRAL CONTACT - E-MAIL ADDRESS 'RUNG CONTACT Julie Turck BILLING CONTACT - FULL NAME j3031217-5847 BILLING CONTACT -PHONE NUMBER EXT. Accounting Director 81LUNG CONTACT - TITLE Julie.turckealfsrm.org BILLING CONTACT -E•MAILADORESS 1 certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bare competitive in price and quality. Signature of Authorized Representative: Date of Signature: Bid No.: B 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Lutheran Social Services of Colorado Parent Education and Support 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. The LFS Parent Education and Support (PES) Program provides four different classes utilizing the following curricula: Nurturing Skills for Teens, Nurturing Parenting, RETHINK Anger Management for Parents, and Parenting Your Teen. LFS approaches the prevention of child abuse and neglect using parenting education classes because past research has demonstrated the effectiveness of classes to promote family wellbeing. The Nurturing Parenting, Nurturing Skills for Teens, and Parenting Your Teen classes are each evidence -based curricula and can be found on the California Evidenced Based Clearinghouse for Child Welfare. The RETHINK class has been deemed a Level 3 -Promising Practice (Brotherson, 2013) curriculum which incorporates factors that are strong predictors of program effectiveness. 4. Capacity to Provide Services (ex. 4 hours/week). LFS anticipates serving approximately 500 unduplicated parents and caregivers and 200 unduplicated children through the PES Program by the end of this current fiscal year. The program has 6 employees and contractors dedicated to teaching the program material. Classes are between 2 and 4 hours per session and classes are held approximately 15 times per month; an approximate total of 180 classes will be provided during the fiscal year. 5. Goals of the service. To help prevent child abuse and neglect, LFS offers the Parent Education and Support Program. The goal of the program is to support child abuse prevention by teaching parents safe and effective discipline methods, appropriate developmental expectations, and healthy communication practices. These classes preserve and strengthen families, with a focus on building coping techniques and resiliency so parents can safely parent instead of resorting to violence out of frustration or learned negative behaviors. 6. Outcomes of service. The following annual outcomes are anticipated: • 90°% of parents who graduate from PES courses will complete the appropriate, specific pre- and post-tests for the respective class they completed • 70% of parents who complete pre- and post-test evaluations will demonstrate one or more of the following: Reduced anger responses to children's behaviors Use of more appropriate and safer parenting techniques Decreased family stress levels Increased positive intra-family communications Increased knowledge of child/youth development Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 7. Target population for service. The LFS Parenting Education and Support Program serves parents and caregivers living in Weld County. Participants served through the program have one or more of the following characteristics: • Individuals responsible for a child wishing to strengthen their knowledge and skill base • Individuals responsible for a child who may be at high risk for abusing and/or neglecting their children due to socioeconomic or social isolation issues • Court -mandated parents who may not have custody of their children and who are working to regain custody • Parents involved in the child welfare system who are at risk of having custody of their children removed due to abuse or neglect allegations • Parents who are involved in court -mediated divorce proceedings • New and/or first time parents • Victims of domestic violence This population includes single -parent and two -parent households, as well as households in which a caregiver in the home may not be a "parent" but they are fulfilling a parenting role (such as a live-in partner or a family member). The PES Program serves individuals from a variety of age ranges; those participating in the program can range anywhere from teenage parents to grandparents raising grandchildren. 8. Service access. The Parent Education and Support Program is a community -based program with classes provided at various locations including the centrally located LFS office at 800 8th Street in downtown Greeley, the 19th Judicial District, and Greeley schools upon request. Classes are all in person and there is no current capacity for video/phone conferencing. 9. Languages service is available in. All PES Program classes can be presented in Spanish based on need. These are taught by Ivonne Varela, Ruth Sandoval, and/or Laura Florez; each are bi-lingual and bi-cultural. 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. The rate of service for the LFS Parenting Education and Support Program is: • $135.00 per each Nurturing Parenting: Drop -In Session • $97.50 per each Nurturing Parenting: Teen Parents Class • $197.00 per each Nurturing Parenting: English class • $213.00 per each Nurturing Parenting: Spanish class • $120.00 per each Parenting Your Teen class • $105.00 per each RETHINK: Anger Management for Parents class Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Lutheran Social Services of Colorado SafeTouch: Body Safety Program 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. LFS utilizes "SafeTouch: Child Sexual Abuse Prevention Curriculum for Kindergarten to 5th Grade" to provide this program. This curriculum was developed by Chris Sarlo-Bergman, clinician and child forensic interviewer at the Life Stories Child Advocacy Center, and other area professionals exclusively for the children of Weld County. It is evidence -informed and addresses many of the research -based protective factors regarding child sex abuse such as a child setting personal boundaries and having/identifying at least one secure adult in their lives (Vermont Agency of Human Services, 2019 website). The curriculum includes activities, songs, stories, and discussion focused on empowering children. SafeTouch is presented to each classroom as a single session. This allows the presentations to occur within a comfortable environment in which the children feel at ease asking questions or sharing information. The teachers' section covers identifying symptoms of abuse, setting up a school program, teaching tips, and resources. The SafeTouch program meets national standards for best practice in child sexual abuse prevention programs, as well as state and local guidelines for school -based instruction. 4. Capacity to Provide Services (ex. 4 hours/week). The SafeTouch program is currently presented to approximately 9,000 students each year. Last year (2017-2018 school year), LFS offered SafeTouch to approximately 12,000 students in 28 schools, but projected numbers served were reduced this current fiscal year due to need outpacing funding. The program has one coordinator and one educator dedicated to scheduling and teaching the program material. The number of schools served is limited to the number of weeks students are in school. The program follows the school calendar and is limited to roughly 30 weeks in a school year. Most schools take several days to complete presentations for all grade levels; therefore LFS capacity to provide SafeTouch is approximately 9,000 students in approximately 20 schools. 5. Goals of the service. The SafeTouch program concentrates on how children and adolescents can protect themselves from any type of abusive or unwanted touch. The program devotes time to the problems associated with abusive situations among family members, acquaintances, strangers and peers — empowering children and adolescents to seek help if threatened or victimized. The SafeTouch program is an effective way to teach children information about: How to differentiate between appropriate and inappropriate touches. How to distinguish between 'safe' and 'unsafe' secrets. What constitutes abuse. What resistance skills are necessary to prevent or report an abusive situation. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE LFS defines success of the SafeTouch program as having participating kindergarten through fifth graders demonstrating that they can: 1. Recognize and react to unsafe touches by saying "No" and getting help. 2. Name a safe adult that they can tell if they experience abuse. 6. Outcomes of service. LFS measures success of the SafeTouch program through the use of an age -appropriate pre-test distributed prior to the SafeTouch class, with a post-test distributed immediately following the SafeTouch class. The students are surveyed two weeks after the class to determine whether the information has been retained. LFS randomly selects the schools where the pre/post tests, and follow up surveys are distributed. Depending on school size, LFS selects a number of schools representative of approximately 20% of students served. The outcomes that LFS strives to accomplish include: • 90% of students surveyed will demonstrate the ability to recognize safe versus unsafe touches immediately following the presentation • 90% of students surveyed will be able to identify examples of adults they would tell if the experience an unsafe situation immediately after the presentation or two weeks later? • 90% of students surveyed will demonstrate subject matter retention two weeks after the presentation. The students will still be able to recognize safe and unsafe touches; know to say no and run away; and know that it is okay to tell trusted adults if they feel they have been the victim of an unsafe touch. 7. Target population for service. SafeTouch is presented by LFS to over 9,000 children ages 5-12 annually in approximately 20 Weld County elementary schools. 8. Service access. This is a community -based program which is presented in -person by LFS staff at elementary schools in Weld County. LFS had a dedicated staff person who provides all SafeTouch presentations. LFS will travel to and present the program at the request of any elementary school in Weld County. 9. Languages service is available in. The SafeTouch Educator is Spanish speaking and is both bi-lingual and bi-cultural. 10. Rates of service. The rate of service for the LFS SafeTouch Program is $25.00 per classroom presentation. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Lutheran Social Services of Colorado CareHouse Visitation and Exchange Program 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. The LFS CareHouse Program offers an array of visitation services which are designed at a principal level to provide an opportunity for children to maintain contact with their parents or other family members in a safe, neutral location. This year, LFS will be adding a new therapeutic component to the array of services which have successfully served the Weld County community for over 20 years. The new Therapeutic Parenting Time service is now available to meet the specific needs of children and families referred by Weld County DHS. Please note that LFS continues to offer Supervised Visitation, Monitored Visitation and Safe Exchange Services. Maintaining contact with parents is paramount to the emotional well-being of a child even when there has been significant family disruption or conflict and services are required due to 1) a proven history of parental abuse and/or neglect, 2) history or allegations of domestic violence, 3) reinstatement of visitation rights after a long absence, 4) a parent's impairment due to mental illness and/or substance abuse, 5) one parent's violation of custody orders, and 6) threats of abduction. While maintaining contact is critical, it is highly important that caregivers also receive the life skills necessary to parent appropriately and that 'parent time' is complete with parenting techniques and conflict management training. During all visits and exchanges, supervisors are keenly aware of what is occurring within the family relationship. This provides for opportunities to help improve parenting skills and re-establish family relationships that are healthy and safe for the child. Visitation supervisors continually assess the caregiver for strengths and areas of improvement as well as ways to build a better, healthy relationship between the child(ren) and the caregiver. All services will include the provision of community resources such as Victim's Rights information and referrals to the Life Stories Child Advocacy Center and A Woman's Place. Additionally, lessons from the evidenced -based (as approved by the California Evidence Based Clearinghouse for Child Welfare) Nurturing Parenting Curriculum (NP), in which all CareHouse staff, contractors, and the Program Director are trained, have always been offered and will continue to be offered to all program participants. Descriptions of each service are below: Therapeutic Parenting Time: The new therapeutic component will consist of a more interactive relationship between the visitation staff and the family plus an additional half-hour of clinical work with the caregiver when the children are not present. The NP curriculum will be accompanied by the administration of the curriculum's assessment tool, the AAPI (Adult Adolescent Parenting Inventory) both before and after visitation services are complete, with results being reported to the referring party. This tool will guide clinical work and evaluate progress. These therapeutic visits will be implemented by Bachelor level contractors and staff, or Master's in Counseling candidates. On a minimum of a weekly basis, all visitation staff will participate in clinical supervision with a licensed LFS clinician. At present, those clinicians are Program Director Kim Penney, LCSW, trained at Denver Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE University in the Mental Health track of the MSW program, or Jennifer Bohannon, MA, LPC, trained at Denver Seminary and certified in Trauma -Focused Cognitive Behavioral Therapy. Case consultation with Dr. Jerry Yager, fellow of Dr. Bruce Perry and The Child Trauma Academy, can be utilized as needed to further enhance the clinical offerings to the client and guide a case if deemed necessary. Should funding allow, LFS will hire a Master's level clinician to be on site for particularly high needs cases. Supervised Visitation: During Supervised Visitation, the Visitation Supervisor is physically present with the family at all times, allowing for immediate intervention, coaching and role modeling. Since all visitation supervisors have been trained in the Nurturing Parenting Curriculum, principals of that curriculum are shared throughout visits with caregivers and children. The AAPI can be administered before and after services complete upon the request of DHS. Monitored Visitation: In Monitored Visitation, a Visitation Supervisor is present at the location of the visit, but not physically supervising all interactions. The Visitation Supervisor is close enough to hear conversations and will verbally intervene for safety when necessary. Safe Exchange: A Safe Exchange is the exchange of children for the purpose of parenting time where each parent/guardian shall have pick-up and drop-off times that prevent their face to face contact. 4. Capacity to Provide Services (ex. 4 hours/week). At any given time, LFS can provide services to approximately 30 families through its comprehensive family preservation senrices, which includes all visitation services. LFS proposes to serve a total of 175 unduplicated adults and 125 unduplicated children through all Visitation services during the next fiscal year. Initial contact with the caseworker and family will be made by LFS within 2 business days. It is the objective of LFS to ensure that the continuity and quality of family relationships and connections is improved and preserved for children and that if a child is deemed to be in an unsafe living or visitation situation, that the appropriate Department of Human Service office is contacted as per 25-5.3-103(2), C.R.S. Upon DHS request, LFS has the capacity to ensure that parents and caregivers do not come in contact with one another during visitation and exchanges. 5. Goals of the service. The goal of all offered visitation services is to provide an opportunity for children to maintain contact with their parents or other family members in a safe, neutral location. Additionally, parents will develop and improve parenting skills and an understanding of child development when participating in Supervised Visitation or Therapeutic Parenting Time. visitation supervisors assist the parent in identifying things they are saying or doing that could prevent them from having a healthy and productive relationship with their child. 6. Outcomes of service: Anticipated annual outcomes for this program include: • 1,500 hours of visitation and exchange services will be safely provided • 75% of participants completing the AAPI will demonstrate an improvement according to test results (The AAPI pre and post -assessment tool will be administered to all Therapeutic Parenting Time participants; administration to Supervised Visitation participants will be Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE available upon DHS request. The AAPI is a validated and reliable inventory used to assess parenting attitudes and knowledge) 7. Target population for service. The target population for these services is families involved with Weld County Department of Human Services that have had, or are at risk of having their children removed from the home due to imminent safety concerns. LFS serves all age ranges through this program. 8. Service access. LFS is able to provide visitation services in the structured setting of the CareHouse Supervised Visitation Center in Greeley, CO located at 800 8th Avenue; Greeley, CO 80631. In cases where less structure is required, visitation services can be offered in the community or in the home. Accessibility to services is made possible through day, evening, and weekend hours. Specifically, hours of operation are Mondays, Wednesdays, and Fridays from 9 a.m. to 8 p.m., Saturdays 10 a.m. to 3 p.m., and Sundays 12 p.m. to 5 p.m. The Greeley facility is equipped with the technology necessary to record family visits at the request of the Department. 9. Languages service is available in. Supervised Visitation services are provided in Spanish as needed. CareHouse employs bi-cultural staff and contractors highly proficient in this language. 10. Rates of service. • Therapeutic Parenting Time will be provided at a rate of $130 per 1.5 hours. • Testimony and time spent at Court offered at a rate of $90 per 1 hour • Attendance at Court Facilitation Meetings and Team Decision Making Meetings offered at $90 per 1 hour • Supervised Visitation offered at $85 per 1 hour • Monitored Visitation offered at $50 per 1 hour • Safe Exchange services offered at $50 per 1 hour Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Lutheran Social Services of Colorado CareHouse Visitation Program 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. The LFS CareHouse Visitation Program offers an array of visitation services which are designed at a principal level to provide an opportunity for children to maintain contact with their parents or other family members in a safe, neutral location. This year, LFS will be adding a new therapeutic component to the services which have successfully served the Weld County community for over 20 years. The new Therapeutic Parenting Time service is now available to meet the specific needs of children and families referred by Weld County DHS. Please note that LFS continues to offer Supervised Visitation. Maintaining contact with parents is paramount to the emotional well-being of a child even when there has been significant family disruption or conflict and services are required due to 1) a proven history of parental abuse and/or neglect, 2) history or allegations of domestic violence, 3) reinstatement of visitation rights after a long absence, 4) a parent's impairment due to mental illness and/or substance abuse, 5) one parent's violation of custody orders, and 6) threats of abduction. While maintaining contact is critical, it is highly important that caregivers also receive the life skills necessary to parent appropriately and that 'parent time' is complete with parenting techniques and conflict management training. During all visits, supervisors are keenly aware of what is occurring within the family relationship. This provides for opportunities to help improve parenting skills and re-establish family relationships that are healthy and safe for the child. Visitation supervisors continually assess the caregiver for strengths and areas of improvement as well as ways to build a better, healthy relationship between the child(ren) and the caregiver. All services will include the provision of community resources such as Victim's Rights information and referrals to the Life Stories Child Advocacy Center and A Woman's Place. Additionally, lessons from the evidenced -based (as approved by the California Evidence Based Clearinghouse for Child Welfare) Nurturing Parenting Curriculum (NP), in which all CareHouse staff, contractors, and the Program Director are trained, have always been offered and will continue to be offered to all program participants. Descriptions of each service are below: Therapeutic Parenting Time: The new therapeutic component will consist of a more interactive relationship between the visitation staff and the family plus an additional half-hour of clinical work with the caregiver when the children are not present. The NP curriculum will be accompanied by the administration of the curriculum's assessment tool, the AAPI (Adult Adolescent Parenting Inventory) both before and after visitation services are complete, with results being reported to the referring party. This tool will guide clinical work and evaluate progress. These therapeutic visits will be implemented by Bachelor level contractors and staff, or Master's in Counseling candidates. On a minimum of a weekly basis, all visitation staff will participate in clinical supervision with a licensed LFS clinician. At present, those clinicians are Program Director Kim Penney, LCSW, trained at Denver University in the Mental Health track of the MSW program, or Jennifer Bohannon, MA, LPC, trained at Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Denver Seminary and certified in Trauma -Focused Cognitive Behavioral Therapy. Case consultation with Dr. Jerry Yager, fellow of Dr. Bruce Perry and The Child Trauma Academy, can be utilized as needed to further enhance the clinical offerings to the client and guide a case if deemed necessary. Should funding allow, LFS will hire a Master's level clinician to be on site for particularly high needs cases. Supervised Visitation: During Supervised Visitation, the Visitation Supervisor is physically present with the family at all times, allowing for immediate intervention, coaching and role modeling. Since all visitation supervisors have been trained in the Nurturing Parenting Curriculum, principals of that curriculum are shared throughout visits with caregivers and children. The AAPI can be administered before and after services upon the request of DHS. 4. Capacity to Provide Services (ex. 4 hours/week). During any given week, LFS can provide services to approximately 30 families for up to 4 hours per week per family through visitation services. Extra hours are available upon request. Initial contact with the caseworker and family will be made by LFS within 2 business days. It is the objective of LFS to ensure that the continuity and quality of family relationships and connections is improved and preserved for children and that if a child is deemed to be in an unsafe living or visitation situation, that the appropriate Department of Human Service office is contacted as per 26-5.3-103(2), C.R.S. Upon DHS request, LFS has the capacity to ensure that parents and caregivers do not come in contact with one another during visitation. 5. Goals of the service. The goal of all offered visitation services is to provide an opportunity for children to maintain contact with their parents or other family members in a safe, neutral location. Additionally, parents will develop and improve parenting skills and an understanding of child development when participating in Supervised Visitation or Therapeutic Parenting Time. Visitation supervisors assist the parent in identifying things they are saying or doing that could prevent them from having a healthy and productive relationship with their child. 6. Outcomes of service: Anticipated annual outcomes for this program include: • 1,500 hours of visitation will be safely provided • 75% of participants completing the AAPI will demonstrate an improvement according to test results (The AAPI pre and post -assessment tool will be administered to all Therapeutic Parenting Time participants; administration to Supervised Visitation participants will be available upon DHS request. The AAPI is a validated and reliable inventory used to assess parenting attitudes and knowledge) 7. Target population for service. The target population for these services is families involved with Weld County Department of Human Services that have had, or are at risk of having their children removed from the home due to imminent safety concerns. LFS serves all age ranges through this program. 8. Service access. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE LFS is able to provide visitation services in the structured setting of the CareHouse Supervised Visitation Center in Greeley, CO located at 800 8th Avenue; Greeley, CO 80631. In cases where less structure is required, visitation services can be offered in the community or in the home. Accessibility to services is made possible through day, evening, and weekend hours. Specifically, hours of operation are Mondays, Wednesdays, and Fridays from 9 a.m. to 8 p.m., Saturdays 10 a.m. to 3 p.m., and Sundays 12 p.m. to 5 p.m. The Greeley facility is equipped with the technology necessary to record family visits at the request of the Department. 9. Languages service is available in. Supervised Visitation services are provided in Spanish as needed. CareHouse employs bi-cultural staff and contractors highly proficient in this language. 10. Rates of service. • Therapeutic Parenting Time will be provided at a rate of $95.00 per hour, with a minimum visit being 1.5 hours • Testimony and time spent at Court offered at a rate of $90 per hour • Attendance at Court Facilitation Meetings and Team Decision Making Meetings offered at $90 per hour • Supervised Visitation offered at $85 per hour, with a minimum visit being 1.5 hours. Bid No.: 1900025 STAFF DATA SHEET EKHIBIT D (Bidder must list a0 applicable staff who wi0 manage and/or administer the proposed service- One Sett Data Shoat par proposed sand«). Bidder shoxdd not combine services-) D SERVICE OR SERVICE TYPE: Parent Education and Support ER LEGAL ENTITY NAME: Sodal Services of Colorado _ - APPUCABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATION No. Last blame .' . First Name Wa�tO ''.. ' Work Fn al Eduction Isvel • , . OW" Focus Liammge/. Gedeixt- 110RA A.. (If applicable) • • last Name - First Name , , - Work W ' . ` • Work Email . 1 Ontiveros 2 3 4 Amber Loretta Christine Ivonne 970-356-6751x52: amber.ellistalfsrrr BA 970-222-4274 970413-2718 970-371-7406 970-545-2755 970-213-3234 970-646-1115 Psychology Counseling Counseling Psychology Psychology Early Ed Psychology no n/a Esher Penney Penney Penney Penney Penney Penney Tammy Kum 970-356-6751 970-232-1156 970-232-1156 970-232-1156 970-232-1156 970-232-1156 970-232-1156 Tammy.fisherPlfs kim.pennevOlfsrn kim.penneyOlfsrn kim.pennev@Ifsm kim.pennevfalfsm kim.pennev(@lfsrn kim,pennevCdlisrr Hoff EOM Vareta Floret Stevens Sandoval loretiwtt@msrtca migit1g02@gmaii- ivonne.vareiaOlfs Lflorez1009@grnna n/a n/a MA M.Ed BA BA AA; CACII BA no no no no no n/a n/a n/a n/a Kim Kim Kim Kim Kim 5 6 7 Laura Myrna Ruth no ITO no 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Bid No.: 81900005 STAFF DATA SHEET EXHIBIT D (Bidder must list an applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Birder should not combine services.) rm.ore tore 1.OfE Utg" i.ore tore Bid No.: 81900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed sarvica. One Staff Data Sheet per proposed service. Bidder should not combine sarrices.) PROPOSED SERVICE OR SERVICE TYPE: feTouch: Body Safety Program BIDDER LEGAL ENTITY NAME: Ilutheran Social. Services of Colorado - - - - APPUCABlE-STAFF MEMBER OR CONTRACTOR INFORPAKRON. .. - : - - SUPERVISOR INFORMATION _ - No. last Name .' - Fiat Nme a , ` Work*', Wort Email ; ' level +.. Degree Focus_. Licerwue/ Credentials' _ DORA B (1f applicable) .; last Name ._ - Fist Name - - . Work A ° ' ' Work Ernad 1 Foster 2 3 4 Brittany Nome 970-980-4927 brittanv.foster@If Masters 970-371-7406 Social Work 00107339 ICSW in progress Penney Psychology Kira Kim 970-232-1156 kim.oennev@Ifsrn 970-232-1156 Varela ivonne.varela@Ifs BA no rl/a Penney kim.oennev@Ifsm 5 6 7 8 9 10 ll 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 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.) i.ore Bid No.: 819/30025 STAFF DATA SHEET MISR D Bidder must list all applicable staff who will manage and/or administer the proposed senate. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: �(areNorse Visitation and Exchange Progra m BIDDER LEGAL ENTRY NAIVE: 11.cume, ran Social Services of Colorado APPUCABIE STAFF MEMBER OR CONTRACTOR INFORMATION .. .. SUPERVISOR INFORMATION . No: . _ Last Name .' ': - - First Name ' : .. W... Work Email '. � • Educatiom Isval - -. '. Degree Faaa. licwwue/ Credentiab DORAII . Of aypl'Rabte) Last Name . First Name ' - Word t7 • Work Email • 1 Ontiveros Amber 9703566751x 521 amber.ellis@Ifsrm BA Psychology Fisher Tammy 9703566751x521: tammv.fisher@Ifsn 2 Fisher Tammy 9703566751 x521 tammv.fisher@Ifs BA Sociology Penney Kimberly 9702321156 kim.oennev@Ifsrq 3 Mendoza Victoria tammv.fisher@Ifs BA Psychology MA candidate _ Fisher Tammy 9703566751x521 tammv.fisher@Ifsi 4 Freed Morgan tammv.fisher@Ifs BA Psychology MA candidate Fisher Tammy 9703566751x 521 tammy.fisher@Ifsj 5 Curtis Lauryn tammv.fisher@Ifs BA Psychology MA candidate Fisher Tammy 9703566751x 521 tammv.fisher@Ifs 6 Sandoval Ruth tammv.fisher@ffs BA Psychology Fisher Tammy 9703566751x 521 tammv.fisher@Ifsj 7 Varela Nonnne tammv.fisher@Ifs BA Psychology Fisher Tammy 9703566751x 521 tammy.fisher@Ifsn 8 Stevens Myrna tammv.fisher@Ifs AA Early Chiklhood CAC I, ll Fisher Tammy 9703566751x 521 tammv.fnsher@Ifsl 9 Bohannon Jennifer 9702321146 jennifer.bohannor MA Counseling LPC 4049 Penney Kimberly 9702321156 kim.cennev@Ifsrr) 30 Penney rim 9702321156 kim.pennev@Ifsrr MSW Social Work LCSW • 992640 Brant Brian 9702175862 brian.brant@Ifsrm 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Bid No.: 81900025 STAFF DATA SWEET EXHIBIT D (Bidder must list an applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) ,.ore 'fr1.OfE �m•ore .m oEg Tf1.OfE ,_gr Bid No.: B1900025 ACCORD,* CERTIFICATE OF LIABILITY INSURANCE `. .-- DATE 06/26/2018 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: If the certificate holder is an ADDITIONAL INSURED, the policy(►es) must have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 IMA, Inc. - Colorado Division 1705 17th Street Suite 100 Denver, CO 80202 M(SURED -__ Lutheran Social Services of CO Lutheran Family Services Rocky Mountain 363 South Harlan, Ste 200 Denver, CO 80226 CONTACT NAME: PHONE (FAX _I N . EMI: 1 (ABC. HO . AMNIEs* denaccounttechMiisuacorp.com INSUREMS) AFFORDING COVERAGE RAM O MMURERA:PHILADELPHIA INS CO 23850 msuRERB:ZURICH AMER INS CO(Pinnacol Assurance) iNSURERC:PINNACOL ASSUR 16535 41190 MMURERD: INSURER E : MSURERF: COVERAGES CERTIFICATE NUMBER: 53179137 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 POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. INSR LTR TMpE OF INSURANCE ADDL INSR $UBR MD I POLICY EFF POUCYNUMSER [MMIDDLYYYYI POLICY EXP IMMIDOIYYYYI LIMrrS A X COMMERCIALOENERALLIABILITY PePR1837038 07/01/18 07/01/19 EACHOMXHVENCE S 1,000,000 CUMMs-AMDE X OCCUR NTED- PRE ()E Eoccu n�3 1,000,000 _ WED EXP (Any one person) $ 20,000 _ GEML AGGREGATE LMa APPLIES PER PERSONALAADvmmAY GENERAL AGGREGATE $ 1,000,000 $ 3,000,000 POLICY JECT PRO- X LOC PRODUCTS - COMPA P AGG s 3,000,000 OTHER: S A AUTOMoBILELIABILITY PHPH1837053 07/01/18 07/01/19 CINEDSWGLELIAIT (EOMBa aakisMl S 1,000,000 X ANY AUTO i BODILY INJURY (Per person) S OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY Mar accident) S X HIRED AUTOS ONLY - X ,_, NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAMS -MADE AGGREGATE S DEO I I RETENTION= S B A/DRERSEMPLOYERBL B m WC969160407 - NM ONLY 03/01/18 03/01/19 X PER ERH C ANYPROPRIETORIPARTNERUEXECUTIVE OFFOMMEMBEREXCLUD£D? (Mandatory In NH) pN NIA 4040538 - CO ONLY 03/01/18 03/01/19 EL EACHACGDENT E L. DISEASE - EA EMPLOYEE s 500,000 S 500,000 K yes, deslxibe under DESCRIPTION OF OPERATIONS Wow EL. DISEASE • POLICY LIMIT S S00,000 A Professional Liability Coverage PEPE1837038 07/01/18 07/01/19 Each Occurrence $ Aggregate 1,000,000 63,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, auty be *Decked I more space Is required) County of weld is included as Additional Insured on the General Liability Policy if required by written contract or agreement subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Additional Insure( on the General Liability and workers Compensation Policies if required by written contract or agreement subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION County of weld 1150 '0' Street Greeley, CO 80631 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) briannah 53179137 O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Life Skills and Parent Education, as referred by the Department. 2. Life Skills: a. Services available under this agreement include: i. Supervised Visitation: Contractor's Visitation Supervisor will be physically present with the family at all times allowing for immediate intervention, coaching and role modeling. Contractor's Visitation Supervisors are training in the Nurturing Parenting Curriculum, principals of that curriculum are shared throughout visits with caregivers and children. Contractor can administer the Adult Adolescent Parenting Inventory (AAPI) before and after services at the request of the Department. ii. Therapeutic Parenting Time: A more interactive visitation that includes an additional half hour of clinical work with the caregiver only (no children present). Contractor will utilize the Nurturing Parenting Curriculum and will administer the Adult Adolescent Parenting Inventory (AAPI) before the start of services and at the completion of services. Results of the AAPI will be reported to Department. All services will be provided by Bachelor level contractors and staff, or Master's in Counseling candidates. All staff will participate in clinical supervision with a licensed dinician. b. Capacity to Provide Services: Contractor can provide services up to 30 families per week for up to four (4) hours per week per family. Contract can provide additional hours upon request c. Goals of Service: i. Provide an opportunity for children to maintain contact with their parents or other family members a safe, neutral location. ii. Parents will develop and improve parenting skills and an understanding of chili development. iii. Contractor will assist the parent in identifying verbalizations or actions that prevent the development of a healthy and productive relations with their child. d. Outcomes of Service: i. 1,500 hours of visitation will be safety provided. ii. Seventy-five percent (75%) of participants completing the AAPI will demonstrate an improvement in parenting attitudes and knowledge. e. Target Population: Families involved with the Department that have had, or are at risk of having, their children removed from the home due to imminent safety concerns. Contractor serves all age ranges. f. Service Access: i. CareHouse Supervised Visitation Center, 800 8th Avenue, Greeley, CO 80631. Contract can record visits at the request of the Department. 1. Mondays, Wednesdays and Fridays, 9:00 a.m. to 8:00 p.m. 2. Saturdays, 10:00 a.m. to 3:00 p.m. 3. Sundays, 12:00 p.m. to 5:00 p.m. ii. In cases where less structure is required, services can be conducted in the community or in the home. 1 g. Language: English. Supervised Visitation services are provided in Spanish as needed. 3. Parent Education: a. The following four (4) classes are available under this agreement: i. Nurturing Skills for Teens ii. Nurturing Parenting iii. RETHINK Anger Management for Parents iv. Parenting Your Teen b. Capacity for Services: i. Contractor will serve approximately 500 unduplicated parents and caregivers and 200 children. ii. Classes are between two (2) and four (4) sessions, and classes are held approximately 15 times per month. Contractor will hold approximately 180 classes during the term of this agreement. c. Goals of Service: i. To help prevent child abuse and neglect. ii. Teach parents safe and effective discipline methods, appropriate developmental expectations, and healthy communication. Preserve and strengthen families, with a focus on building coping techniques and resiliency that allow parents to safety parent. d. Outcomes of Service: i. 90% of parents who graduate from a class will complete the appropriate, specific pre - and post-tests. ii. 70% of parents who complete pre- and post-test evaluations will demonstrate one or more of the following: 1. Reduced anger responses to children's behaviors 2. Use of more appropriate and safer parenting techniques 3. Decreased family stress levels 4. Increased positive intra family communications 5. Increased knowledge of child/youth development e. Target Population: i. Contractor will serve parent or caregivers living in Weld County with one or more of the following characteristics: 1. Individuals responsible for a child wishing to strengthen their knowledge or skill base 2. Individuals responsible for a child who may be at high risk for abusing and/or neglecting their children due to socioeconomic or social isolation issues 3. Court -mandated parents who may not have custody of their children and who are working to regain custody 4. Parents involved in the child welfare system who are at risk of having custody of their child removed due to abuse or neglect allegations 5. Parents who are involved in court -mediated divorce proceedings 6. New and/or first-time parents 7. Victims of domestic violence 2 ii. Contractor will serve single -parent or two -parent households, as well as households in which the caregiver in the home may not be a "parent" but they are fulfilling a parenting role. Contractor will serve individuals from a variety of age ranges; teenage parents to grandparents raising grandchildren. f. Service Access: i. Contractor will conduct classes in a variety of locations including 800 8a' Street, Greeley, CO 80631, the 19"' Judicial District and Greeley schools upon request. ii. Classes are conducted in person and there is no capacity for video/phone conferencing. g. Language: English and Spanish. 4. 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. 5. 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). 6. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part of the client per month. After three (3) "no-shows, "Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210). 7. 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. 8. 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. 9. 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. 3 10. 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. 11. 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. 12. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 13. Contractor will notify the Quality Assurance Team Supervisor (hainlejd@weldeov.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. Licensur%redentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 4 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Life Skills: $85.00/Hour (Supervised Visitation) $90.00/Hour (Team Meetings, Staffings) $95.00/Hour (Therapeutic Parenting time, minimum of 1.5 hours) Parent Education: $135.00/Class (Nurturing Parent: Drop -In Session) $197.00/Class (Nurturing Parent: English) $213.00/Class (Nurturing Parent: Spanish) $97.50/Gass (Nurturing Parent: Teen Parents Class) $120.00/Class (Parenting Your Teen Class) $105.00/Class (RETHINK: Anger Management for Parents Class) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7"' day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Hello