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Home My WebLink About20195044.tiffXV # 37S PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: June 9, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Welfare 2020-21 Respite Care Provider Agreement Amendments Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Child Welfare 2020-21 Respite Care Provider Agreement Amendments. The list below reflects 31 providers that will continue to provide respite care services for the term of July 1, 2020, through June 30, 2021. These providers, most of whom are Weld County Certified foster parents, have met certification requirements. Respite care is limited to four (4) hours per week per child. The hours of care may be provided in any combination throughout a month but may not exceed 16 hours per month. Payment is $16.75 per each four (4) hour period but may not exceed $67.00 per month for 16 hours. Upon Board approval of this pass -around, individual signed amendments will be obtained from providers and submitted through the Contract Management System (CMS) for final Board approval. Last Name First Name 1 Aikens George and Carly 2 Anderson Wayne and Lauren 3 Baldwin Danny and Tiemey 4 Berrelez Matthew and Yvette 5 Braunagel Karen 6 Cunliffe Levi and Anne 7 DeBusk Dustin and Melissa 8 Ficek Glenn and Jone 9 Gallegos Marissa 10 Gross Nathan and Jennifer 11 Haines Ryan and Kara 12 Korby Trent and Stephanie 13 Lease Joshua and Ashlee 14 Lechman Jay and Pamela 15 Marin Gilbert and Justine 16 Maronek Patricia 17 Maronek Skylar Pass -Around Memorandum; June 9, 2020 — CMS Various e 7 -1 -ad Page 1 ,1-/1eoa 9O PRIVILEGED AND CONFIDENTIAL 18 Mars Zachary and Maddisen 19 Martinez Betty 20 Menzel Jared and Kathrina 21 Moore Jay and Candice 22 Prieur Shannon 23 Salazar Vanessa 24 Scudder Nathan and Mistie 25 Taylor Jeff and Alexander 26 Torres Daniel and Jeannie 27 Van Den Elzen Dawn 28 Walker/Jeffery Wells Timothy/Jamie David and Cassondra 29 30 Williams Buddy and Allison 31 Winterfeld Rachel I do not recommend a Work Session. I recommend approval of these Amendments and authorize the Chair to sign. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro -Tern Kevin Ross Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; June 9, 2020 - CMS Various Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND VANES�SALAZAR is Agreement Amendment, made and entered into Le "V day of 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Hum Servi , hereinafter referred to as the "Department", and Vanessa Salazar hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Respite Care, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-5044 approved on December 11, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on June 30, 2020. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. The term of this agreement is extended for an additional one-year period, effective July 1, 2020 through June 30, 2021. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ' �i COUNTY: ATTEST. �� `"�'�`" BOARD OF COUNTY COMMISSIONERS Weld 'oun ler . the B. :r By: Deputy Clerk WELD COUNTY, COLORADO Mike Freeman, Chair CONTRACTOR: Vanessa Salazar 5796 East 129th Place Thornton, CO 80602 By: Date: JUL 0 6 2020 Vanessa Salazar Jun 15, 2020 Contract Form Entity Information Entity Name* SALAZAR, VANESSA New Contract Request Entity 10* @00038689 Contract Name* SALAZAR, VANESSA (AGREEMENT AMENDMENT - RESPI I E CARE SERVICES) Contract Status CTB REVIEW ❑ New Entity? Contract ID 3752 Contract bead* CULLINTA Contract Lead Email cullinta@co.weld co us;cobbxxl k@co.weld.c.a.us Parent Contract ID 20195044 Requires Board Approval YES Department Project # Contract Description * AGREEMENT AMENDMENT TO EXISTING AGREEMENT FOR RESPTIE CARE SERVICES EXTENDING I ERM THROUGH JUNE 30, 2021 Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgovcam Department Head Email CM-HumanServices- DeptHead@weldgov.com Ginty Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV.COM Requested BOCC Agenda Date* 06/29/2020 Due Date 06/25/2020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Review Date* 04/01/2021 Renewal Date Committed Delivery Date Expiration Date 06/30/2021 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 06/29/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 07/06/2020 Originator CULUNTA Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 06/30/2020 Tyler Ref* AG 070620 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 06/30/2020 Submit Con4r di- XV ' # 31/g PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: February 11, 2020 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Agreement Amendment (Salazar — Respite Care) Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Agreement Amendment. The Department entered into an agreement with Vanessa Salazar for Respite Care services, identified as 2019- 5044, on December 11, 2019. Ms. Salazar has moved, and the agreement is being amended to reflect her current address. I do not recommend a Work Session. I recommend approval of these Agreement Amendment. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro -Tern Approve Recommendation Work Session Schedule Other/Comments: Pass -Around Memorandum; February 11, 2020 — CMS 3412 Page 1 -;49itt-e/I-IsrD) 3 -a - -2o otoi9- 62%44' NR �o AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND VANESSA SALAZAR This Agreement Amendment made and entered into - day of �L2�i J 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Vanessa Salazar, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement to [for] Respite Care, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document no. 2019-5044, approved on December 11, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on June 30, 2020. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Provider's address is updated to 14120 Grant Street, Apt. 16-308, Thornton, CO 80023. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: ddZ4v) /• ac0;tA Weld u Clerk to a Bo. rd By: Deputy Clerk 1 the B • and COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO nt� Mike Freeman, Chair CONTRACTOR: MAR 0 2 2020 Vanessa Salazar 14120 Grant Street, Apt. 16-308 Thornton, CO 80023 By: Date: Va ssf[E a Sala 4, 2020) Vanessa Salazar Feb 4, 2020 Contract Form New Contract Request Entity Information Entity Name SALAZAR, VANESSA Entity ID' @00038689 Contract Name* SALAZAR, VANESSA (RESPITE CARE PROVIDER AGREEMENT AMENDMENT) Contract Status CTB REVIEW ❑ New Entity? Contract ID 3412 Contract Lead* CULLINTA Contract Lead Email cullinta@comeld.co.us Parent Contract ID 20195044 Requires Board Approval YES Department Project t Contract Description* AMENDMENT TO EXISTING RESPITE CARE PROVIDER AGREEMENT TO CHANGE PROVIDER'S ADDRESS. Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov.com Department Head Email CM-HumanServices- DeptHeadPrreldgov. corn County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email C M- COUNTYATTORNEY@WELD GOV.COM Requested BOCC Agenda Date* 02112/2020 Due Date 02/08/2020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Base Contract Dates Effective Date Termination Notice Period Review Date* 05/01/2020 Renewal Date Committed Delivery Date Expiration Date* 05(30/2020 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 02124/'2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date Originator CULLINTA Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 02/25;2020 Tyler Ref i€ Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 0212512020 Submit RESOLUTION RE: APPROVE AGREEMENT FOR RESPITE SERVICES AND AUTHORIZE CHAIR TO SIGN - VANESSA SALAZAR WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement for Respite Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Vanessa Salazar, commencing October 21, 2019, and ending June 30, 2020, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for Respite Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Vanessa Salazar, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 11th day of December, A.D., 2019, nunc pro tunc October 21, 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: d ) jeido;g1 Weld County Clerk to the Board BY: Deputy Clerk to the Board AP"• DAS ounty At •rney Date of signature: la/Kr/lc! c_c : k-xS l /l6 /20 lidt"---- arbara Kirkmeyer Chair fA Conway . James Steve Moreno 2019-5044 HR0090 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: October 29, 2019 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Respite Care Provider Agreements (Various) 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 Respite Care Provider Agreements (Various). The Department's Division of Child Welfare contracts throughout the year with individuals and couples, primarily Weld County Certified foster parents, for respite care services. Respite care is limited to four (4) hours per week per child. The hours of care may be provided in any combination throughout a month, but may not exceed 16 hours per month. Payment is $16.75 per each four (4) hour period, but may not exceed $67.00 per month for 16 hours. CMS ID Last Name First Name City Term 3214 Salazar Vanessa Thornton October 21, 2019 -June 30, 2020 3215 Ficek Glenn and Jone Greeley October 3, 2019 -June 30, 2020 I do not recommend a Work Session. I recommend approval of these Agreements. Sean P. Conway Mike Freeman, Pro -Tern Scott James Barbara Kirkmeyer, Chair Steve Moreno Approve Recommendation Work Session Schedule Other/Comments: Pass -Around Memorandum; October 29, 2019 - CMS Various Page 1 2019-5044 HRodoto AGREEMENT FOR RESPITE SERVICES BETWEEN WELD COUNTY, ON BEHALF OF WELD COUNTY DEPARTMENT OF HUMAN SERVICES, AND RESPITE CARE PROVIDER, VANESSA SALAZAR ' THIS AGREEMENT is made and entered into this ( I day of Decem jper'2019, by and between the Board of County Commissioners of the County of Weld, State of Colorado, on behalf of the Weld County Department of Human Services, whose address is 1150 "O" Street, Greeley, Colorado 80631, hereinafter referred to as "County", and Vanessa Salazar, whose address is 5796 East 129th Place, Thornton, CO 80602 hereinafter referred to as "Contractor." WITNESSETH: WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided funding to the County for respite care for Weld County certified foster care homes; and WHEREAS, County has determined that due to the significant challenges often experienced by certified foster care providers, it is necessary to offer them respite services, as described in Exhibit A, "Scope of Services", a copy of which is attached hereto and made a part hereof by this reference), to allow them to continue to provide high quality care for the children in their charge, and WHEREAS, Contractor is willing and able to abide by the terms and conditions required by County, as more fully set forth in this Agreement, WHEREAS, Contractor is able and available to provide respite services as defined in this Agreement at the rates set forth in Exhibit B, "Rate Schedule" a copy of which is attached hereto and made a part hereof by this reference), NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: RESPITE CARE PROVIDER'S RIGHTS AND RESPONSIBILITIES: 1. As used in this Agreement "Respite Care" is defined as those child care services required by one or more children who are in the care of a certified foster home, which services are provided by Contractor in order to give foster parents an opportunity to address matters which cannot be addressed while caring for the child(ren) in their care. These services are described in Exhibit A. These services may also include transporting the child to school and other appointments previously arranged by the foster parent. Transportation services are provided at the sole risk, responsibility and liability of Contractor. 1 da/ 9- 0-0//-1-A 2. Contractor may provide up to sixteen (16) hours of Respite Care per child per month for certified Weld County foster homes seeking respite care, as approved by the Department. The hours of respite care may be provided in any combination (schedule) throughout the month so long as the total hours provided does not exceed sixteen (16) hours per month. 3. At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 4. Contractor agrees to accept payment by either County warrant or ACH direct deposit. 5. Contractor agrees to obtain a criminal background check and warrants that if any previous criminal charge filed against Contractor does not appear in the background check, he/she shall disclose such charges. 6. Contractor assures that it will fully comply with all applicable Federal and State laws which govern the ability of the County to comply with the relevant funding requirements. 7. Contractor assures and certifies as follows: a. He/She is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation with any program with a Federal or State department or agency; and b. He/She has not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against him/her for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local), transaction or contract under public transaction; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and c. He/She is not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and d. He/She has not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. 2 8. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E - Verify Program or State of Colorado program procedures to undertake pre- employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and County within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. 9. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5- 103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the 3 United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 10. Contractor certifies that, at the time of entering into this Agreement, he/she has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services covered by this Agreement. These requirements include the following: a. Current Colorado driver's license indicating Contractor is at least eighteen (18) years of age; and b. Completed fingerprint card for a background check through the Colorado Bureau of Investigation (CBI) and the Federal Bureau of Investigation (FBI). The fingerprinting expense must be paid by the Contractor. Background checks will be paid by the County. c. Current CPR and First Aid certifications. If either certification expires during the term of this Agreement, Contractor shall renew the certification ensuring that there is no lapse in certification. County will pay for certification through select CPR and First Aid trainers identified by the County. d. Contractor shall procure at least the minimum amount of automobile liability insurance required by the State of Colorado. County provides no automobile liability coverage for Contractor. Proof of said automobile liability insurance shall be provided to County prior to the performance of any services under this Agreement. e. Copies of all documentation relating to the foregoing requirements shall be provided to the County by Contractor prior to the performance of any services covered under this Agreement. County shall determine eligibility for certification based upon the successful completion of all required training and receipt of current documentation. 11. Contractor shall attend fifteen (15) hours PRIDE training through the Weld County Department of Human Services prior to the performance of services under this Agreement. County shall not compensate Contractor for said training; including time spent traveling to and from training, time spent in attendance of the training, or any associated costs paid by Contractor for such training, unless specifically agreed to in writing in advance by County. 12. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents for any damages caused by his/her actions while performing services pursuant to this Agreement, and shall hold County harmless from any loss occasioned as a result 4 of the performance of this Agreement. 13. Contractor shall be totally responsible to provide whatever personal liability and/or other insurances, he/she deems necessary to cover his/her personal liability for any injuries caused by Contractor in the course of providing services under this Agreement. 14. Contractor shall perform his/her duties hereunder as an independent contractor and not as an employee of County. Contractor shall be solely responsible for his/her acts performed pursuant to this Agreement. Under no circumstances shall Contractor be deemed to be an agent or employee of Weld County. Contractor is not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for Contractor. Unemployment insurance benefits will not be available to Contractor for services provided under this Agreement. Contractor shall pay when due any/all applicable employment taxes and income taxes and local head taxes (if applicable) incurred as a result of the services provided under this Agreement. 15. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding. 16. Contractor agrees that he/she shall not use alcohol, illegal drugs, marijuana, whether for recreational or medical purposes, or any other drugs which have the potential of impacting Contractor's ability to supervise the children in his/her care while providing services under this Agreement or within five (5) hours prior to the provision of said services. Contractor shall protect the confidentiality of all records and other materials to which he/she has access relating to the foster family and child(ren) to whom the services are provided, which are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. COUNTY'S RIGHTS AND RESPONSIBILITIES: 1. Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of Contractor while performing duties described in this Agreement. 2. County shall not indemnify Contractor for any loss incurred by Contractor as a result of services performed under this Agreement. 5 3. County shall pay Contractor in accordance with the terms set forth in Exhibit B, reference), as long as services are rendered satisfactorily and in accordance with the Agreement. 4. Payment pursuant to this Agreement is subject to, and contingent upon, the continuing availability of funds made available for the purposes hereof. No portion of this Agreement shall be deemed to create an obligation on the part of County to expend funds not otherwise appropriated. The County may terminate this Agreement at any time if said source of funding is no longer available to County County may withhold payment under this Agreement if Contractor fails to comply with any part of the Agreement. In the event County withholds payment, Contractor may appeal such circumstance in writing to the Weld County Director of Human Services. The decision of the Weld County Director of Human Services shall be final. GENERAL PROVISIONS: 1. This Agreement shall become effective on October 21, 2019, upon proper execution of this Agreement, and shall expire on June 30, 2020 unless sooner terminated as provided herein. This Agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Either party may terminate this Agreement at any time for any reason by providing the other party with a 30 -day written notice thereof. Furthermore, this Agreement may be terminated by County at any time without notice upon a material breach by Contractor of the terms of the Agreement. 3. Contractor may not assign or transfer this Agreement, any interest therein or claim hereunder, without the prior written approval of County. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 4. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 6 5. If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 6. No officer, member or employee of County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The appearance of conflict of interest applies to the relationship of a Contractor with County when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary that the Contractor gain from knowledge of these opposing interests. It is only necessary that the Contractor knows that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that no Federally appropriated funds have been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 7. This Agreement, together with Exhibits A and B, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified, unless by a written amendment executed by both parties. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. Neither County nor Contractor may assign any of its rights or obligations hereunder without the prior consent of the other party. 8. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 7 9. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 10. In the event of a dispute between County and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 11. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 12. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 13. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 14. Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 8 15. The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature. 16. This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 17. Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. 9 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: dj„d,) v•p.t,e BOARD OF COUNTY COMMISSIONERS Weld my Clerk to the Board W.. LD COUNTY, CO , • RADO By: 10 Barbara Kirkmeyer, air DE 1 1 2019 CONTRACTOR: Vanessa Salazar 5796 East 129th Place Thornton, CO 80602 (720) 285-8321 By: Va sstd� a Salaz t 26, 2019) Vanessa Salazar Date: Oct 26, 2019 0i9 --.d EXHIBIT A SCOPE OF SERVICES 1. Contractor will provide up to sixteen (16) hours of Respite care services per month per child for foster children residing in Weld County certified foster homes. 2. Contractor will, at the time of entering into this Agreement, ensure he/she has completed all the necessary paperwork and has in effect all necessary licenses, approvals, insurance, etc., required to provide the Respite services covered by this Agreement. Contractor will have: a. Completed and submitted the Colorado Department of Human Services Application and signed as "Foster Parent/Home" PRIOR to completing the PRIDE classes. b. Successfully completed fifteen (15) hours PRIDE training through the County prior to the performance of services under this Agreement. c. Provided a copy of their current Colorado driver's license indicating Contractor is at least eighteen (18) years of age; and d. Completed and submitted a fingerprint card for a background check through the Colorado Bureau of Investigation (CBI) and the Federal Bureau of Investigation (FBI). The fingerprinting expense must be paid by the Contractor. Background checks will be paid by the County. e. Provided three (3) reference forms completed by non -relatives. f. Provided proof of current CPR and First Aid certifications. g. Completed and signed Confidentiality, Discipline and Mandated Reporter Policies. h. Provided proof that Contractor has procured at least the minimum amount of automobile liability insurance required by the State of Colorado. County provides no automobile liability coverage for Contractor. Copies of all documentation relating to the foregoing requirements shall be provided to the County by Contractor prior to the performance of any services covered under this Agreement. County shall determine eligibility for certification based upon the successful completion of all required training and receipt of current documentation. Contractor further acknowledges that he/she will remain current with all documentation or certifications for the term of this Agreement. Should an item expire or otherwise become invalid, Contractor will submit current documentation to the County to avoid a lapse in documentation and/or certification. 11 3. Contractor acknowledges that the County shall not compensate Contractor for said training; including time spent traveling to and from training, time spent in attendance at the training, or any associated costs paid by Contractor for such training, unless specifically agreed to in writing in advance by County. 4. Contractor acknowledges that arrangements to provide Respite services must be communicated to the child's Caseworker and the Foster Care Coordinator prior to Respite taking place in order to discuss arrangements and ensure all the child's needs are met. 5. Contractor will become familiar with and follow all the State and Federal rules and regulations as applicable to the services provided under this Agreement. 6. Contractor will complete and submit the Respite Care Payment Form each month by the 10th of the month following the month of service. The Respite Care Payment Form is available on the Foster Parents Internet Database and On-line System (FIDOS). 12 EXHIBIT B RATE SCHEDULE 1. Funding and Method of Payment The County agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the County after June 30, 2020. Expenses incurred by the Contractor prior to the term of this agreement are not eligible County expenditures and shall not be reimbursed by the County. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Respite care is limited to four (4) hours per week per child. The hours of care may be provided in any combination throughout a month but may not exceed 16 hours per month. Payment will be $16.75 per each four-hour period but may not exceed $67.00 per month for 16 hours. Human Services referrals will not be sent to collections by Contractor for default of co- pay/fees. Services will be performed regardless of client's refusal or inability to pay co - pay. Contractor will collect any applicable sliding scale co -pays and credit Human Services for any payments received on the monthly billing statements. 3. Submittal of Vouchers Contractor shall prepare and submit a Respite Care Payment Form each month to certify that the services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Exhibit A. The Respite Care Payment Form is available online through the Foster Parent Internet Database and On-line System (FIDOS). 13 Page 1 .pee State Faun tp StateFarm Providing Insurance and financial Services PO Boo 853919 Richardson, TX 75085 3919 0 O'0 Attached as requested are your replacement insurance identification cards. If the attached cards are not accepted by a law enforcement agency or your Department of Motor Vehicle office, please contact your agent to receive additional assistance. Thank you for choosing State Farm for your insurance needs. IMPORTANT - IDENTIFICATION CARDS STATE FARM StateFarm se COLORADO INSURANCE CARD INSURED SAIAZAR, VANESSA P MUTL VOL POLICY NUMBER 4722200.606-06 EFFECTIVE YR 2010 MAKE HONDA AUG 062019 TO FEB 06 2020 MODEL PILOT VIN 5FNYF4H41AB037335 AGENT EISEMAN INS AND FIN SVCS INC PHONE (30:34517400 NAIC 25178 THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY UMITS PRESCRIBED BY TAW. A BODILY INJURYIPROPERTY DAMAGE LIABILITY H, U. 01.250 StateFarm THIS CARD MUST BE KEPT IN THE INSURED MOTOR VEHICLE FOR PRODUCTION UPON DEMAND. O• IFYOU HAVE AN ACCIDENT - NOTIFY THE POUCE IMMEDIATELY 1. Su antes. addresses. and phone lambent of persons Involved and airesteo Alma get trots kense numbers d persons Inverted and totems plate ru nb•rststotei d vehicles. 2. Doe% ado l fast or dowse the =Weal lath anyone but Sue Farm or poke. 3. Promptly telly your agent, log on to eatefmm.camD. tie ens the State Form moods app tofie admen. Fes I NEffiiNCYR0AD SEANCE credo Stetefersoollle ep .tsg w .atatsletsaeaa o esti 1471.73751. EXAMINE POLICY EXCLUSIONS CAREFULLY. WES F ORZA GOES NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY. How to Idenidy your coverage. See potty for full name and derma/on A lobby I rmergentYKvadS nlno U t, New Wide 01 C MedcadParmerte i Hry-JedOaeepe UI Unhand Nloar Mode PO O Coe retrant a Rt Cat Rental and lrr.d Enemies Unl7Dhe d ltmtoesud Can D'AG Coao.weh hiatus S Best Oentem erne t all O Coame to= of St¢s KEEP A CARO IN YOUR CAR. THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED. KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. PLEASE KEEP ONE ID CARD FOR YOUR VEHICLE. THE SECOND ID CARD UY BE SUBUITTED YRTH YOUR APPUCATON FOR AUTO REGISTRATION. Emergency Flout Service intarmatlon Is looted on your Insurance card IMPORTANT - IDENTIFICATION CARDS STATE FARM StateFarm 0 CD -0 COLORADO INSURANCE CARD • INSURED SALAZAR. VANESSA P MUTL VOL POLICY NUMBER 4722200.806.06 EFFECTIVE YR 2010 MAKE HONDA AUG 062019 TO FEB 06 2020 MODEL PILOT VIN SFNYF4H41AB037335 AGENT EISEMAN INS AND FIN SVCS INC PHONE (303)451-7400 NAIC 25178 THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW. A BODILY INJURYIPROPERTY DAMAGE LIABILITY H, U, Ut•250 StateFarm THIS CARD MUST BE KEPT IN THE INSURED MOTOR VEHICLE FOR PRODUCTION UPON DEMAND. e IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY 1. Get mats. attests, and phone esenhere at paeans invoked and verses.. Aho get driver license numbers d persons Wetted end keens obis nnmberaAtaies of verities. 2. Dort Math tub of doom the occident vdh anyone but Slate Farm or poke. 3. FtorapW tardy peoa ens, log on to etdararm.to adA a Lisa the Stele Form mdDie npptor 4�ar tor EROICENCYROAD SEANCE Liuthe Sure rem aside .pp.lee sets saaisnote eercell 117142I-SI51. EXAMINE POLICY I7rtxUSORS CAREFULLY. MIS f17REI DOES Nor Consi U1S ANY PART OF YOUR INeJRAatE POLICY. How to Identify your coverage_ See potcy for tun name and definition A listAty R Fm gercr Ooed Service U Deemed Note Wide 81 C Nedra! Pgmena t Physical Damage UI thee:n l Uveer Whole PO D Cu eelnrtavo pi Car Dental and Third (spruce WIODhv el INoet.a et Cart IMO Creso Wah FuSGha s Death. Oamea enc ere sad G Colman Laos WS.* KEEP A CARD IN YOUR CAR. THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED. KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE 'DATE OF THIS CARD. PLEASE KEEP ONE ID CARD FOR YOUR VEHICLE THE SECOND ID CARD DY BE SUB&IITTED WITH YOUR APPUCATION FOR AUTO REGISTRATION. 143230.3 01 maid) 01-15.2013 Einetgcncy Road Senior Iniammttm is located corer Insurance card. -4 AUG 07 2019 tut:blank 9/5/2 •-4 et 1 f •1 i , 61 * , 5 S. A:.* • J COLORADO REGISTRATION CARD \. VEHICLE TYPE TAB VIN PASSENGER U0E037 5FNYF4H41AB037335 YR 2010 DUEL REG I DUAL NO I TITLE 12W421115 MAKE HOND PUR DATE 01112/2018 UNIT X PLATE U0E037 VALIDATION Adams NEXT EMISSIONS INSPECTION DATE 03/2Q20 BUS DATE 0412912019 MODEL ML CTY 12 BODY COL PREV EXPIRE UP GRAY 04/2019 , Hl GVW LxW 0X0 FUEL GAS CARRIER VERIFICATION CODE MPSJYT BUS DATE TIME IRAN !NIT TOTAL 04/29/2019 130044 RO1 BX7 73.77 LIENHOLDER WESTLAKE FINANCIAL OWNER NAME SALAZAR VANESSA PWD NAME THIEVESHAVW BEEN ?Magi TOUSE THE ADDRESS FNMA REGISTRATION CARD TO STEALFROMTHE VEHICLE'S OWNER. TOR ADDED SECURITY YOU ARE ENCOURAGED TO KEEP ONLY THIS REGISTRATION CARD IN YOUR VEHICLE. IT DOES NOT CONTAIN YOUR ADDRESS. ?,VTOR VEHICLE INSURANCE IS COMPULSORY IN COLORADO, IiONaPLIANCE is A NiSDEP EWIRTRNFFIC OFFENSt EXPIRE 04/2020 Age e VehaleAddaol Bridge Safety Sard►arg DUAL EXPIRE perk Hire Fee County Road and Bridge Emergency A'kd %cal Sera Emissions -Area AtrA Emissions •Program Ar Emissions • S11adde Insurance Fee Lee Fee Material Fee (tear Tab Nbtwist Insurance De Peace Meer Standard Registration Base Fee Road Seely Surcharge Specific Ownership Tax Page 1 rut:blank 9/5/2 Contract Form New Contract Request Entity Information Entity Name* SAL/-+ZAR VANESSA Entity ID* @00038689 Contract Name* SALAZAR, VANESSA (RESPITE CARE PROVIDER AGREEMENT) Contract Status CTB REVIEW Contract ID 3214 Contract Lead* CULLINTA ❑ New Entity? Parent Contract ID Requires d YES Contract Lead Email Department Project It cullinta@co weld co us Contract Description* NEVI RESPITE CARE PROVIDER AGREEMENT. TERM OCTOBER 21, 2019 -,JUNE 30, 2020 FUNDING. CW ADMIN. Contract Description 2 Contract Type* AGREEMENT Amount* $000 Renewable* YES Automatic Renewal Grant IGA Department HUMAN SERVICES De nt Email CM- HunnanServlces@weldgov corn Department H> .. E CM -F umanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV.COM Requested BOCC Agenda Date* 11/06?2019 Due Date 11x02.'2019 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. t if this is a renewal enter previous Contract ID if this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement. Number should be left blank if those contracts are not in On Base Contract Dates Effective Date Review Date* 05/01/2020 Termination Notice Period Committed Delivery Date Renewal Date * 07'012020 Expiration Date Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JUDY GRIEGO DH Approved Date 12/05;219 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 12i1112019 Originator CULLINTA Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 12/05;2019 Tyler Ref # AG 121119 Legal Counsel KARIN MCDOUGAL Legal Counsel Approved Date 12)05/2019 Submit Hello