HomeMy WebLinkAbout20212999.tiffRESOLUTION
RE: APPROVE AGREEMENT FOR FIELD EXPERIENCES AND AUTHORIZE CHAIR TO
SIGN - UNIVERSITY OF SOUTHERN MISSISSIPPI
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 an Agreement for Field Experiences
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Public Health and Environment,
and the University of Southern Mississippi, commencing October 1, 2021, and ending
October 1, 2026, with further terms and conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Agreement for Field Experiences between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf
of the Department of Public Health and Environment, and the University of Southern Mississippi,
be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 25th day of October, A.D., 2021, nunc pro tunc October 1, 2021.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dritAgov .JrC11D�
Weld County Clerk to the Board
BY:
Deputy Clerk to the Boar
APPR
ounty Attorney
Date of signature: II/o7../2.1
Steve
7)175>-1-e--.1.1-eg-
oreno, Chair
Scdti K. James, Pro-Tem
EXCUSED
Perry L. Buck
Lori ' aine
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II/02 at
2021-2999
HL0053
CorrivU.CtlRkk530Z
Memorandum
TO: Steve Moreno, Chair
Board of County Commissioners
FROM: Mark Lawley, Executive Director
Department of Public Health & Environment
DATE: October 5, 2021
SUBJECT: Agreement for Field Experiences with The
University of Southern Mississippi
For the Board's approval is an Agreement for Field Experiences between The University of
Southern Mississippi, School of Health Professions, Public Health, and the Board of County
Commissioners of Weld County for the use and benefit of the Weld County Department of
Public Health and Environment (WCDPHE).
This Agreement is for the placement of interns with WCDPHE and outlines general requirements
of each party. Expected duties include standard intern -level work including tasks such as
brochure development, information gathering, and presentation development, with the focus of
the internship on Public Health related items, and specifically for the first designated intern, air
program -related tasks will be assigned. Work will be completed mostly remote and with
equipment owned by the intern. Technical support for the intern will be provided by
environmental health staff and is expected to be minimal. This internship is uncompensated;
therefore, no wages, benefits or other direct costs will be incurred by the County.
The term of this Agreement is for five years, beginning October 1, 2021, and ending October 1,
2026. Both parties have the right to terminate the agreement with thirty days written notice.
Assistant Weld County Attorney, Karin McDougal, has reviewed the Agreement and determined
that its terms are acceptable.
The Board approved placement of this Agreement on the Board's agenda via pass -around dated
September 20, 2021.
I recommend approval of this Agreement for Field Experiences with The University of Southern
Mississippi.
2021-2999
kIL 6055
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: Agreement for Field Experiences with The University of Southern Mississippi
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: September 20, 2021
PERSON REQUESTING: Mark Lawley, Executive Director
Brief description of the problem/issue:
For the Board's review and approval is an Agreement for Field Experiences between The University of
Southern Mississippi, School of Health Professions, Public Health, and the Board of County Commissioners of
Weld County for the use and benefit of the Weld County Department of Public Health and Environment
(WCDPHE).
This Agreement is for the placement of interns with WCDPHE and outlines general requirements of each party.
Expected duties include standard intern -level work including tasks such as brochure development, information
gathering, and presentation development, with the focus of the internship on Public Health related items, and
specifically for the first designated intern, air program -related tasks will be assigned. Work will be completed
mostly remote and with equipment owned by the intern. Technical support for the intern will be provided by
environmental health staff and is expected to be minimal. This internship is uncompensated; therefore, no
wages, benefits or other direct costs will be incurred by the County.
The term of this Agreement is for five years, beginning October 1, 2021, and ending October 1, 2026. Both
parties have the right to terminate the agreement with thirty days written notice.
Assistant Weld County Attorney, Karin McDougal, has reviewed the Agreement and determined that its terms
are acceptable.
What options exist for the Board? (include consequences, impacts, costs, etc. of options):
Approval of the Agreement will enable WCDPHE to complete additional tasks for Public Health programs with
no cost to the county outside of technical support activities. It will also provide a valuable learning experience
for Public Health interns.
Denying the Agreement will result in staff time to accomplish these activities. In addition, said activities may be
delayed as staff will need to incorporate these duties into their normal workload.
Recommendation: I recommend approval of this Agreement for Field Experiences with The University of
Southern Mississippi.
Approve
Recommendation Work Session Other/Comments:
Schedule
Perry L. Buck
Mike Freeman
Scott K. James, Pro -Tern
Steve Moreno, Chair
Lori Saine
The University of Southern Mississippi
School of Health Professions-- Public Health
AGREEMENT FOR FIELD EXPERIENCES
+h
This agreement, made and entered into this 05_day of _October , _2021_, by
and between _Weld County Public Health hereinafter known as the "Facility", and The
University of Southern Mississippi for its College of Nursing and Health Professions, School of
Health Professions, Public Health, hereinafter known as the "Program".
It is agreed by the aforesaid parties to be of mutual interest and advantage for selected
students of the aforesaid indicated Program, hereinafter known as "PH Student", to be provided
quality field experiences at the Facility.
The aforesaid parties further agree that:
I. MUTUAL RESPONSIBILITIES
A. The Facility will accept PH Students selected by the Program for a period of field
experience education. The Program field experience coordinator and the facility
representative(s) shall arrange assignments so that the stated philosophy and
objectives of the Program and Facility are met.
B. The rules and regulations of the Facility shall be applicable to the assigned PH
Student (s).
C. The Program maintains the privilege to visit the Facility before, after, and or/during
the field experience period.
D. The Program will consider suggestion from the Facility's personnel regarding
curriculum or field experience improvement.
II. PROGRAM RESPONSIBILITIES
The Program shall:
A. reserve the right to revise any PH Student assignment while participating in field
experiences,
B. appoint a field experience coordinator who will be the liaison representative from the
Program to the Facility,
College of Nursing and Health Professions
page 1 Format approved July 25, 2016
aooz / 29
C. immediately notify the Facility in writing of any change or proposed change of the
field experience coordinator,
D. provide a meeting for the Facility's representative(s) for the purpose of disseminating
information about changes in the curriculum and to give an opportunity for
information exchange between the Facility, field experience coordinator, and PH
students,
E. provide the evaluation forms and other forms necessary for the field experiences,
F. reserve the right to withdraw a PH Student from his assigned field experience at the
Facility when in the Program's judgment the experience does not meet the needs of
the PH Student,
G. render confirmation in writing to the Facility that the Program and its employees are
protected under the Mississippi Tort Claims Act through the IHL Tort Claims Plan,
H. not discriminate against any PH Student or applicant for enrollment because of race,
creed, color, religion, gender, disability, or national origin,
I. provide a statement of philosophy and the objectives of curricular and field
experience education to the Facility.
III. FACILITY RESPONSIBILITY
The Facility shall:
A. provide field experiences as stated in the objectives and philosophy of the Program
and supervision appropriate to the academic level of the assigned PH Students,
B. provide the physical facilities and equipment necessary for the field experiences,
C. designate the Facility representative to be the student preceptor and liaison to the
Program,
D. reserve the right to request that the Program withdraw a PH Student from his/her
assigned field experiences when his/her performance is unsatisfactory or his/her
behavior is disruptive or detrimental to the Facility,
E. complete forms requested by the Program which relate to the field experiences within
requested time limits,
F. provide orientation material appropriate to the PH Student and the field experience,
G. provide a statement of its philosophy and objectives relating to its participation in the
field experience program, and
College of Nursing and Health Professions
page 2 Format approved July 25, 2016
H. assure the Program that the Facility, if not protected under the Mississippi Tort
Claims Act, maintains the appropriate General & Professional Liability consistent
with industry standards.
IV PH STUDENT RESPONSIBILITIES
A. The PH Students shall: have the responsibility of transportation to and from the
Facility and on any special assignments by the Facility,
B. be responsible for all emergency room and other medical expenses for treatment of
on-the-job incurred injuries,
C. be responsible for following the administrative policies of the Facility,
D. be responsible for reporting to the designated individual at the Facility on the
scheduled days and at the scheduled times,
V. GENERAL AGREEMENT
A. The term of this agreement shall be five years commencing on _October 1, 2021,
and terminating on _October 1, 2026_.
B. If there is a conflict as to the duties and obligations of the student owed to Weld
County Public Health between this Agreement and the Weld County Release of
Liability signed by student intern, the Weld County Release of liability controls with
respect to the duties and obligations of the student, but shall not be effective with
regard to the Program.
C. It is understood and agreed that the parties hereto may revise or modify this
agreement by written amendment whenever the same shall be agreed upon by both
parties.
Both parties reserve the right to terminate the agreement with thirty days written notice.
SIGNED
teven R. Moser, Provost
4817-0939-4429, v. 1
College of Nursing and Health Professions
Weld County Public Health Representative
by and through the Weld County
Board of Commissioners
Steve Moreno, Chair OCT 2 2021
page 3 Format approved July 25, 2016
C — 9 99
RELEASE OF LIABILITY FOR INTERNSHIP WITH WELD COUNTY, CO.
THIS RELEASE OF LIABILITY, signed this
Ca^ , llAt (hereafter referred to as "Intern , of 2 joy 1 A/ ,,ie
coin l,4-1 s<,r.• . G.O w&sp 5 . (address)
Intern, currentl enrolled and receiving credit under supervision of:
(;�•irttS-i y i� i ti "41.-M', �/; (name of institution), is performing functions for:
f'n ov a.% -w ,t /tu. i n as part of his/her internship with Weld County. Intern
receives practical experience and training pertaining to his/her field of study during the course of
his/her internship.
uaf 2? ,20 2/,by
Intern understands that his/her internship work will consist of:
5117 r44.44 Av4..
Vry . fS/A.w4..t)s
Intern also understands that by performing the tasks required of the internship, he/she will
assume the risks typically associated with this work, including, but not limited to, the following:
s.q4/. 1��.k4 Hoge......'t
* PL.. G. /�s a (G,s.04./
Intern understands that he/she is not considered to be an employee of Weld County,
Colorado, and/or the Board of County Commissioners of Weld County during the course of the
internship. As a result, Intern will not receive the benefits, compensation, and/or insurance
coverage typically afforded Weld County employees.
• I fully understand that the County will not provide or pay for medical treatment for injuries that
occur within the scope and course of my activities. I fully understand that as an intern, I do not
work for the County as an employee, therefore, I am not entitled to workers' compensation
benefits and the County cannot provide lost wages or permanent disability benefits for Intern's
regular employment.
• I fully understand and agree that if I use my personal vehicle while conducting County business,
my personal automobile insurance is my responsibility and primary to any other insurance that
may exist.
I fully understand and agree that if I use any of my personal property while conducting volunteer
County business, the County will not provide insurance coverage or be financially responsible
should damage or loss occur.
In consideration for the educational opportunity offered by Weld County, Intern, on
behalf of himself/herself, and on behalf of his/her heirs, successors and assigns, voluntarily
releases Weld county, Colorado, by and through the Weld County Board of County
Commissioners, its employees, agents, representatives and servants from any and all claims and
liability, past, present or future, for any injury to Intern or his or her property resulting from any
cause whatsoever, excepting only any such injury or damage resulting from the willful acts or
Weld County Board of County Commissioners, its employees, agents, representatives, and
servants.
By signing this Release, Intern acknowledges that he/she has read and understands all of
the provisions stated herein.
Date
Witness
z y/c
Date
Human Resources Director
Contract Form
New Contract Request
Entity inforrnatitm
Entity Name*
Entity ID*
UNIVERSITY OF SOUTHERN MISSISSIPPI >00044600
Contract Name* Contract ID
UNIVERSITY OF SOUTHERN MISSISSIPPI AGREEMENT FOR 5302
FIELD EXPERIENCES
Contract Status
CTB REVIEW
Contract Lead*
AGOMEZ
Contract Lead Email
agomez@weldgov.com
Contract Description*
UNIVERSITY OF SOUTH MISSISSIPPI INTERNSHIP AGREEMENT FOR FIELD EXPERIENCES
Contract Description 2
Contract Type*
AGREEMENT
Amount *
$0.00
Renewable
NO
Automatic Renewal
NO
Grant
NO
IGA
NO
e
HEALTH
Department Email
CM-Health@weldgov.com
Department Head Email
CM-Health-
DeptHead _ weldgov.com
County Attorney
GENERAL COUNTY
A I I ORNEY EMAIL
County Attorney Email
CM-
COUNTYA I I ORNEY@WELDG
OV. COM
Requested BOCC Agenda
Date*
10/18,;2021
Parent Contract ID
Requires Board
YES
Department Project #
Due Date
10114/2021
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
NO
If this is a renewal enter previous Contract ID
If this is part of a ?RSA enter MSA Contract ID
Note: the Previous Contract Number and Master Sen/ices Agreement Number should be left blank if those contracts are not in
On Base
Contract Dates:
Effective Date
10/01,2021
Review Date*
08/01,'2026
Renewal Date
Termination Notice Period Committed Delivery Date
Expiration Date *
10,01f2026
Contact Information
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
TANYA GEISER
DH Approved Date
10/18i2021
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
10/25!2021
Originator
AGOMEZ
Contact Type Contact Email
Finance Approver
CHRIS D'OVIDIO
Contact Phone i Contact Phone 2
Purchasing Approved Date
Finance Approved Date
10,`19x'2021
Tyler Ref
AG 102521
Legal Counsel
KARIN MCDOUGAL
Legal Counsel Approved Date
10,;'19x`2021
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