HomeMy WebLinkAbout20211339.tiffRESOLUTION
RE: APPROVE TECHNICAL BUSINESS PROPOSAL FOR PROMOTING SAFE AND
STABLE FAMILIES (PSSF) GRANT FUNDS AND AUTHORIZE CHAIR TO SIGN
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 a Technical Business Proposal for
Promoting Safe and Stable Families (PSSF) Grant Funds from the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Human Services, to the Colorado Department of Human Services, Office of
Children, Youth, and Families, Division of Child Welfare, commencing upon full execution of
signatures, with further terms and conditions being as stated in said proposal and agreement, and
WHEREAS, after review, the Board deems it advisable to approve said proposal and
agreement, copies of which are attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Technical Business Proposal for Promoting Safe and Stable
Families (PSSF) Grant Funds from the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Department of Human Services,
to the Colorado Department of Human Services, Office of Children, Youth, and Families, Division
of Child Welfare, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said proposal and agreement.
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2021-1339
HR0093
TECHNICAL BUSINESS PROPOSAL FOR PROMOTING SAFE AND STABLE FAMILIES
(PSSF) GRANT FUNDS
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 19th day of May, A.D., 2021.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dtiaMigosri'. jd4, •4
Weld County Clerk to the Board
Coun . - torney
Steve Moreno, Chair
Date of signature: O51L5
2021-1339
HR0093
PRIVILEGED AND CONFIDENTIAL 35n+rtit.C+
MEMORANDUM
�O *L-158
DATE: May 11, 2021
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Colorado Department of Human Services'
Promoting Safe and Stable Families (PSSF) Bid
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Request to bid for the Colorado Department of
Human Services' (CDHS) Promoting Safe and Stable Families (PSSF) Request for Proposal. The
Department of Human Services' Family Resource Division (FR) requests to submit a bid for the
Promoting Safe and Stable Families (PSSF) solicitation which will provide funding to develop
community -based strategies to achieve the goals of safety, permanency, and well-being for families. If
awarded, FR will partner with Catholic Charities and Kids at Heart as subcontractors to deliver the
following PSSF Service Priorities: Intensive Family Case Management, Respite Care, Parent Peer
Mentoring Programs, and Post Adoption/Post Permanency.
The total amount of funding requested in this bid proposal is 5254,333.000 which includes the required
30% match. Both Catholic Charities and Kids at Heart have committed to meeting the 30% match
requirement for their organizations. If awarded, the match funding amount the Department would be
expected to meet is $41,735.00.
Budget Breakdown
Weld County DHS
Catholic Charities
Kids at Heart
Amount requested from CDHS
$ 97,381.00
$ 49,141.00
$ 31,511.00
30% Match
$ 41,735.00
$ 21,060.00
$ 13,505.00
Total Budget
$139,116.00
$ 70,201.00
$ 45,016.00
The anticipated initial term of the awarded contract would be October 1, 2021 through September 30,
2022. The contract may be renewed for four (4) additional one-year periods at the sole discretion of the
State.
Legal (G. Kalousek) has reviewed and approved the submission documents.
Pass -Around Memorandum; May 11, 2021 — ID 4758
Page 1
2021-1339
HR0Og3
PRIVILEGED AND CONFIDENTIAL
I do not recommend a Work Session. I recommend approval of this request to bid, authorize the
chair to sign the Request for Proposal Signature Page, and authorize the chair to sign the
Transmittal Letter.
Approve
Recommendation
Perry L. Buck
Mike Freeman
Scott K. James, Pro -Tern
Steve Moreno, Chair
Lori Saine
1,4
Schedule
Work Session
Other/Comments:
Out VW
Pass -Around Memorandum; May 1 I, 2021 — ID 4758 Page 2
OFFICE OF THE
May 19, 2021
State of Colorado
Department of Human Services
TRANSMITTAL LE T TIH R
ARD OF COMMISSIONERS
PHONE: 970-400-4200
FAX: 970-336-7233
1150 O STREET
P.O. BOX 758
GREELEY, CO 80632
RE: Request for Proposal — Promoting Safe and Stable Families (PSSF) Sites
To Whom It May Concern,
Weld County is pleased with the opportunity to submit a proposal for the Promoting Safe and Stable
Families (PSSF) program and to serve as a catalyst to find innovative and collaborative ways to deliver
services that will promote healthy families and keep children safe. With this, we are willing and able to
comply with all work requirements, terms, and conditions as specified in the RFP.
Within our proposal you will find the following material and attachments:
1. Transmittal Letter
2. Technical Business Proposal
3. Scope of Work
4. Budget
5. Vendor Contact Information Sheet
6. HIPAA (Business Associate Agreement)
7. RFP Signature Page
8. State Contract Template — with requested changes tracked
9 Intensive Management Guidelines
10. Post Permanency/Adoption/Kinship Support Guidelines
Weld County is a government entity. Furthermore, Weld County assures that it and its principals have not
been an excluded provider, convicted of any criminal charges or actions involving moral turpitude.
Weld County's proposal for the Promoting Safe and Stable Families (PSSF) program will remain valid for
a minimum of one hundred eighty (180) days from the date of the award.
Page 1 of 2
OFFICE OF THE
Disclosures:
F COMMISSIONERS
PHONE: 970-400-4200
FAX: 970-336-7233
1150 O STREET
P.O. BOX 758
GREF,LEY, CO 80632
The following are current pending contracts and bid proposals Weld County has with the State of
Colorado
o Colorado Department of Human Services (CDHS) — Colorado Community Response
RFP (Intent to award notification received - contract pending).
o CDHS — CARES Act — Contract Amendment (20 IHFA 149562).
o CDHS — Single Entry Point (SEP) Contract Amendment.
o Colorado Department of Labor and Employment — Division of Unemployment Insurance
MOU.
® No potential conflicts of interest have been identified related to this RFP.
Services will not be performed outside the state of Colorado or the United States.
® The Weld County Department of Human Services is not a Service Disabled Veteran Owned
Small Businesses (SDVOSB).
As we strive to serve our residents by preserving families, preventing disruption, and assisting families in
maintaining safety, permanency and well-being, Weld County thanks you for your consideration as a
PSSF program site.
Sincerely,
cP
Steve Moreno
Chair, Weld County Board of Commissioners
C: Jamie Ulrich, Director
Tami Grant, Deputy Director
Page 2 of 2
o1o7a' Jo<3�r
TECHNICAL BUSINESS PROPOSAL
PROMOTING SAFE AND STABLE FAMILIES
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
315 NORTH 11th AVENUE
P.O. Box A.
GREELEY, CO 80632
Introduction:
The Weld County Department of Human Services (WCDHS) serves residents through the
provision of innovative, responsive, and collaborative services and is comprised of the following
Divisions:
• Family Resource offers a variety of supportive services surrounding the areas of post
adoption, promoting healthy and intact families, child abuse prevention, public assistance
navigation assistance and community outreach.
• Child Welfare works with families to assure safety, permanency and wellbeing for
children and youth. Certified Child Welfare Caseworkers assess family, child, and youth
needs to provide appropriate referrals for services in an effort to strengthen families and
minimize harm to children.
• Assistance Payments programs are available to aid individuals and families that qualify
for help. Programs include financial assistance in the form of monetary payments, help
with childcare costs, grocery bills, and medical care.
• Employment Services offers job opportunities, training, career planning programs, job
skills development, workshops, job fairs, and vocational skills assessments.
• Child Support Enforcement provides services to help parents and anyone caring for
children. Services include testing for paternity, establishing court orders for child support,
and enforcing the child support payment obligations.
• Area Agency on Aging (AAA) plans, coordinates, and advocates for services to aid our
older population. Including Adult Protective Services (APS) which provides protection
for at -risk adults by investigating allegations of abuse, exploitation, caretaker neglect and
self -neglect.
Vision Statement
The people of Weld County are connected to the resources needed to thrive in the community and
feel safe and empowered.
Mission Statement
Engaging and partnering with the community to improve the safety, health and well-being of
individuals and families through the delivery of responsive and collaborative services.
Weld County is committed to implementing innovative and collaborative programs and services
which promote healthy families and keep children safe. In 2004, supported by the Board of
County Commissioners, WCDHS leadership recognized the need for and prioritized the creation
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of a child abuse prevention program as a part of the Child Welfare Division. In 2018, prevention
services were expanded to include the Community Outreach team, a Family Forever post
permanency support team, a Social Security and Supplemental Security Disability Insurance
(SSI/SSDI) team, a Specialized Wraparound Team (SWT) and a Prevention/Child Welfare
Temporary Assistance for Needy Families (TANF) Case Management team. These programs
comprise the Family Resource Division, a unique Division within WCDHS with a mission to
preserve families, prevent disruption and to assist families in maintaining safety, permanency
and well-being through empowerment and a strengths -based approach. All programs within the
Family Resource Division are free, voluntary and can be accessed by self -referral, through
participation in any other human services program or via community referral.
Staffing and Cultural Considerations
Weld County strives to create a workplace which reflects the community we serve and where
everyone feels empowered to share and be appreciated for their unique strengths and
perspectives. The Family Resource Division currently employs three (3) full time bilingual
Community Case Managers, four (4) bilingual Outreach Service Coordinators, one (1) bilingual
TANF Case Manager and one (1) bilingual Wraparound Coordinator. In addition, WCDHS
collaborates with the Immigration and Refugee Center of Northern Colorado and Lutheran
Family Service Rocky Mountains to support individuals from a variety of cultural and linguistic
backgrounds. Staff members also have access to an interpretation service which has the capacity
to translate in hundreds of languages and to provide services virtually or in person.
Outcome Measurement/Data Collection/Reporting Infrastructure
All three (3) partner organizations have existing data collection, outcome measurement and
reporting infrastructure. The Weld County Prevention Team documents all case management
activities in TRAILS and uses the Protective Factors survey with all families. In addition, they
collect and analyze anonymous feedback from participants post prevention participation.
Currently, the Community Case Manager conducting PSSF Intensive Case Management
implements the Colorado Family Support Assessment (CFSA) 2.0 in addition to the
aforementioned outcome and reporting activities. Catholic Charities also utilizes the CFSA 2.0
with all case management participants. Kids at Heart collects annual feedback surveys from
Fundango, Summer Day Camp and Teen Connects participants to monitor satisfaction and work
on program improvements.
Target Geographic Area
Weld County encompasses 4,000 square miles of open skies and beautiful mountain views, is
home to 31 municipalities and over 300,000 residents. According to the Colorado Children's
Campaign's 2020 KIDS COUNT in Colorado report, Weld County's 2018 population of 314,250
residents included 81,576 (26%) who were under the age of 18. The report also reveals that Weld
County has many vulnerable families, which include births to women without a high school
diploma or General Educational Development (GED), three risk factor births and teen births — all
of which are higher than the state average. These factors make Weld County an ideal location to
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offer services which are designed to prevent maltreatment, assure the safety of children and to
encourage family stability by preventing out -of -home placement and supporting reunification
whenever possible.
Staffing and Supervision
All staff necessary for full implementation of the Weld County PSSF program are in place and
ready to begin implementation. The WCDHS Prevention Team of Community Case Managers,
the Family Resource Supery _sor and Family Resource Director are all Certified Social
Caseworkers through the Colorado Department of Human Services, which includes the required
Mandatory Reporter Training. The PSSF relevant Case Managers and the Catholic Charities
Supervisor have completed cr will be completing the CFSA 2.0 and Protective Factors training
by June of 2021. Any additional relevant personnel from Catholic Charities and Kids at Heart
who have not done so, will be expected to complete the Mandatory Reporter Training by October
1, 2021, if this grant funding is awarded. Several staff members from both the WCDHS and
Catholic Charities are trained to facilitate and have experience implementing Parent Caf�s and
the Nurturing Parenting Program.
All required components inc_uded in the Statement of Work monitored by the WCDHS Family
Resource Director. Daily Int:nsive Case Management, support group and respite activities will
be collectively supervised by the Family Resource Supervisor, the Catholic Charities Case
Management Director and the Executive Director of Kids at Heart.
Previous Experience and Historical Success
The WCHDS has been colla3orating with Catholic Charities to provide PSSF services for at least
the last six (6) years. Catholic Charities has been providing PSSF services to at -risk and kindship
families since 1999, and together we are requesting the addition of another community partner,
Kids at Heart, to increase the breadth of services designed to strengthen and preserve families
throughout Weld County. In addition, the Family Resource Division within Weld County has a
longstanding history of sLccessfully managing special projects, to include the Colorado
Community Response (CCR) Grant, the Community Services Block Grant (CSBG), and recently
the Coronavirus Aid, Relief, and Economic Security (CARES) Act and Emergency Rental
Assistance Funding for individuals and families impacted by the COVID-19 pandemic.
A recent case example of achieving stated outcomes: A Case Manager who was working with a
single mother who was facing several obstacles. Through the initial engagement process and the
utilization of the Protective Factors survey, the Case Manager and mom identified several
barriers, including a lack of childcare, (which was a barrier to employment) being monolingual
and experiencing homelessness. Mom expressed a goal of becoming a Certified Nursing
Assistant (CNA), but had encountered challenges when attempting to find a program in Spanish.
Together they partnered with the Workforce Center, the Weld County Childcare Team and the
Greeley Family House to staiilize the family. Mom was able to access TANF, which not only
provided temporary basic cash assistance, but also enabled her to enroll in a CNA Training
Program for Spanish speaking individuals. She was able to secure childcare with assistance from
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the Childcare Team and has also secured permanent housing with the assistance of the Greeley
Family house. Ultimately, she completed the program and is now employed full-time as a CNA.
Financial Management
The Family Resource Director and Weld County Human Services Fiscal Manager will oversee
the invoicing and expenditures of all financial aspects of the PSSF grant. As indicated in the
Budget, there are four (4) specific Weld County employees who will be providing oversight and
management of this program, in addition to management and fiscal personnel from each partner
organization. The Prevention Program has been able to successfully provide the Weld County
community with uninterrupted child abuse prevention services since its inception in 2004.
1. Identify your agency name, location, and counties applicant will serve, identify the type
of application (County, Community Agency, and Multi -Agency). If multi -agency you
must identify one agency to act as fiscal agent and contracting agency with the State.
The WCDHS will serve as the lead organization and fiscal agent for this project. However,
this is a multi -agency application which includes service components from Catholic Charities
and Kids at Heart. Contract agreements between WCDHS and each partner organization will
be created to ensure program implementation requirements are met.
WCDHS is uniquely positioned to implement the PSSF program in order to strengthen the
existing family strengthening programming in Weld County. We are the only county in
Colorado who has a stand-alone division dedicated to the provision of preventive and
strengths -based programing which engages residents to voluntarily work toward achieving
enhanced stability and well-being and to prevent family disruption. We believe these
qualifications make us an ideal organization for continuation and enhancement of the PSSF
program.
2. PSSF Service Priorities: Identify all PSSF service priorities applicant proposes to
implement. For each service priority, answer or describe in short, concise statements
responses to the following:
The WCDHS proposes to implement the following service priorities:
• Intensive Family Case Management
• Respite Care
• Parent Peer Mentoring Programs
• Post Adoption/Post Permanency
a) What information led you to the decision to implement this service — identify the
need in the community (include current data points)?
Intensive Family Case Management to was chosen to support family stability in response
to the WCDHS Child Welfare Division seeing an increase in needs for families across the
county. In calendar year 2020, Weld County received 7,057 referrals, of which 4,810
were screened out after being reviewed by a red team. Of those referrals reported, 1,554
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were children between the ages of birth to five (5) years of age. Of the 2,247 referrals
that were assessed, approximately 2,000 were found to be inconclusive or
unfounded. The number of referrals that were either screened out or labeled
inconclusive/unfounded created a pool of 6,810 families who might benefit from the
PSSF program. In addition, in the Fall of 2019, 45.3% of Weld County children qualified
for free or reduced -price lunch and 13.2% of Weld County children lived in poverty. In
2020, WCDHS saw a 43% increase in the number of families referred for prevention
services (986 in 2019 and 1,408 in 2020). Of those referred, 422 families engaged in
voluntary case management services. Although overall communitywide data is not yet
available, it is predicted that the COVID-19 pandemic has exaggerated family risk factors
associated with child abuse and neglect.
Respite Care was chosen to support the existing Family Forever post -permanency support
program who supports over 500 adoptive families and countless kinship and foster
families who reside in Weld County. Research has shown respite to be one of the most
requested services for foster, adoptive and kinship families.
Catholic Charities has been providing shelter services to families since 1987 at the
Guadalupe Center and provided parent peer mentoring services to families at the Center
under the PSSF grant since 1997. We are therefore acutely aware of the trauma and
challenges facing homeless parents and children, in addition to the long-term support
needs of kinship families. Catholic Charities of Weld County has also provided group
support, information, and training to kinship parents under the PSSF grant since 1997.
The Prevention Services team at the WCDHS oversees our Parent Caf� Support Groups,
offered twice monthly in a virtual format (currently). Based on the Strengthening
Families protective factors and created in 2007 by Be Strong Families, Parent Caf�s are
an excellent social capital opportunity for families. The purpose of Parent Caf�s is to
build the protective factors while teaching parents about them through individual self -
reflection and peer -to -peer learning. Parent Caf�s provide a safe space for parents and
caregivers to explore their strengths and asks parents and caregivers to examine how they
can strengthen their own families.
b) Provide a description of the target population, and service area (s) (family support,
family preservation, reunification, and post permanency/adoption/kinship) to be
served
The target population is families with children at -risk of abuse, neglect and out -of -home
placements living in Weld County within the Guadalupe Community Center and the
Permanent Supportive Housing Project. Individuals who struggle with homelessness and
those who have experienced abuse or neglect can suffer serious ill effects which can have
long-term physical and mental health consequences —Intensive Case Management,
Respite Care, permanency support and relative caregiver support programs can prevent
such effects or provide mitigating effects to these adverse experiences. Through a blend
of preventive services and crisis intervention management, intensive case management,
support groups post -permanency support and respite care are intended to stabilize
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families to ensure the well-being of their children by preventing future abuse/neglect and
building safe, healthy, and nurturing environments for children.
c) Describe the intensity/duration of services and numbers to be served: for example>
the plan is to offer three different cohorts of the Nurturing Fathers education
program. There will be three classes which run 13 weeks each, we plan to serve 15
fathers in each cohort. The total number of fathers served in this program will be
45.
Intensive Family Case Management -will be provided to at least 55 families for a period
of up to six (6) months. This service is open to any type of family and can be included in
the post -permanency support.
Respite Care- Eight (8) hour respite events will be offered monthly for up to 30 children
of all ages per event, summer day camp respite opportunities for a total of up to 45 teens
will be provided at least three (3) times throughout the summer of 2022, and teen
connects opportunities will be provided for up to 10 foster, kinship and adoptive teens at
least monthly throughout the grant cycle. These services arc all open to kinship, foster
and adoptive families.
Parent Peer Mentoring Programs -A once monthly Parent Caf� Support group will be
facilitated for up to 15 kinship, foster and adoptive families at a time. A second Kinship
Support and Education Circle will be held by Catholic Charities every other month to
help kinship caregivers reduce social isolation and develop new support systems and
social connections.
d) Access to services: How the agency ensures access to the program? May include
transportation, meals, child care and other services that address participation
barriers? During COVID-19 safety provisions, how will parenting classes, family
visits, and other programs be adapted for virtual delivery?
Respite Care and support groups are accessible by any foster, adoptive or kinship family
and the WCDHS will take the lead in promoting this program in partnership with existing
marketing by Kids and Heart and Catholic Charities. During COVID-19 case
management and support groups have been offered virtually. Children's Group activities
have been delivered to the doorstep of participants in preparation for Parent Cafes,
however, we are looking forward to implementing Caf�s in person as soon as determined
safe. We will resume offering meals as a part of the program also when determined to be
safe. We are fortunate that community agencies, 211 and the local school districts are
familiar with existing prevention and supportive services, and we will work together to
continue to provide education and outreach to engage families.
e) What assessments or screening tools will be used to identify family goals, needs, and
resources? How will continued assessment be handled, and how often? How will
families participate in completing assessments?
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The Protective Factors survey will be used to identify strengths and areas of need for
intensive case management participants. The survey will be implemented with the
families during the intake phase and revisited during weekly contacts. In addition,
families will be offered to participate in family engagement meetings every 30-90 days.
f) Identify specific assessments or measurement tools required as part of the service
model required for program fidelity? How will you assure fidelity to the model?
The PSSF Intentive Case Management Guidelines are a requirement of the grant and are
tracked through the inputting of data in the SalesForce database. All families who
participate in intensive case management are assessed using the protective factor
framework imbedded in the CFSA 2.0. The CFSA 2.0 is administered at the beginning of
a case and at case closure.
The Parent Caf� Program is a program which is required to be delivered with fidelity.
The Parent Caf� evaluation tool is a required tool and is implemented at the start and end
of each caf�. Be Strong Families is collecting and reporting on Parent Caf� outcomes
nationwide and WCDHS has been contributing to this data monitoring and reporting
since we introduced the program in early 2020. In order to ensure Continuous Quality
Improvement, the Family Resource Supervisor has been designated as the primary person
responsible for program implementation and data reporting. Currently, the collaborative
implementation team holds monthly planning and quality assurance meetings to ensure
consistent and accurate service delivery.
g)
How will you complete continuing quality assurance? What is the supervision plan
for individuals providing services to families?
The Family Resource Supervisor meets at least monthly with all Community Case
Managers and the Family Resource Director meets every other week with the Family
Resource Supervisor. During these sessions, program integrity details are reviewed and
quality control activies are completed to ensure ongoing contact with families, data
collection and adherence to reporting protocol. At Catholic Charities, the Director of
Case Management meets once a week individually with case managers, the case
management team and with the shelter team servicing the families.
h) How will you access the required training for program delivery? Please remember
that if the model requires training from identified State intermediaries, consultants,
or trainers that you include a statement here that you will follow those
requirements.
During a previous grant cycle, WCDHS was able to leverage a combination of PSSF
funding and county funds to provide this training to 17 individuals, 11 of whom are
WCDHS employees and six (6) representatives from four (4) community partner
organizations.
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WCDHS also have staff who are trained to facilitate the Nurturing Parenting curriculum
(parenting classes or in -home parenting support) and Trust Based Relational Intervention
(TBRI) training.
As mentioned previously, nearly all staff have completed the required Mandatory
Reporter Training, however, those who have not will be required to do so prior to the
onset of the grant cycle if awarded.
i) What change for families do you anticipate will occur as a result of participation in
proposed services?
This project will have at its core, strengthened and stabilized families to prevent risk of
harm to children and reduce the need for out -of -home placements.
j)
Recruitment of program participants. Describe the referral process and identify
potential partners who may be referring to the program?
PSSF services can be accessed by self -referral, through referrals provided by community
partners as well as from child welfare for families who were reported to child protective
services but screened out and/or closed after assessment. WCDHS is highly connected to
the community of partners that make referrals, such as North Range Behavioral Health,
local school and judicial districts, United Way of Weld County, the Greeley -Weld
Housing Authority, local law enforcement and healthcare providers. Again, the WCDHS
is happy to take the lead in providing program information across the county using
available social media marketing strategies as well as word of mouth presentations.
3. Describe a plan for evaluating the applicants program to determine its overall
effectiveness. Describe how feedback will be solicited from families, stakeholders, and
referral resources and how will results will be used to improve the quality, effectiveness,
and responsiveness of your PSSF program to meet the needs of the target population
(not the family's individual service plans).
Satisfaction surveys will be sent to all participants of PSSF programs and analyzed to
determine effectiveness and client satisfaction. In addition, the WCDHS is constantly
requesting feedback from various stakeholders regarding service accessibility, quality and
effectivness and this has become a larger goal as a part of the current strategic plan. The
WCDHS seeks to constantly improve programming to more effectively and efficiently keep
families healthy and safe.
4. Describe how applicant agency will outreach, engage and increase access to participants
representing diversity and languages spoken in your community? Describe how the
applicant promotes family inclusion, including fathers in the organization's programs
and policies dealing with children and families.
Weld County, Catholic Charities and Kids at Heart are all committed to inclusion, non-
discrimination and to providing equal access to services for all residents. Each organization
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welcomes all people, regardless of race, gender, age, economic status, physical or mental
ability, sexual orientation, familial status or faith. All three (3) organizations respect the
diversity of individuals and families served and have an expectation that employees, service
providers and community partners work together to demonstrate intentional and tangible
efforts which create welcoming and safe environment where all customers feel respected and
valued. Each organization is also committed to providing training and ongoing growth
opportunities for employees to continue to build an inclusive environment for employees as
well as program participants..
As mentioned previously, the WCDHS has several staff members who are bilingual. Catholic
Charities also has a case manager and serveral staff who are bilingual. The WCDHS team
members participate in ongoing diversity training and are expected to uphold the County core
competency of Diversity. They are evaluated annually on this competency and are provided
additional opportunities for training and education as necessary. Throughout the 17 years
prevention program has existed, there have been no situations where a family who wanted
services could not be served because of a language barrier.
In addition to the ongoing Parent Caf�s proposed as a part of this program, the Family
Resource Director is working with the Weld County Faith Partnership to collectively offer a
community Father's Caf using the Be Strong Families fatherhood curriculum.
5. Provide an example of when the applicant integrated a two generation approach to
serving families.
Since its inception, a primary focus of the Prevention program has been to engage and
partner with families to ensure the needs of multiple generations are met within each
household. Prevention is currently working with a family in which the two (2) children are
in permanent custody of their grandfather. The family was referred for prevention services by
Child Welfare after the grandfather reached out to a previous caseworker asking for
assistance with obtaining services for one (1) of the children as well as financial assistance.
The Community Case Manager working with the family has been able to connect him with
ongoing Kinship TANF and supportive services for housing assistance, local veterans
resources, tribal supports for the children and therapeutic support for the entire family.
6. Describe one example cf the applicants experience promoting protective factors in
previous programming.
As described previously, the WCDHS and Catholic Charities have many years of experience
promoting the protective factors through the implementation of intensive case management,
Parent Cafes and Nurturing Parenting. Previous PSSF Services have been focused on
leveraging the protective factors to stabilize families and to support families so they can
meet their children's' needs_
7. Provide one example detailing your experience collecting complete and accurate data
including your organization's data integrity protocols, quality assurance process and
timely data entry assurance.
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The Family Resource Division Head and Family Resource Supervisor are prepared to take on
the responsibility of ensuring data entry reporting protocol is achieved. A second part-time
Community Case Manager has been added to the PSSF grant proposal in order to have
another staff member sharing in the data entry required for the program. In addition, a
Adoption Support and Resource Coordinator will be trained (not paid for using PSSF
funding) to input data from Parent Cafes and Respite activities into the PEC data system. In
addition, the Case Manager and Case Management Supervisor at Catholic Charities hold
responsibility to input data from the clients they serve through intensive case management
and support group activities into the OEC reporting system.
8. Collaboration: Provide one example where your organization has collaborated with a
partner to support families in your community. Describe how your organization will
ensure collaboration regarding sharing information on PSSF program opportunities,
eligibility requirements, and referral process
Coordinated and strengths -based case management is focused on family engagement and
relationships between family members and their Community Case Manager. It involves
collaboration with community service providers and systems of care to provide coordinated
and streamlined support to families. The focus is on leveraging services and resources to
enhance existing strengths in order to overcome barriers and challenges.
An example of a family who was referred to Prevention by Child Welfare came to us in
2018 after the eight (8) -year old male had been detained by law enforcement because he was
wandering the neighborhood alone. His aunt had been watching him and he had left out the
window of the home looking for food. When the Community Case Manager met with mom
it was discovered that her son had extensive medical needs which made him believe he is
always hungry. He was also cognitively delayed. Mom was working really hard to meet all of
his medical needs but felt his emotional and behavioral needs were increasing. He had
recently demonstrated more explosive behaviors and was starting to become aggressive. As
a single parent with other children in the home, mom was relieved to be offered assistance by
the Prevention team.
The Community Case Manager helped mom apply for Medicaid waivers through the local
Community Centered Board (CCB) and immediately connected the family with a nurse
support program and a care coordinator through the Medicaid Regional Accountable Entities
(RAE). At the same time, the Community Case Manager facilitated multiple meetings with
mom, the RAE, Health Care Policy and Financing (HCPF) and the child's educational
supports to ensure he was receiving coordinated and appropriate medical and mental health
care. The family was connected to Applied Behavior Analysis therapy, Occupational
Therapy, Physical Therapy, and Speech as well as other supportive services through the
Children's Extensive Support Waiver (CES waiver). Additionally, he was able to attend
school at a day treatment facility. Though he would have periods of stability, it was clear his
needs were continuing to escalate, and his behaviors often required hospitalization to
maintain safety. The team, led by mom, began working together to explore options for a
specialized medical residential provider who would accept him through the Children's
Page 10 of 12
Habilitation Residential Program Waiver (CHRP waiver). Ultimately, a therapeutic group
home was secured and without child welfare intervention, mom was able to place him
through the CHRP waiver. The Community Case Manager continues to support the family as
they adjust to his new living situation and develop new routines of visits and time together.
9. Program History: Provide one example of how you have successfully administered
programs including meeting deadlines, working within budget constraints and
providing program and client data to funders.
The WCHDS is currently a recipient of Community Services Block Grant (CSBG) funding,
which we have received consistently since 2011. This project is a part of the Family
Resource Division. CSBG is used to provide emergency supportive services, to include rent,
utility, clothing and health services to individuals and families struggling with basic needs
and to stabilize, maintain, or improve the self-sufficiency of the household. The CSBG
program is a part of our Community Outreach team within the Family Resource Division. In
addition to the provision of supportive services, Service Coordinators assist individuals in
applying for public benefits and assess for potential opportunities to refer for ongoing case
management and care planning. Service Coordinators also make referrals to other community
resources to support housing stability, youth aging out of foster care, seniors, disabled
individuals, and families needing extra support to ensure quality living in the least restrictive
setting. The WCDHS has successfully administered the CSBG program and meet all
application, budgeting, data tracking/reporting, and bi-annual reporting requirements. This
grant has been administered by the Outreach Manager since its inception and this consistency
has been helpful in the provision of efficient, effective, and responsive services to members
of our community.
10. Budget:
Match requirement: The WCDHS, Catholic Charities and Kids at Heart understand the in -
kind match and non -reimbursable requirement of 30%. This requirement will be met using
in -kind operations expenses, private donations, and non -federally funded administrative
expenditures from all three partner organizations.
11. Please provide additional details about your organization, community, ability to serve
families or any information you feel is important related to this solicitation that we have
not already asked?
The Family Resource Division and Prevention team remains steadfast in our commitment to
engage families using a strengths -based, family driven service model aimed at building
protective factors and strengthening families. Based on the needs and values identified by
and with the client, the Community Case Manager connects clients with appropriate
providers and resources throughout the community. Key components of the program include:
• Relationship building
• Advocacy and empowerment
• Completion of a strengths and needs assessment
• Identification of goals
Page 11of12
• Development of a family service plan with prioritized action steps and strategies to
overcome barriers
Community Case Managers spend time with the family, planning how to maximize resources
to garner effective family outcomes. They also facilitate communication and coordination
between involved systems of care to minimize fragmentation and duplication of services.
The WCDHS Prevention team has served over 3,000 families since 2004. If funding for this
proposal is awarded, the CCR program will again be offered in conjunction with existing
child abuse prevention programming.
Exhibit A — Sample State Contract: Requested Modification
The WCDHS respectfully requests modification to the three (3) indemnification clauses on
pages 20 and 21 of the State contract (general, confidential info, and intellectual property). It
is proposed that the following language added to the end of each clause, "...unless the
contractor is a public entity."
The Weld County legal department has advised us to propose this additional language as
indemnification is difficult/impossible for public entities because of appropriation
requirements. For your reference, this additional language has been noted utilizing track
changes on the attached Exhibit A — Sample State Contract: Requested Modification.
Page 12 of 12
Exhibit B
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES (PSSF)
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
315 NORTH 11TH AVENUE
PO Box A
GREELEY, CO 80631
SUB -CONTRACTOR:
CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESE OF DENVER
WELD COUNTY REGION
1442 NORTH 11TH AVENUE
GREELEY, CO 80631
MAY 20, 2021
Page 1 of 20
Exhibit B
INTRODUCTION/BACKGROUND
The Promoting Safe and Stable Families (PSSF) program resides in the Family Strengthening Unit of the Division of Community and Family Support (DCFS)
within the Office of Early Childhood (OEC). The OEC provides collaborative leadership to align resources for children, families, and early childhood
professionals to best prepare Coloradoans for future success through access to coordinated and quality early childhood programs and family supports. The OEC
operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to
opportunities where they can learn and grow. We insist on the highest quality early childhood experiences with a firm commitment to family and community."
The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family support
services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following
objectives:
• To prevent child victimization among families at risk through the provision of supportive family services.
• To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems can be
addressed effectively.
• To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in
accordance with the Adoption and Safe Families Act of 1997.
• To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20
percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for
Children and Families (ACF).
SCOPE OF WORK (INTENSIVE CASE MANAGEMENT)
Intensive Case Management Services will be provided by the Weld County Department of Human Services (WCDHS) to residents of Weld County and by
Catholic Charities to residents of Guadalupe Community Center Shelter and residents of the Permanent Supportive Housing Project. The Catholic Charities Case
Manager will consult and coordinate provision of services with the WCDHS when a Guadalupe resident is also receiving services through the WCDHS.
The Weld County Department of Human Services (WCDHS) and Catholic Charities share the goals of maintaining the unity of families, advocating for services
for families while keeping children safe, and fostering stability in children's living arrangements. Through a blend of preventive services and crisis intervention
management, all services are intended to stabilize families to ensure the well-being of their children by preventing future abuse/neglect and building safe, healthy,
and nurturing environments for children.
The WCDHS and Catholic Charities will provide comprehensive voluntary case management and advocacy services for families who self -refer or who are referred
by community partners, such as schools, juvenile justice entities, therapists and other family serving organizations, as well as families reported to child protective
services but screened out and/or closed after initial assessment/ These services will increase enrolled families' protective capacities by promoting individual,
Page 2 of 20
Exhibit B
family, and community strengths; and will address the linlcbetween poverty and child maltreatment by connecting enrolled families to vital economic and other
support services. Assessments of parents' goals and their need for skill development along with assessing psychosocial and economic challenges will help families
determine their needed and requested services. Wraparound services and community mental and physical health services will be used along with case management
support to address challenges faced by parents so that theycan provide a safe, nurturing, and stable home for their children. Children may be referred for
assessments to identify and address the child's psycho -social, physical, and educational needs. By partnering with families in the early stages of child maltreatment
risk, a broader and richer child abuse prevention service continuum exists in Weld County.
The core of this project will be to strengthen and stabilize families to prevent risk of harm to children when they are homeless and reduce the need for out -of -home
placements. Families will be provided Intensive Case Management Services upon entering the Guadalupe Community Center Shelter as a resident in our goal
orientated Extended Stay Program and throughout their shelter stay. Families reside at the Guadalupe Center four to five months with a goal to transition back to
the community with housing and economic stability. A safe and stable home is critical to a family's wellbeing and the emotion and physical development of a
child.
The families who are tenants of the Permanent Supportive Housing Apartments were homeless prior to obtaining housing through Catholic Charities Guadalupe
Campus. Homeless families often experience domestic violence, and children may experience sexual abuse, lack of stability and predictability and various forms
of trauma including abrupt separations for their parents, placements with strangers and lack of school stability.
Homeless families and their children are at risk of increased stress and household instability and can benefit from Intensive Case Management Services to increase
stability to their lives and address their children's needs resulting from a lack of a stable home, relationships, and nurturance. Some of these families will be
dealing with serious and long-term physical disabilities, physical challenges, mental health and substance abuse disorders, and developmental issues.
The Guadalupe Shelter provides Weld County's only overlow and emergency shelter for homeless families when other shelters are full. Families receive
emergency triage service, safe shelter, meals and attention to immediate needs of the children. Transition support and planning are provided until a safe housing or
shelter plan can be finalized. During this time, short term intensive case management can be critical to keep children safe, minimize the danger of abuse and
support the parents through this crisis.
The WCDHS, in partnership with Catholic Charities, will provide intensive coordination of community -based supports (case management, social capital
opportunities and flex funding) based on family identified goals. Through case management utilizing the PSSF Intensive Case Management model (PSSF ICM),
caregivers will demonstrate increased skills in the protective factors and confidence so they can better address stressors, self -advocate, become self-sufficient, and
increase their knowledge of how to access benefits and resources. Families will be provided resources and training to further develop their skills.
PERIOD OF PERFORMANCE
October 1, 2021 through September 30, 2022
Families will work with a Community Case Manager or Catholic Charities Case Manager for up to six (6) months. There will be a short assessment period in
which a service plan and goals will be developed for families utilizing the PSSF ICM model. Families will be provided community and Human Services resources
and will be offered Family Team Meetings (FTM) to further assist in the development of a service plan. They will complete a pre -assessment within the first two
(2) weeks of contact and will complete a post -assessment to evaluate their successes with the Colorado Family Support Assessment (CFSA) 2.0.
Page 3 of 20
Exhibit B
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS,
AND MILESTONES
};�S y y��Y��, a r - i
i��,
' s,. # f °'"Y�a n �.: t . r� Rl -'
Outcome statement: Clients will demonstrate increased
life skills and confidence so they can bettor address
stress€irs, self -advocate, become self-sufficient, and
increase their knowledge of how to access benefits and
resources r t &/"» i �yj k�[:
}F f . e r . ,t
t ��,n tk ; vII. ��.i3' o-i .At S 9 �'y' 3Z t
�� ,� ' d � �
��t.`
The Weld County Department of
management utilizing the PSSF
Guadalupe campus. Case Managers
assessment using the Colorado Family
Survey. WCDHS will see a reduced
Community or Catholic Charities
This partnership will allow collaboration
crisis or at risk of involvement in
and knowledge to improve their
Human Services (WCDHS) will provide 40 families
with intensive case
to another 15 families on their
to complete a pre- and post -
the Protective Factors
system when they work with a
services to families who are in
.
these families will gain skills
ICM_ Catholic Charities will provide PSSF ICM
from both organizations will work with families
Support Assessment (CFSA) 2.0 which incorporates
number of families entering the Child Welfare
Case Manager.
in providing community based supportive
PP
the child welfare system. Through the PSSF ICM,
overall well-being and household stability.
Key Activity A: Intensive Case
Management
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget Category
Completion of Intake with
family
To be
completed
within 5
working days
of referral
assignment
Case Managers
caregivers
Prevention
Intakes
will meet with
face to face to complete the
Services intake form.
may be conducted at the
home, in the community or at
office.
Intake information and completion date will
Community Case
Managers
Catholic Charities
Case Manager
Personnel
be documented as required in the Office of
Early Childhood (OEC) database
Services -
Family
Preservation
and Family
Support
client's
the WCDHS
Completion of the CFSA 2.0
tool
To be
completed
within the 2nd
Case Managers will work with the
family to evaluate their individual
strengths and needs using the CFSA
2.0 as a focal point for services.
Family engagement includes goal
setting and outlining action steps for
families and Case Managers.
CFSA 2.0 —Pre- and post-test will be used to
focus the family plan, with families showing
an improvement in a minimum of two (2) of
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
face to face
contact, within
one (1) — three
(3) weeks of
case opening.
the 11 areas of focus.
Family Engagement Meeting
Initiated during
or following
the intake
process
continued again
every 30-90
days.
Family Engagement Meetings (FEM)
are designed to convene family
members and relevant family and
professional supports to develop and
review the comprehensive support
plan for the family.
Review progress of activities set for
completion of goals and action steps during
each meeting. FEMs will be documented in
OEC database in service activity section.
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Page 4 of 20
Exhibit B
Ongoing Contact
Weekly face to
face contact for
the first three
(3) months and
continued as
needed for the
duration of the
case
Ongoing face to face and other
contacts via phone, email or text with
the family occur to initiate and
monitor serv_ces necessary to support
family goals_
Face to face contacts to occur in person or
virtually as requested by the family. Contacts
will be documented in the OEC database in
service intensive case management section
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Emergency Supports
As indicated
and
documented in
family plan
Flex finding can be used to address
concrete economic needs which
support fami y stability when no other
formal and informal resources are
available.
Flex funding needs are documented in the
family plan and are reported through monthly
invoicing. Requests are submitted by Case
Managers to Weld County Human Services
Community Case
Managers,
Catholic Charities
Case Manager,
and Family
Resource Director
Supplies and
Operating
Expenses
Funds Distribution Group and the Family
Resource Director for review and Approval.
Resource Navigation and
Advocacy
Ongoing
throughout the
lifetime of the
open case
Case Manager to provide resource
information and referral to community
programming which may meet the
goals and ob: ectives of the family as
needed to support family stability and
well-being.
Resource and referral information will be
documented and tracked in the case notes in
the OEC database.
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Transition stage
Completed
prior to or at
case closure
(typically 3-6
months).
Case Manager will work with the
family to initiate their transition plan.
Case Managers will complete the transition
stage with the families served. 45% of
families will complete all aspects of their
agreed upon goals set through Intensive Case
Management
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
SCOPE OF WORK (KINSHIP, ADOPTION AND FOSTER CARE PARENT EDUCATION AND SUPPORT GROUPS)
Parent Caf� Support Groups: Through individual self -reflection and peer to peer learning, participants explore their strengths, learn about the Protective Factors,
and create strategies from their own wisdom and experiences. The goals are to strengthen families, protect children from abuse and neglect, and preserve
permanency for families by enhancing caregivers' ability to meet the emotional, developmental, and educational needs of their children. Parent Caf�s are skill -
based and informational but will also help caregivers reduce social isolation and develop new support systems and social connections.
Children's Groups: The goal is to offer a safe and supportive environment where children have the opportunity to learn new ways to cope with conflicts and stress
in their lives including the challenges which may arise from being separated from birth parents and in the care of foster, kinship or adoptive parents. Fun activities,
educational games and play will enhance group participation. The children's groups take place concurrent to Parent Caf�'s.
Parent Caf�s will be facilitated by staff from Catholic Charities and the WCDHS. Community experts will be brought in to present to the group on evidenced
based parenting education, the impacts of trauma, and tools and techniques for parenting children who have experienced trauma. The goal is to equip caregivers
with tools to manage children's behaviors, understand child development, and improve caregiver/child relationships.
Page 5 of 20
Exhibit B
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
f;utcome statement: The Parent
will strive to enrich parenting skills,
relationship building and connection
Cafe Support Groups
encourage
with other kinship,
and strengthen the
the goal of
further out
-of -
Parent Cafe pre and post-tests will measure the changes in each caregiver's expectations and the program will use
tools and techniques to help child behavior and regulation and enhance the parent/child relationship.
adoptive and foster caregivers
caregiver/child relationships with
establishing permanency and avoiding
home placement
Key Activity A: Kinship, Adoption
and Foster Care Parent Education and Support Groups
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget Category
Plan and conduct monthly
Parent Caf� support groups
for families
Monthly
Catholic Charities and the WCDHS
will plan the focus of each group
utilizing the Parent Caf� model and the
Protective Factors.
Up to 50 families will be served through these
groups throughout the grant cycle. 50% will
have demonstrated new parenting skills, self-
reported improved communication and
connectedness with other Parent Cafe
Family Resource
and
Adoption
Promotion
and Support
(APS),
Personnel
Supervisor
Catholic Charities
Case Manager
Director of Case
Management
families. Families will be able to identify at
Services -
Family
Preservation
and Family
Support
least two (2) community resources that can
further assist in times of need.
Plan and conduct monthly
Children's Groups to
coincide with Parent Cafes.
Monthly
Using the
Nurturing Parenting
as a guide, develop
group activities designed to
communication, social and
skills for children in kinship,
adoptive homes.
Up to 50 children will participate in
children's groups throughout the grant cycle.
Family Resource
Supervisor
Catholic Charities
Case Manager and
Director of Case
Management
APS,
Personnel
Services -
Family
Preservation
and Family
Support
curriculum
children's
strengthen
coping
foster and
Page 6 of 20
Exhibit B
Work Plan
Key Activity B: REPORTING AND PERFORMANCE MONITORING
Tasks ..
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
; Category
PSSF sites will comply with
Colorado Department of
Human (CDHS) data
collection methodology
system. Data reports will
show tasks/activities
completed to align with
designated outcomes and
measures of services
provided.
10/01/21-
09/30/2022
Data onall PSSF services/activities will be entered into
OEC data -system.
• Completion of PSSF intake form in Salesforce or
Required data will be entered
into OEC data -system within
five (5) working days of
completing a task or activity
(i.e. intake, goal setting, PSSF
services, case management
notes, referral for services, flex
funding, instrumentation tools
including CFSA 2.0 or
assessment tools are identified
and dates of pre/post and
included).
Weld County
Department of
Human Services
Personnel
Services
entering other intake tool completion date in
designated fields.
• PSSF program staff will set goals with families
engaged in PSSF services, goals are identified on goal
setting sheet or designated goal fields, including status
of goals.
• CFSA 2.0 assessments completed with families
participating in services. Required for intensive case
management services; or family preservation/support
category families without an open Child Welfare
involvement or receiving more than six (6) total hours
of PSSF services required.
• Protective Factors Survey
• PSSF services — each family with an open PSSF case
should be receiving at least one (1) service. Services
should include activities related to the service,
indiidual(s) participating in the service, and service
area identified.
• An assessment for each service should be documented
with pre/post-dates and name of assessment in
designated fields.
• Flex funds — Only if included in the approved budget,
can be provided only to families that have an open
PSG' service. Flex funds are only provided to support
the family goals.
Page 7 of 20
Exhibit B
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget Category
Invoices/ Expenditure
reports
Required
monthly or
when
requested.
10/01/21-
9/30/22
Invoices/Expenditure reports must be submitted on a
monthly basis to CDHS on the PSSF Invoice Template
provided by the Office of Early Childhood to the invoice
email: cdhs_oec invoicingAstate.co.us
Contractor will submit all
invoices/expenditure reports by
the 20th day of each month.
Final billing for each fiscal year
must be submitted by October
3rd.
Weld County
Department
of Human
Services
Personnel
Services
Work Plan
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget Category
Submit programmatic
reports to CDHS.
Report templates will be
provided or created in
Salesforce.
When
requested.
10/01/21-
9/30/22
Reports will be submitted according to CDHS timeframes
and include all requested information.
Reporting templates will be provided by the PSSF
Program Manager
Reports will be submitted to
CDHS twice per year during
the federal fiscal year. The first
report is due on the last
business day of April each year.
The final report is due on the
last business day of October
each year.
Weld County
Department
of Human
Services
Personnel
Services
PSSF Programs will run
reports and monitor
outcomes using OEC data-
system
Quarterly or
when
requested
10/01/21-
9/30/22
Reports will be reviewed in the CDHS data -system to
ensure performance targets are being met.
Reports will be submitted to
CDHS on quarterly basis or as
needed by the program.
Report
templates will
be created by
State
Program
Administrator
Personnel
Services
, and
accessible by
Supervisor in
each site.
Page 8 of 20
Exhibit B
Work Plan ,M
Key Activity C: Program Evaluation
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget Category
PSSF program staff will
complete program trainings
as recommended or required
by CDHS.
PSSF site will send at least
one (1) person per site to the
biennial Strengthening
Families Conference and the
biennial PSSF program
grantee meeting.
10/01/2021-
09/30/2022
PSSF program staff will complete trainings
necessary/pertinent for program delivery.
Participation it conference and grantee meeting.
Staff attendance or documented
information regarding
PSSF
Program Staff
Travel
completion for recommended
or pertinent trainings, which
may include but is not limited
to Motivational Interviewing,
CFSA 2.0, Strengthening
Families, Financial Health,
mandated reporter, CDHS data
system training for users, and
other required certification
trainings related to services
being provided by the PSSF site
to meet model fidelity. (i.e. if
providing Nurturing Parenting,
you must have a certified
trainer)
CONFIDENTIALITY
PSSF Provider Agencies and its employees will not access the OEC data system for any purpose other than in the performance of providing PSSF services as
outlined by this contract or subcontract. the PSSF Provide: Agency and its employees agree to only access those areas of the OEC data system necessary to
perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during
performance of PSSF services.
Page 9 of 20
Exhibit B
SCHEDULE/MILESTONES
Through the work of intensive case management, the WCDHS and Catholic Charities will provide supportive case management services to a minimum of 55 Weld
County families. Services are voluntary, with a goal of increasing family well-being, reducing crisis and to preserving intact families.
Family service plans are designed in partnership with the family to address these goals. 45% of families served by the WCDHS will successfully complete the
goals and objectives created on their initial service plan.
Another goal is to reduce the number of families who enter or re-enter the child welfare system. Less than 5% of all families served through all PSSF 1CM will
enter or re-enter the child welfare system by the end of the grant cycle.
80% of families receiving PSSF ICM through Catholic Charities will exit Guadalupe Community Center Shelter with income and sustainable housing.
90% of the families in the Permanent Supportive Housing Project will remain stable in their housing for a period of at least one (1) year.
Pre- and post-tests will demonstrate that families acquired and use new skills related to child management and the strengthening of their parent/child relationships.
40% of families who participate in Parent Caf�s will participate for at least six (6) months. Caregivers will report they have learned and are utilizing at least three
(3) new techniques to help children with self -regulation and positive behavior as well as three (3) new methods to improve communication and relationships.
ACCEPTANCE CRITERIA
The referral process for all PSSF services may be initiated through self -referral, community referrals from schools, juvenile justice entities, therapists and other
family serving organizations, as well as from child welfare for families reported to child protective services but screened out and/or closed after initial assessment.
Community Case Managers and the Catholic Charities Case Manager will review and track all referrals. They will work together to collect and document all
required data for program evaluation and tracking.
The acceptance of all deliverables will reside with the OEC through the PSSF Program. " _ "he designated program manager will monitor all deliverables in order to
ensure the completeness of each stage of the project and that the scope of work has been met. I _ he OEC program manager will either sign off on the approval, or
reply to the vendor, in writing, advising what tasks must still be accomplished.
County PSSF agrees to comply with all data process and tolls to provide the OEC with any and all requested data. The PSSF advocates will submit written
quarterly reports to the PSSF Program Manager that will include data statistics, client satisfaction forms and any anecdotal information as they collect this. County
encourages any site visits to occur and will comply with any visits that are requested. Upon being awarded the PSSF grant, County will develop and implement a
Memorandum of Understanding (MOU) between County and the Adoption agency to provide additional case management supports to adoptive families.
Page 10 of 20
Exhibit B
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES (PSSF)
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
315 NORTH 11TH AVENUE
PO Box A
GREELEY, CO 80631
SUB -CONTRACTOR:
CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESE OF DENVER
WELD COUNTY REGION
1442 NORTH 11TH AVENUE
GREELEY, COLORADO 80631
MAY 20,2021
Page 11 of 20
Exhibit B
INTRODUCTION/BACKGROUND
he Promoting Safe and Stable Families (PSSF) program resides in the Family Strengthening Unit of the Division of Community and Family Support (DCFS)
within the Office of Early Childhood (OEC). The OEC provides collaborative leadership to align resources for children, families, and early childhood
professionals to best prepare Coloradoans for future success through access to coordinated and quality early childhood programs and family supports. The OEC
operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to
opportunities where they can learn and grow. We insist on the highest quality early childhood experiences with a film commitment to family and community."
The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family support
services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following
objectives:
• To prevent child victimization among families at risk through the provision of supportive family services.
® To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems can be
addressed effectively.
To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in
accordance with the Adoption and Safe Families Act of 1997.
To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20
percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for
Children and Families (ACF).
he PSSF prevention and support efforts within Weld County will continue to enhance long-teini collaborative programs and services provided by Catholic
Charities and the Weld County Department of Human Services (WCDHS) to relative caregivers/kinship parents and their children through case management,
group support and training. _be COVID-19 Pandemic and resulting service delivery changes to remote communication provided an opportunity to pause and
reevaluate what best meets the needs of our kinship families. As a result of this assessment and in response to customer voice, in addition to the ongoing monthly
Parent Caf�s and case management services for residents of the shelter, Catholic Charities will offer a second Kinship Support and Education Circle every other
month, Children's Programs, Case Management, and a bi-monthly Kinship Newsletter to information pertinent to the often -unique needs and challenges of kinship
families.
SCOPE OF WORK (KINSHIP SUPPORT)
The PSSF prevention and support efforts within Weld County will continue to enhance long-term collaborative programs and services provided by Catholic
Charities and the Weld County Department of Human Services (WCDHS) to relative caregivers/kinship parents and their children through case management,
group support and training. '_'he COVID-19 Pandemic and resulting service delivery changes to remote communication provided an opportunity to pause and
reevaluate what best meets the needs of our kinship families. As a result of this assessment and in response to customer voice, in addition to the ongoing monthly
Parent Caf�s and case management services for residents of the shelter, Catholic Charities will offer a second Kinship Support and Education Circle every other
Page 12 of 20
Exhibit B
month, Children's Programs, Case Management, and a bi-monthly Kinship Newsletter to information pertinent to the often -unique needs and challenges of kinship
families.
Kinship Support and Education Circle: The goal is to focus on child and family development, protection of children, and permanency. this group will arm kinship
providers with the parenting tools and confidence needed to meet the emotional, developmental, and educational needs of the children in their care. Caregivers
with enhanced skills and understanding of how to manage challenging behaviors will be less likely to utilize strategies that could be considered abusive or the
cause of further harm to the child(ren), risking their stability in the kinship home. Phis group will be informative; however, it will also provide increased
opportunity for the kinship caregivers to direct the group program in a less structured setting. Caregiver requests will determine the schedule of topics and there
will be time for sharing a meal and friendship building. In addition, Catholic Charities will continue to collaborate with the WCDHS on monthly Parent Caf�
Support Groups. Both groups are designed to reduce social isolation, develop new support systems, and build social connections.
Children's Programs: the goal is to offer a safe and supportive environment where children can learn new ways to cope with conflicts and stress in their lives,
including challenges which may arise from being separated from birth parents and in the care of grandparents or other relatives. Fun, developmentally appropriate
activities, educational games, and play will also enhance children's experience of participating in the group. These programs will be offered concurrent to both
Kinship Support Groups.
Case Management: In addition to the intensive case management offered in collaboration with WCDHS, Catholic Charities will offer case management to kinship
families who are involved in either support group. One on one support sessions and home visits will be offered to Kinship Parents who would like to receive
additional support and/or education. These case management services will be available as a part of a continuum of short-term problem solving sessions and the
provision of referrals for additional services to more intensive case management when requested and determined through the completion of a Colorado Family
Support Assessment (CFSA)2.0 and Protective Factors Survey with follow-up strength and barriers assessment.
Kindship Newsletter: Will be created and produced by Catholic Charities with input and information contribution from the WCDHS. he Newsletter will be sent
electronically and via mail every other month to all kinship families involved with Catholic Charities and the Weld County Department of Human Services.
PERIOD OF PERFORMANCE
October 1, 2021 -September 30, 2022. The Parent Caf� will be held monthly, the Kinship Support and Educational Circle will be held every other month and the
newsletter will also be produced every other month.
WORK PLAN
Work Plan
OUTCOMES, :'C:ENCH MARKS, AND MILESTONES
Outcome statement: The Kinship Support and
Education Circle and supplemental case
management services will strive to enrich parenting
skills, encourage age -appropriate developmental
expectations, and strengthen caregiver/child
Pre and post Protective Factor surveys will be used to measure the changes in each parent's expectations
and the program will use Nurturing Parenting tools and techniques to manage child behavior and enhance
the parent/child relationship.
Page 13 of 20
Exhibit B
relationships with the goal of supporting
permanency and avoiding further out -of -home
placement
The Kindship Newsletter will be informational and
case management will be caregiver requested and
assessment determined.
A modified version of the Parent Caf� Assessment pre-test and assessment will be conducted at the
beginning of the new working group and then repeated at 12 months to determine progress toward goals
for the group.
Key Activity A: Kinship Support
Tasks
Time Period
Deliverable
Measurement
Persons} Responsible
Budget Category.
APS-Contrator
Plan and help facilitate
Parent Caf� with
WCDHS.
Monthly
Implementation of the Parent
Caf� Support Group model
Parent Caf� pre and post test
tools.
Director of Case
Management and Case
Manager for Catholic
Charities.
Plan and facilitate
Kindship Support and
Education Circle. Also
arrange for expert
presenters.
Bi-Monthly
Social connection events with
opportunities to build
relationships and as well as learn
from requested presentations.
Modified Parent Caf� pre and
post test tools.
Director of Case
Management and Case
Manager for Catholic
Charities.
APS-Contractor
Plan and facilitate
Children's Programs in
conjunction with
WCDHS.
Coincides with
parent groups
Opportunities to connect with
other children living with kin.
Learn new tools for coping with
conflicts, loss, and stress.
Developmentally appropriate
satisfaction survey for
children old enough to
provide feedback
Director of Case
Management and Case
Manager for Catholic
Charities.
APS-Contractor
Provide one on one
Support and home visits
to kinship caregivers
Short term or
more extensive
services, up to
six (6) months.
Short term support, referral and
information or more intensive
case management beginning
with competition of CFSA 2.0,
assessment and goal setting.
CFSA 2.0 pre and post
service survey.
Director of Case
Management and Case
Manager for Catholic
Charities.
APS-Contractor
CONFIDENTIALITY
PSSF Provider Agencies and its employees shall not access the OEC data system for any purpose other than in the performance of providing PSSF services as
outlined by this contract or subcontract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data system necessary to
perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during
performance of PSSF services.
SCHEDULE/MILESTONES
Seventy-five percent (75%) of families who participate in the Kinship Support and Education Circle, Children's Programs, and supplemental Kinship Case
Management will report they have learned and are utilizing at least three (3) new parenting techniques and tools to encourage developmentally and age appropriate
behavior as well as three (3) strategies in strengthening the parent/child relationship.
Page 14 of 20
Exhibit B
ACCEPTANCE CRITERIA
The acceptance of all deliverables will reside with the WCDHS. The designated program manager will monitor all deliverables in order to ensure the completeness
of each stage of the project and that the scope of work has been met. 'l _ he PSSF Program Coordinator or Manager will either sign off on the approval, or reply to
the vendor, in writing, advising what tasks must still be accomplished.
Page 15 of 20
Exhibit B
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES (PSSF)
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
315 NORTH 11TH AVENUE
PO Box A
GREELEY, CO 80631
SUBCONTRACTOR:
KIDS AT HEART
6501 BRITTANY STREET
FORT COLLINS, CO 80525
MAY 20, 2021
Page 16 of 20
Exhibit B
INTRODUCTION/BACKGROUND
the Promoting Safe and Stable Families (PSSF) program resides in the Family Strengthening Unit of the Division of Community and Family Support (DCFS)
within the Office of Early Childhood (OEC). The OEC provides collaborative leadership to align resources for children, families, and early childhood
professionals to best prepare Coloradoans for future ;uccess through access to coordinated and quality early childhood programs and family supports. 1 _ he OEC
operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to
opportunities where they can learn and grow. We ins-st on she highest quality early childhood experiences with a firm commitment to family and community."
the purpose of this program is to enable States to de /clop and establish, or expand, and to operate coordinated programs of community -based family support
services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following
objectives:
To prevent child victimization among families at risk through the provision of supportive family services.
• To assure children's safety within the home aid preserve intact families in which children have been maltreated, when the family's problems can be
addressed effectively.
• To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in
accordance with the Adoption and Safe Famlies Act of 1997.
• To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Inrovaticn Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of_20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20
percent on Time -Limited Family Reunification, and ''20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for
Children and Families (ACF).
SCOPE OF WORK (RESPITE)
Kids at Heart is a non-profit agency that supports foss er, adoptive and kinship families as well as biological children of these families. Kids at Heart mobilizes
volunteers who provide direct support for foster and adoptive families who work hard to provide the love, safety and stability children need and deserve. '_he
agency welcomes all people, regardless of race, genthr, age, economic status, physical or mental ability, sexual orientation, familial status or faith history.
Kids at Heart began in 2001 when the congregation Lf Heart of the Rockies Christian Church shared in the experiences of a family going through the foster -to -
adopt process. "_`he church discovered the unmet neecs of the adoption and foster community. Often these families have little social support while they work to
heal the trauma children have experienced. _his is cite to both the restrictions of the foster care system and the difficulty in finding qualified care providers for
their children who often have troubled backgrounds. Kids at Heart is not a faith -based organization and there is no discussion of faith in the programs, among staff
or any mention when providing new or returning families with services.
Kids at Heart offers the following three (3) respite programs to foster, adoptive and kinship families: Fundango, Summer Day Camps and Teen Connect. `_hey are
expanding current programming into Weld County am.. a means to serve more foster, kinship and adoptive families.
Page 17 of 20
Exhibit B
Fundango is a respite program for all children of foster, adoptive, and kinship parents in Northern Colorado. Fundango events are currently held in Fort
Collins and in Loveland. Respite care enables adoptive, foster and kinship parents to take a safe, rejuvenating break to energize and regroup from the
often -challenging task of parenting kids who have experienced abuse, trauma and neglect. Fundango provides eight (8) hours of center -based respite each
month for approximately 30 children, it gives families a temporary relief from everyday tasks to help reduce stress, to support family stability, prevent
abuse and neglect, and minimize the need for out -of -home placement. Not only does Fundango provide respite, but it also allows kids to play with other
children who are in similar situations as their own.
Summer Day Camps (formerly Teen Camps) are one (1) -day activities for adoptive, foster and kinship teens ages 10-18. The events are held at a camp
that is off -the grid, pristine playground where children discover both the natural world and their own innate skills and confidences.1 _ he event is packed full
of adventures and activities that engage the children in skill -building, learning, reflection and growth. This program was developed in response to the
COVID-.l9 pandemic and may be adjusted to a multi -day camp when safe to do so according to County and State guidelines for community spread
The Teen Connect program is specifically designed to meet the needs of today's foster, kinship and adoptive teens. By meeting twice per month for
indoor rock climbing, the Kids at Heart staff facilitate open dialog and assist teens with developing life skills for adulthood. From goal setting and
achieving, overcoming obstacles, and supporting peers to cooking skills, problem solving techniques and making friends, this program helps to build self-
confidence, awareness and connections among teens with foster, kinship and adoptive backgrounds.
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement:
Foster, kin and adoptive
opportunity to engage
Foster, kin and adoptive
parents will use respite to provide themselves a break to reenergize
in fun and meaningful activities.
parents will complete surveys annually to measure their satisfaction
and to provide their children the
with the respite that they received.
Key Activity A: Fundango
Tasks
Time Period
Deliverable
Measurement
Persons)
Responsible
Budget
Category
Families will
voluntarily enroll in
our Fundango
program, completing
our intake process.
Ongoing,
monthly
Up to 300 children (duplicated) will
attend Fundango.
Family logs will be generated
and submitted after every with
each month's report.
Executive Director
Time -Limited
Reuinfication
(LTR), APS,
Family
Preservation and
Family Support
Families will
complete an end of
year survey.
December 2021
All families who attend Fundango
in 2022 will complete our end of
year survey.
We will achieve an overall
satisfaction score of 95%.
Executive Director
LTR, APS,
Family
Page 18 of 20
Exhibit B
Preservation and
Family Support
All school aged
children who attend
Fundango will
complete an end of
year survey.
December 2021
All school aged children who attend
Fundango in 2021 will complete our
end of year survey.
We will achieve an overall
satisfaction score of 95%.
Executive Director
LTR, APS,
Family
Preservation and
Family Support
All new volunteers
will receive a survey
after their new
volunteer training.
Ongoing
All new volunteer who complete
our volunteer training program will
complete our volunteer training
survey.
We will achieve an overall
satisfaction score of 95%.
Executive Director
LTR, APS,
Family
Preservation and
Family Support
All participating
volunteers will
receive an end of
year survey.
December 2021
All volunteers who volunteered in
2021 will complete our end of year
survey
We will achieve an overall
satisfaction score of 95%.
Executive Director
LTR, APS,
Family
Preservation and
Family Support
Key Activity B: Summer Day Camps
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Families will
voluntarily enroll in
our Summer Day
Camps, completing
our intake process.
April 2022
Up to 45 children (unduplicated)
will attend our three (3) Summer
Day Camps.
Family logs will be generated
and submitted after we have
completed our three (3) Teen
Day Trips.
Executive Director
LTR, APS,
Family
Preservation and
Family Support
Families will
complete an end of
program survey.
August 2021
All families who Summer Day
Camp will complete our end of
program survey.
We will achieve an overall
satisfaction score of 95%.
Executive Director
LTR, APS,
Family
Preservation and
Family Support
All children who
attend Summer Day
Camps will complete
an end of program
survey.
August 2021
All children who attend Summer
Day Camp will complete our end of
program survey.
We will achieve an overall
satisfaction score of 95%.
Executive Director
LTR, APS,
Family
Preservation and
Family Support
Key Activity C: Teen Connect
Page 19 of 20
Exhibit B
Tasks s..
• F r��
Time Period
- �.
Deliverable , �, '�' Y a ��
�r ,:,M�� a ..:,,
Measurement
Person(s)
Responsible
Budget
Category
Families will register
their teens (ages 13 to
18) for the scheduled
Teen Connect events.
Oct 2021 to Sept
2022
Up to 10 teens per event will be
eligible to attend. As COVID-19
restrictions change, additional teens
will be supported.
Family logs will be generated
after every event and submitted.
LTR, APS,
Family Preservation
and Family Support
LTR, APS,
Family
Preservation and
Family Support
CONFIDENTIALITY
PSSF Provider Agencies and its employees shall not access the OEC data system for any purpose other than in the performance of providing PSSF services as
outlined by this contract or subcontract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data system necessary to
perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during
performance of PSSF services.
SCHEDULE/MILESTONES
Kids at Heart will provide 12 Fundango events, October 2021 through September 2022, increasing the number of foster, adoptive and kinship families served in
Weld County. Documentation: Enrollment data and satisfaction surveys will be collected from families who participate.
Fundango will provide a much -needed respite program to Weld County adoptive, foster and kinship families. Documentation: Surveys will be provided tonew
families to complete when they start and again after they have used Fundango six (6) times. An overall satisfaction score of 95% will be achieved.
Kids at Heart will provide three (3) Teen Camp events during June, July or August 2022 to increase the number of foster, kinship and adoptive children served in
Weld County. Documentation: Enrollment data and satisfaction surveys will be collected from families who participate.
Kids at Heart will provide monthly Teen Connect events increasing the number of foster, kinship and adoptive children served in Weld County. Documentation:
Enrollment data and satisfaction surveys will be collected from families who participate. An overall satisfaction score of 95% will be achieved.
ACCEPTANCE CRITERIA.
The acceptance of all deliverables will reside with the WCDHS. The designated program manager will monitor all deliverables in order to ensure the completeness
of each stage of the project and that the scope of work has been met. The PSSF Program Coordinator or Manager will either sign off on the approval, or reply to
the vendor, in writing, advising what tasks must still be accomplished.
Page 20 of 20
Exhibit C
COLORADO
office of Early Childhood
(i4f pal eA t Ct Hurnent Seireze%
Contractor Name
Weld County Department of Human Services
Budget Period
October 1, 2021 - September 30, 2022
Project Name
Promoting Safe and Stable Families
Colorado Department of Human Services
Office of Early Childhood
BUDGET WITH JUSTIFICATION FORM
Program Contact Name and Title
Phone
Email
Julie Witkowski, Family Resource Director
970-400-6777
witkowjx@weldgov.com
Fiscal Contact Name and Title
Phone
Email
Lennie Bottorff, Senior Fiscal Advisor
970-400-6537
bottorllweldgov.com
aunties/Areas Served:
Weld County
PLEASE READ INSTRUCTIONS INC ..UDED IN TAB A OF THIS SPREADSHEET PRIOR TO COMPLETING TAD B TEMPLATE
Expenditure Categories
Personnel Services - Salaried Employees
FEY 2022
Cost Based on
Cost Based on
Cost Based on
Cost Based on
Percent of Time
on
Percent of Time
on
Percent of Time
on
Percent of Time
on
Total
Percent
Number of
Time -limited
Adoption
Family
Family Support
of Time
Total Amount
Position Title/
Description of Work and
Gross or Annual
Months on
Reunification
Promotion and
Preservation for
for Family
on
Requested from
Employee Name
Fringe Benefits Include: Please enter description
Salary
Fringe
Project
(TLK)
Support (APS)
Family Stability
Stability
Project
CDHS
Community Case
Manager/Giovanni Flores
Provides outreach, case management and Parent Cafe sz-pport grc-up
coordination/facilitation for families who may be at riskf enterirs or
who are exiting the child welfare system. Fringe benefit include health,
dental, life, FICA-OASKI, FICE-Med, Short and Long Terrrthisability_ and
$59,275
$20,746
12
$ -
$ -
$ 20,005
$ 20,005 I
50%
$ 40,010
County Retirement
Community Case
Manager/Jennifer
Shoemaker
Provides outreach, case management and Parent Caf� sE:-pport group
coordination/facilitation for families who may be at risKaT entering or
who are exiting the child welfare system. Fringe benefits include l fe,
FICA-OA<SKi, FICE-Med, Short and Long Term Disability a d County
$62,883
$13,284
12
$ -
$ -
$ 19,042
$ 19,042
50%
$ 38,084
Retirement
Family Resource Supervisor
Provides daily task supervision and general oversight of .rli case
management and Parent Cafe activities. Fringe benefits include life,
FICA-OASKI, ACE-Med, Short and Long Term Disability and County
12
$ -
$ -
$ -
$ -
$ -
Retirement
Family Resource Director
Provides oversight to the PSSF program of Weld Caunty_Tringe benefits
12
$ -
$ -
$ -
$ -
$ _
include health, dental, life, FICA-OASKI, FICE-Med, Short and Long Term
Disability and County Retirement
Employment Case Manager
Works in collaboration with the Community Case Managers and ti e
12
$ -
$ -
$ -
$
$ -
Catholic Charities Case Manager to assist clients with cafeer coachng,
job search as well as employment training and educatlor opportu cities.
12
$ -
$
$
$ -
$ 1
12
$ -
$ -
$ -
$ -
0%
$ -
.-
12
$ -
$ -
$ -
$
0%
$ -
Page 1 of 4
Exhibit C
12
$
-
$
-
$
-
$ -
L4
$
-
.. � �7x�'Fu...��l,�„� � ��M��r �
ota ¢¢P e. K e r �.� .,. •ces in di nge benefits)
$
-
$
-
aye
'1` 4
nq,�y�
�-�?�
$ 39,047
:.'f�.�
$
78,094
Page 2 of 4
Exhibit C
Contractors/Consultants (payments to third parties or entities)
FEY 2022
Time -Limited
Adoption
Family
Family Support
Total Amount
Reunification
Promotion and
Preservation for
for Family
Reqursed from
Name
Description of item
(LTR)
Support (APS)
Family Stability
Stability
CONS
Catholic Charities
Staff and supplies for PSSF ICCM, Parent Cafes, Kinship Support and Education Circle, Kinship Newsletter -See Tab C for
additional detail
$ 12,954
$ 36,187
$ 4%141
Kids at Heart
Staff and supplies for monthly Fundango respite events for kinship, foster and adoptive families -See Tab 0 for
additional detail
$ 7,877
$ 7,878
$ 7,878
$ 7,878
$ 31,511
$ -
-
-
Total Contractors/Consultants
$ 7,877
20,832
7,878
$ 44,065
$ 80:652
Travel
FFY 2022
Time -Limited
Adoption
Family
Family Support
Total Amount
Reunification
Promotion and
Preservation for
for Family
Requested from
Item
Description of item
(LTR)
Support (APS)
Family Stability
v
Stability
CDHS
Grantee Meetings and
Required Training for PSSF Program Staff -to include registration fee, per -diem rates for food, lodging, mileage and
other expenses related to their participation.
p
Strengthening Colorado
Families and Communities
Conference
$ 1,000
$ 1,000
$ 1,000
$ 1,000
$ 4,000
d
$ -
$
$ -
-
Total Travel
$ 1,t00
$ 1.000
• $ 1,000
, $ 1,
$ 4,000
Supplies & Operating Expenses
FPI 2022
Time -Limited
Adoption
Family
Family Support
Total Amount
Reunification
Promotion and
Preservation for
for Family
Requested from
Item
Description of Item
(LTR)
Support (APS)
Family Stability
Stability
CDHS
Flex Funding
Flex funding can be used to address concrete economic needs which support family stability when no other formal and
informal resources are available.
$ 4,000
$ 4,787
$ 8,787
Support Groups
Parent Cafe presenters, TBftI facilitator, training materials, location fee, childcare, and children's group activities
$ 4,000
$ 2,500
$ 6,500
$ -
$
$
$ -
$ -
$ -
Tr tai SUppity; & Oraera0ng Expanses
$ M
4,03
$ 500
$ 4, 787
$ 15,287
TOTAL DIRECT' COSTS
$ 8,877
$ 25,832
$ 54,425
$ 88,899
$ 178,033
MODIFIED TOTAL DIRECT COSTS (MTDC)
$ 8,877
$ 25,832
$ 54,425
$ 88,899
$ 178,033
Uniform Guidance § 200.68 - MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the
first $25,000 of each subaward. MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships
and fellowships, participant support costs and the portion of each subaward in excess of $25,000.
Page 3 of 4
Eithiblt C
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State indirect Cost rate is attached)
FFY 2022
Item
Description of Item
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
Negotiated Federal Indirect
$0
$0
$0
$0
$0
State indirect cost rate
$0
$0
$0
$0
$0
indirect rate:
10% de minimus rate of Modified Total Direct Costs
$ -
$ -
$ -
$ -
$ -
Total Indirect
$ -
$ u
$ W
$ n
$
TOTAL TIME -LIMITED REUNIFICATION (LTR)
$ L877
..TOTAL
ADOPTION PROMOTION AND SUPPORT (APS)
$ 25,8321
TOTAL FAMILY PRESERVATION FOR FAMILY
$ 54,4251
STABILITY
TOTAL FAMILY SUPPORT FOR FAMILY STABILITY
$ 88,899
reOTA-LA-pAcmitit R o EsTED FiZOM CDHS';
$ 178,033;
FFY 2022
PERCENTAGE OF BUDGET BY PROJECT
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Percentage
PERCENTAGE OF BUDGET BY
5%
15%
31%
50%
100%
PROJECT
Match Projection / Required Percentage of Total Budget Including Match:
[ 30%
$ 3,804
$ 11,071
$ .23,325
$ 38,100
$ 76,300
TOTAL BUDGE (INCLUDING MATCH)
$ 12,681
$ 36,903
$ 126,999
$ 254,333
$ 77,750
*Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.ug = 1.0)
Page 4 of 4
Exhibit C
COLORADO
Office of Laity Chadtu t
c',rx3& tfra of }S.i : an 5ssv+n,.s
Contractor r ame
Catholic Charities
Budget Period
October 1, 2021 - September 30, 2022
Project Name
Promoting Safe and Stable Families
Colorado Department of Human Services
Office of Early Childhood
RLJBCONTRACTOR BUDGET WITH JUSTIFICATION FORM
Program Contact Name and Title
Phone
Email
Cheri Anderson, Case Management Director
970-616-8601
candersonPcalenver.org
Fiscal Contact Name and Tide
Phone
Email
Coundes/Areas Served:
Weld County
PLEASE READ 1 STRUCTIONS i CLUDED IN TAB A OF THIS SPREADSHEET PRIOR TO COMPLETING TAB B TEMPLATE
E
Expenditure Categories
Personnel Services a Salaried Employees
FEY 2022,
Cost Based on
Cost Based on
Cost Based on
Cost Based on
Cost Based on
Percent of Time
on
Percent of Time
on
Percent of Time
on
Percent of Time,
oft
Total
Percent
Number of
Percent of Time
Tema -limited
tia'. -a
Family
Family Supt
of lime
Tamil Amount
Position Title/
Description o₹ Work and
Guess or Annual
Months on
on
Reunification
Promotion and
Preservation for
for Family
an
Request.ed from
Employee Name
What is Included in Fringe Benefits
Salary
Fringe
Project
Administration
(11R)
Support (APS)
Family Stability
Stability
Project
CDHS
Case Manager
Catholic Charities Case Manager providees intensive case management
to families receiving services on the Guadelupe Campus and to kinship
families living in the community. Services to kinship families include
group facilitation as well as intensive case management in their homes.
541,517
$9,549
12
$ -
$ -
$ 8,298
$ -
S 24,894
65%
$ 33,192
For at risk homeless families, intensive case management and referral
services will be provided to families at the Guadelupe Shelter who are
participants in the Extended Stay Five Month Goal Oriented Program or
emergency Triage shelter support annd services lasting from a few days
to multiple weeks.
Director Case Management
Supervises the Case Manager and may provide direct services to kinship
providers via support groups or intensive case management. Lead
producer of the Kinship Newsletter. Also handles Guadelupe shelter
intensive case management overflow when needed.
568,936
$15,855
12
$ -
$ -
$ 2,284
S -
$ 6,852
11%
$ 9,136
Childcare Assistant
Child Care Activities - 2 hours per month for 12 months. Provides safe,
supportive environment and learning opportunities while kinship, foster
and adoptive families are participating in support groups,
$1,248
$287
12
$ -
$ -
$ 384
$ -
$ 14S1
0%
$ 1,535
12
$ -
$ -
$ -
$
$
0%
$ -
12
$ •$
..
$ -
$ -
$
055
$ -
12
$ •$
-
S -
$ -
S -
0%
$ -
12
$
$
5
S
$
0°fa
$ _.
12
$ -
$ -
$ -
$ -
S -
0`Yo
$ -
Page 1 of 4
Exhibit C
12
$
-
$
-
5
-
5
-
$ _
0%
$ -
;:Total:Personnel,Services.,(incl djn fringe bed " s)
W
$
-
$
-
$ -
10,966
$
-
$ 32,897
- -
$ 431,063
Page 2 of 4
Exhibit C
Contractors/Consultants (payments to third parties or entities)
FFV 2022
Name
Description of item
Administration
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
.r
Y
$0
S0
$0
.
so
Total Contracts/Consultants
iM
S. S e
$ -
$ w
$ -
$
Travel
FFY 2022.
Item
t
Description of item
Administration
Time -Limited
Reunification
(LTl)
Adoption
Promotion and
Support (APS)
Family
, Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
$o
$0
So
so
Total Travel,
a
$
$ -
$
$
Supplies & Operating Expenses
FEY 2022
item
Description of Item
Administration
Time -Limited
Reunification
(LW)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
; Stability
Total Amount
Requested from
CONS
Child Care Activities,
Supplies
Supplies for Children's Group include arts and crafts supplies, games and puzzles
S 500
$500
Kinship Newsletter
Postage and Print Material
$ 100
$100
Support Groups
Cell Phone used to call and remind participants of upcoming groups and events
$ 210
$210
$o,
SO
$a
$0
So
o
$0
$0
$o
$a
$a
i
$0
$0
Total Supplies & Operating Expenses
�
$ 810 t
$ -
m
$ 810.
TOTAL DIRECT COSTS
$ -
$ -
$ 11,776
$ -
$ 32,897
$ 44,673
MODIFIED TOTAL DIRECT COSTS (MTDC)
Uniform Guidance § 200.68 - MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to
the first 525,000 of each subaward. MTDC excludes equipment, capital expenditures, changes for patient care, rental costs, tuition remission,
scholarships and fellowships, participant support costs and the portion of each subaward in excess of $25,000.
$ -
$ -
$ 11,776
$
$ 32,897
$ 44,673
page 3 of 4
Exhibit C
Indirect Costs
(not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rata is attached)
FFY 2022
Item
Description of Item
Administration
Time -Limited
Reunification
(LTR)
Adoption
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
Promotion and
Support (APS)
Negotiated Federal Indirect
$0
$0
$0
$0
$0
$0
State indirect cost rate
$0
$0
$0
$0
$0
$0
indirect rate:
10% de minimus rate of Modified Total Direct Costs
$ -
$ -
$ 1,178
$ -
$ 3,290
$ 4,468
Total Indirect
$ -
$ -
$ 1,178
$ -
$ 3,290
$ 4,468
TOTAL ADMINISTRATION
$ -
TOTAL TIME -LIMITED REUNIFICATION (LTR)
$ -
TOTAL ADOPTION
AND SUPPORT (APS)
$ 12,954r
PROMOTION
TOTAL FAMILY PRESERVATION FOR FAMILY STABILITY
$ -
TOTAL FAMILY SUPPORT FOR FAMILY STABILITY
$ 36,187
TOTAL AMOUNT REQUESTED FROM C0MSS
-
$ 49,141
PERCENTAGE OF BUDGET BY PROJECT
FFY 2022
Administration
Time -Limited
Reunification
(LTR)
_
Adoption
Promotbn and
Support (APS)
I
Family
Preservation for
Family Stability
Family Support
for Family
Stability
• -
Total Percentage
q
PERCENTAGE OF BUDGET BY
0%
0%
26%
0%
74%
100%
PROJECT
Match Projection / Required Percentage of Total Budget including Match:
30%
$ -
$ -
$ 5,552
$ -
$ 15,509
$ 21.0'60 V
ydlp�O�y-.
TOTAL BUDGET (INCLUDING MATCH)
$ -
$ -
$ 18,506
$ -
$ 51,696
$ 70,201
*Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.99 r• 1.0)
Page 4 of 4
Exhibit C
�, Colorado Department of Human Services
« �Ot CIRAD® Office ofEarly Childhood
01lice at Early Childhood
. ammi .:,y,4>;xcdp„mws ,,:.0't(&, SUBCO .CRA.CTos BUDGET WITH JUSTIFICATION FORM
Contractor Name
Kids At Heart
Program Contact Name and Title
Phone
Email
Scott So€dat-Valenzuela, Executive Director
970-529.8222
scott(1k€dsatheartco erg
-
Budget Period
October 1, 2021 - September 30, 2022
Fiscal Contact Name and Title
Phone
Email
Project Nara P.,
Promoting Safe and Stable Families
Counties/Areas Served:
Weld County
PLEASE READ INSTRUCTIONS INCLUDED IN TAB A OF THIS SPREADSHEET PRIOR TO COMPLETING TAB B TEMPLATE
Expenditure Categories
Personnel Services - Salaried Employees
FEY 2022
Position Title/
Employee Name
Description of Work and
Gnu or Annual
Salary
Fringe
Number of
Months on
Project
Cost Based on
Percent of Time
on
Administration
cost Based on
Percent of Time
on
Time -limited
Reunification
( LR)
cost Based on
Percent of Time
on
Adoption
Promotion and
Support (APS)
Cost Based on
Percent of Time
on
Family
Preservation for
Family Stability
Cost Based on
Percent ofilta
on
Family Support
for Family
Stability
Total
Percent
of Time
on
Project
Total Amount
Requested from
CONS
What is Included in Fringe Benefits
Scott Soldat-Valenzuela,
Executive €]irector
Responsible for all organizational operations, strategy.
$60,000
F
$13,200
12
.
0
$ 3,000
5 3,000
$ j 3,000
$ 3,000
30%
$ 12,000
Annalisa Peterson
Group leader responsible for care of children during respite.
$1,400
$308
12
0
$ 100
$ 100
S 100
$ 100
50%
$ 400
Carissa Elston
Group leader responsible for care of children during respite.
51,400
$308
12
0
$ 100
$ 100
$ 100
S 100
50°.6
$ 400
Michael Ranieri
Group leader responsible for care of children during respite
$2,000
$440
12
0
$ 250
$ 250
$ 250
$ 250
50%
$ 1,000
Cory Quigley
Group leader responsible for care of children during respite.
$2,000
$440
12
0
$ 250
$ 250
5 250
$ 250
50%
$ 1,000
Garrett Christenson
Group leader responsible for care of children during respite.
51,400
5308
12
0
$ 100
$ 100
$ 100
$ 100
50%
$ 400E
Micaela Fentron
Group leader responsible for care of children during respite.
$1,400.
$308
12
0
$ 100
$ 100
$ 100
$ 100
50%
$ 400
Mikayla Vondy
Group leader responsible for care of children during respite.
$1,400
$308
12
0
$ 100
5 100
5 100
$ 100
50%
$ 400
Tonya Reichert
Group leader responsible for care of children during respite.
$1,400
$308
12
0
$ 100
$ 100
$ 100
$ 100
50%
$ 400
Total rsonnel:Service* G
luidiring fringe benefits&� $ .
4,100
$ 4,100
$ sy {
t ■y�
.16,400
Contractors,Consuftants (payments to third parties or entities)
ii
FFY 2022
Name
Description of item
Administration
Time -Limited
Reunification
(LIR}
Adoption
Promotion and
Support (APS)
Family
Presentation for
Family Stability
Familyst *
Fapfiiy
J
Total Amount
Requested from
CDItS
$0
$a
I
$0
.
$0
..-
Totai> `0 sitalidta is
$ •"
$ I.
$ -
$ -
�„
$►
Travel
FEY 2022
Page 1 of 2
Exhibit C
Item
Description of Item
Administration
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
_ Family Stability
Family Support for
Family Stability
Total Amount
Reqt.tost2d from
CONS
$0
$0
$0
$0
Total Treve
$ -
$
-
$ -
$ -
$ a
$
Supplies 8i: Operating Expenses
FEY 2022
Item
Description of item
Administration
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support for
Family Stability
Total Amount
Requested from
CDt-IS
Kids crafts, educational
Craft supplies for art and stem projects, educational supplies, and books.
$ 1,000
$ 1,000
$ 1,000
$ 1,000
54,000
Rental fees
Cost of renting Boys & Girls Clubs facilities.
$ 1,000
S 1,000
$ 1,000
$ 1,000
54,000
COVID cleanings
County required COVID cleanings in Boys & Girls clubs passed along to Kids at Heart.
$ 1,059
$ 1,059
$ 1,059
$ 1,059
$4,236
$0
$0
$0
$0
50
$0
50
$0
$0
$0
$0
$0
Toss) Supplies & Operating Expenses
$ -
$ 3,059
$ 3,059.
$ 3,059
$ 3,059
$ 12,236
TOTAL DIRECT COSTS
$ -
$ 7,159
$ 7,159
$ 7,159
$ 7,159
$ 28,636
Uniform Guidance S 200.68
first $25,000 of each subaward.
$ -
$ 7,159
$ 7,159
$ 7,1S9
$ 7,159
$ 28,636
MODIFIED TOTAL DIRECT COSTS (MTDC)
- MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the
MTDC excludes equipment capital expenditures, charges for patient care, rental costs, tuition remission, scholarships
and fellowships, participant support costs and the portion of each subaward in excess of $25,000.
indirect Costs
(not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State indirect Cost natal is attached]
FEY 2022
Item
Description of Item
Administration
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support for
Family Stability
Total Amount
Re -queried frorn
CDHS
Negotiated Federal Indirect
$0�
$C
50
$O
$0
$0
State Indirect cost rate
s0,
$0
$0,
S0_
SO
$0
Indirect rate:
10% de rninimus rate of Modified Total Direct Costs
S 317
$ 716
S 716
$ 716
$ 410
$ 2,875
Total Indirect
$ 317e
$ 7161$
716
$ 716
$ 410
$ 2,375
TOTAL ADMINISTRATION
$ 317
TOTAL TIME -LIMITED REUNIFICATION (LTR)
$ 7,875
TOTAL ADOPTION PROMOTION AND SUPPORT
$ 7,875•
(APS)
TOTAL FAMILY PRESERVATION FOR FAMILY STABILITY
$ 7,875
j
TOTAL FAMILY SUPPORT
...»e..._..._.. ..._.....1010.. _.. .,«.._ ._
STABILITY
$ 7,569
FOR FAMILY
V
TOTAL AMOUNT REQUESTED FROM COMB
$ 31,511
PERCENTAGE OF BUDGET BY PROJECT
FFY 2022
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Fambly Stability
Family Support for
Family Stability
Total Percentage
Administration
PERCENTAGE OF BUDGET BY PROJECT
,
1%
25%
25%
25%
24%
100%
Match Projection / Required Percentage of Total Budget Incltsiling Match;
30%
$ 136
$ 3,375
$ 3,375
$ 3,375
$ 3,244
$ 13,505
TOTAL BUDGET (INCLUDING MATCH)
$ 453
$ 11,250
$ 11;250
$ 11,250
$ 10,813
$ 45,016
'Figures are rounded using bask accounting standards. (0.00-0.49 = 0; 0.50-0.39= 1.0)
Page 2 of 2
COLORADO
Office of Early Childhood
Department of Human Services
Colorado Department of Human Services
Office of Early Childhood
VENDOR CONTACT INFORMATION SHEET
Legal Name of Vendor as it should appear on the Contract/Purchase Order including any dba:
Weld County Department of human Services
Address: 315 N. 11th Avenue, Building A
City: Greeley State: CO Zip Code: 80632 County: Weld
FEIN # 84-6000813 State of Incorporation Colorado
DUNS # 075757955 Fiscal Year End Date December 31
qT pe of Entity (please mark one):
Individual
Professional Corporation (PC)
Sole Proprietor
Not -For -Profit Corporation
Limited Liability Company (LLC)
Joint Venture
Primary Contact to Receive ALL Correspondence:
Name: Julie Witkowski
Email:
Phone:
0
witkowjx@weldgov.com
(970)-400-6777
CFO or Financial Contact: Invoice Contact:
Name: Tammy Maurer
Email: maurertk@weldgDv.com
Phone: 970-400-6533
Individual Signing Contract:
Name: Steve Moreno
For -Profit
Limited Liability Partnership (LLP)
Government
Name: Tammy Maurer
Email: maurertk@weldgov.com
Phone: 970-400-6533
Title: Chair of the Board of Commissioners
Email: BOCC-Contracts@co.weld.co.us
Phone: (with a copy to HS-ContractManagement@co.weld.co.us)
Is your agency set up for Electronic Deposit with the State of CO? X Yes No
If Yes, please list the last 4 digits of the account number payments should be sent to 4375
How long does your agency and/or boar) need to review and return the signed contract? 30 days
Revised 01/27/2020
Exhibit D
HIPAA BUSINESS ASSOCIATE AGREEMENT
This HIPAA Business Associate Agreement ("Agreement") between the State and Contractor is agreed to in
connection with, and as an exhibit to, the Contract. For purposes of this Agreement, the State is referred to as
"Covered Entity" and the Contractor is referred to as "Business Associate". Unless the context clearly requires a
distinction between the Contract and this Agreement, all references to "Contract" shall include this Agreement.
1. PURPOSE
Covered Entity wishes to disclose information to Business Associate, which may include Protected Health
Information ("PHI"). The Parties intend to protect the privacy and security of the disclosed PHI in compliance
with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), Pub. L. No. 104-191 (1996) as
amended by the Health Information Technology for Economic and Clinical Health Act ("HITECH Act") enacted
under the American Recovery and Reinvestment Act of 2009 ("ARRA") Pub. L. No. 111-5
(2009), implementing regulations promulgated by the U.S. Department of Health and Human Services at 45
C.F.R. Parts 160, 162 and 164 (the "HIPAA Rules") and other applicable laws, as amended. Prior to the
disclosure of PHI, Covered Entity is required to enter into an agreement with Business Associate containing
specific requirements as set forth in, but not limited to, Title 45, Sections 160.103, 164.502(e) and 164.504(e) of
the Code of Federal Regulations ("C.F.R.") and all other applicable laws and regulations, all as may be amended.
2. DEFINITIONS
The following terms used in this Agreement shall have the same meanings as in the HIPAA Rules: Breach, Data
Aggregation, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum Necessary,
Notice of Privacy Practices, Protected Health Information, Required by Law, Secretary, Security Incident,
Subcontractor, Unsecured Protected Health Information, and Use.
The following terms used in this Agreement shall have the meanings set forth below:
a. Business Associate. "Business Associate" shall have the same meaning as the term "business
associate" at 45 C.F.R. 160.103, and shall refer to Contractor.
b. Covered Entity. "Covered Entity" shall have the same meaning as the term "covered entity" at 45
C.F.R. 160.103, and shall refer to the State.
c. Information Technology and Information Security. "Information Technology" and "Information
Security" shall have the same meanings as the terms "information technology" and "information
security", respectively, in §24-37.5-102, C.R.S.
Capitalized terms used herein and not otherwise defined herein or in the HIPAA Rules shall have the meanings
ascribed to them in the Contract.
3. OBLIGATIONS AND ACTIVITIES OF BUSINESS ASSOCIATE
a. Permitted Uses and Disclosures.
i. Business Associate shall use and disclose PHI only to accomplish Business Associate's
obligations under the Contract.
Page 1 of 9
HIPAA BAA
Revised August 2018
Exhibit D
i. To the extent Business Associate carries out one or more of Covered Entity's obligations
under Subpart E of 45 C.F.R. Part 164, Business Associate shall comply with any and all
requirements of Subpart E that apply to Covered Entity in the performance of such obligation.
ii. Business Associate may disclose PHI to carry out the legal responsibilities of Business
Associate, provided, that the disclosure is Required by Law or Business Associate obtains
reasonable assurances from the person to whom the information is disclosed that:
A. the information will remain confidential and will be used or disclosed only as
Required by Law or for the purpose for which Business Associate originally
disclosed the information to that person, and;
B. the person notifies Business Associate of any Breach involving PHI of which it is
aware.
iii. Business Associate may provide Data Aggregation services relating to the Health Care
Operations of Covered Entity. Business Associate may de -identify any or all PHI created or
received by Business Associate under this Agreement, provided the de -identification
conforms to the requirements of the HIPAA Rules.
b. Minimum Necessary. Business Associate, its Subcontractors and agents, shall access, use, and
disclose only the minimum amount of PHI necessary to accomplish the objectives of the Contract, in
accordance with the Minimum Necessary Requirements of the HIPAA Rules including, but not
limited to, 45 C.F.R. 164.502(b) and 164.514(d).
c. Impermissible Uses and Disclosures.
i. Business Associate shall not disclose the PHI of Covered Entity to another covered entity
without the written authorization of Covered Entity.
ii. Business Associate shall not share, use, disclose or make available any Covered Entity PHI in
any form via any medium with or to any person or entity beyond the boundaries or
jurisdiction of the United States without express written authorization from Covered Entity.
d. Business Associate's Subcontractors.
Business Associate shall, in accordance with 45 C.F.R. 164.502(e)(1)(ii) and 164.308(b)(2),
ensure that any Subcontractors who create, receive, maintain, or transmit PHI on behalf of
Business Associate agree in writing to the same restrictions, conditions, and requirements that
apply to Business Associate with respect to safeguarding PHI.
ii. Business Associate shall provide to Covered Entity, on Covered Entity's request, a list of
Subcontractors who have entered into any such agreement with Business Associate.
iii. Business Associate shall provide to Covered Entity, on Covered Entity's request, copies of
any such agreements Business Associate has entered into with Subcontractors.
e. Access to System. If Business Associate needs access to a Covered Entity Information Technology
system to comply with its obligations under the Contract or this Agreement, Business Associate shall
request, review, and comply with any and all policies applicable to Covered Entity regarding such
Page 2 of 9
HIPAA BAA
Revised August 2018
Exhibit D
system including, but not limited to, any policies promulgated by the Office of Information
Technology and available at http://oit.state.co.us/about/policies.
f. Access to PHI. Business Associate shall, within ten days of receiving a written request from Covered
Entity, make available PHI in a Designated Record Set to Covered Entity as necessary to satisfy
Covered Entity's obligations under 45 C.F.R. 164.524.
g.
Amendment of PHI.
Business Associate shall within ten days of receiving a written request from Covered Entity
make any amendment to PHI in a Designated Record Set as directed by or agreed to by
Covered Entity pursuant to 45 C.F.R. 164.526, or take other measures as necessary to satisfy
Covered Entity's obligations under 45 C.F.R. 164.526.
ii. Business Associate shall promptly forward to Covered Entity any request for amendment of
PHI that Business Associate receives directly from an Individual.
h. Accounting Rights. Business Associate shall, within ten days of receiving a written request from
Covered Entity, maintain and make available to Covered Entity the information necessary for
Covered Entity to satisfy its obligations to provide an accounting of Disclosure under 45 C.F.R.
164.528.
i. Restrictions and Confidential Communications.
J•
i. Business Associate shall restrict the Use or Disclosure of an Individual's PHI within ten days
of notice from Covered Entity of:
A. a restriction on Use or Disclosure of PHI pursuant to 45 C.F.R. 164.522; or
B. a request for confidential communication of PHI pursuant to 45 C.F.R. 164.522.
ii. Business Associate shall not respond directly to an Individual's requests to restrict the Use or
Disclosure of PHI or to send all communication of PHI to an alternate address.
iii. Business Associate shall refer such requests to Covered Entity so that Covered Entity can
coordinate and prepare a timely response to the requesting Individual and provide direction to
Business Associate.
Governmental Access to Records. Business Associate shall make its facilities, internal practices,
books, records, and other sources of information, including PHI, available to the Secretary for
purposes of determining compliance with the HIPAA Rules in accordance with 45 C.F.R. 160.310.
k. Audit, Inspection and Enforcement.
Business Associate shall obtain and update at least annually a written assessment performed
by an independent third party reasonably acceptable to Covered Entity, which evaluates the
Information Security of the applications, infrastructure, and processes that interact with the
Covered Entity data Business Associate receives, manipulates, stores and distributes. Upon
request by Covered Entity, Business Associate shall provide to Covered Entity the executive
summary of the assessment.
Page 3 of 9
HIPAA BAA
Revised August 2018
Exhibit D
ii. Business Associate, upon the request of Covered Entity, shall fully cooperate with Covered
Entity's efforts to audit Business Associate's compliance with applicable HIPAA Rules. If,
through audit or inspection, Covered Entity determines that Business Associate's conduct
would result in violation of the HIPAA Rules or is in violation of the Contract or this
Agreement, Business Associate shall promptly remedy any such violation and shall certify
completion of its remedy in writing to Covered Entity.
1. Appropriate Safeguards.
i. Business Associate shall use appropriate safeguards and comply with Subpart C of 45 C.F.R.
Part 164 with respect to electronic PHI to prevent use or disclosure of PHI other than as
provided in this Agreement.
ii. Business Associate shall safeguard the PHI from tampering and unauthorized disclosures.
iii. Business Associate shall maintain the confidentiality of passwords and other data required for
accessing this information.
iv. Business Associate shall extend protection beyond the initial information obtained from
Covered Entity to any databases or collections of PHI containing information derived from
the PHI. The provisions of this section shall be in force unless PHI is de -identified in
conformance to the requirements of the HIPAA Rules.
m. Safeguard During Transmission.
i. Business Associate shall use reasonable and appropriate safeguards including, without
limitation, Information Security measures to ensure that all transmissions of PHI are
authorized and to prevent use or disclosure of PHI other than as provided for by this
Agreement.
ii. Business Associate shall not transmit PHI over the internet or any other insecure or open
communication channel unless the PHI is encrypted or otherwise safeguarded with a FIPS-
compliant encryption algorithm.
n. Reporting of Improper Use or Disclosure and Notification of Breach.
i. Business Associate shall, as soon as reasonably possible, but immediately after discovery of a
Breach, notify Covered Entity of any use or disclosure of PHI not provided for by this
Agreement, including a Breach of Unsecured Protected Health Information as such notice is
required by 45 C.F.R. 164.410 or a breach for which notice is required under §24-73-103,
C.R.S.
ii. Such notice shall include the identification of each Individual whose Unsecured Protected
Health Information has been, or is reasonably believed by Business Associate to have been,
accessed, acquired, or disclosed during such Breach.
iii. Business Associate shall, as soon as reasonably possible, but immediately after discovery of
any Security Incident that does not constitute a Breach, notify Covered Entity of such
incident.
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Exhibit D
iv. Business Associate shall have the burden of demonstrating that all notifications were made as
required, including evidence demonstrating the necessity of any delay.
o. Business Associate's Insurance and Notification Costs.
i. Business Associate shall bear all costs of a Breach response including, without limitation,
notifications, and shall maintain insurance to cover:
A. loss of PHI data;
B. Breach notification requirements specified in HIPAA Rules and in §24-73-103,
C.R.S.; and
C. claims based upon alleged violations of privacy rights through improper use or
disclosure of PHI.
ii. All such policies shall meet or exceed the minimum insurance requirements of the Contract
or otherwise as may be approved by Covered Entity (e.g., occurrence basis, combined single
dollar limits, annual aggregate dollar limits, additional insured status, and notice of
cancellation).
iii. Business Associate shall provide Covered Entity a point of contact who possesses relevant
Information Security knowledge and is accessible 24 hours per day, 7 days per week to assist
with incident handling.
iv. Business Associate, to the extent practicable, shall mitigate any harmful effect known to
Business Associate of a Use or Disclosure of PHI by Business Associate in violation of this
Agreement.
p•
q.
Subcontractors and Breaches.
Business Associate shall enter into a written agreement with each of its Subcontractors and
agents, who create, receive, maintain, or transmit PHI on behalf of Business Associate. The
agreements shall require such Subcontractors and agents to report to Business Associate any
use or disclosure of PHI not provided for by this Agreement, including Security Incidents and
Breaches of Unsecured Protected Health Information, on the first day such Subcontractor or
agent knows or should have known of the Breach as required by 45 C.F.R. 164.410.
ii. Business Associate shall notify Covered Entity of any such report and shall provide copies of
any such agreements to Covered Entity on request.
Data Ownership.
i. Business Associate acknowledges that Business Associate has no ownership rights with
respect to the PHI.
ii. Upon request by Covered Entity, Business Associate immediately shall provide Covered
Entity with any keys to decrypt information that the Business Association has encrypted and
maintains in encrypted form, or shall provide such information in unencrypted usable form.
Page 5 of 9
HIPAA BAA
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Exhibit D
r. Retention of PHI. Except upon termination of this Agreement as provided in Section 5 below,
Business Associate and its Subcontractors or agents shall retain all PHI throughout the term of this
Agreement, and shall continue to maintain the accounting of disclosures required under Section 3.h
above, for a period of six years.
4. OBLIGATIONS OF COVERED ENTITY
a. Safeguards During Transmission. Covered Entity shall be responsible for using appropriate
safeguards including encryption of PHI, to maintain and ensure the confidentiality, integrity, and
security of PHI transmitted pursuant to this Agreement, in accordance with the standards and
requirements of the HIPAA Rules.
b. Notice of Changes.
Covered Entity maintains a copy of its Notice of Privacy Practices on its website. Covered
Entity shall provide Business Associate with any changes in, or revocation of, permission to use
or disclose PHI, to the extent that it may affect Business Associate's permitted or required uses
or disclosures.
ii. Covered Entity shall notify Business Associate of any restriction on the use or disclosure of
PHI to which Covered Entity has agreed in accordance with 45 C.F.R. 164.522, to the extent
that it may affect Business Associate's permitted use or disclosure of PHI.
5. TERMINATION
a. Breach.
i. In addition to any Contract provision regarding remedies for breach, Covered Entity shall
have the right, in the event of a breach by Business Associate of any provision of this
Agreement, to terminate immediately the Contract, or this Agreement, or both.
ii. Subject to any directions from Covered Entity, upon termination of the Contract, this
Agreement, or both, Business Associate shall take timely, reasonable, and necessary action to
protect and preserve property in the possession of Business Associate in which Covered
Entity has an interest.
b. Effect of Termination.
i. Upon termination of this Agreement for any reason, Business Associate, at the option of
Covered Entity, shall return or destroy all PHI that Business Associate, its agents, or its
Subcontractors maintain in any form, and shall not retain any copies of such PHI.
ii. If Covered Entity directs Business Associate to destroy the PHI, Business Associate shall
certify in writing to Covered Entity that such PHI has been destroyed.
iii. If Business Associate believes that returning or destroying the PHI is not feasible, Business
Associate shall promptly provide Covered Entity with notice of the conditions making return
or destruction infeasible. Business Associate shall continue to extend the protections of
Page 6 of 9
HIPAA BAA
Revised August 2018
Exhibit D
Section 3 of this Agreement to such PHI, and shall limit further use of such PHI to those
purposes that make the return or destruction of such PHI infeasible.
6. INJUNCTIVE RELIEF
Covered Entity and Business Associate agree that irreparable damage would occur in the event Business
Associate or any of its Subcontractors or agents use or disclosure of PHI in violation of this Agreement, the
HIPAA Rules or any applicable law. Covered Entity and Business Associate further agree that money damages
would not provide an adequate remedy for such Breach. Accordingly, Covered Entity and Business Associate
agree that Covered Entity shall be entitled to injunctive relief, specific performance, and other equitable relief to
prevent or restrain any Breach or threatened Breach of and to enforce specifically the terms and provisions of this
Agreement.
7. LIMITATION OF LIABILITY
Any provision in the Contract limiting Contractor's liability shall not apply to Business Associate's liability under
this Agreement, which shall not be limited.
8. DISCLAIMER
Covered Entity makes no warranty or representation that compliance by Business Associate with this Agreement
or the HIPAA Rules will be adequate or satisfactory for Business Associate's own purposes. Business Associate
is solely responsible for all decisions made and actions taken by Business Associate regarding the safeguarding of
PHI.
9. CERTIFICATION
Covered Entity has a legal obligation under HIPAA Rules to certify as to Business Associate's Information
Security practices. Covered Entity or its authorized agent or contractor shall have the right to examine Business
Associate's facilities, systems, procedures, and records, at Covered Entity's expense, if Covered Entity
determines that examination is necessary to certify that Business Associate's Information Security safeguards
comply with the HIPAA Rules or this Agreement.
10. AMENDMENT
a. Amendment to Comply with Law. The Parties acknowledge that state and federal laws and
regulations relating to data security and privacy are rapidly evolving and that amendment of this
Agreement may be required to provide procedures to ensure compliance with such developments.
i. In the event of any change to state or federal laws and regulations relating to data security
and privacy affecting this Agreement, the Parties shall take such action as is necessary to
implement the changes to the standards and requirements of HIPAA, the HIPAA Rules
and other applicable rules relating to the confidentiality, integrity, availability and
security of PHI with respect to this Agreement.
ii. Business Associate shall provide to Covered Entity written assurance satisfactory to
Covered Entity that Business Associate shall adequately safeguard all PHI, and obtain
Page 7 of 9
HIPAA BAA
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Exhibit D
written assurance satisfactory to Covered Entity from Business Associate's
Subcontractors and agents that they shall adequately safeguard all PHI.
iii. Upon the request of either Party, the other Party promptly shall negotiate in good faith the
terms of an amendment to the Contract embodying written assurances consistent with the
standards and requirements of HIPAA, the HIPAA Rules, or other applicable rules.
iv. Covered Entity may terminate this Agreement upon 30 days' prior written notice in the event
that:
A. Business Associate does not promptly enter into negotiations to amend the Contract
and this Agreement when requested by Covered Entity pursuant to this Section; or
B. Business Associate does not enter into an amendment to the Contract and this
Agreement, which provides assurances regarding the safeguarding of PHI sufficient,
in Covered Entity's sole discretion, to satisfy the standards and requirements of the
HIPAA, the HIPAA Rules and applicable law.
b. Amendment of Appendix. The Appendix to this Agreement may be modified or amended by the
mutual written agreement of the Parties, without amendment of this Agreement. Any modified or
amended Appendix agreed to in writing by the Parties shall supersede and replace any prior version
of the Appendix.
11. ASSISTANCE IN LITIGATION OR ADMINISTRATIVE PROCEEDINGS
Covered Entity shall provide written notice to Business Associate if litigation or administrative proceeding is
commenced against Covered Entity, its directors, officers, or employees, based on a claimed violation by
Business Associate of HIPAA, the HIPAA Rules or other laws relating to security and privacy or PHI. Upon
receipt of such notice and to the extent requested by Covered Entity, Business Associate shall, and shall cause its
employees, Subcontractors, or agents assisting Business Associate in the performance of its obligations under the
Contract to, assist Covered Entity in the defense of such litigation or proceedings. Business Associate shall, and
shall cause its employees, Subcontractor's and agents to, provide assistance, to Covered Entity, which may
include testifying as a witness at such proceedings. Business Associate or any of its employees, Subcontractors or
agents shall not be required to provide such assistance if Business Associate is a named adverse party.
12. INTERPRETATION AND ORDER OF PRECEDENCE
Any ambiguity in this Agreement shall be resolved in favor of a meaning that complies and is consistent with the
HIPAA Rules. In the event of an inconsistency between the Contract and this Agreement, this Agreement shall
control. This Agreement supersedes and replaces any previous, separately executed HIPAA business associate
agreement between the Parties.
13. SURVIVAL
Provisions of this Agreement requiring continued performance, compliance, or effect after termination shall
survive termination of this contract or this agreement and shall be enforceable by Covered Entity.
Page 8 of 9
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Revised August 2018
Exhibit D
APPENDIX TO IIIPAA BUSINESS ASSOCIATE AGREEMENT
This Appendix ("Appendix") to the HIPAA Business Associate Agreement ("Agreement") is s an appendix to the
Contract and the Agreement. For the purposes of this Appendix, defined terms shall have the meanings ascribed
to them in the Agreement and the Contract.
Unless the context clearly requires a distinction between the Contract, the Agreement, and this Appendix, all
references to "Contract" or "Agreement" shall include this Appendix.
1. PURPOSE
This Appendix sets forth additional terms to the Agreement. Any sub -section of this Appendix marked as
"Reserved" shall be construed as setting forth no additional terms.
2. ADDITIONAL TERMS
a. Additional Permitted Uses. In addition to those purposes set forth in the Agreement, Business
Associate may use PHI for the following additional purposes:
i. Reserved.
b. Additional Permitted Disclosures. In addition to those purposes set forth in the Agreement, Business
Associate may disclose PHI for the following additional purposes:
i. Reserved.
c. Approved Subcontractors. Covered Entity agrees that the following Subcontractors or agents of
Business Associate may receive PHI under the Agreement:
i. Reserved.
d. Definition of Receipt of PHI. Business Associate's receipt of PHI under this Contract shall be
deemed to occur, and Business Associate's obligations under the Agreement shall commence, as
follows:
i. Reserved.
e. Additional Restrictions on Business Associate. Business Associate agrees to comply with the
following additional restrictions on Business Associate's use and disclosure of PHI under the
Contract:
i. Reserved.
f. Additional Terms. Business Associate agrees to comply with the following additional terms under the
Agreement:
i. Reserved.
Page 9 of 9
HIPAA BAA
Revised August 2018
STATE OF C
DEPARTMENT OF HUMAN SERVICES
REQUEST FOR PROPOSAL SIGNATURE PAGE
DATE:
REP NO:
DIRECT INQUIRIES TO:
PHONE:
E -Mail:
April 20, 2021
2021000263
Ryan Yarrow
303-866-3227
ryan.yarrow@state.co.us
RETURN RFP TO:
RYRFP .h 12ml6jgspcj4v2j@u.box.com
***Proposal must be email attachment***
DATE DUE: May 20, 2021 AT 5:00 PM (Local)
Proposals properly marked as to RFP NO., DATE and HOUR of opening, subject to the conditions herein stipulated
and in accordance with the specifications set forth and/or attached hereto, will be accepted at the address listed
above, prior to the date and time listed for the RFP opening. All proposals shall be quoted F.O.B. destination, unless
otherwise specified, to the delivery location or j obsite listed herein.
RE I UEST FOR PROP S L # 2021000263
TITLE
PSSE Sites
AGENCY Colorado Department of Human Services
SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND PROPOSAL REQUIREMENTS.
IMPORTANT: Proposals submitted in response to this RFP MUST be accompanied by this "REQUEST FOR
PROPOSAL" sheet.
Offerors should read the entire REP document before submitting a proposal.
PROPOSALS MUST BE SIGNED
TERMS Net 30
Steve Moreno
TYPED OR PRINTED SIGNATURE
/2
Payment Terms of less than 30 calendar days
will not be considered.
Pricing shall be effective for 180 days after award.
VENDOR
NAME Weld County Department of Human
Services
Signature (Electronic =r Ink) by Authorized
Officer or Agent of Vend-,: r
TITLE Chair of the Board of Commissioners
DATE
AT 1 9. 2021
ADDRESS
315 North 11th Avenue, Building A
Greeley, Colorado 80632
ZIP
PHONE 970400-6556
x Confirm that you are aware that the award
notice will be published on Colorado CORE-VSS.
E -Mail HS-ContractManagement@co.weld.co.us
FAX
FEIN or SSN 84-6000813
My Company is registered on Colorado CORE-VSS X Yes No AEnter your FEIN or SSN as registered on CORE-VSS
Include your VSS Vendor Code (VC#) if known: VC00000000014294
RETURN THIS PAGE
A.53
STATE OF COLORADO CONTRACT
COVER PAGE
State Agency
Insert Department's or IHE's Full Legal Name
Contract Number
Insert CMS number or Other Contract Number
Contractor
Insert Contractor's Full Legal Name, iicluding "Inc.", "LLC",
etc...
Contract Performance Beginning Date
The later of the Effective Date or Month Day, Year
Contract Maximum Amount
Initial Term
State Fiscal Year 20xx $0.00
Extension Terms
State Fiscal Year 20xx $0.00
State Fiscal Year 20xx $0.00
State Fiscal Year 20xx $0.00
State Fiscal Year 20xx $0.00
Total for All State Fiscal Years $0.00
Initial Contract Expiration Date
Month Day, Year
Contract Authority
Insert Brief Description of the Authority to enter into the
Contract
Contract Purpose
Briefly describe the Contract's purpose
Exhibits and Order of Precedence
The following Exhibits and attachments are included with this Contract:
1. Exhibit A — Statement of Wcrk
2. Exhibit B — Sample Option Letter
In the event of a conflict or inconsistency between this Contract and any Exhibit or attachment, such conflict or inconsistency
shall be resolved by reference to the documents in the following order of priority:
1. Colorado Special Provisions n §18 of the main body of this Contract.
2. The provisions of the other sections of the main body of this Contract.
3. Exhibit A, Statement of Wor).
4. Exhibit B, Sample Option Letter.
Principal Representatives
For the State: For Contractor:
Name Name
Depi`e}tt dame Company Name
Address Address
Address Address
City, State Zip City, State Zip
Email Email
Contract Number: Page 1 of 23
Version 0919
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Contract represents and warrants that the signer is duly authorized to execute this Contract and to
bind the Party authorizing such signature.
CONTRACTOR
INSERT -Legal Name of Grantee
STATE OF COLORADO
Jared S. Polis, Governor
INSERT -Name of Agency or IHE
INSERT -Name & Title of Head of Agency or IHE
By: Name & Title of Person Signing for Contractor
Date:
By: Name & Title of Person Signing for Agency or IHE
Date:
2nd State or Contractor Signature if Needed
LEGAL REVIEW
Philip J. Weiser, Attorney General
By:
By: Name & Title of Person Signing for Signatory
Date:
Assistant Attorney General
Date:
In accordance with §24-30-202, C.R.S., this Contract is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Name of Agency or IHE Delegate -Please delete if contract will be routed to OSC for approval
Effective Date:
Contract Number: Page 2 of 23
Version 0919
TABLE OF CONTENTS
COVER PAGE 1
SIGNATURE PAGE 2
1. PARTIES 3
2. TERM AND EFFECTIVE DATE 3
3. DEFINITIONS 4
4. STATEMENT OF WORK 7
5. PAYMENTS TO CONTRACTOR 7
6. REPORTING - NOTIFICATION 8
7. CONTRACTOR RECORDS 9
8. CONFIDENTIAL INFORMATION -STATE RECORDS 10
9. CONFLICTS OF INTEREST 11
10. INSURANCE 12
11. BREACH OF CONTRACT 14
12. REMEDIES 14
13. DISPUTE RESOLUTION 16
14. NOTICES AND REPRESENTATIVES 16
15. RIGHTS IN WORK PRODUCT AND OTHER INFORMATION 16
16. STATEWIDE CONTRACT MANAGEMENT SYSTEM 18
17. GENERAL PROVISIONS 18
18. COLORADO SPECIAL PROVISIONS (COLORADO FISCAL RULE 3-3) 21
1. PARTIES
This Contract is entered into by and between Contractor named on the Cover Page for this Contract
(the "Contractor"), and the STATE OF COLORADO acting by and through the State agency
named on the Cover Page for this Contract (the "State"). Contractor and the State agree to the terms
and conditions in this Contract.
2. TERM AND EFFECTIVE DATE
A. Effective Date
This Contract shall not be valid or enforceable until the Effective Date. The State shall not
be bound by any provision of this Contract before the Effective Date, and shall have no
obligation to pay Contractor for any Work performed or expense incurred before the Effective
Date or after the expiration or sooner termination of this Contract.
B. Initial Term
The Parties' respective performances under this Contract shall commence on the Contract
Performance Beginning Date shown on the Cover Page for this Contract and shall terminate
on the Initial Contract Expiration Date shown on the Cover Page for this Contract (the "Initial
Term") unless sooner terminated or further extended in accordance with the terms of this
Contract.
C. Extension Terms - State's Option
The State, at its discretion, shall have the option to extend the performance under this
Contract beyond the Initial Term for a period, or for successive periods, of one year or less
at the same rates and under the same terms specified in the Contract (each such period an
"Extension Term"). In order to exercise this option, the State shall provide written notice to
Contractor in a form substantially equivalent to the Sample Option Letter attached to this
Contract Number:
Page 3 of 23 Version 0919
Contract. Except as stated in §2.D, the total duration of this Contract, including the exercise
of any options to extend, shall not exceed five years from its Effective Date absent prior
approval from the Chief Procurement Officer in accordance with the Colorado Procurement
Code.
D. End of Term Extension
If this Contract approaches the end of its Initial Term, or any Extension Term then in place,
the State, at its discretion, upon written notice to Contractor as provided in §14, may
unilaterally extend such Initial Term or Extension Term for a period not to exceed two months
(an "End of Term Extension"), regardless of whether additional Extension Terms are
available or not. The provisions of this Contract in effect when such notice is given shall
remain in effect during the End of Term Extension. The End of Term Extension shall
automatically terminate upon execution of a replacement contract or modification extending
the total term of this Contract.
E. Early Termination in the Public Interest
The State is entering into this Contract to serve the public interest of the State of Colorado as
determined by its Governor, General Assembly, or Courts. If this Contract ceases to further
the public interest of the State, the State, in its discretion, may terminate this Contract in
whole or in part. A determination that this Contract should be terminated in the public interest
shall not be equivalent to a State right to terminate for convenience. This subsection shall not
apply to a termination of this Contract by the State for breach by Contractor, which shall be
governed by §12.A.i.
i. Method and Content
The State shall notify Contractor of such termination in accordance with §14. The
notice shall specify the effective date of the termination and whether it affects all or a
portion of this Contract, and shall include, to the extent practicable, the public interest
justification for the termination.
ii. Obligations and Rights
Upon receipt of a termination notice for termination in the public interest, Contractor
shall be subject to the rights and obligations set forth in §12.A.i.a.
iii. Payments
If the State terminates this Contract in the public interest, the State shall pay Contractor
an amount equal to the percentage of the total reimbursement payable under this
Contract that corresponds to the percentage of Work satisfactorily completed and
accepted, as determined by the State, less payments previously made. Additionally, if
this Contract is less than 60% completed, as determined by the State, the State may
reimburse Contractor for a portion of actual out-of-pocket expenses, not otherwise
reimbursed under this Contract, incurred by Contractor which are directly attributable
to the uncompleted portion of Contractor's obligations, provided that the sum of any
and all reimbursement shall not exceed the maximum amount payable to Contractor
hereunder.
3. DEFINITIONS
The following terms shall be construed and interpreted as follows:
Page 4 of 23 Version 0919
Contract Number:
A. "Breach of Contract" means the failure of a Party to perform any of its obligations in
accordance with this Contract, in whole or in part or in a timely or satisfactory manner. The
institution of proceedings under any bankruptcy, insolvency, reorganization or similar law,
by or against Contractor, or the appointment of a receiver or similar officer for Contractor or
any of its property, which is not vacated or fully stayed within 30 days after the institution of
such proceeding, shall also constitute a breach. If Contractor is debarred or suspended under
§24-109-105, C.R.S. at any time during the term of this Contract, then such debarment or
suspension shall constitute a breach.
B. "Business Day" means any day other than Saturday, Sunday, or a Legal Holiday as listed in
§24-11-101(1), C.R.S.
C. "Chief Procurement Officer" means the individual to whom the Executive Director has
delegated his or her authority pursuant to §24-102-202(6), C.R.S. to procure or supervise the
procurement of all supplies and services needed by the state.
D. "CM" means criminal justice information collected by criminal justice agencies needed for
the performance of their authorized functions, including, without limitation, all information
defined as criminal justice information by the U.S. Department of Justice, Federal Bureau of
Investigation, Criminal Justice Information Services Security Policy, as amended and all
Criminal Justice Records as defined under §24-72-302, C.R.S.
E. "Contract" means this agreement, including all attached Exhibits, all documents
incorporated by reference, all referenced statutes, rules and cited authorities, and any future
modifications thereto.
F. "Contract Funds" means the funds that have been appropriated, designated, encumbered, or
otherwise made available for payment by the State under this Contract.
G. "CORA" means the Colorado Open Records Act, §§24-72-200.1, et. seq., C.R.S.
H. "End of Term Extension" means the time period defined in §2.D.
I. "Effective Date" means the date on which this Contract is approved and signed by the
Colorado State Controller or designee, as shown on the Signature Page for this Contract. If
this Contract is for Major Information Technology Project, as defined in §24-37.5-102(2.6),
C.R.S., then the Effective Date of this Contract shall be the later of the date on which this
Contract is approved and signed, by the State's Chief Information Officer or authorized
delegate or the date on which this Contract is approved and signed by the State Controller or
authorized delegate, as shown on the Signature Page for this Contract.
J. "Exhibits" means the exhibits and attachments included with this Contract as shown on the
Cover Page for this Contract.
K. "Extension Term" means the time period defined in §2.C.
L. "Goods" means any movable material acquired, produced, or delivered by Contractor as set
forth in this Contract and shall include any movable material acquired, produced, or delivered
by Contractor in connection with the Services.
M. "Incident" means any accidental or deliberate event that results in or constitutes an imminent
threat of the unauthorized access, loss, disclosure, modification, disruption, or destruction of
any communications or information resources of the State, which are included as part of the
Work, as described in §§24-37.5-401, et. seq., C.R.S. Incidents include, without limitation,
(i) successful attempts to gain unauthorized access to a State system or State Information
Contract Number:
Page 5 of 23 Version 0919
regardless of where such information is located; (ii) unwanted disruption or denial of service;
(iii) the unauthorized use of a State system for the processing or storage of data; or (iv)
changes to State system hardware, firmware, or software characteristics without the State's
knowledge, instruction, or consent.
N. "Initial Term" means the time period defined in §2.B.
O. "Party" means the State or Contractor, and "Parties" means both the State and Contractor.
P. "PCI" means payment card information including any data related to credit card holders'
names, credit card numbers, or the other credit card information as may be protected by state
or federal law.
Q.
"PII" means personally identifiable information including, without limitation, any
information maintained by the State about an individual that can be used to distinguish or
trace an individual's identity, such as name, social security number, date and place of birth,
mother's maiden name, or biometric records; and any other information that is linked or
linkable to an individual, such as medical, educational, financial, and employment
information. PII includes, but is not limited to, all information defined as personally
identifiable information in §§24-72-501 and 24-73-101, C.R.S.
R. "PHI" means any protected health information, including, without limitation any information
whether oral or recorded in any form or medium: (i) that relates to the past, present or future
physical or mental condition of an individual; the provision of health care to an individual;
or the past, present or future payment for the provision of health care to an individual; and
(ii) that identifies the individual or with respect to which there is a reasonable basis to believe
the information can be used to identify the individual. PHI includes, but is not limited to, any
information defined as Individually Identifiable Health Information by the federal Health
Insurance Portability and Accountability Act.
S. "Services" means the services to be performed by Contractor as set forth in this Contract,
and shall include any, services to be rendered by Contractor in connection with the Goods.
T. "State Confidential Information" means any and all State Records not subject to disclosure
under CORA. State Confidential Information shall include, but is not limited to, PII, PHI,
PCI, Tax Information, CJI, and State personnel records not subject to disclosure under
CORA. State Confidential Information shall not include information or data concerning
individuals that is not deemed confidential but nevertheless belongs to the State, which has
been communicated, furnished, or disclosed by the State to Contractor which (i) is subject to
disclosure pursuant to CORA; (ii) is already known to Contractor without restrictions at the
time of its disclosure to Contractor; (iii) is or subsequently becomes publicly available
without breach of any obligation owed by Contractor to the State; (iv) is disclosed to
Contractor, without confidentiality obligations, by a third party who has the right to disclose
such information; or (v) was independently developed without reliance on any State
Confidential Information.
U. "State Fiscal Rules" means that fiscal rules promulgated by the Colorado State Controller
pursuant to §24-30-202(13)(a), C.R.S.
V. "State Fiscal Year" means a 12 month period beginning on July 1 of each calendar year and
ending on June 30 of the following calendar year. If a single calendar year follows the term,
then it means the State Fiscal Year ending in that calendar year.
Contract Number:
Page 6 of 23 Version 0919
W. "State Records" means any and all State data, information, and records, regardless of
physical form, including, but not limited to, information subject to disclosure under CORA.
X. "Subcontractor" means third -parties, if any, engaged by Contractor to aid in performance
of the Work.
Y. "Tax Information" means federal and State of Colorado tax information including, without
limitation, federal and State tax returns, return information, and such other tax -related
information as may be protected by federal and State law and regulation. Tax Information
includes, but is not limited to all information defined as federal tax information in Internal
Revenue Service Publication 1075.
Z. "Work" means the Goods delivered and Services performed pursuant to this Contract.
AA. "Work Product" means the tangible and intangible results of the Work, whether finished or
unfinished, including drafts. Work Product includes, but is not limited to, documents, text,
software (including source code), research, reports, proposals, specifications, plans, notes,
studies, data, images, photographs, negatives, pictures, drawings, designs, models, surveys,
maps, materials, ideas, concepts, know-how, and any other results of the Work. "Work
Product" does not include any material that was developed prior to the Effective Date that is
used, without modification, in the performance of the Work.
Any other term used in this Contract that is defined in an Exhibit shall be construed and interpreted
as defined in that Exhibit.
4. STATEMENT OF WORK
Contractor shall complete the Work as described in this Contract and in accordance with the
provisions of Exhibit A. The State shall have no liability to compensate Contractor for the delivery
of any goods or the performance of any services that are not specifically set forth in this Contract.
5. PAYMENTS TO CONTRACTOR
A. Maximum Amount
Payments to Contractor are limited to the unpaid, obligated balance of the Contract Funds.
The State shall not pay Contractor any amount under this Contract that exceeds the Contract
Maximum for that State Fiscal Year shown on the Cover Page for this Contract.
B. Payment Procedures
i. Invoices and Payment
a. The State shall pay Contractor in the amounts and in accordance with the schedule
and other conditions set forth in Exhibit A.
b. Contractor shall initiate payment requests by invoice to the State, in a form and
manner approved by the State.
c. The State shall pay each invoice within 45 days following the State's receipt of
that invoice, so long as the amount invoiced correctly represents Work completed
by Contracto and previously accepted by the State during the term that the
invoice covers. If the State determines that the amount of any invoice is not
correct, then Contractor shall make all changes necessary to correct that invoice.
d. The acceptance of an invoice shall not constitute acceptance of any Work
performed or deliverables provided under this Contract.
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ii. Interest
Amounts not paid by the State within 45 days of the State's acceptance of the invoice
shall bear interest on the unpaid balance beginning on the 45th day at the rate of 1% per
month, as required by §24-30-202(24)(a), C.R.S., until paid in full; provided, however,
that interest shall not accrue on unpaid amounts that the State disputes in writing.
Contractor shall invoice the State separately for accrued interest on delinquent amounts,
and the invoice shall reference the delinquent payment, the number of day's interest to
be paid and the interest rate.
iii. Payment Disputes
If Contractor disputes any calculation, determination or amount of any payment,
Contractor shall notify the State in writing of its dispute within 30 days following the
earlier to occur of Contractor's receipt of the payment or notification of the
determination or calculation of the payment by the State. The State will review the
information presented by Contractor and may make changes to its determination based
on this review. The calculation, determination or payment amount that results from the
State's review shall not be subject to additional dispute under this subsection. No
payment subject to a dispute under this subsection shall be due until after the State has
concluded its review, and the State shall not pay any interest on any amount during the
period it is subject to dispute under this subsection.
iv. Available Funds -Contingency -Termination
The State is prohibited by law from making commitments beyond the term of the
current State Fiscal Year. Payment to Contractor beyond the current State Fiscal Year
is contingent on the appropriation and continuing availability of Contract Funds in any
subsequent year (as provided in the Colorado Special Provisions). If federal funds or
funds from any other non -State funds constitute all or some of the Contract Funds the
State's obligation to pay Contractor shall be contingent upon such non -State funding
continuing to be made available for payment. Payments to be made pursuant to this
Contract shall be made only from Contract Funds, and the State's liability for such
payments shall be limited to the amount remaining of such Contract Funds. If State,
federal or other funds are not appropriated, or otherwise become unavailable to fund
this Contract, the State may, upon written notice, terminate this Contract, in whole or
in part, without incurring further liability. The State shall, however, remain obligated
to pay for Services and Goods that are delivered and accepted prior to the effective date
of notice of termination, and this termination shall otherwise be treated as if this
Contract were terminated in the public interest as described in §2.E.
6. REPORTING - NOTIFICATION
A. Quarterly Reports.
In addition to any reports required pursuant to §16 or pursuant to any other Exhibit, for any
contract having a term longer than three months, Contractor shall submit, on a quarterly basis,
a written report specifying progress made for each specified performance measure and
standard in this Contract. Such progress report shall be in accordance with the procedures
developed and prescribed by the State. Progress reports shall be submitted to the State not
later than five Business Days following the end of each calendar quarter or at such time as
otherwise specified by the State.
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Contract Number:
B. Litigation Reporting
If Contractor is served with a pleading or other document in connection with an action before
a court or other administative decision making body, and such pleading or document relates
to this Contract or ma} affect Contractor's ability to perform its obligations under this
Contract, Contractor shall, within 10 days after being served, notify the State of such action
and deliver copies of such pleading or document to the State's principal representative
identified on the Cover Page for this Contract.
C. Performance Outside the State of Colorado or the United States, §24-102-206, C.R.S.
To the extent not previously disclosed in accordance with §24-102-206, C.R.S., Contractor
shall provide written notce to the State, in accordance with §14 and in a form designated by
the State, within 20 days following the earlier to occur of Contractor's decision to perform
Services outside of the State of Colorado or the United States, or its execution of an
agreement with a Subcontractor to perform, Services outside the State of Colorado or the
United States. Such notice shall specify the type of Services to be performed outside the State
of Colorado or the United States and the reason why it is necessary or advantageous to
perform such Services al such location or locations, and such notice shall be a public record.
Knowing failure by Contactor to provide notice to the State under this section shall constitute
a breach of this Contrast. This section shall not apply if the Contract Funds include any
federal funds.
7. CONTRACTOR RECORDS
A. Maintenance
Contractor shall maintain a file of all documents, records, communications, notes and other
materials relating to the Work (the "Contractor Records"). Contractor Records shall include
all documents, records, communications, notes and other materials maintained by Contractor
that relate to any Work performed by Subcontractors, and Contractor shall maintain all
records related to the Work performed by Subcontractors required to ensure proper
performance of that Wank. Contractor shall maintain Contractor Records until the last to
occur of: (i) the date three years after the date this Contract expires or is terminated, (ii) final
payment under this Contact is made, (iii) the resolution of any pending Contract matters, or
(iv) if an audit is occurr_ng, or Contractor has received notice that an audit is pending, the
date such audit is completed and its findings have been resolved (the "Record Retention
Period").
B. Inspection
Contractor shall permit the State to audit, inspect, examine, excerpt, copy and transcribe
Contractor Records during the Record Retention Period. Contractor shall make Contractor
Records available during normal business hours at Contractor's office or place of business,
or at other mutually agre::d upon times or locations, upon no fewer than two Business Days'
notice from the State, unless the State determines that a shorter period of notice, or no notice,
is necessary to protect the interests of the State.
C. Monitoring
The State, in its discretion, may monitor Contractor's performance of its obligations under
this Contract using procedures as determined by the State. The State shall monitor
Contractor's performance in a manner that does not unduly interfere with Contractor's
performance of the Work.
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D. Final Audit Report
Contractor shall promptly submit to the State a copy of any final audit report of an audit
performed on Contractor's records that relates to or affects this Contract or the Work, whether
the audit is conducted by Contractor or a third party.
8. CONFIDENTIAL INFORMATION -STATE RECORDS
A. Confidentiality
Contractor shall keep confidential, and cause all Subcontractors to keep confidential, all State
Records, unless those State Records are publicly available. Contractor shall not, without prior
written approval of the State, use, publish, copy, disclose to any third party, or permit the use
by any third party of any State Records, except as otherwise stated in this Contract, permitted
by law or approved in writing by the State. Contractor shall provide for the security of all
State Confidential Information in accordance with all policies promulgated by the Colorado
Office of Information Security and all applicable laws, rules, policies, publications, and
guidelines. If Contractor or any of its Subcontractors will or may receive the following types
of data, Contractor or its Subcontractors shall provide for the security of such data according
to the following: (i) the most recently promulgated IRS Publication 1075 for all Tax
Information and in accordance with the Safeguarding Requirements for Federal Tax
Information attached to this Contract as an Exhibit, if applicable, (ii) the most recently
updated PCI Data Security Standard from the PCI Security Standards Council for all PCI,
(iii) the most recently issued version of the U.S. Department of Justice, Federal Bureau of
Investigation, Criminal Justice Information Services Security Policy for all CJI, and (iv) the
federal Health Insurance Portability and Accountability Act for all PHI and the HIPAA
Business Associate Agreement attached to this Contract, if applicable. Contractor shall
immediately forward any request or demand for State Records to the State's principal
representative.
B. Other Entity Access and Nondisclosure Agreements
Contractor may provide State Records to its agents, employees, assigns and Subcontractors
as necessary to perform the Work, but shall restrict access to State Confidential Information
tothose agents, employees, assigns and Subcontractors who require access to perform their
obligations under this Contract. Contractor shall ensure all such agents, employees, assigns,
and Subcontractors sign agreements containing nondisclosure provisions at least as protective
as those in this Contract, and that the nondisclosure provisions are in force at all times the
agent, employee, assign or Subcontractor has access to any State Confidential Information.
Contractor shall provide copies of those signed nondisclosure provisions to the State upon
execution of the nondisclosure provisions.
C. Use, Security, and Retention
Contractor shall use, hold and maintain State Confidential Information in compliance with
any and all applicable laws and regulations in facilities located within the United States, and
shall maintain a secure environment that ensures confidentiality of all State Confidential
Information wherever located. Contractor shall provide the State with access, subject to
Contractor's reasonable security requirements, for purposes of inspecting and monitoring
access and use of State Confidential Information and evaluating security control
effectiveness. Upon the expiration or termination of this Contract, Contractor shall return
State Records provided to Contractor or destroy such State Records and certify to the State
that it has done so, as directed by the State. If Contractor is prevented by law or regulation
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from returning or destroying State Confidential Information, Contractor warrants it will
guarantee the confidentiality of, and cease to use, such State Confidential Information.
D. Incident Notice and Remediation
If Contractor becomes aware of any Incident, it shall notify the State immediately and
cooperate with the State regarding recovery, remediation, and the necessity to involve law
enforcement, as determined by the State. Unless Contractor can establish that none of
Contractor or any of its agents, employees, assigns or Subcontractors are the cause or source
of the Incident, Contractor shall be responsible for the cost of notifying each person who may
have been impacted by the Incident. After an Incident, Contractor shall take steps to reduce
the risk of incurring a similar type of Incident in the future as directed by the State, which
may include, but is not limited to, developing and implementing a remediation plan that is
approved by the State at no additional cost to the State. The State may, in its sole discretion
and at Contractor's sole expense, require Contractor to engage the services of an independent,
qualified, State -approved third party to conduct a security audit. Contractor shall provide the
State with the results of such audit and evidence of Contractor's planned remediation in
response to any negative findings.
E. Data Protection and Handling
Contractor shall ensure that all State Records and Work Product in the possession of
Contractor or any Subcontractors are protected and handled in accordance with the
requirements of this Contract, including the requirements of any Exhibits hereto, at all times.
F. Safeguarding PII
If Contractor or any of its Subcontractors will or may receive PII under this Contract,
Contractor shall provide for the security of such PII, in a manner and form acceptable to the
State, including, without limitation, State non -disclosure requirements, use of appropriate
technology, security practices, computer access security, data access security, data storage
encryption, data transmission encryption, security inspections, and audits. Contractor shall
be a "Third -Party Service Provider" as defined in §24-73-103(1)(i), C.R.S. and shall maintain
security procedures and practices consistent with §§24-73-101 et seq., C.R.S.
9. CONFLICTS OF INTEREST
A. Actual Conflicts of Interest
Contractor shall not engage in any business or activities, or maintain any relationships that
conflict in any way with the full performance of the obligations of Contractor under this
Contract. Such a conflict of interest would arise when a Contractor or Subcontractor's
employee, officer or agent were to offer or provide any tangible personal benefit to an
employee of the State, or any member of his or her immediate family or his or her partner,
related to the award of, entry into or management or oversight of this Contract.
B. Apparent Conflicts of Interest
Contractor acknowledges that, with respect to this Contract, even the appearance of a conflict
of interest shall be harmful to the State's interests. Absent the State's prior written approval,
Contractor shall refrain from any practices, activities or relationships that reasonably appear
to be in conflict with the full performance of Contractor's obligations under this Contract.
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C. Disclosure to the State
If a conflict or the appearance of a conflict arises, or if Contractor is uncertain whether a
conflict or the appearance of a conflict has arisen, Contractor shall submit to the State a
disclosure statement setting forth the relevant details for the State's consideration. Failure to
promptly submit a disclosure statement or to follow the State's direction in regard to the
actual or apparent conflict constitutes a breach of this Contract.
10. INSURANCE
Contractor shall obtain and maintain, and ensure that each Subcontractor shall obtain and maintain,
insurance as specified in this section at all times during the term of this Contract. All insurance
policies required by this Contract shall be issued by insurance companies as approved by the State.
A. Workers' Compensation
Workers' compensation insurance as required by state statute, and employers' liability
insurance covering all Contractor or Subcontractor employees acting within the course and
scope of their employment.
B. General Liability
Commercial general liability insurance covering premises operations, fire damage,
independent contractors, products and completed operations, blanket contractual liability,
personal injury, and advertising liability with minimum limits as follows:
i. $1,000,000 each occurrence;
ii. $1,000,000 general aggregate;
$1,000,000 products, and completed operations aggregate; and
iv. $50,000 any one fire.
C. Automobile Liability
Automobile liability insurance covering any auto (including owned, hired and non -owned
autos) with a minimum limit of $1,000,000 each accident combined single limit.
D. Protected Information
Liability insurance covering all loss of State Confidential Information, such as PII, PHI, PCI,
Tax Information, and CJI, and claims based on alleged violations of privacy rights through
improper use or disclosure of protected information with minimum limits as follows:
i. $1,000,000 each occurrence; and
ii. $2,000,000 general aggregate.
E. Professional Liability Insurance
Professional liability insurance covering any damages caused by an error, omission or any
negligent act with minimum limits as follows:
i. $1,000,000 each occurrence; and
ii. $1,000,000 general aggregate.
F. Crime Insurance
Crime insurance including employee dishonesty coverage with minimum limits as follows:
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i. $1,000,000 each occurrence; and
ii. $1,000,000 general aggregate.
G. Additional Insured
The State shall be named as additional insured on all commercial general liability policies
(leases and construction contracts require additional insured coverage for completed
operations) requiredof Contractor and Subcontractors.
H. Primacy of Coverage
Coverage required of Contractor and each Subcontractor shall be primary over any insurance
or self-insurance program carried by Contractor or the State.
I. Cancellation
The above insurance policies shall include provisions preventing cancellation or non -
renewal, except for cancellation based on non-payment of premiums, without at least 30 days
prior notice to Contractor and Contractor shall forward such notice to the State in accordance
with §14 within seven days of Contractor's receipt of such notice.
J. Subrogation Waiver
All insurance policies secured or maintained by Contractor or its Subcontractors in relation
to this Contract shall include clauses stating that each carrier shall waive all rights of recovery
under subrogation cc otherwise against Contractor or the State, its agencies, institutions,
organizations, officers, agents, employees, and volunteers.
K. Public Entities
If Contractor is a "public entity" within the meaning of the Colorado Governmental Immunity
Act, §24-10-101, et seq., C.R.S. (the "GIA"), Contractor shall maintain, in lieu of the liability
insurance requirements stated above, at all times during the term of this Contract such liability
insurance, by commercial policy or self-insurance, as is necessary to meet its liabilities under
the GIA. If a Subcontractor is a public entity within the meaning of the GIA, Contractor shall
ensure that the Subcontractor maintain at all times during the terms of this Contract, in lieu
of the liability insurance requirements stated above, such liability insurance, by commercial
policy or self-insurance, as is necessary to meet the Subcontractor's obligations under the
GIA.
L. Certificates
Contractor shall provide to the State certificates evidencing Contractor's insurance coverage
required in this Contract within seven Business Days following the Effective Date. Contractor
shall provide to the State certificates evidencing Subcontractor insurance coverage required
under this Contract within seven Business Days following the Effective Date, except that, if
Contractor's subcontract is not in effect as of the Effective Date, Contractor shall provide to
the State certificates showing Subcontractor insurance coverage required under this Contract
within seven Business Days following Contractor's execution of the subcontract. No later
than 15 days before the expiration date of Contractor's or any Subcontractor's coverage,
Contractor shall deliver to the State certificates of insurance evidencing renewals of coverage.
At any other time during the term of this Contract, upon request by the State, Contractor shall,
within seven Business Days following the request by the State, supply to the State evidence
satisfactory to the State of compliance with the provisions of this section.
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11. BREACH OF CONTRACT
In the event of a Breach of Contract, the aggrieved Party shall give written notice of breach to the
other Party. If the notified Party does not cure the Breach of Contract, at its sole expense, within
30 days after the delivery of written notice, the Party may exercise any of the remedies as described
in §12 for that Party. Notwithstanding any provision of this Contract to the contrary, the State, in
its discretion, need not provide notice or a cure period and may immediately terminate this Contract
in whole or in part or institute any other remedy in this Contract in order to protect the public
interest of the State; or if Contractor is debarred or suspended under §24-109-105, C.R.S., the State,
in its discretion, need not provide notice or cure period and may terminate this Contract in whole
or in part or institute any other remedy in this Contract as of the date that the debarment or
suspension takes effect.
12. REMEDIES
A. State's Remedies
If Contractor is in breach under any provision of this Contract and fails to cure such breach,
the State, following the notice and cure period set forth in §11, shall have all of the remedies
listed in this section in addition to all other remedies set forth in this Contract or at law. The
State may exercise any or all of the remedies available to it, in its discretion, concurrently or
consecutively.
i. Termination for Breach
In the event of Contractor's uncured breach, the State may terminate this entire Contract
or any part of this Contract. Contractor shall continue performance of this Contract to
the extent not terminated, if any.
a. Obligations and Rights
To the extent specified in any termination notice, Contractor shall not incur further
obligations or render further performance past the effective date of such notice,
and shall terminate outstanding orders and subcontracts with third parties.
However, Contractor shall complete and deliver to the State all Work not
cancelled by the termination notice, and may incur obligations as necessary to do
so within this Contract's terms. At the request of the State, Contractor shall assign
to the State all of Contractor's rights, title, and interest in and to such terminated
orders or subcontracts. Upon termination, Contractor shall take timely, reasonable
and necessary action to protect and preserve property in the possession of
Contractor but in which the State has an interest. At the State's request, Contractor
shall return materials owned by the State in Contractor's possession at the time of
any termination. Contractor shall deliver all completed Work Product and all
Work Product that was in the process of completion to the State at the State's
request.
b. Payments
Notwithstanding anything to the contrary, the State shall only pay Contractor for
accepted Work received as of the date of termination. If, after termination by the
State, the State agrees that Contractor was not in breach or that Contractor's action
or inaction was excusable, such termination shall be treated as a termination in
the public interest, and the rights and obligations of the Parties shall be as if this
Contract had been terminated in the public interest under §2.E.
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c. Damages and Withholding
Notwithstanding any other remedial action by the State, Contractor shall remain
liable to the state for any damages sustained by the State in connection with any
breach by Contractor, and the State may withhold payment to Contractor for the
purpose of mitigating the State's damages until such time as the exact amount of
damages due to the State from Contractor is determined. The State may withhold
any amount flat may be due Contractor as the State deems necessary to protect
the State against loss including, without limitation, loss as a result of outstanding
liens and excess costs incurred by the State in procuring from third parties
replacement Work as cover.
ii. Remedies Not Invclving Termination
The State, in its discretion, may exercise one or more of the following additional
remedies:
a. Suspend Perfhrmance
Suspend Con_ractor's performance with respect to all or any portion of the Work
pending corrective action as specified by the State without entitling Contractor to
an adjustment in price or cost or an adjustment in the performance schedule.
Contractor shall promptly cease performing Work and incurring costs in
accordance with the State's directive, and the State shall not be liable for costs
incurred by Contractor after the suspension of performance.
b. Withhold Payment
Withhold payment to Contractor until Contractor corrects its Work.
c. Deny Payment
Deny payment for Work not performed, or that due to Contractor's actions or
inactions, cannot be performed or if they were performed are reasonably of no
value to the state; provided, that any denial of payment shall be equal to the value
of the obligations not performed.
Removal
Demand immediate removal of any of Contractor's employees, agents, or
Subcontractors from the Work whom the State deems incompetent, careless,
insubordinate, unsuitable, or otherwise unacceptable or whose continued relation
to this Contract is deemed by the State to be contrary to the public interest or the
State's best interest.
e. Intellectual Property
If any Work infringes, or if the State in its sole discretion determines that any
Work is likely to infringe, a patent, copyright, trademark, trade secret or other
intellectual property right, Contractor shall, as approved by the State (i) secure
that right to ■se such Work for the State and Contractor; (ii) replace the Work
with noninfringing Work or modify the Work so that it becomes noninfringing;
or, (iii) remove any infringing Work and refund the amount paid for such Work
to the State
B. Contractor's Remedies
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If the State is in breach of any provision of this Contract and does not cure such breach,
Contractor, following the notice and cure period in §11 and the dispute resolution process in
§13 shall have all remedies available at law and equity.
13. DISPUTE RESOLUTION
A. Initial Resolution
Except as herein specifically provided otherwise, disputes concerning the performance of this
Contract which cannot be resolved by the designated Contract representatives shall be
referred in writing to a senior departmental management staff member designated by the State
and a senior manager designated by Contractor for resolution.
B. Resolution of Controversies
If the initial resolution described in §13.A fails to resolve the dispute within 10 Business
Days, Contractor shall submit any alleged breach of this Contract by the State to the
Procurement Official of the State Agency named on the Cover Page of this Contract as
described in §24-101-301(30), C.R.S. for resolution in accordance with the provisions of
§ §24-106-109, and 24-109-101.1 through 24-109-505, C.R.S., (the "Resolution Statutes"),
except that if Contractor wishes to challenge any decision rendered by the Procurement
Official, Contractor's challenge shall be an appeal to the executive director of the Department
of Personnel and Administration, or their delegate, under the Resolution Statutes before
Contractor pursues any further action as permitted by such statutes. Except as otherwise
stated in this Section, all requirements of the Resolution Statutes shall apply including,
without limitation, time limitations.
14. NOTICES AND REPRESENTATIVES
Each individual identified as a Principal Representative on the Cover Page for this Contract shall
be the principal representative of the designating Party. All notices required or permitted to be
given under this Contract shall be in writing, and shall be delivered (A) by hand with receipt
required, (B) by certified or registered mail to such Party's principal representative at the address
set forth below or (C) as an email with read receipt requested to the principal representative at the
email address, if any, set forth on the Cover Page for this Contract. If a Party delivers a notice to
another through email and the email is undeliverable, then, unless the Party has been provided with
an alternate email contact, the Party delivering the notice shall deliver the notice by hand with
receipt required or by certified or registered mail to such Party's principal representative at the
address set forth on the Cover Page for this Contract. Either Party may change its principal
representative or principal representative contact information, or may designate specific other
individuals to receive certain types of notices in addition to or in lieu of a principal representative
by notice submitted in accordance with this section without a formal amendment to this Contract.
Unless otherwise provided in this Contract, notices shall be effective upon delivery of the written
notice.
15. RIGHTS IN WORK PRODUCT AND OTHER INFORMATION
A. Work Product
Contractor assigns to the State and its successors and assigns, the entire right, title, and
interest in and to all causes of action, either in law or in equity, for past, present, or future
infringement of intellectual property rights related to the Work Product and all works based
on, derived from, or incorporating the Work Product. Whether or not Contractor is under
contract with the State at the time, Contractor shall execute applications, assignments, and
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other documents, and shall render all other reasonable assistance requested by the State, to
enable the State to secure patents, copyrights, licenses and other intellectual property rights
related to the Work Product. To the extent that Work Product would fall under the definition
of "works made for hire" under 17 U.S.C.S. §101, the Parties intend the Work Product to be
a work made for hire.
Copyrights
To the extent that the Work Product (or any portion of the Work Product) would not be
considered works made for hire under applicable law, Contractor hereby assigns to the
State, the entire right, title, and interest in and to copyrights in all Work Product and all
works based upon, derived from, or incorporating the Work Product; all copyright
applications, registrations, extensions, or renewals relating to all Work Product and all
works based upon, derived from, or incorporating the Work Product; and all moral
rights or similar rights with respect to the Work Product throughout the world. To the
extent that Contractor cannot make any of the assignments required by this section,
Contractor hereby grants to the State a perpetual, irrevocable, royalty -free license to
use, modify, copy, publish, display, perform, transfer, distribute, sell, and create
derivative works of the Work Product and all works based upon, derived from, or
incorporating the Work Product by all means and methods and in any format now
known or invented in the future. The State may assign and license its rights under this
license.
ii. Patents
In addition, Contractor grants to the State (and to recipients of Work Product distributed
by or on behalf of the State) a perpetual, worldwide, no -charge, royalty -free,
irrevocable patent license to make, have made, use, distribute, sell, offer for sale,
import, transfer, and otherwise utilize, operate, modify and propagate the contents of
the Work Product. Such license applies only to those patent claims licensable by
Contractor that are necessarily infringed by the Work Product alone, or by the
combination of the Work Product with anything else used by the State.
B. Exclusive Property of the State
Except to the extent specifically provided elsewhere in this Contract, any pre-existing State
Records, State software, research, reports, studies, photographs, negatives or other
documents, drawings, models, materials, data and information shall be the exclusive property
of the State (collectively, "State Materials"). Contractor shall not use, willingly allow, cause
or permit Work Product or State Materials to be used for any purpose other than the
performance of Contractor's obligations in this Contract without the prior written consent of
the State. Upon termination of this Contract for any reason, Contractor shall provide all
Work Product and State Materials to the State in a form and manner as directed by the State.
C. Exclusive Property of Contractor
Contractor retains the exclusive rights, title, and ownership to any and all pre-existing
materials owned or licensed to Contractor including, but not limited to, all pre-existing
software, licensed products, associated source code, machine code, text images, audio and/or
video, and third -party materials, delivered by Contractor under the Contract, whether
incorporated in a Deliverable or necessary to use a Deliverable (collectively, "Contractor
Property"). Contractor Property shall be licensed to the State as set forth in this Contract or a
State approved license agreement: (i) entered into as exhibits to this Contract; (ii) obtained
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by the State from the applicable third -party vendor; or (iii) in the case of open source
software, the license terms set forth in the applicable open source license agreement.
16. STATEWIDE CONTRACT MANAGEMENT SYSTEM
If the maximum amount payable to Contractor under this Contract is $100,000 or greater, either
on the Effective Date or at any time thereafter, this section shall apply. Contractor agrees to be
governed by and comply with the provisions of §§24-106-103, 24-102-206, 24-106-106, and 24-
106-107, C.R.S. regarding the monitoring of vendor performance and the reporting of contract
performance information in the State's contract management system ("Contract Management
System" or "CMS"). Contractor's performance shall be subject to evaluation and review in
accordance with the terms and conditions of this Contract, Colorado statutes governing CMS, and
State Fiscal Rules and State Controller policies.
17. GENERAL PROVISIONS
A. Assignment
Contractor's rights and obligations under this Contract are personal and may not be
transferred or assigned without the prior, written consent of the State. Any attempt at
assignment or transfer without such consent shall be void. Any assignment or transfer of
Contractor's rights and obligations approved by the State shall be subject to the provisions of
this Contract.
B. Subcontracts
Contractor shall not enter into any subcontract in connection with its obligations under this
Contract without the prior, written approval of the State. Contractor shall submit to the State
a copy of each such subcontract upon request by the State. All subcontracts entered into by
Contractor in connection with this Contract shall comply with all applicable federal and state
laws and regulations, shall provide that they are governed by the laws of the State of
Colorado, and shall be subject to all provisions of this Contract.
C. Binding Effect
Except as otherwise provided in § 17.A, all provisions of this Contract, including the benefits
and burdens, shall extend to and be binding upon the Parties' respective successors and
assigns.
D. Authority
Each Party represents and warrants to the other that the execution and delivery of this
Contract and the performance of such Party's obligations have been duly authorized.
E. Captions and References
The captions and headings in this Contract are for convenience of reference only, and shall
not be used to interpret, define, or limit its provisions. All references in this Contract to
sections (whether spelled out or using the § symbol), subsections, exhibits or other
attachments, are references to sections, subsections, exhibits or other attachments contained
herein or incorporated as a part hereof, unless otherwise noted.
F. Counterparts
This Contract may be executed in multiple, identical, original counterparts, each of which
shall be deemed to be an original, but all of which, taken together, shall constitute one and
the same agreement.
Contract Number:
Page 18 of 23 Version 0919
G. Entire Understanding
This Contract represents the complete integration of all understandings between the Parties
related to the Work, and all prior representations and understandings related to the Work, oral
or written, are merged into this Contract. Prior or contemporaneous additions, deletions, or
other changes to this Contract shall not have any force or effect whatsoever, unless embodied
herein.
H. Digital Signatures
If any signatory signs this agreement using a digital signature in accordance with the
Colorado State Controller Contract, Grant and Purchase Order Policies regarding the use of
digital signatures issued under the State Fiscal Rules, then any agreement or consent to use
digital signatures within the electronic system through which that signatory signed shall be
incorporated into this Contract by reference.
I. Modification
Except as otherwise provided in this Contract, any modification to this Contract shall only be
effective if agreed to in a formal amendment to this Contract, properly executed and approved
in accordance with applicable Colorado State law and State Fiscal Rules. Modifications
permitted under this Contract, other than contract amendments, shall conform to the policies
issued by the Colorado State Controller.
J. Statutes, Regulations, Fiscal Rules, and Other Authority
Any reference in this Contract to a statute, regulation, State Fiscal Rule, fiscal policy or other
authority shall be interpreted to refer to such authority then current, as may have been
changed or amended since the Effective Date of this Contract.
K. External Terms and Conditions
i. Notwithstanding anything to the contrary herein, the State shall not be subject to any
provision included in any terms, conditions, or agreements appearing on Contractor's
or a Subcontractor's website or any provision incorporated into any click -through or
online agreements related to the Work unless that provision is specifically referenced
in this Contract.
L. Severability
The invalidity or unenfor eability of any provision of this Contract shall not affect the validity
or enforceability of any other provision of this Contract, which shall remain in full force and
effect, provided that the Parties can continue to perform their obligations under this Contract
in accordance with the intent of this Contract.
M. Survival of Certain Contract Terms
Any provision of this Contract that imposes an obligation on a Party after termination or
expiration of this Contract shall survive the termination or expiration of this Contract and
shall be enforceable by the other Party.
N. Taxes
The State is exempt from federal excise taxes under I.R.C. Chapter 32 (26 U.S.C., Subtitle
D, Ch. 32) (Federal Excise Tax Exemption Certificate of Registry No. 84-730123K) and from
State and local government sales and use taxes under §§39-26-704(1), et seq., C.R.S.
(Colorado Sales Tax Exemption Identification Number 98-02565). The State shall not be
Contract Number:
Page 19 of 23 Version 0919
liable for the payment of any excise, sales, or use taxes, regardless of whether any political
subdivision of the state imposes such taxes on Contractor. Contractor shall be solely
responsible for any exemptions from the collection of excise, sales or use taxes that
Contractor may wish to have in place in connection with this Contract.
O. Third Party Beneficiaries
Except for the Parties' respective successors and assigns described in § 17.A, this Contract
does not and is not intended to confer any rights or remedies upon any person or entity other
than the Parties. Enforcement of this Contract and all rights and obligations hereunder are
reserved solely to the Parties. Any services or benefits which third parties receive as a result
of this Contract are incidental to this Contract, and do nat create any rights for such third
parties.
P. Waiver
A Party's failure or delay in exercising any right, power, or privilege under this Contract,
whether explicit or by lack of enforcement, shall not operate as a waiver, nor shall any single
or partial exercise of any right, power, or privilege preclude any other or further exercise of
such right, power, or privilege.
Q.
CORA Disclosure
To the extent not prohibited by federal law, this Contract and the performance measures and
standards required under §24-106-107, C.R.S., if any, are subject to public release through
the CORA.
R. Standard and Manner of Performance
Contractor shall perform its obligations under this Contract in accordance with the highest
standards of care, skill and diligence in Contractor's industry, trade, or profession.
S. Licenses, Permits, and Other Authorizations
Contractor shall secure, prior to the Effective Date, and maintain at all times during the term
of this Contract, at its sole expense, all licenses, certifications, permits, and other
authorizations required to perform its obligations under this Contract, and shall ensure that
all employees, agents and Subcontractors secure and maintain at all times during the term of
their employment, agency or subcontract, all license, certifications, permits and other
authorizations required to perform their obligations in relation to this Contract.
T. Indemnification
i. General Indemnification
Contractor shall indemnify, save, and hold harmless the State, its employees, agents
and assignees (the "Indemnified Parties"), against any and all costs, expenses, claims,
damages, liabilities, court awards and other amounts (including attorneys' fees and
related costs) incurred by any of the Indemnified Parties in relation to any act or
omission by Contractor, or its employees, agents, Subcontractors, or assignees in
connection with this Contract unless the contractor is a public entity.
ii. Confidential Information Indemnification
Disclosure or use of State Confidential Information by Contractor in violation of §8
may be cause for legal action by third parties against Contractor, the State, or their
respective agents. Contractor shall indemnify, save, and hold harmless the Indemnified
Contract Number:
Page 20 of 23 Version 0919
Parties, against any and all claims, damages, liabilities, losses, costs, expenses
(including attorneys' fees and costs) incurred by the State in relation to any act or
omission by Contractor, or its employees, agents, assigns, or Subcontractors in violation
of §8 unless the contractor is a public entity.
iii. Intellectual Propery Indemnification
Contractor shall indemnify, save, and hold harmless the Indemnified Parties, against
any and all costs, expenses, claims, damages, liabilities, and other amounts (including
attorneys' fees anc costs) incurred by the Indemnified Parties in relation to any claim
that any Work infringes a patent, copyright, trademark, trade secret, or any other
intellectual property right unless the contractor is a public entity.
18. COLORADO SPECIAL PROVISIONS (COLORADO FISCAL RULE 3-3)
These Special Provisions apply to all contracts except where noted in italics.
A. STATUTORY APPROVAL. §24-30-202(1), C.R.S.
This Contract shall not be valid until it has been approved by the Colorado State Controller
or designee. If this Contract is for a Major Information Technology Project, as defined in
§24-37.5-102(2.6), then this Contract shall not be valid until it has been approved by the
State's Chief Informatiol Officer or designee.
B. FUND AVAILABILITY. §24-30-202(5.5), C.R.S.
Financial obligations of the State payable after the current State Fiscal Year are contingent
upon funds for that purpose being appropriated, budgeted, and otherwise made available.
C. GOVERNMENTAL IMMUNITY.
Liability for claims for injuries to persons or property arising from the negligence of the State,
its departments, boards, commissions committees, bureaus, offices, employees and officials
shall be controlled and limited by the provisions of the Colorado Governmental Immunity
Act, §24-10-101, et seq.; C.R.S.; the Federal Tort Claims Act, 28 U.S.C. Pt. VI, Ch. 171 and
28 U.S.C. 1346(b), and the State's risk management statutes, §§24-30-1501, et seq. C.R.S.
No term or condition ofthis Contract shall be construed or interpreted as a waiver, express
or implied, of any of the immunities, rights, benefits, protections, or other provisions,
contained in these statutes.
D. INDEPENDENT CONTRACTOR.
Contractor shall perform its duties hereunder as an independent contractor and not as an
employee. Neither Contractor nor any agent or employee of Contractor shall be deemed to
be an agent or employe: of the State. Contractor shall not have authorization, express or
implied, to bind the State to any agreement, liability or understanding, except as expressly
set forth herein. Contractor and its employees and agents are not entitled to
unemployment insurance or workers compensation benefits through the State and the
State shall not pay for or otherwise provide such coverage for Contractor or any of its
agents or employees. Contractor shall pay when due all applicable employment taxes
and income taxes and local head taxes incurred pursuant to this Contract. Contractor
shall (i) provide and keep in force workers' compensation and unemployment
compensation insurance in the amounts required by law, (ii) provide proof thereof when
requested by the State, and (iii) be solely responsible for its acts and those of its
employees and agents.
Contract Number:
Page 21 of 23 Version 0919
E. COMPLIANCE WITH LAW.
Contractor shall comply with all applicable federal and State laws, rules, and regulations in
effect or hereafter established, including, without limitation, laws applicable to
discrimination and unfair employment practices.
F. CHOICE OF LAW, JURISDICTION, AND VENUE.
Colorado law, and rules and regulations issued pursuant thereto, shall be applied in the
interpretation, execution, and enforcement of this Contract. Any provision included or
incorporated herein by reference which conflicts with said laws, rules, and regulations shall
be null and void. All suits or actions related to this Contract shall be filed and proceedings
held in the State of Colorado and exclusive venue shall be in the City and County of Denver.
G. PROHIBITED TERMS.
Any term included in this Contract that requires the State to indemnify or hold Contractor
harmless; requires the State to agree to binding arbitration; limits Contractor's liability for
damages resulting from death, bodily injury, or damage to tangible property; or that conflicts
with this provision in any way shall be void ab initio. Nothing in this Contract shall be
construed as a waiver of any provision of §24-106-109 C.R.S.
H. SOFTWARE PIRACY PROHIBITION.
State or other public funds payable under this Contract shall not be used for the acquisition,
operation, or maintenance of computer software in violation of federal copyright laws or
applicable licensing restrictions. Contractor hereby certifies and warrants that, during the
term of this Contract and any extensions, Contractor has and shall maintain in place
appropriate systems and controls to prevent such improper use of public funds. If the State
determines that Contractor is in violation ofthis provision, the State may exercise any remedy
available at law or in equity or under this Contract, including, without limitation, immediate
termination of this Contract and any remedy consistent with federal copyright laws or
applicable licensing restrictions.
I. EMPLOYEE FINANCIAL INTEREST/CONFLICT OF INTEREST. §§24-18-201 and
24-50-507, C.R.S.
The signatories aver that to their knowledge, no employee of the State has any personal or
beneficial interest whatsoever in the service or property described in this Contract. Contractor
has no interest and shall not acquire any interest, direct or indirect, that would conflict in any
manner or degree with the performance of Contractor's services and Contractor shall not
employ any person having such known interests.
J. VENDOR OFFSET AND ERRONEOUS PAYMENTS. §§24-30-202(1) and 24-30-
202.4, C.R.S.
[Not applicable to intergovernmental agreements] Subject to §24-30-202.4(3.5), C.R.S., the
State Controller may withhold payment under the State's vendor offset intercept system for
debts owed to State agencies for: (i) unpaid child support debts or child support arrearages;
(ii) unpaid balances of tax, accrued interest, or other charges specified in §§39-21-101, et
seq., C.R.S.; (iii) unpaid loans due to the Student Loan Division of the Department of Higher
Education; (iv) amounts required to be paid to the Unemployment Compensation Fund; and
(v) other unpaid debts owing to the State as a result of final agency determination or judicial
action. The State may also recover, at the State's discretion, payments made to Contractor
in error for any reason, including, but not limited to, overpayments or improper payments,
Contract Number:
Page 22 of 23 Version 0919
and unexpended or excess funds received by Contractor by deduction from subsequent
payments under this Contract, deduction from any payment due under any other contracts,
grants or agreements between the State and Contractor, or by any other appropriate method
for collecting debts owed to the State.
K. PUBLIC CONTRACTS FOR SERVICES. §§8-17.5-101, et seq., C.R.S.
[Not applicable to agmeements relating to the offer, issuance, or sale of securities,
investment advisory services or fund management services, sponsored projects,
intergovernmental agreements, or information technology services or products and
services] Contractor certifies, warrants, and agrees that it does not knowingly employ or
contract with an illegal alien who will perform work under this Contract and will confirm the
employment eligibility of all employees who are newly hired for employment in the United
States to perform work under this Contract, through participation in the E -Verify Program or
the State verification prcgram established pursuant to §8-17.5-102(5)(c), C.R.S., Contractor
shall not knowingly employ or contract with an illegal alien to perform work under this
Contract or enter into a contract with a Subcontractor that fails to certify to Contractor that
the Subcontractor shall not knowingly employ or contract with an illegal alien to perform
work under this Contract. Contractor (i) shall not use E -Verify Program or the program
procedures of the Colorado Department of Labor and Employment ("Department Program")
to undertake pre -employment screening of job applicants while this Contract is being
performed, (ii) shall notify the Subcontractor and the contracting State agency or institution
of higher education within three days if Contractor has actual knowledge that a Subcontractor
is employing or contracting with an illegal alien for work under this Contract, (iii) shall
terminate the subcontract if a Subcontractor does not stop employing or contracting with the
illegal alien within three days of receiving the notice, and (iv) shall comply with reasonable
requests made in the course of an investigation, undertaken pursuant to §8-17.5-102(5),
C.R.S., by the Colorado Department of Labor and Employment. If Contractor participates in
the Department program, Contractor shall deliver to the contracting State agency, Institution
of Higher Education or political subdivision, a written, notarized affirmation, affirming that
Contractor has examined the legal work status of such employee, and shall comply with all
of the other requirements of the Department program. If Contractor fails to comply with any
requirement of this provision or §§8-17.5-101, et seq., C.R.S., the contracting State agency,
institution of higher education or political subdivision may terminate this Contract for breach
and, if so terminated, Contractor shall be liable for damages.
L. PUBLIC CONTRACTS WITH NATURAL PERSONS. §§24-76.5-101, et seq., C.R.S.
Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms
under penalty of perjury that Contractor (1) is a citizen or otherwise lawfully present in the
United States pursuant to federal law, (ii) shall comply with the provisions of §§24-76.5-101,
et seq., C.R.S., and (iii) has produced one form of identification required by §24-76.5-103,
C.R.S. prior to the Effective Date of this Contract.
Contract Number:
Page 23 of 23 Version 0919
EXHIBIT A, STATEMENT OF WORK
Exhibit A Page 1 of 1
EXHIBIT B, SAMPLE OPTION LETTER
State Agency
Insert Department's or IHE's Full Legal Name
Option Letter Number
Insert the Option Number (e.g. "1" for the first option)
Contractor
Insert Contractor's Full Legal Name
Original Contract Number
Insert CMS number or Other Contract Number of the Original Contract
Current Contract Maximum Amount
Initial Term
State Fiscal Year 20xx $0.00
Extension Terms
State Fiscal Year 20xx $0.00
State Fiscal Year 20xx $0.00
State Fiscal Year 20xx $0.00
State Fiscal Year 20xx $0.00
Total for All State Fiscal Years $0.00
Option Contract Number
Insert CMS number or Other Contract Number of this Option
Contract Performance Beginning Date
Month Day, Year
Current Contract Expiration Date
Month Day, Year
1.
OPTIONS:
A. Option to extend for an Extension Term
B. Option to change the quantity of Goods under the Contract
C. Option to change the quantity of Services under the Contract
D. Option to modify Contract rates
E. Option to initiate next phase of the Contract
2. REQUIRED PROVISIONS:
A. For use with Option 1(A): In accordance with Section(s) Number of the Original Contract referenced above,
the State hereby exercises its option for an additional term, beginning Insert start date and ending on the current
contract expiration date shown above, at the rates stated in the Original Contract, as amended.
B. For use with Options 1(B and C): In accordance with Section(s) Number of the Original Contract referenced
above, the State hereby exercises its option to Increase/Decrease the quantity of the Goods/Services or both at
the rates stated in the Original Contract, as amended.
C. For use with Option 1(D): In accordance with Section(s) Number of the Original Contract referenced above,
the State hereby exercises its option to modify the Contract rates specified in Exhibit/Section Number/Letter.
The Contract rates attached to this Option Letter replace the rates in the Original Contract as of the Option
Effective Date of this Option Letter.
D. For use with Option 1(E): In accordance with Section(s) Number of the Original Contract referenced above,
the State hereby exercises its option to initiate Phase indicate which Phase: 2, 3, 4, etc, which shall begin on
Insert start date and end on Insert ending date at the cost/price specified in Section Number.
E. For use with all Options that modify the Contract Maximum Amount: The Contract Maximum Amount
table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract
Maximum Amount table shown above.
3. OPTION EFFECTIVE DATE:
A. The effective date of this Optioi Letter is upon approval of the State Controller or , whichever is later.
STATE OF COLORADO
Jared S. Polis, Governor
INSERT -Name of Agency or IHE
INSERT -Name & Title of Head of Agency or IHE
By: Name & Title of Person Signing for Agency or IHE
Date:
In accordance with §24-30-202, C.R.S., this Option is not
valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Name of Agency or IHE Delegate -Please delete if contract
will be routed to OSC for approval
Option Effective Date:
Exhibit B
Page 1 of 1
Exhibit F
PSSF Intensive Case Management Guidelines
To implement the PSSF Intensive Case Management program the awarded site must fulfill all of the required activities/components. All activities and services must be
documented in the OEC data system.
Component/Activities
Standards/Accepted
Measure
Case Manager Role
•
Coordinates services and provides direct
services
•
Number of families served, services, and activities documented in
Salesforce
•
Caseload 7-10 families at a time
•
Length of service, dependent on services and family needs, 3 - 12
months
Case Management Supervisor
•
Provides oversight of Case Manager
•
Oversight of Case Manager, case notes, supervision notes and plans
•
Consultation
•
Ensures data entry into Salesforce
•
Monitors for quality
Target Population
•
Kinship families/pest permanency needing
•
Target population defined in Statement of Work
stabilization
•
Number of families to be served documented in Statement of Work
•
Families in crisis, identified as having
multiple needs
•
Budget should reflect services costs
•
Open or no open involvement with child
welfare
Referral Source
•
Community agenq
•
All referrals and referral source information documented in Salesforce
•
County to community
•
Eligibility criteria documented in statement of work
•
Self -referral, family seeking help
•
Contacts and outreach documented in PSSF Referral screens in Salesforce
•
Juvenile Justice
Intake
•
Intake form in Salesforce
•
Identify intake tool(s) to be used in statement of work
•
Intake form from Trails
•
Every family must have documented/completed intake form/or
•
Initial outreach and engagement with the
completion date in Salesforce
family through home visits, office visits, or
•
Intakes should take place within 5 working days of referral
phone calls. At least one face to face
•
Salesforce PSSF referral closed, closure reason documented
meeting should occur during intake process.
•
Salesforce PSSF case opened if eligible for service
•
Determine eligibility/appropriateness
•
Open PSSF service, Intensive Case Management in Salesforce - model
•
Open case if eligible
name PSSF ICM Guidelines
Family Engagement
•
Family engagement meetings: Family Group
•
Identify family engagement models to be used in Statement of work
Decision Making/Family Group conference,
Family Team Conferencing and Team
•
Documented family engagement meetings in Salesforce in service
activity section
Decision Making
•
Collaborative Management Program (CMP)
Individualized Service and Support Teams
(ISST) meetings
•
Meetings held with a facilitator to provide
resources and information in which family
members are brought together to make
decisions about a plan for services.
Exhibit F
Assessment
•
•
•
•
Identify family strengths and barriers, prioritize
needs
Assess ability of the agency to address the
needs of the family
CFSA2
Protective Factors Survey required
•
•
•
CFSA2 pre/post/and follow ups should be documented in Salesforce
CFSA2 form filled out in Salesforce/Mobile Caddy all items should be
answered, no paper copies attached.
Other assessment tools (AAPI, Depression Screening, parent
satisfaction survey) used for other PSSF services must be identified
in statement of work and documented in Salesforce
Goal Setting
•
Family driven
•
Documented activity/family meeting/goal setting meeting in
•
Strategies/goals developed to overcome
Salesforce
barriers and build on family strengths
•
CFSA 2
•
Must be attainable goals with timeframes,
milestones, measurements, and expected
•
All goals however determined must be documented in Salesforce goal
setting section
outcomes identified
•
Identify outcomes of goals/services in Salesforce
•
Goal setting with CFSA2
•
Outcomes can include: a positive change in protective factors;
•
Goal setting through CW treatment plan
diminished risk factors; and improved child safety and behavior
•
Goals should be identified in Salesforce
•
Overall outcomes: preventing maltreatment; increase number of
children/youth remaining at home; decreasing placement into foster
care, increasing placement stability, reunifying families
Contact
•
One face to face contact minimum per week
that is intervention focused for the first three
•
Activities: face to face contacts documented in Salesforce, under
PSSF service, Intensive Case Management
months. Face to face can occur during family
engagement meeting, intake, goal setting and
•
All non -face to face contacts/activities documented in Salesforce
under PSSF service, Intensive Case Management
or family advocacy work.
•
Document contacts that support Intensive Case Management
•
Face to face contact after 3 months dependent
on family need and services. No minimum
contacts required after initial three months.
activities
•
The expectation is that services are intense, as
involved families have high needs. Frequent
contacts through texts, phone calls, or email in
addition to face to face contacts may be
necessary.
Emergency supports/Concrete Needs
•
Not required
•
Should be documented in the flex funding section in Salesforce with
•
May use funds to support the family goals, must
be included in the plan
justification
•
Must fall within the limits of the program. 5%
of overall total PSSF budget can be used
towards concrete supports
Social connections
•
Host community activity and include families
•
Family attendance in social activity documented in Salesforce
involved in PSSF case management program
•
Attach eco map or support circle if one is completed in Salesforce.
•
Provide or connect families to opportunities to
build relationships with others or activities that
provide emotional, informational, instrumental
or spiritual support
•
Recommend working through an ecomap
activity or support circle with the family to
help identify social support system
Exhibit F
Resource Navigation/Advocacy
•
•
Optional multi -system planning meeting to
maximize resources.
Linking family to community resources, formal
or informal
•
•
Case notes in activity section - Salesforce connected to Intensive
Case Management service
Referral tracking in Salesforce
Transition/Celebration
•
Identify continued service needs and follow up
•
Documented goal achievement in Salesforce
supports
•
PSSF service closure and reason in Salesforce
•
Provide necessaryreferrals
•
Case closure/optional celebration of success
QI/QA
•
Monitoring of family plan, and review of case
•
Supervision and case review timeframes in statement of work
files
•
Parent survey
•
Follow up with family post closure
•
Documented achieved goals and outcomes
•
Determine appropriateness of provided services
•
Salesforce documentation review, data reports submitted
•
Guidelines/activity checklist
Exhibit G- PSSF Adoption/Kinship Navigation/Post-Permanency Services Guidelines
Implementation includes all required components/activities. The number of optional components/activities required are
based on the PSSF funding award level. Tier 1 funding: must implement all required components/activities plus one
optional component. Tier 2 funding: must implement all required components/activities plus two optional components.
Tier 3 & 4 funding: must implement all required components/activities plus three optional components.
All Activities, Services, and Measurements must be documented in Salesforce and/or the statement of work.
Component
Standards/Accepted
Measure
Case Manager Role
(required)
• Coordinates services and
provides direct services
• Length of service, dependent
on service and family needs, 6
months - 3 years
• Caseload 15-30 families at a
time, dependent on needs of
the family
• Number of families served,
services, and activities
documented in Salesforce
within 5 business days
• Must follow PSSF statement of
work and budget in approved
contract
Case Management Supervisor
(required)
• Provides oversight of Case
Manager
• Consultation
• Monitors for quality
• Oversight of Case Manager,
case notes, supervision notes
and plans
• Data entry is complete and
consistent in Salesforce of all
activities within 5 business
days
• Follow PSSF statement of work
and budget in approved
contract
Target Population
(required)
• Kinship families/adoptive/post
permanency needing
stabilization
• Families in crisis, identified as
having multiple needs
• Open, closed, or no child
welfare involvements
• Families who have adopted or
have guardianship, or working
towards permanent
placements
• Target population defined in
Statement of Work
• Number of families served
documented in Statement of
Work
• Cases and services
documented in Salesforce
Referral Source
(required)
Not limited to the following:
• County or Community agency
• Self -referral, families seeking
help
• Juvenile Justice
• Adoption agency
• All referrals and referral
source information
documented in Salesforce
• Contacts and outreach
documented in PSSF Referral
screens in Salesforce
Intake
(required)
• PSSF Intake form completed in
Salesforce
• If not using the prescribed
PSSF intake form, identify and
obtain approval of intake form
to be used.
• Completed intake form/or
intake completion date in
Salesforce
• Intakes should take place
within 5 working days of
referral
Exhibit G- PSSF Adoption/Kinship Navigation/Post-Permanency Services Guidelines
•
•
•
Initial outreach and
engagement with the family
through home visits, office
visits, or phone calls. At least
one face to face meeting
should occur during intake
process. (special exemptions
for covidl9)
Determine
eligibility/appropriateness for
services
Open case if eligible
•
•
Salesforce PSSF referral
closed, and PSSF case opened
if eligible for service
Open PSSF service, Adoption
Support in Salesforce - model
name will be PSSF
Adoption/Kinship/Post
Permanency Support
Guidelines or Adoption
Navigation
Family Engagement Meeting
Facilitated family engagement
•
Identify family engagement or
(optional)
meetings: Family Group
Decision Making/Family Group
conference, Family Team
collaborative management
model to be used in Statement
of work
Conferencing and Team
Decision Making
•
Certification/training of
facilitator
•
Collaborative Management
Program (CMP) Individualized
•
Documented family
engagement meetings under
Service and Support Teams
Adoption Support Service in
(ISST) meetings
Salesforce in activity section
Assessment
•
Complete CFSA2, including
•
CFSA2 pre/post/and follow ups
(required)
Protective Factors Survey
should be completed in
•
Identify family strengths and
Salesforce
barriers, prioritize needs
•
All assessment tools used to
•
Assess ability of the agency to
meet the needs of the family
meet model fidelity for PSSF
services must be identified in
•
Identify all other assessment
tools if used in Statement of
statement of work and
documented in Salesforce
Work
Goal Setting
•
Family driven
•
Documented family meeting or
(required)
•
Strategies/goals developed to
overcome barriers and build
goal setting activities with the
family
on family strengths
•
CFSA 2 completed in
•
Must be attainable goals with
Salesforce
timeframes, milestones,
measurements, and expected
outcomes identified
•
Goals documented in goal
setting section in Salesforce
with supporting tasks to
•
Goal setting can be completed
complete goal
through using the CFSA2 or
Child Welfare treatment plan
•
Identify outcomes of
goals/services
Contact
•
Contact prior to placement if
•
Documented contacts with
(required)
possible.
family in Salesforce
•
Contact as quickly as possible
after match or placement of
child
•
Document all activities that
reflect support to the
adoptive/kin/post-permanency
Exhibit G- PSSF Adoption/Kinship Navigation/Post-Permanency Services Guidelines
•
•
•
•
Contact within two weeks
after adoption is finalized
Continued contact based on
the needs of the family and
the recommendations of
assigned navigator, supervisor
and referring agency
Face to face can occur during
family engagement meeting,
intake, goal setting and or
family advocacy work.
Activities through PSSF must
not duplicate services provided
by the County Department.
family.
Create one locally centralized touch
point/resource hub for families.
•
Partner with community
agencies to develop one
•
Identify activities, partners,
and method of information
(optional)
location, resource hub,
website, or agency where
sharing regarding resource
hub.
parents can find information
and resources for post
•
Updates to resource
information
permanency supports that is
easily accessible.
•
Number of parent referrals to
resource hub in Salesforce
•
Inform staff, community
partners, and families
•
Parent survey responses
showing parents access and
•
Resources should be updated
on a quarterly basis
satisfaction
•
Create parent survey to gauge
use of resource hub
Parent Education Opportunities
•
Adoption preparation info
•
Pre/post assessments
(optional)
sessions
•
Parent surveys
•
Training/support groups
addressing specific issues:
•
Number and topics of trainings
offered
RAD, TBRI, behavioral health
issues, high needs (medical or
other)
•
Number of attendees and
participation in support groups
or individual sessions
•
Use NTDC Right Time modules
with parents in support groups
or individually with families.
•
Support Groups to connect
parents experiencing adoption
needs (parent led, not
complaint sessions) provides
learning opportunities
Parent Mentors (optional)
•
Recruit and train mentors with
adoption/kin/post-permanency
experience
•
List of peer support or
mentoring programs currently
available
•
Hold events where caregivers
can meet each other
•
Create new mentoring program
•
Match and facilitate
adoptive/kin/post-permanency
in community to meet the
needs of caregivers
caregivers with other
•
Number of trainings for
Exhibit G- PSSF Adoption/Kinship Navigation/Post-Permanency Services Guidelines
•
experienced
adoptive/kin/post-permanency
caregivers
Provide training in TBRI or
NTDC
•
•
mentors and caregivers inTBRI
or NTDC
Training attendee
participation
Indicate families who are
matched with experienced
families or mentors
Create a continuum of Supports -
•
Information and referral
•
Parent survey asking about
Including High need supports (optional)
resources
awareness of supports and if
•
Provide educational programs
and materials (TBRI Ft NTDC)
accessible to caregivers,
satisfaction surveys after
•
Support programs (groups) for
accessing services
caregivers and/or youth and
children
•
Number of referrals to
resources accessed by families
•
Therapeutic services (not
covered by Medicaid or private
•
Share resources with
professionals
insurance)
•
Number of collaboration
•
Respite care
meetings with other
•
Residential treatment
resources and navigation (not
paid by PSSF but referral and
help accessing)
community agencies to assist
families in identifying needs
and providing access to high
•
Community meetings to
level services
determine gaps in services or
to share/update adoption
resources
•
Community needs assessments
•
Improve access to
interventions supports for
families caring for children
with high needs
Creating Skilled Professionals (optional)
•
Provide training for
professionals, volunteers, and
mentors to address issues
unique to adoption/kin/post-
permanency
•
A community services checklist
indicating training availability
and type for professionals, by
service area. Keeping updated
list of offerings.
•
Must be knowledgeable in
adoption, special needs, and
•
Provide connections to families
to skilled professionals
trauma
•
Number of TBRI and/or NTDC
•
Provide TBRI and/or training
trainings provided
for adoption/kin/post-
permanency support staff and
caregivers
•
Number of participants at
offered training
Increase Access to adoption services
•
Provide online access to
•
Provide list of services and
(required)
training and groups, including
method of delivery
helping caregivers with
technology access
•
Provide transportation to
services document in flex
•
Aid in transportation to
needed services if possible
funding or referral section of
client case, number of
•
Increase local access to
accessed services
services
•
Number of children
•
Provide childcare during
participating in childcare
Exhibit G- PSSF Adoption/Kinship Navigation/Post-Permanency Services Guidelines
•
groups when possible
Provide evening and weekend
schedules or when caregivers
are able to attend
•
during service delivery
Indicate reason for non -
participation in services
Families of Origin (optional)
•
Offer training or support
groups on managing
relationships with families of
origin
•
All offered trainings in training
tab in Salesforce, including
number of trainings offered,
number of participants in
•
•
Provide family meetings
Help connect families if
requested and approved,
including assisting with
searches for biological family
connections.
trainings, training topics
Adolescent services
•
Provide services to families
•
All offered trainings in training
(optional)
with adolescents that address
unique risks and challenges of
this developmental stage
through learning opportunities,
trainings, and support groups
•
tab in Salesforce, including
number of trainings offered,
number of participants in
trainings, training topics
Number of support groups
•
Provide specific support groups
for adolescents
offered to adolescents,
attendee list, support group
•
TBRI and NTDC training,
Nurturing Parenting All About
topics
Being a Teen
Respite Care
•
Offer regular respite care
•
Number of referrals to respite
(optional)
opportunities
care
•
Provide connections to respite
providers, may include
resources for payment to a
respite agency
•
Documented provided respite
care services
Emergency supports/Concrete Needs
•
May use funds to support the
•
Documented in the flex
(optional)
family goals, must be included
in the statement of work and
budget
funding section in Salesforce
with justification, must be an
open service in Salesforce
•
Must fall within the limits of
prior to flex funds offered
the program. 5% of overall
•
Number of flex funds provided
total PSSF budget can be used
•
List of flex fund providers
towards concrete supports
•
Report in Salesforce
•
Family must be involved in
PSSF services prior to receiving
flex funds.
Social connections
•
Host community activity and
•
Number of families attending
(optional)
include families involved in
social activity
PSSF adoption/kinship/post-
permanency program
•
Attach eco map or support
circle if one is completed in
•
Provide or connect families to
Salesforce.
opportunities to build
relationships with others or
activities that provide
•
Large social connection events
must be approved and included
in the Statement of Work.
•
emotional, informational,
instrumental or spiritual
Attendance at the event must
be documented in the events
Exhibit G- PSSF Adoption/Kinship Navigation/Post-Permanency Services Guidelines
•
•
support
Recommend working through
an ecomap activity or support
circle with the family to help
identify social support system
Limit to events funding
tab in Salesforce.
Resource Navigation/Advocacy
•
Optional multi -system planning
•
Case notes
(required)
meeting to maximize
resources.
•
Number of referrals to
community or other services
•
Linking family to community
•
Links to legal services
resources, formal or informal
•
Types of resources used
Transition/Celebration( Optional)
•
Identify continued service
needs and follow up supports
•
Documented goal achievement
in Salesforce
•
Provide necessary referrals
•
PSSF service closure and
•
Case closure/optional
celebration of success
reason in Salesforce
QI/QA
•
Review of case files
•
Supervision and case review
•
Follow up with family post
closure
timeframes included in
statement of work
•
Determine appropriateness of
•
Parent survey
provided services
•
Documented achieved goals
and outcomes
•
Salesforce documentation
review, data reports submitted
•
Guidelines/activity checklist
Contract Form
New Contract Request
Entity Information
Entity Name* Entity ID*
COLORADO DEPARTMENT OF HUMAN 00003650
SERVICES
Contract Name*
PROMOTING SAFE AND STABLE FAMILIES 2021 BID
Contract Status
CTB REVIEW
❑ New Entity?
Contract II)
4758
Contract Lead*
APEGG
Contract Lead Email
apegg@weldgov.com,cobbx
xlk@weldgov.com
Parent Contract ID
Requires Board Approval
YES
Department Project
Contract Description*
THE DEPARTMENT OF HUMAN SERVICES REQUESTS TO BID FOR THE COLORADO DEPARTMENT OF HUMAN SERVICES'
PROMOTING SAFE AND STABLE FAMILIES RFP. THE ANTICIPATED INITIAL TERM OF THE AWARDED CONTRACT WOULD BE
OCTOBER 1. 2021 THROUGH SEPTEMBER 30, 2022.
Contract Description 2
PA IS BEING ROU I ED THROUGH THE NORM L PROCESS. ETA TO CT6: 5,13;21
Contract Type
APPLICATION
Amount*
5254,333.00
Renewable*
NO
Automatic Renewal
Grant
Department Requested BOCC Agenda Due Date
HUMAN SERVICES Date* D5, 15/2021
05119/2021
Department Email
CM-
HumanServiceseldgov.co
m
Department Head Email
CM -Hu manServkes-
DeptHead veldgov.com
County Attorney
GENERAL COUNTY
A I I ORNEY EMAL
County Attorney [mail
CM-
COU NTYATTO RN EYgVYELDG
OV.COM
If this is a ren enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept to be inducted?
Note the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact In€ormation
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
i 2021
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
05,+19,`2021
Originator
APEGG
Review Date*
03121 t`2022
Committed Delivery Date
Renewal Date
Expiration Date*
05/20/2022
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Finance Approver
BARB CONNOLLY
Purchasing Approved Date
Legal Counsel
GABE KALOUSEK
Finance Approved Date Legal Counsel Approved Date
05112, 2021 05,`1 312021
Tyler Ref #
AG 051921
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