HomeMy WebLinkAbout20211458.tiffRESOLUTION
RE: APPROVE FOUR (4) STANDARD FORMS OF AGREEMENTS FOR VARIOUS
OUT -OF -HOME PLACEMENT SERVICES BETWEEN THE WELD COUNTY
DEPARTMENT OF HUMAN SERVICES AND VARIOUS PROVIDERS ON ATTACHED
LISTS AND AUTHORIZE CHAIR TO SIGN AGREEMENTS CONSISTENT WITH SAID
FORMS
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board, has been presented with four (4) Standard Forms of Agreements
for Various Out -of -Home Placement Services between the Weld County Department of Human
Services and various providers as shown on the attached provider lists, and
1. Exhibit to SS23A — Additional Provisions for Purchase of Child
Placement Agency Services
2. Exhibit to SS23A — Additional Provisions for Purchase of
Treatment Foster Care Services
3. Exhibit to SS23A — Additional Provisions for Purchase of
Group Home/Group Center Care Services
4. Exhibit to SS23A — Additional Provisions for Purchase of
Residential Child Care Facility Services
WHEREAS, after review, the Board deems it advisable to approve the four (4) Standard
Forms of Agreements for Various Out -of -Home Placement Services, copies of which are attached
hereto and incorporated herein by reference, and to delegate standing authority to the Chair of
the Board of County Commissioners to execute individual agreements between the Department
of Human Services and the individuals identified on the attached provider lists.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that these standard forms between the Weld County Department of Human
Services and various providers, be, and hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign any agreements consistent with said forms.
Cc:NSD,CR(KH/GK),
AcT(sck i)), CTQ(cR)
O6/22/21
2021-1458
HR0093
FOUR (4) STANDARD FORMS OF AGREEMENTS FOR VARIOUS OUT -OF -HOME
PLACEMENT SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN
SERVICES AND VARIOUS PROVIDERS ON ATTACHED LISTS
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 2nd day of June, A.D., 2021.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:d4„0 ;tom
Weld County Clerk to the Board
BY:���vA.
eputy Clerk to t
APP OVED A
Count Attorney
Date of signature: 06/16/.2-I
2021-1458
HR0093
PRIVILEGED AND CONFIDENTIAL.
MEMORANDUM
DATE: May 25, 2021
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Weld County Department of Human Services' Child
Welfare Request to Approve the 2021-22 SFY Out -
of -Home (OO11) State Licensed Provider
Agreement Template, OOH Provider List and
Associated Rates.
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 Department's Child Welfare Agreement to Purchase Out -of -
Home (OOH) Placement Services Exhibit Templates, Provider List, and Associated Rates
for SFY 2021-2022 for State Licensed OOH Providers. The State requires Counties to enter
into agreements with providers for the purchase of out -of -home (OOH) placement services and
has established the Agreement to Purchase Out-of-liome Placement Services SS23A as the State
prescribed agreement for these services. Counties are unable to alter the State SS23A agreement,
therefore Weld County has chosen to add County specific requirements for these providers
within the specified exhibits. Listed below and attached for your reference are the proposed
County exhibits to the SS23A lbr the purchase of OOH placement services and the SFY 2021-22
provider lists. The updated templates have been reviewed by Assistant County Attorney, Gabe
Kalousek, and have been approved for use for the 2021-22 contract year. Upon approval by the
Board, individual agreements will be issued and processed through CMS. The service rate will
be the Contractor's base anchor rate as outlined by the Colorado Office of Children, Youth &
Families Division of Child Welfare, unless the Contractor and County agree to utilize the
Inventory for Client and Agency Planning (ICAP) assessment and corresponding rate structure
for children who have significant intellectual or developmental disabilities or intensive medical
or physical needs.
The term of these agreements will be from July 1, 2021 to June 30, 2022. The following
information is attached for your review:
State Licensed Providers Child Placement Agencies (CPA)
1. Exhibit to the SS23A Agreement to Purchase OOH Placement Services with CPA
providers.
2. List of CPA State Licensed OOH placement providers for SFY 21-22.
Pass -Around Memorandum, May 25, 2021 — Not in CMS
Page 1
2021-1458
t -I E0093
PRIVILEGED AND CONFIDENTIAL
State Licensed. Providers Treatment Foster Care
1. Exhibit to the SS23A Agreement to Purchase OOH Placement Services with Treatment
Foster Care providers.
2. List of Treatment Foster Care State Licensed OOH placement providers for SFY 21-22.
State Licensed Providers Group Home/Group Center
1. Exhibit to the SS23A Agreement to Purchase OOH Placement Services with Group
Home/Group Center providers.
2. List of Group Home/Group Center State Licensed OOH Placement providers for SFY 21-
22,
State Licensed Providers Residential Child Care Facilities (RCCF)
1. Exhibit to the SS23A Agreement to Purchase OOH Placement Services with RCCF
providers,
2. List of RCCF State Licensed OOH Placement providers for SFY 21-22.
The Joint Budget Committee has indicated there may be changes to the OOH provider base
anchor rates for SFY 2021-22, but the Department has not received official notification at this
time.
I do not recommend a Work Session. I recommend approval of the agreement exhibit templates, provider
rates, and listed OOH State licensed providers, and authorize the Chair to sign approved agreements.
Approve Schedule
Recommendation Work Session Other/Comments:
Perry L. Buck
Mike Freeman
Scott K. James, Pro-Tem
Steve Moreno, Chair
Lori Saine
Pass -Around Memorandum; May 25, 2021 — Not in CMS Page 2
EXHIBIT A to the SS23A
Additional Provisions for the Agreement to
Purchase Out -of -Home Placement Services SS23A
For the Purchase of
Child Placement Agency Services
The following additional provisions of this Exhibit apply to the agreement entitled,
"Agreement to Purchase Out -of -Home Placement Services SS23A, attached hereto, by and
between the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Human Services," hereinafter referred to as, "County," and «Agency»,
hereinafter referred to as, "Contractor."
1. County agrees to purchase and Contractor agrees to provide the care and services which
are listed in this agreement for Facility ID# «Agency_ID» at the Contractor's base
anchor rate as outlined by the Colorado Office of Children, Youth & Families Division of
Child Welfare, unless the Contractor and County have agreed to utilize the Inventory for
Client and Agency Planning (ICAP) assessment and corresponding rate structure for
children who have significant intellectual or developmental disabilities or intensive
medical or physical needs. These services will be for children who have been deemed
eligible for social services under the statues, rules, and regulations of the State of
Colorado.
2. All bed hold authorizations and payments are subject to a 7 -day maximum for a child's
temporary absence from a facility; however, if the absence is a result of hospitalization,
the maximum bed hold authorization may be up to 14 days. Bed hold requests must have
prior written authorization from County's Department Administrator or Designee before
payment will be release to provider.
3. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be
furnished by the Contractor under this contract for facilities that provide sex offender
treatment.
4. Contractor agrees to have appropriate personnel available to attend or participate in
Family Engagement, Team Decision Making meetings, or court hearings. Contractor
shall be notified by County staff of the dates and times attendance is requested.
5. Contractor agrees to cooperate with any vendors hired by the County to shorten the
duration of placement.
6. Contractor agrees to have physical examinations completed within 14 days and dental
examinations completed within 8 weeks of the child being placed with Contractor. All
documentation of these examinations shall be forward to County.
7. Contractor agrees to arrange a full evaluation of an Individualized Educational Plan (IEP)
for youth designated as a Special Education Student every 3 years and coordinate reviews
Exhibit to the SS23A
1 Revised 5/2021
every year. If the IEP is due while the child is in placement, the Contractor shall
complete or obtain a completed IEP. A copy will then be forwarded to the County.
8. Children in Psychiatric Residential Treatment Facilities, Residential Child Care Facilities
and Child Placement Agencies are generally not eligible to receive clothing allowances as
outlined in the Weld County Department of Human Services Policy Manual. However, a
one-time emergency clothing allowance may be approved in limited circumstances, prior
written authorization from the County's Department Administrator is required before
payment will be released to provider.
9. County shall have access to Contractor's financial records as they relate to this
Agreement for purposes of audit. Such records shall be complete and available for audit
90 days after final payment hereunder and shall be retained and available for audit
purposes for at least five years after final payment hereunder.
10. Time is of the essence in each and all of the provisions of this Agreement.
11. 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.
12. Any notice required to be given under this Agreement shall be in writing and shall be
mailed or delivered to the other party at that party's address as stated above.
13. This Agreement and the provision of services hereunder shall be subject to the laws of
Colorado and be in accordance with the policies, procedures, and practices of County.
14. This Agreement is nonexclusive and County may engage or use other contractors or
persons to perform services of the same or similar nature.
15. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or
contract with an illegal alien who will perform work under this contract. Contract
Professional 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). Contract Professional 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 Contract Professional
that the subcontractor shall not knowingly employ or contract with an illegal alien to
perform work under this Agreement. Contract Professional 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 Contract
Professional obtains actual knowledge that a subcontractor performing work under the
public contract for services knowingly employs or contracts with an illegal alien Contract
Professional shall notify the subcontractor and County within three (3) days that Contract
Professional has actual knowledge that a subcontractor is employing or contracting with
Exhibit to the SS23A
2 Revised 5/2021
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.
Contract Professional 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. Contract Professional 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 Contract
Professional participates in the State of Colorado program, Contract Professional shall,
within twenty days after hiring an new employee to perform work under the contract,
affirm that Contract Professional 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. Contract Professional shall deliver to County, 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
Contract Professional fails to comply with any requirement of this provision or of
C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so
terminated, Contract Professional shall be liable for actual and consequential damages.
Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-
103(3), if Contract Professional receives federal or state funds under the contract,
Contract Professional 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
Contract Professional operates as a sole proprietor, it hereby swears or affirms under
penalty of perjury that it: 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.
16. Contractor assures and certifies that it and its principals:
a Are not presently debarred, suspended, proposed for debarment, and
declared ineligible or voluntarily excluded from covered transactions by a
federal department or agency;
b. Have not, within a three-year period of preceding this Agreement, been
convicted of or had a civil judgment rendered against them for commission of
fraud or a criminal offense in connection with obtaining, attempting to obtain,
or performing a public (federal, state, or local) transaction or contract under a
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;
c. 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
Exhibit to the SS23A
3 Revised 5/2021
offenses enumerated in paragraph (B) above;
d. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
17. In addition to terminating this Agreement, in accordance with the provisions of the
attached Agreement, the County may exercise the following remedial actions if the
County finds and determines that the Contractor has substantially failed to satisfy the
scope of work found in the Agreement, any Exhibit, or the child specific addendum
SS23B. 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 include, but
are not limited to, any one or more of the following:
a. Withhold payment to Contractor until the necessary services or corrections
in performance are satisfactorily completed.
b. Deny payment or recover reimbursement for those services or deliverables
which have not been performed and which due to circumstances caused by
Contractor cannot be performed or if performed would be of no value to
County. Denial of the amount of payment shall be reasonably related to the
amount of work or deliverables lost to County.
c. Recover from Contractor any incorrect payment to Contractor due to omission,
error, fraud, and/or defalcation by deducting from subsequent payments under
this Agreement, or other agreements between County and Contractor, or as a
debt to County, or otherwise as provided by law.
18. 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 or their assignees, and nothing contained 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 or their assignees receiving
services or benefits under this Agreement shall be an incidental beneficiary only.
19. No portion of this Agreement shall be deemed to constitute a waiver of any immunity
including those provided by the Colorado Governmental Immunity Act §§24-10-101 et
seq., as applicable now or hereafter amended, that the parties or their officers or
employees may possess, nor shall any portion of this Agreement be deemed to have
created a duty of care that did not previously exist with respect to any person not a party
to this Agreement. The parties hereto acknowledge and agree that no part of this
Agreement is intended to circumvent or replace such immunities.
20. Contractor shall promptly notify County in the event in which it is a party defendant or
respondent in a case, which involves services provided under the agreement. The
Contractor, within five (5) calendar days after being served with a summons, complaint,
Exhibit to the SS23A
4 Revised 5/2021
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 County Director. The term
"litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
21. Any amendments or modifications to this agreement shall be in writing signed by both
parties.
22 Financial obligations of the County payable after the current fiscal year are contingent
upon funds for that purpose being appropriated, budgeted and otherwise made available.
Execution of this Agreement by County does not create an obligation on the part of
County to expend funds not otherwise appropriated in each succeeding year.
23. 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 is not entitled to unemployment insurance or
workers' compensation benefits through County and County shall not pay for or
otherwise provide such coverage for Contractor. Unemployment insurance benefits
will not be available to Contractor for services provided under this Agreement.
Contractor shall pay when due any/all applicable employment taxes and income
taxes and local head taxes (if applicable) incurred as a result of the services
provided under this Agreement.
24. County reserves the right to require the Contractor to provide a certificate of insurance,
policy, or other proof of insurance at its sole discretion.
25. Contractor shall ensure all homes are recertified within required timelines and will follow
Colorado Volume 7 Social Services Rules 7.710.35 Renewal or Continuation Notice and
7.710.36 Recertification.
26. Contractor will notify the County a minimum of 30 days prior to a license expiring if a
home is not going to be recertified within the required timeline. In the event the County
has children placed in the home and the license expires, the County will not be
responsible for any payment to the Contractor during the unlicensed time.
Exhibit to the SS23A
5 Revised 5/2021
CHILD PLACEMENT AGENCIES
SFY 2021-2022
NTRACTOR NAME
FACILITY. ID
Cl
RACTOR ADDRESS
TRACTOR CITY/STATE/ZIP
1
2
3
4
A NEW WORLD
ADOPTION OPTIONS
ARIEL CLINICAL SERVICES
BETHANY CHRISTIAN SERVICES
1621990
45078
90205
45514
15200 E. Girard! Ave. Suite 3450
1355 S. Colorado Blvd., Suite 501
4660 Wadsworth Blvd.
3000-S. Race St.
Aurora, CO 80014
Denver, CO 80222
Wheat Ridge, CO 80033
Denver, CO 80210
.u.
5
COURAGE COMMUNITY FOSTER CARE
1621587
9845 Mesa, PO Box 262
Cascade, CO 80809
6
7
8
9
10
11
DENVER AREA YOUTH SERVICES
DENVER CHILDRENS HOME
DUNGARVIN, COLORADO INC.
FAMILY RESOURCE NETWORK
GRIFFITH CENTERS FOR CHILDREN, INC.
HOPE AND HOME
45069
1588160
1547661
1508602
1510565
29867
1530 W. 13th Ave.
1.501 Albion Street
4704 Harlan St., Suite 550
5360 N. Academy Blvd., Suite 130
17 N. Farragut
4945 N. 30th Street, Suite 300
Denver, CO 80204
Denver, CO 80220
~
Denver, CO 80212,.
Colorado Springs, CO 80918
Colorado Springs, CO 80909 Colorado Springs, CO 80919-3152
12
HOPE'S PROMISE
74241
1585 Perry Street, Suite E
Castlerock, CO 80104
13
KAIROS FAMILY SERVICES, LLC
1724901
13170 Crane Canyon Loop
Colorado Springs, CO 80921
14
KIDS CROSSING
79752
1440 E. Fountain Blvd.
Colorado Springs, CO 80910-3502
15
LOVE IS TRINITY
1691137
4651 Tulsa Ct
Denver, CO 80239
16
17
LUTHERAN FAMILY SERVICES ROCKY MOUNTAIN
MAPLE STAR COLORADO
45080
90967
363 S. Harlan Street, Suite 200
2250 S. Oneida Street Suite 200
Denver, CO 80226
Denver, CO 80224-2557
18
MOUNT SAINT VINCENT
1676598
4159 Lowell Blvd
Denver, CO 80211
19
NEW HORIZONS MINISTRIES INC_,
1509375
1331 Harrison Ave, PO Box 1500
Canyon City, CO 80212
20
21
22
23
NIGHTLIGHT CHRISTIAN ADOPTIONS
PARKER PERSONAL CARE HOMES INC
QUALITY LIFE SERVICE L.L.C.
ROCKY MOUNTAIN KIDS
1590226
1512100
32066
1593378
24
25
26
27
28
29
30,
31
32
SAMPLE SUPPORTS
SAVIO HOUSE
SHILOH HOUSE INC
SMITH AGENCY INC
SPECIAL KIDS/SPECIAL FAMILIES
SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH
STRONG FOUNDATIONS
TOP OF THE TRAIL INC
WHIMSPIRE CHILD PLACEMENT AGENCY
1686456
37330
67201
44882
43184
1662183
1594056
28112
19562
1511E 11th Street, Suite 240
1597 Cole Blvd., Suite 250
11975 Reed Street
2210 E La Salle
620 Kimbark St
325 King St.
6588 W. Ottawa Ave.
14364 E Evans Ave
1915 Aerotech Dr, #100
1600 Specht Point Rd, Suite 105
1702 68th Ave.
156 Colorado Ave
9540 E. Jewell Ave.
Loveland, CO 80537
Lakewood, CO 80401-3417
Broomfield, CO 80020
Colorado Springs, CO' 80909
Longmont, CO 80501
Denver, CO 80219 p M
Littleton, CO 80128
Aurora, CO 80014
Colorado Springs, CO 80916
Fort Collins, CO 80525
Greeley, CO 80634
Montrose, CO 81401
Denver, CO 80247
EXHIBIT to the SS23A
Additional Provisions for the Agreement to
Purchase Out -of -Home Placement Services SS23A
For the Purchase of
Treatment Foster Care Services
The following additional provisions of this Exhibit apply to the agreement entitled,
"Agreement to Purchase Out -of -Home Placement Services SS23A, attached hereto, by and
between the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Human Services," hereinafter referred to as, "County," and «Agency»,
hereinafter referred to as, "Contractor."
1. County agrees to purchase and Contractor agrees to provide the care and services
which are listed in this agreement for Facility ID# «Agency_ID» at the Contractor's
base anchor rate as outlined by the Colorado Office of Children, Youth & Families
Division of Child Welfare, unless the Contractor and County have agreed to utilize
the Inventory for Client and Agency Planning (ICAP) assessment and corresponding
rate structure for children who have significant intellectual or developmental
disabilities or intensive medical or physical needs. These services will be for children
who have been deemed eligible for social services under the statues, rules, and
regulations of the State of Colorado.
2. All bed hold authorizations and payments are subject to a 7 -day maximum for a
child's temporary absence from a facility; however, if the absence is a result of
hospitalization, the maximum bed hold authorization may be up to 14 days. Bed hold
requests must have prior written authorization from County's Department
Administrator or Designee before payment will be release to provider.
3. A minimum of one polygraph test per Colorado fiscal year, if needed by the child,
will be furnished by the Contractor under this contract for facilities that provide sex
offender treatment.
4. Contractor agrees to have appropriate personnel available to attend or participate in
Family Engagement, Team Decision Making meetings, or court hearings. Contractor
shall be notified by County staff of the dates and times attendance is requested.
5. Contractor agrees to cooperate with any vendors hired by the County to shorten the
duration of placement.
6. Contractor agrees to have physical examinations completed within 14 days and dental
examinations completed within 8 weeks of the child being placed with Contractor. All
documentation of these examinations shall be forward to County.
7. Contractor agrees to arrange a full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student every 3 years and
Exhibit to the SS23A
1 Revised 5/2021
coordinate reviews every year. If the IEP is due while the child is in placement, the
Contractor shall complete or obtain a completed IEP. A copy will then be forwarded
to the County.
8. Children in Psychiatric Residential Treatment Facilities, Residential Child Care
Facilities and Child Placement Agencies are generally not eligible to receive clothing
allowances as outlined in the Weld County Department of Human Services Policy
Manual. However, a one-time emergency clothing allowance may be approved in
limited circumstances, prior written authorization from the County's Department
Administrator is required before payment will be released to provider.
9. County shall have access to Contractor's financial records as they relate to this
Agreement for purposes of audit. Such records shall be complete and available for
audit 90 days after final payment hereunder and shall be retained and available for
audit purposes for at least five years after final payment hereunder.
10. Time is of the essence in each and all of the provisions of this Agreement.
11. 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.
12. Any notice required to be given under this Agreement shall be in writing and shall be
mailed or delivered to the other party at that party's address as stated above.
13. This Agreement and the provision of services hereunder shall be subject to the laws of
Colorado and be in accordance with the policies, procedures, and practices of County.
14. This Agreement is nonexclusive and County may engage or use other contractors or
persons to perform services of the same or similar nature.
15. Contract Professional certifies, warrants, and agrees that it does not knowingly
employ or contract with an illegal alien who will perform work under this contract.
Contract Professional 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). Contract Professional
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
Contract Professional that the subcontractor shall not knowingly employ or contract
with an illegal alien to perform work under this Agreement. Contract Professional
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 Contract Professional obtains actual knowledge that a subcontractor performing
work under the public contract for services knowingly employs or contracts with an
Exhibit to the SS23A
2 Revised 5/2021
illegal alien Contract Professional shall notify the subcontractor and County within
three (3) days that Contract Professional 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. Contract Professional 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.
Contract Professional 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 Contract Professional participates in the State
of Colorado program, Contract Professional shall, within twenty days after hiring an
new employee to perform work under the contract, affirm that Contract Professional 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. Contract
Professional shall deliver to County, 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 Contract Professional fails to comply
with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may
terminate this Agreement for breach, and if so terminated, Contract Professional shall be
liable for actual and consequential damages.
Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-
103(3), if Contract Professional receives federal or state funds under the contract,
Contract Professional 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
Contract Professional operates as a sole proprietor, it hereby swears or affirms under
penalty of perjury that it:
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.
16. Contractor assures and certifies that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, and
declared ineligible or voluntarily excluded from covered transactions by a
federal department or agency;
b. Have not, within a three-year period of preceding this Agreement, been
convicted of or had a civil judgment rendered against them for commission of
fraud or a criminal offense in connection with obtaining, attempting to obtain,
or performing a public (federal, state, or local) transaction or contract under a
public transaction; violation of federal or state antitrust statutes or commission
of embezzlement, theft, forgery, bribery, falsification or destruction of records,
Exhibit to the SS23A
3 Revised 5/2021
making false statements, or receiving stolen property;
c. 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 paragraph (B) above;
d. Have not within a three-year period preceding this Agreement, had one or
more public transactions (federal, state, and local) terminated for cause or
default.
17. In addition to terminating this Agreement, in accordance with the provisions of the
attached Agreement, the County may exercise the following remedial actions if the
County finds and determines that the Contractor has substantially failed to satisfy the
scope of work found in the Agreement, any Exhibit, or the child specific addendum
SS23B. 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
include, but are not limited to, any one or more of the following:
a. Withhold payment to Contractor until the necessary services or corrections
in performance are satisfactorily completed.
b. Deny payment or recover reimbursement for those services or deliverables
which have not been performed and which due to circumstances caused by
Contractor cannot be performed or if performed would be of no value to
County. Denial of the amount of payment shall be reasonably related to the
amount of work or deliverables lost to County.
c. Recover from Contractor any incorrect payment to Contractor due to omission,
error, fraud, and/or defalcation by deducting from subsequent payments under
this Agreement, or other agreements between County and Contractor, or as a
debt to County, or otherwise as provided by law.
18. 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 or their assignees, and nothing contained 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 or their
assignees receiving services or benefits under this Agreement shall be an incidental
beneficiary only.
19. No portion of this Agreement shall be deemed to constitute a waiver of any immunity
including those provided by the Colorado Governmental Immunity Act §§24-10-101
et seq., as applicable now or hereafter amended, that the parties or their officers or
employees may possess, nor shall any portion of this Agreement be deemed to have
created a duty of care that did not previously exist with respect to any person not a
Exhibit to the SS23A
4 Revised 5/2021
party to this Agreement. The parties hereto acknowledge and agree that no part of
this Agreement is intended to circumvent or replace such immunities.
20. Contractor shall promptly notify County in the event in which it is a party defendant
or respondent in a case, which involves services provided under the agreement. The
Contractor, with_n 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 County
Director. The term "litigation" includes an assignment for the benefit of creditors, and
filings in bankruptcy, reorganizations and/or foreclosure.
21 Any amendments or modifications to this agreement shall be in writing signed by both
parties.
22. Financial obligations of the County payable after the current fiscal year are contingent
upon funds for that purpose being appropriated, budgeted and otherwise made
available. Execution of this Agreement by County does not create an obligation on the
part of County to expend funds not otherwise appropriated in each succeeding year.
23. 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 is not
entitled to unemployment insurance or workers' compensation benefits through
County and County shall not pay for or otherwise provide such coverage for
Contractor. Unemployment insurance benefits will not be available to
Contractor for services provided under this Agreement. Contractor shall pay
when due any/all applicable employment taxes and income taxes and local head
taxes (if applicable) incurred as a result of the services provided under this
Agreement.
24. County reserves the right to require the Contractor to provide a certificate of
insurance, policy, or other proof of insurance at its sole discretion.
25. Contractor shall ensure all homes are recertified within required timelines and will
follow Colorado Volume 7 Social Services Rules 7.710.35 Renewal or Continuation
Notice and 7.710.36 Recertification.
26. Contractor will notify the County a minimum of 30 days prior to a license expiring if
a home is not going to be recertified within the required timeline. In the event the
County has children placed in the home and the license expires, the County will not
be responsible for any payment to the Contractor during the unlicensed time.
Exhibit to the SS23A
5 Revised 5/2021
TREATMENT FOSTER CARE AGENCIES
SFY 2021-2022
CONTRACTOR NAME
FACILITY II
Ct
TRACTOR ADDRESS
CONTRACTOR CITY/S1ATE/ZIP'
1
FAMILY RESOURCE NETWORK
1508602
536O N. Academy Blvd., Suite 130
Colorado Springs, CO 80918
2
KAIROS FAMILY SERVICES, LLC
1724901
13170 Crane Canyon Loop
Colorado Springs, CO 80921
3
4
SHILOH HOUSE INC
SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH
67201
1662183
6588 W. Ottawa Ave.
1600 Specht Point Rd, Suite 105
Littleton, CO 80128
Fort Collins, CO 80525
EXHIBIT to the SS23A
Additional Provisions for the Agreement to Purchase
Out -of -Home Placement Services SS23A
For the Purchase of
Group Home/Group Center Care Services
The following additional provisions of this Exhibit apply to the agreement entitled, "Agreement
to Purchase Out -of -Home Placement Services SS23A, attached hereto, by and between the Board
of County Commissioners of Weld County, on behalf of the Weld County Department of Human
Services," hereinafter referred to as, "County," and «Agency», hereinafter referred to as,
"Contractor."
1. County agrees to purchase and Contractor agrees to provide the care and services which
are listed in this agreement for Facility ID# « Facility_ID» at the contractor's base
anchor rate outlined by the Colorado Office of Children, Youth & Families Division of
Child Welfare, unless the Contractor and County have agreed to utilize the Inventory for
Client and Agency Planning (ICAP) assessment and Corresponding rate structure for
children who have significant intellectual or Developmental disabilities or intensive
medical or physical needs. These services will be for children who have been deemed
eligible for social services under the statutes, rules and regulations of the State of
Colorado.
All bed hold authorizations and payments are subject to a 7 -day maximum for a child's
temporary absence from a facility; however, if the absence is a result of hospitalization,
the maximum bed hold authorization may be up to 14 days. Bed hold requests must
have prior written authorization from the Weld County Department Administrator or
Designee before payment will be release to Contractor.
3. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will
be furnished under this contract for facilities that provide sex offender treatment.
4. The services purchased under this Agreement for Group Home/Center services may
include, but are not limited to: Basic 24 -hour care and child maintenance (food, shelter,
clothing, educational supplies and allowance), direct child care, transportation,
administrative overhead, support overhead, service delivery staff, which may include but
are not limited to: Parent training for teens, independent living training, and
mentor/advocate services.
5. Contractor agrees to have appropriate personnel available to attend or participate in
Family Engagement, Team Decision Making meetings, or court hearings. Contractor
shall be notified by County staff of the dates and times attendance is requested.
6. Contractor agrees to actively participate in achieving the child's Permanency Goal and
cooperate with any vendors hired by the Weld County Department of Human Services to
shorten the duration of placement.
Exhibit to the SS23A
1 Revised 5/2021
7. Contractor agrees to have physical examinations completed within 14 days and dental
examinations completed within 8 weeks of the child being placed with Contractor. All
documentation of these examinations shall be forward to the County.
8. Contractor agrees to arrange a full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student every 3 years and coordinate
reviews every year. If the IEP is due while the child is in placement, the Contractor shall
complete or obtain a completed IEP. A copy will then be forwarded to the County.
9. Children in Psychiatric Residential Treatment Facilities, Residential Child Care
Facilities and Child Placement Agencies are generally not eligible to receive clothing
allowances as outlined in the Weld County Department of Human Services Policy
Manual. However, a one-time emergency clothing allowance may be approved in
limited circumstances, with prior written authorization from County's Department
Administrator required before payment will be released to provider.
10. County shall have access to Contractor's financial records as they relate to this
Agreement for purposes of audit. Such records shall be complete and available for audit
90 days after final payment hereunder and shall be retained and available for audit
purposes for at least five years after final payment hereunder.
11. Time is of the essence in each and all of the provisions of this Agreement.
12. 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.
13. Any notice required to be given under this Agreement shall be in writing and shall be
mailed or delivered to the other party at that party's address as stated above.
14. This Agreement and the provision of services hereunder shall be subject to the laws of
Colorado and be in accordance with the policies, procedures, and practices of County.
15. This Agreement is nonexclusive and County may engage or use other contractors or
persons to perform services of the same or similar nature.
16. Contract Professional certifies, warrants, and agrees that it does not knowingly employ
or contract with an illegal alien who will perform work under this contract. Contract
Professional 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). Contract Professional 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 Contract
Professional that the subcontractor shall not knowingly employ or contract with an
Exhibit to the SS23A
2 Revised 5/2021
illegal alien to perform work under this Agreement. Contract Professional 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
Contract Professional obtains actual knowledge that a subcontractor performing work
under the public contract for services knowingly employs or contracts with an illegal
alien Contract Professional shall notify the subcontractor and County within three (3)
days that Contract Professional 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. Contract Professional 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. Contract Professional 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 Contract Professional participates in the State of Colorado program,
Contract Professional shall, within twenty days after hiring an new employee to perform
work under the contract, affirm that Contract Professional 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. Contract Professional shall
deliver to County, 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 Contract Professional fails to comply with any requirement of
this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement
for breach, and if so terminated, Contract Professional shall be liable for actual and
consequential damages.
Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-
103(3), if Contract Professional receives federal or state funds under the contract,
Contract Professional 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
Contract Professional 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.
17. Contractor assures and certifies that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency;
b. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
Exhibit to the SS23A
3 Revised 5/2021
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a 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;
c. 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 paragraph (B) above;
d. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
18. In addition to terminating this Agreement, in accordance with the provisions of the
attached Agreement, the County may exercise the following remedial actions if County
finds and determines that Contractor has substantially failed to satisfy the scope of work
found in the Agreement, any Exhibit, or the child specific addendum SS23B. 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 include, but are not
limited to, any one or more of the following:
a. Withhold payment to Contractor until the necessary services or corrections in
performance are satisfactorily completed.
b. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by Contractor
cannot be performed or if performed would be of no value to County. Denial of
the amount of payment shall be reasonably related to the amount of work or
deliverables lost to County.
c. Recover from Contractor any incorrect payment to Contractor due to omission,
error, fraud, and/or defalcation by deducting from subsequent payments under this
Agreement, or other agreements between County and Contractor, or as a debt to
County, or otherwise as provided by law.
19. 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 or their assignees, and nothing contained 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 or their assignees receiving
services or benefits under this Agreement shall be an incidental beneficiary only.
20. No portion of this Agreement shall be deemed to constitute a waiver of any immunity
including those provided by the Colorado Governmental Immunity Act §§24-10-101
et seq., as applicable now or hereafter amended, that the parties or their officers or
Exhibit to the SS23A
4 Revised 5/2021
employees may possess, nor shall any portion of this Agreement be deemed to have
created a duty of care that did not previously exist with respect to any person not a party
to this Agreement. The parties hereto acknowledge and agree that no part of this
Agreement is intended to circumvent or replace such immunities.
21. Contractor shall promptly notify County in the event in which it is a party defendant or
respondent in a case, which involves services provided under the agreement. The
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 County Director. The term
"litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
22. Any amendments or modifications to this agreement shall be in writing signed by both
parties.
23. Financial obligations of the County payable after the current fiscal year are contingent
upon funds for that purpose being appropriated, budgeted and otherwise made available.
Execution of this Agreement by County does not create an obligation on the part of
County to expend funds not otherwise appropriated in each succeeding year.
24. 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 is not entitled to unemployment insurance or
workers' compensation benefits through County and County shall not pay for or
otherwise provide such coverage for Contractor. Unemployment insurance benefits
will not be available to Contractor for services provided under this Agreement.
Contractor shall pay when due any/all applicable employment taxes and income
taxes and local head taxes (if applicable) incurred as a result of the services
provided under this Agreement.
25. County reserves the right to require the Contractor to provide a certificate of insurance,
policy, or other proof of insurance at its sole discretion.
26. Contractor shall ensure all homes are recertified within required timelines and will
follow Colorado Volume 7 Social Services Rules 7.710.35 Renewal or Continuation
Notice and 7.710.36 Recertification.
27. Contractor will notify the County a minimum of 30 days prior to a license expiring if a
home is not going to be recertified within the required timeline. In the event the County
has children placed in the home and the license expires, the County will not be
responsible for any payment to the Contractor during the unlicensed time.
Exhibit to the SS23A
5 Revised 5/2021
GROUP HOME/GROUP CENTER AGENCIES
SFY 2021-2022
CONTRACTOR ADDRESS
CONTRACTOR CITY/STATE/ZIP,,
FACILITY NAME
FACILITY ID
FACILITY ADDRESS
FACILITY CITY/STATE/ZIP
A NEW WORLD
1
15200 E. Girard Ave, Suite 3450
Aurora, CO 80014
BRIGHTER PATHWAYS
1649791
4006 S. Mission Parkway
Aurora, CO 80013
ARIEL
2
4660 Wadsworth Blvd.
Wheat Ridge, CO 80033
Wheat Ridge, CO 80033
Wheat Ridge, CO 80033
Wheat Ridge, CO 80033
Wheat Ridge, CO 80033
Wheat Ridge, CO 80033
Wheat Ridge, CO 80033
ALL HANDS IN
1686513
4291 S. Fundy Way
2938 North Ave., Suite G
Aurora, CO 80013
3
4660 Wadsworth Blvd.
ARIEL SPRITE HOUSE
1643047
Grand Junction, CO 81504
4
4660 Wadsworth Blvd.
ASCEND
1705635
17905 E. Bails Place
Aurora, CO 80017
5
4660 Wadsworth Blvd.
HOUSE OF HEALING
1709708
1036 S Ouray Street
861 N. Sable Blvd.
Aurora, CO 80017
6
4660 Wadsworth Blvd.
KISMET HOUSE
1630179
Aurora, CO 80011
7
4660 Wadsworth Blvd.
REFLECTIONS
1723736
1083 S. Mobile St.
Aurora, CO 80017
8
4660 Wadsworth Blvd.
RISE HOME FOR BOYS
1680477
754 Hanover St.
Aurora, CO 80010
Grand Junction, CO 81506
9
4660 Wadsworth Blvd.
Wheat Ridge, CO 80033
Wheat Ridge, CO 80033
THE DAISY CENTER
1565168
643 27 1/2 Rd.
10
4660 Wadsworth Blvd.
THE SISTAHOOD PROJECT
1621908
2690 Atchison St
Aurora, CO 80011
Beth,
€,Christi
ervices
11
3000 S. Race St.
Denver, CO 80210
CORTINEZ FIELD OF DREAMS
74864
6137 Kearney St.
Commerce City, CO 80022
DENVER.CIILDRENS HOME
12
1501 Albion Street
Denver, CO 80220
DENVER CHILDREN'S HOME/DISCOVERY HOME
1588158
4140 E 16th Ave
Denver, CO 80220
KIDS CROSSING'.
13
1440 E. Fountain Blvd.
Colorado Springs, CO 80910-3502
Colorado Springs, CO 80910-3502
Colorado Springs, CO 80910-3502
A BETTER WAY
1621890
14202 E 24th Ave
Aurora, CO 80011
14
1440 E. Fountain Blvd.
EVERGREEN GROUP CENTER
61317
1436 Hilltop Dr.
Longmont, CO 80504
15
1440 E. Fountain Blvd.
ROBINSON GROUP HOME
1538302
5082 Tucson Way
185 4th Street
Denver, CO 80239
16
1440 E. Fountain Blvd.
Colorado Springs, CO 80910-3502
SARAH'S HOME CORP
1669240
Calhan, CO 80808
PARKER PERSONAL CARE HOMES INC,
17
1597 Cole Blvd., Suite 250
Lakewood, CO 80401-3417
PLACE ORCHARD
1639158
3901 E Orchard Rd
Centennial, CO 80121
18
1597 Cole Blvd., Suite 250
Lakewood, CO 80401-3417
SAIPH
1666303
1493 S Wheeling Cir
Aurora, CO 80012
SAVIO HOUSE
19
325 King St.
Denver, CO 80219
BRIDGEWAY GROUP HOME
1644205
9820 W. 21st Ave.
Lakewood, CO 80215
20
325 King St.
Denver, CO 80219
CARR GROUP CENTER FOR GIRLS
1548445
3297 Jasmine Street
Denver, CO 80207
21
325 King St.
Denver, CO 80219
CARRADINE CENTER
1559137
4515 Gibraltar
Denver, CO 80249
22
325 King St.
Denver, CO 80219
CARRADINE CENTER II
1621801
14101 E. 46th Ave.
Denver, CO 80239
23
325 King St.
Denver, CO 80219
GLORY GROUP HOME AURORA
1585302
2424 S Scranton Way
705 S. Harlen St.
Aurora, CO 80014
24
325 King St.
Denver, CO 80219
JC'S JOURNEY INC. A HOME FOR GIRLS
1548844
Lakewood, CO 80226
25
325 King St.
Denver, CO 80219
WILSON GROUP CENTER
1591292
15005 Maxwell PI
Denver, CO 80239
SmithSmith,Agency
26
14364 E Evans Ave
Aurora, CO 80014
ROCKY MOUNTAIN GROUP HOME
1701369
16621 E. 107th Ave.
Commerce City, CO 80022
27
15200 E. Girard Ave, Suite 3450
Aurora, CO 80014
TURNING LIGHTS
1621806
1365 S. Lewiston St.
Aurora, CO 80017
28
15200 E. Girard Ave, Suite 3450
Aurora, CO 80014
GEMS AND JEWELS
1639923
5376 S. Truckee Court
Centennial, CO 80015
STRONG. FOUNDATIONS
29
1702 68th Ave.
Greeley, CO 80634
Greeley, CO 80634
Greeley, CO 80634
C & M GROUP HOME
9875
1920 81st Ave.
Greeley, CO 80634
Greeley, CO 80631
Greeley, CO 80634
30
1702 68th Ave.
MARIE ALIREZ
70335
1405 26th Street
31
1702 68th Ave.
MICHAEL ALIREZ
54150
1709 37th Ave.
EXHIBIT to the SS23A
Additional Provisions for the Agreement to Purchase
Out -of -Home Placement Services SS23A
For the Purchase of
Residential Child Care Facility Services
The following additional provisions of this Exhibit apply to the agreement entitled, "Agreement
to Purchase Out -of -Home Placement Services SS23A, attached hereto, by and between the Board
of County Commissioners of Weld County, on behalf of the Weld County Department of Human
Services," hereinafter referred to as, "County," and «Agency», hereinafter referred to as,
"Contractor."
1. County agrees to purchase and Contractor agrees to provide the care and services which
are listed in this agreement for Facility ID# «Facility_ID» at the contractor's base
anchor rate as outlined by the Colorado Office of Children, Youth & Families Division of
Child Welfare, unless the Contractor and County have agreed to utilize the Inventory for
Client and Agency Planning (ICAP) assessment and corresponding rate structure for
children who have significant intellectual or developmental disabilities or intensive
medical or physical needs. These services will be for children who have been deemed
eligible for social services under the statutes, rules and regulations of the State of
Colorado.
2. All bed hold authorizations and payments are subject to a 7 -day maximum for a child's
temporary absence from a facility; however, if the absence is a result of hospitalization,
the maximum bed hold authorization may be up to 14 days. Bed hold requests must have
prior written authorization from the Department Administrator or Designee before
payment will be release to provider. Reimbursement rates for bed hold days may not
exceed the state standard rate for administrative maintenance and administrative services
or may be a reduced rate that is mutually agreed upon.
3. The services purchased under this Agreement as Child Maintenance, Administrative
Maintenance and Services for Residential Child Care Facilities include, but are not
limited to: Food, shelter, clothing, personal needs and allowance, administration,
administrative overhead, support staff, support overhead, sleep -over staff, direct child
care, transportation, therapeutic recreation, service delivery staff, parent training for
teens, independent living training, mentor/advocate, supervised visitation and all other
services as outlined in the Child Specific Addendum. The anticipated minimum
percentage for each item is as follows and will be subject to County monitoring as
outlined in Section VI of this contract:
a. Food, including meals and snacks (25%).
b. Clothing (3%).
c. Shelter, including utilities and use of household furnishing and equipment and
daily supervision, including those activities that a parent would normally carry out
Exhibit to the SS23A
1 Revised 5/2021
to assure protection, emotional support and care of the child (30%).
d. Personal items and grooming care for the child, such as toothpaste, toothbrushes,
soap, combs, haircuts, and other essentials (2%).
e. Other/miscellaneous items considered usual in the care and supervision of the
child, include, but are not limited to, transportation, recreation and overhead
(40%).
4. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be
furnished by the Contractor under this contract for facilities that provide sex offender
treatment.
5. Contractor agrees to have appropriate personnel available to attend or participate in
Family Engagement, Team Decision Making meetings or court hearings. Provider shall
be notified by County staff of the dates and times attendance is requested.
6. Contractor agrees to cooperate with any vendors hired by the Weld County Department
of Human Services to shorten the duration of placement.
7. Contractor agrees to have physical examinations scheduled within 14 days and dental
examinations scheduled within 8 weeks of the child being placed with Contractor. All
documentation of these examinations shall be forward to the County.
8. Contractor agrees to arrange a full evaluation of an Individualized Educational Plan (IEP)
for youth designated as a Special Education Student every 3 years and coordinate reviews
every year. If the IEP is due while the child is in placement, the Contractor will complete
or obtain a completed IEP. A copy will then be forwarded to the County.
9. Children in Residential Child Care Facilities and Child Placement Agencies are generally
not eligible to receive clothing allowances as outlined in the Weld County Department of
Human Services Policy Manual. However, a one-time emergency clothing allowance
may be approved in limited circumstances, with prior written authorization from
County's Department Administrator required before payment will be released to
provider.
10. County shall have access to Contractor's financial records as they relate to this
Agreement for purposes of audit. Such records shall be complete and available for audit
90 days after final payment hereunder and shall be retained and available for audit
purposes for at least five years after final payment hereunder.
11. Time is of the essence in each and all of the provisions of this Agreement.
12. 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
Exhibit to the SS23A
2 Revised 5/2021
Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions.
13. Any notice required to be given under this Agreement shall be in writing and shall be
mailed or delivered to the other party at that party's address as stated above.
14. This Agreement and the provision of services hereunder shall be subject to the laws of
Colorado and be in accordance with the policies, procedures, and practices of County.
15. This Agreement is nonexclusive and County may engage or use other contractors or
persons to perform services of the same or similar nature.
16. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or
contract with an illegal alien who will perform work under this contract. Contract
Professional 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). Contract Professional 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 Contract Professional
that the subcontractor shall not knowingly employ or contract with an illegal alien to
perform work under this Agreement. Contract Professional 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 Contract
Professional obtains actual knowledge that a subcontractor performing work under the
public contract for services knowingly employs or contracts with an illegal alien Contract
Professional shall notify the subcontractor and County within three (3) days that Contract
Professional 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. Contract Professional 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. Contract Professional 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 Contract
Professional participates in the State of Colorado program, Contract Professional shall,
within twenty days after hiring an new employee to perform work under the contract,
affirm that Contract Professional 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. Contract Professional shall deliver to County, 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
Contract Professional fails to comply with any requirement of this provision or of C.R.S.
§8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so
terminated, Contract Professional shall be liable for actual and consequential damages.
Exhibit to the SS23A
3 Revised 5/2021
Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-
103(3), if Contract Professional receives federal or state funds under the contract,
Contract Professional 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
Contract Professional 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.
17. Contractor assures and certifies that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency;
b. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a 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;
c. 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 paragraph (B) above;
d. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
18. In addition to terminating this Agreement, in accordance with the provisions of the
attached Agreement, the County may exercise the following remedial actions County find
and determine that Contractor has substantially failed to satisfy the scope of work found
in the Agreement, any Exhibit, or the child specific addendum SS23B. 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 include, but are not limited to, any
one or more of the following:
a. Withhold payment to Contractor until the necessary services or corrections in
performance are satisfactorily completed.
b. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by Contractor
Exhibit to the SS23A
4 Revised 5/2021
cannot be performed or if performed would be of no value to County. Denial of
the amount of payment shall be reasonably related to the amount of work or
deliverables lost to County.
c. Recover from Contractor any incorrect payment to Contractor due to omission,
error, fraud, and/or defalcation by deducting from subsequent payments under this
Agreement, or other agreements between County and Contractor, or as a debt to
County, or otherwise as provided by law.
19. 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 or their assignees, and nothing contained 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 or their assignees receiving
services or benefits under this Agreement shall be an incidental beneficiary only.
20. No portion of this Agreement shall be deemed to constitute a waiver of any immunity
including those provided by the Colorado Governmental Immunity Act §§24-10-101 et
seq., as applicable now or hereafter amended, that the parties or their officers or
employees may possess, nor shall any portion of this Agreement be deemed to have
created a duty of care that did not previously exist with respect to any person not a party
to this Agreement. The parties hereto acknowledge and agree that no part of this
Agreement is intended to circumvent or replace such immunities.
21 Contractor shall promptly notify County in the event in which it is a party defendant or
respondent in a case, which involves services provided under the agreement. The
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 County Director. The term
"litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
22. Any amendments or modifications to this agreement shall be in writing signed by both
parties.
23. Financial obligations of the County payable after the current fiscal year are contingent
upon funds for that purpose being appropriated, budgeted and otherwise made available.
Execution of this Agreement by County does not create an obligation on the part of
County to expend funds not otherwise appropriated in each succeeding year.
24. 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
Exhibit to the SS23A
5 Revised 5/2021
pursuant to this Agreement. Contractor is not entitled to unemployment insurance or
workers' compensation benefits through County and County shall not pay for or
otherwise provide such coverage for Contractor. Unemployment insurance benefits
will not be available to Contractor for services provided under this Agreement.
Contractor shall pay when due any/all applicable employment taxes and income
taxes and local head taxes (if applicable) incurred as a result of the services
provided under this Agreement.
25. County reserves the right to require the Contractor to provide a certificate of insurance,
policy, or other proof of insurance at its sole discretion.
26. Contractor shall ensure all homes are recertified within required timelines and will follow
Colorado Volume 7 Social Services Rules 7.710.35 Renewal or Continuation Notice and
7.710.36 Recertification.
27. Contractor will notify the County a minimum of 30 days prior to a license expiring if a
home is not going to be recertified within the required timeline. In the event the County
has children placed in the home and the license expires, the County will not be
responsible for any payment to the Contractor during the unlicensed time.
Exhibit to the SS23A
6 Revised 5/2021
RESIDENTIAL CHILD CARE FACILITIES
SFY 2021-2022
CONTRACTOR NAME
CONTRACT' OR ADDRESS
CONTRACTOR CITY/STATE/ZIP
`' FACILITY NAME :
fACIUITY ID'
FACILITY ADDRESS '
FACILITY CITY/STATE/ZIP
1
ALTERNATIVE HOMES
FOR YOUTH
1110 M St.
Greeley, CO 80631
ALTERNATIVE HOMES FOR
YOUTH - GREELEY
2016
1110 M St.
Greeley, CO 80631
2
ATTENTION HOMES
1443 Spruce Street
Boulder, CO 80301
11679
3682 Chase Ct
Boulder, CO 80304
ATTENTION HOMES - CHASE
HOUSE
3
AVANTI HOUSE
PO Box 1938
Broomfield, CO 80038
AVANTI HOUSE
1695623
15700 Riverdale Rd
Brighton, CO 80602
4
CEDAR SPRINGS
HOSPITAL
2135 Southgate Rd
Colorado Springs, CO 80906
CEDAR SPRINGS HOSPITAL
1517006
2135 Southgate Rd
Colorado Springs, CO 80906
5
CORNELL CORRECTIONS
OF CALIFORNIA, INC.,
OPERATING SOUTHERN
PEAKS REGIONAL
TREATMENT CENTER
700 Four Mile Parkway
Canon City, CO 81212
SOUTHERN PEAKS REGIONAL
TREATMENT CENTER
1526789
700 Four Mile Parkway
Canon City, CO 81212
DALE HOUSE PROJECT
6
7 W. Dale Street
Colorado Springs, CO 80903
DALE HOUSE PROJECT 24
1502911
24 E. Dale St.
Colorado Springs, CO 80903
7
7 W. Dale Street
Colorado Springs, CO 80903
DALE HOUSE PROJECT 802
1502990
802 N. Tejon St.
Colorado Springs, CO 80903
8
DENVER CHILDRENS
HOME
1501 Albion Street
Denver, CO 80220
DENVER CHILDRENS HOME
49551
1501 Albion Street
Denver, CO 80220
9
DEVEREUX CLEO
WALLACE CENTERCENTER
8405 Church Ranch Blvd
Westminster, CO 80021
DEVEREUX CLEO WALLACEINSTE
AT WESTMINSTER
39794
8405 Church Ranch Blvd
Westminster, CO 80021
GATEWAY RESIDENTIAL
PROGRAM
10
3338 Ash Mesa Rd
Delta, CO 81416
GATEWAY RESIDENTIAL
PROGRAM -DELTA
1609500
3338 Ash Mesa Rd
Delta, CO 81416
11
3338 Ash Mesa Rd
Delta, CO 81416
GATEWAY RESIDENTIAL
PROGRAM -GRAND JUNCTION
1608993
835 Colorado Ave
Grand Junction, CO 81501
GREAT CIRCLE
12
330 North Gore
St. Louis, MO 63119
Great Circle - 330 Nort Gore
1698828
330 North Gore
St. Louis, MO 63119
13
330 North Gore
St. Louis, MO 63119
Great Circle - Marshall Camp
1751240
1126 E. Highway WW
Marshall, MO 65340
RESIDENTIAL CHILD CARE FACILITIES
SFY 2021-2022
CONTRACTOR` TAME ":
CONTRACTOR ADDRESS
CONTRACTOR CITY/STATE/ZIP
FACILITY NAME
FACILITY ID
" FACILITY ADDRESS
-FACILITY CITY/STATE/ZIP
GRIFFITH CENTERS FOR
CHILDREN INC
14
1724 Gilpin Street
Denver, CO 80218
GRIFFITH CENTERS FOR
CHILDREN
1543863
28 Farragut Avenue
Colorado Springs CO 80909
15
1724 Gilpin Street
Denver, CO 80218
GRIFFITH CENTER
COLORADO SPRINGS
39212
17 N Farragut
Colorado Springs CO 80909
16
HILLTOP RESIDENTIAL
YOUTH SERVICES (RYS)YOUTH
1331 Hermosa Ave.
Grand Junction, CO 81506
HILLTOP RESIDENTIAL
SERVICES (RYS)
96474
1405 Wellington Ave.
Grand Junction, CO 81501
17
LARADON
5100 Lincoln Street
Denver, CO 80216
LARADON
1734100
5100 Lincoln Street
Denver, CO 80216
18
MOUNT SAINT VINCENTS
HOMEHOME
4159 Lowell Blvd
Denver, CO 80211
MOUNT SAINT VINCENTS
45174
4159 Lowell Blvd
Denver, CO 80211
ROCKY MOUNTAIN KIDS
19
2210 E LaSalle, #219
Colorado Springs, CO 80909
NEVADA HOUSE
1599808
2129 N. Nevada Ave.
Colorado Springs, CO 80907
20
2210 E LaSalle, #219
Colorado Springs, CO 80909
BRAD'S HOUSE
1710657
2810 Hunters Glen Rd.
Mounument, CO 80132
21
2210 E LaSalle, #219
Colorado Springs, CO 80909
DREWS PLACE
1613088
65 Diamond Road E
Fountain, CO 80817
22
2210 E LaSalle, #219
Colorado Springs, CO 80909
FUTURE BOUND
1599810
3101 Palmer Park Blvd
Colorado Springs, CO 80909
ROUND UP FELLOWSHIP
23
3443 South Galena St.,
Suite 310
Denver, CO 80231
ROUND UP FELLOWSHIP III
45211
4441 Fortune Cir
Colorado Springs, CO 80917
24
3443 South Galena St.,
Suite 310
Denver, CO 80231
ROUNDUP FELLOWSHIP V
45212
1234 N Meade St
Colorado Springs, CO 80909
25
SAVIO HOUSE
325 King St.
Denver, CO 80219
SAVIO HOUSE
48170
325 King St
Denver CO 80219
SHILOH HOUSE INC
26
6588 W. Ottawa Ave.
Littleton, CO 80128
SHILOH CENTER FOR YOUTH
(Thornton)
1588986
8461 Delaware St
Thornton CO 80221
27
6588 W. Ottawa Ave.
Littleton, CO 80128
SHILOH HOUSE ADAMS
CAMPUS
1528492
7400 Kearney Street
Commerce City CO 80022
28
6588 W. Ottawa Ave.
Littleton, CO 80128
SHILOH HOUSE - ESTES
20335
7623 S Estes Ct
Littleton, CO 80128
29
6588 W. Ottawa Ave.
Littleton, CO 80128
SHILOH HOUSE - LONGMONT
CAMPUS
1539982
2700 E Ken Pratt BLVD
Longmont CO 80501
30
6588 W. Ottawa Ave.
Littleton, CO 80128
SHILOH HOUSE - YARROW
70967
7227 S Yarrow Ct
Littleton CO 80123
RESIDENTIAL CHILD CARE FACILITIES
SFY 2021-2022
CONTRACTOR NAME
CONTRACTOR ADDRESS
CONTRACTOR CITY/STATE/ZIP
FACILITY NAME
FACILITY ID
FACILITY ADDRESS
FACILITY CITY/STATE/ZIP
SMITH AGENCY INC
31
14364 E Evans Ave
Aurora, CO 80014
SERENITY CHILDRENS HOME
96482
15001 E Tufts Pt
Aurora, CO 80015
32
14364 E Evans Ave
Aurora, CO 80014
SERNEITY II CHILDRENS
HOME
6566
14759 E Pacific Pt
Aurora, CO 80014
ON CENTER FOR
TENNY33 CHILDREN
CHILDREN
Tennyson St
Denver, CO 80212-3029
CENTER AT
TENNY2950
COLORADO
COLORADO CHRISTIAN HOME
1529814
2950 Tennyson St
Denver, CO 80212-3029
THIRD WAY CENTER
34
PO Box 61385
Denver, CO 80206
THIRD WAY CENTER -
BANNOCK
1507881
4821 S Bannock St
Englewood CO 80110
35
PO Box 61385
Denver, CO 80206
THIRD WAY CENTER
LINCOLN
77810
1133 Lincoln
Denver CO 80203
36
PO Box 61385
Denver, CO 80206
THIRD WAY CENTER -
LOWREY
1547437
9100 E Lowry Blvd
Denver CO 80230
37
PO Box 61385
Denver, CO 80206
THIRD WAY CENTER -
PONTIAC
65346
1735 Pontiac St
Denver CO 80220
38
PO Box 61385
Denver, CO 80206
THIRD WAY CENTER - YORK
49487
1295 York St
Denver CO 80206
TURNING POINT
39
1644 South College Ave
Fort Collins, CO 80525
TURNING POINT
MATTHEWS
45179
614 S Mathews St
Fort Collins CO 80521
40
1644 South College Ave
Fort Collins, CO 80525
TURNING POINT - PROSPECT
1616504
640 West Prospect Rd
Fort Collins CO 80526
41
WYOMING BEHAVIORAL
INSTITUE
2521 East 15th Street
Casper, ;; WY 92609
WYOMING BEHAVIORAL
INSTITUTE
1713578
2521 East 15th Street
Casper, WY 92609
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