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HomeMy WebLinkAbout20163579.tiffBOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW RE: Jail Medical Services Contract Extension DEPARTMENT: Weld County Sheriffs Office PERSON REQUESTING: Lieutenant Matt Elbe /Z 17 91 DATE: 12/21/18 Brief description of the problem/issue: The Weld County Sheriffs Office has a contract in place with Armor Correctional Health Services, Inc. to provide medical services to the inmate population in the Weld County Jail. Each year of this contract an extension is done to address any annual increases per the Original Agreement and otherwise. This extension includes a 2.7% increase of $99,693.46 from the 2018 base price, $3,692,350.20. This increase is based on the CPI -U Medical Care % change from September 2017 September 2018. Also included is an increase of $163,708.00 to change the Staffing Plan (Exhibit A) to reflect the adjustment of the ratio of Full Time Equivalent (FTE) for Registered Nurses (RN) to Licensed Nurses (LPN) due to Colorado's shortage of qualified and available LPNs. The Original Agreement for 10.5 FTE LPNs is reduced to 4.20 FTE LPNs which is a reduction of 6.30 FTE LPNs. The Original Agreement for 8.40 FTE RNs is increased to 14.70 RNs which is an additional 6.30 FTE RNs. This extension also addresses the 13.8% increase in the average daily population (ADP) increase of the jail since the Original Agreement. An acuity -based Staffing Plan requires the addition of 2.10 FTE RNs due to patients' needs. The increase for this addition is $214,447.00. The total cost of this extension for 2019 will be $4,170,198.66. **Please note that Armor Correctional Health Services Inc. was asked to absorb the $163,708.00 increase and they refused. What options exist for the Board? (Include consequences, impacts, costs, etc. of options) The Board may approve or deny this extension as written. An approval of this extension would provide for appropriate coverage of medical professionals in the jail to meet the needs of the inmate population and their diverse and often acute needs. With the proposed Staffing Plan, the increase in the ADP will be accounted for by providing the most appropriate nursing coverage for the population. Additionally, increasing the amount of RN FTEs and decreasing the amount of LPN FTEs acknowledges and accounts for the changes in the nursing profession in the State of Colorado; a diminishing LPN certification as the result of legislative changes affecting greater access to a higher level of nursing education (HB 18-1086) and accreditation standards affecting how LPNs can/cannot practice in our jail environment relative to the Colorado Department of Regulatory Agency rules concerning their ability, or lack to thereof, to perform assessments without RN oversight/involvement. If the Board denies this extension, the Weld County Sheriffs Office and Armor would be forced to determine what, if any, reconciliations can be made related to the increases proposed or if going out to bid is necessary. A denial would also increase the risk of litigation to the Weld County Sheriff's Office due to not addressing existing barriers to appropriate and competent medical treatment and care for the inmate population. Recommendation: 6:OA-761-4c5(2) i-ozk-i9 5o 0037 It is recommended that the Board approve this extension and the subsequent increase in cost for medical services for the Weld County Jail. It is believed that the increase is necessary to continue to meet the mission statement of the Weld County Sheriff's Office and the Weld County Jail and provide appropriate and complete medical care to the inmate population that we have always been able to do in the past. This extension will allow for the Weld County Sheriffs Office and its medical provider to maintain an adherence to accepted standards and employ qualified and competent nursing staff. Please note that this extension has been reviewed and approved by Bob Choate. Sean P. Conway Julie A. Cozad, Mike Freeman Barbara Kirkmeyer Steve Moreno, Chair Approve Recommendation Schedule Work Session Other/Comments: CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY SHERIFF'S OFFICE AND ARMOR CORRECTIONAL HEALTH SERVICES, INC. This Agreement Extension/Renewal ("Renewal"), n • n i',aue and entered into between the Board of Weld County Commissioners, or, behalfr.r— day ofe Weld County Sheriff's Office, h _reinafter referred to as the �/ _-� , /, by and "Department", and Armor Correctional Health ces, Inc., hereinafter referred to as the "Contractor'. WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2016-3579 approved on 12 28/16. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, 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 12 31 18 20. • The parties agree to extend the Original Agreement for an additional twelve months period, which will begin j 01 2019 and will end on 12 31 2019. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. The staffing plan (Exhibit A) has been changed to reflect the adjustment of the ratio of Full Time Equivalent (FTE) for Registered Nurses (RN) to Licensed Nurses (LPN) due to Colorado's shortage of qualified and available LPNs. The Original Agreement for 10.5 FTE LPNs is reduced to 4.20 FTE LPNs which is a reduction of 6.30 FTE LPNs. The Original Agreement for 8.40 FTE RNs is increased to 14.70 RNs which is an additional 6.30 FTE RNs. The increase for this adjustment is $163,708.00. 2. The Original Agreement assumed a base Average Daily Population (ADP) of 670 inmates. The ADP for 2018 year-to-date is 762 inmates. This represents a 13.8% increase in inmate population. An acuity -based Staffing Plan requires the addition of 2.10 FTE RNs due to patients' needs. The increase for this addition is $214,447.00. 3. There is an annual increase in the pricing for 2019 of 2.7% (% change in CPI -U, Medical Care September '17— September '18 West Region) of the 2018 pricing of $3,692,350.20. With this increase, $99,693.46,E the 2019 base price is $3,792,043.66. The total increase of 2019 pricing which includes the Staffing Plan adjustments in items 1 and 2 above will be $4,170,198.66. • 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. CONTRACTOR: Afn'�c.( Printed Name Signature ATTE;I. Weld C BY -the B..ard Deputy Cler •` o the Board oat BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO rbara Kirkmeer, Chai .JAN 2 8 ZT19 ad /6-J57% RESOLUTION RE: APPROVE FACILITY AGREEMENT FOR ELECTRONIC MEDICAL RECORDS SOFTWARE AND AUTHORIZE CHAIR TO SIGN - COREMR, L.C. 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 Facility Agreement for Electronic Medical Records Software between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Sheriff's Office, and CorEMR, L.C., commencing upon full execution of signatures, 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 Facility Agreement for Electronic Medical Records Software between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Sheriff's Office, and CorEMR, L.C., 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 27th day of December, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:, ..,&;„k„ Weld County Clerk to the Board BY: Deputy Clerk APPROVD AS T ounty Attorney arbara Kirkmeyer Date of signature: 0///?/8 Julie A. Cozad, Chair Steve Moreno, Pro-Tem cc SOCJO/ m£,) OI/tq/I8' 2016-3579 SO0037 COREMR, L.C. FACILITY AGREEMENT is Facili Agreement "Facility Agreement") is made and entered into effective as of the? day of�,c..eA), 2017 ("Effective Date") between CorEMR, L.C., a Utah limited liability company with its principal office at 430 West 200 North, P.O. Box 702, Midway, Utah 84049 ("CorEMR"), and Weld County Correctional Facility located at 2110 O St., Greeley, CO 80631 ("You," and/or "Your"). RECITALS: A. CorEMR, has developed and owns electronic medical records software and all intellectual property pertaining thereto to enable the creation, maintenance, storage and access to electronic medical records for correctional facilities. B. CorEMR and Armor Correction Health Services, Inc., a Florida corporation ("Armor") have determined it is mutually beneficial to do business together as independent contractors and have entered into an agreement whereby CorEMR is making available to ARMOR, for use at certain correctional facilities with which Armor is doing business, CorEMR's electronic medical records software in accordance with the terms of that agreement and the accompanying License Agreement. CorEMR and ARMOR are not partners or joint venturers in such business arrangement, but are independent contractors, and are not sharing profits or losses. C. In the event of (i) your agreement with ARMOR expiring or terminating for any reason; or (ii) the agreement between ARMOR and CorEMR expiring or terminating for any reason, then in any of such events the right and license granted to ARMOR to use the CorEMR Medical Records Software (as hereinafter defined) at your Facility shall immediately terminate; however, CorEMR shall provide a read only version of the medical data for your use. Additionally, CorEMR will make its Complete Version Medical Records Software, as currently installed, available to you at the same price as it charged Armor prior to termination for the remainder of the contract term in existence prior to termination. Thereafter, CorEMR will make its Medical Records Software available to you on terms mutually agreeable to You and CorEMR. 1. Other Definitions a. "ARMOR" means Armor Correctional Health Services, Inc. a Florida corporation with its principal office located at 4960 S.W. 72nd Ave., Suite 400 Miami, FL 33155. b. "Facility" means exclusively the correctional facility(ies) located at 2110 O St., Greeley, CO 80631, also referred to "You" and/or "Your." c. "Medical Records Software" means the software package developed and distributed by CorEMR which runs on computer servers and includes the software, programs, modules and documentation developed by CorEMR to enable the creation, maintenance, storage and access of electronic medical records and related electronic procedures and services, and includes all enhancements, upgrades, modifications and additions. d. "Server" means the single computer server at the Facility operated and maintained by ARMOR. e. "Use" or "Using" means to access, install, download and/or benefit from using the functionality of the Medical Records Software. 2. Software Use at the Facility. 2.1 In General. As long as (a) You are not in default under Your agreement with ARMOR; (b) Your agreement with ARMOR has not expired or terminated for any reason; (c) ARMOR is not in default under its agreement with CorEMR; (d) the agreement between ARMOR and CorEMR has not expired or terminated for any reason including, without limitation, payment of fees to CorEMR for the license and Use of the Medical Records Software, CorEMR has granted ARMOR a non-exclusive license to Use the Medical Records Software in conjunction with their services at Your Facility. The license granted ARMOR is on a non- exclusive, non -transferable basis, 2.2 Use. Subject to the terms of this Agreement, ARMOR and its staff may install and Use one production copy and one training/testing copy of the Medical Records Software on its server(s) at Your Facility. You may use the Medical Records Software under the terms and conditions of this Facility Agreement. CorEMR is not responsible for any issues, support, or loss of functionality that may result from installing and using third -party software (including ARMOR's software) on or with the Medical Records Software. Neither You nor ARMOR may electronically transmit the Medical Records Software from one computer to another, over a network or operate the Medical Records Software via the internet except over a secured connection. 2.3 No Modification. Neither You nor ARMOR may customize, modify, translate or extend the functionality of the Medical Records Software. 2.4 Term/Termination. The Term of this Agreement and the license granted ARMOR to use the CorEMR Medical Records Software at Your Facility shall commence as of the Effective Date and shall automatically and without further notice terminate upon the earlier of: (a) the mutual agreement of the Parties to terminate the same; (b) Your default under Your agreement with ARMOR; (c) Your agreement with ARMOR expiring or terminating for any reason; (d) ARMOR becoming in default under its Agreement with CorEMR; (e) the Agreement between ARMOR and CorEMR expiring or terminating for any reason. 2.5 Read Only Agreement on Termination. Upon termination of this Facility Agreement and/or the license granted ARMOR to use the Medical Records Software at Your Facility for any reason or no reason, CorEMR shall promptly provide You and ARMOR a stand alone, read only program (and license to use the same) which will allow You and ARMOR to search for, view and print medical records pertaining to inmates at Your Facility in the same format in which the data was stored immediately preceding termination of this Agreement, along with a data schema describing how data is stored. 3. Intellectual Property Ownership, Copyright Protection. The Medical Records Software and all copies thereof are the intellectual property of and are owned exclusively by CorEMR. The structure, organization and code of the Medical Records Software are the 2 valuable trade secrets and confidential and proprietary information of CorEMR to which they retain title. This Agreement does not grant either ARMOR or You any intellectual property rights in the Medical Records Software and all such rights are reserved by CorEMR. The Medical Records Software is licensed to ARMOR, not sold, and neither ARMOR nor You have any ownership of any kind in or to the Medical Records Software. Likewise, CorEMR has no ownership, or claim of ownership, of any medical data (or intellectual property rights therein) that may be stored on the databases stored on the Server(s) or accessed via the Medical Records Software for Your Facility. 4. Additional Restrictions. CorEMR reserves all rights not expressly granted to either ARMOR or You. Without limiting the generality of the foregoing, you shall not, nor shall you permit, any other party to: (i) use the Software except pursuant to the terms of this License Agreement; (ii) disassemble, decompile, unbundle, reverse engineer, or translate any part of the Software, or otherwise attempt to reconstruct or discover the source code of the Software, except and only to the extent that such activity is expressly permitted by applicable law notwithstanding this limitation; or (iii) modify or create derivative works based on the Software; or (iv) externally distribute, sublicense, resell, encumber, or otherwise transfer the Software; or (v) rent, lease, lend, or use the Software for timesharing or bureau use; or (vi) allow a third party to inspect (excepting NCCHC, ACA and other similar situations on a need -to -know basis), copy, access, or use the Software; or (vii) disclose the results of any benchmark test of the Software to a third party without the prior written approval of CorEMR; or (viii) take any actions that would cause the Software to become subject to any open source or quasi -open source license agreement. The Software contains trade secrets and confidential information, and You shall exercise reasonable and customary efforts for Your industry to protect the same against transfer or disclosure to, or discovery by, other persons not authorized by CorEMR. In the event you create, or cause to be created, any derivative work or modification to the Software, in violation of this Agreement or otherwise, all such derivative works and/or modifications (including all related intellectual property) created by or for you is hereby assigned to CorEMR in their entirety. 5. Limitation on CorEMR's Obligations. CorEMR shall have no responsibility, obligation, or liability of any kind or nature to ARMOR, You, any inmates at the Facility, or to any third persons or legal entities, for, or arising out of, any aspects of any of the following: A. Any and all aspects of the Server(s); the location, maintenance, repair, replacement and security of the Server(s); the control of or responsibility for the Server(s); and all other aspects of the Servers, including, without limitation, electrical power availability, backup, environmental controls including humidity and temperature, and/or all other physical aspects of the Server(s); B. The input, form, content, completeness and/or accuracy of any medical records, coding or billing; C. Security, access to and privacy of the applicable computer hardware, electronic medical records, including user names, passwords, credentials, keys, encryptions (except for security measures built in by CorEMR), etc. ; site; D. Remote access for anyone to medical records stored on -site and/or off - E. Medical and billing pertaining to medical services at the Facility and the 3 form, content, completeness and accuracy of all medical records, coding and billing (except to the extent such inaccuracies are exclusively due to the software or failure thereof); F. Privacy pertaining to on -site and off -site medical records, whether stored electronically or otherwise, including compliance with state and federal privacy laws and including HIPAA and HIPAA Security Rule, if applicable; and G. The medical care including diagnosis, treatment and medication dispensing for any and all inmates at the Facility. 6. Updates. Except as otherwise expressly provided herein, the License Agreement between CorEMR and ARMOR will govern any Software updates, modifications, enhancements, upgrades, patches, pre -releases (BETA), tryout, evaluation or product sampler that may be provided for use at Your Facility in accordance with CorEMR's then -current maintenance and support policies, unless such updates, modifications, enhancements and/or upgrades are provided under separate license agreement. ARMOR may use such updates, modifications, enhancements and/or upgrades, etc. for Your Facility only in conjunction with the license granted to it and such updates, modifications, enhancements and/or upgrades, etc. are covered thereby. 7. Limited Warranty. CorEMR has warranted to ARMOR that the Medical Records Software will enable its properly trained users thereof at Your Facility to create, maintain, access, and make additions to electronic medical records, and medical data and will enable ARMOR's properly trained personnel at the Facility to backup the electronic medical records created thereby on site and/or at a remote location if proper equipment and backup software is used on the Servers at the Facilitiy Non -substantial variations of performance do not establish a warranty right. To make a warranty claim, ARMOR must notify CorEMR in writing of the specific defect or failure claimed within 90 days of the time it new or should have known of any defect or failure. If the Software does not perform substantially in accordance with this Limited Warranty, this Facility Agreement may be terminated by ARMOR or you and the entire liability of CorEMR and the sole remedy of ARMOR and the Facility shall be limited to either, at CorEMR's option, the replacement of the Software or the refund of the Initial Set Up Fee and Monthly Service Fees actually paid to date pertaining to Your Facility; and in any such event, ARMOR shall be obligated to return to CorEMR the Software and You shall fully cooperate therein. THIS LIMITED WARRANTY SHALL NOT APPLY TO ANY SOFTWARE UPDATES, UPGRADES, MODIFICATIONS, ENHANCEMENTS, PATHCES, PRE -RELEASES (BETA), TRYOUTS, EVALUATIONS OR PRODUCT SAMPLERS, ALL OF WHICH ARE LICENSED "AS IS" WITHOUT WARRANTY OF ANY KIND. THIS LIMTED WARRANTY SET FORTH IN THIS SECTION GIVES YOU SPECIFIC LEGAL RIGHTS. YOU MAY HAVE ADDITIONAL RIGHTS, WHICH MAY VARY FROM JURISDICTION TO JURISDICTION. 8. No Other Warranties. EXCEPT AS EXPRESSLY WARRANTED ABOVE IN SECTION 7, THE SOFTWARE IS PROVIDED "AS IS," WITHOUT WARRANTY OR REPRESENTATION OF ANY KIND, WHETHER EXPRESS, IMPLIED, OR ARISING FROM COMMON LAW, CUSTOM, USAGE OR OTHERWISE, OR STATUTORY, INCLUDING WITHOUT LIMITATION, ANY IMPLIED WARRANTIES OF NON -INFRINGEMENT, MERCHANTABILITY, AND FITNESS FOR A PARTICULAR PURPOSE, OR PERTAINING TO TITLE, INTEGRATION, ACCURACY, SECURITY OR AVAILABILITY. ANY EXPRESS WARRANTY MADE OUTSIDE OF THIS Facility AGREEMENT IS EXCLUDED AND SUPERSEDED BY THE TERMS OF THIS Facility AGREEMENT. COREMR DOES NOT REPRESENT OR WARRANT THAT THE SOFTWARE WILL SATISFY EITHER YOUR OR 4 ARMOR'S REQUIREMENTS, THAT IT IS WITHOUT MATERIAL DEFECT OR ERROR, AND THAT THE OPERATION THEREOF WILL NOT BE UNINTERRUPTED OR ERROR FREE FOR ANY MATERIAL TIME. COREMR DOES NOT AND CANNOT WARRANT THE PERFORMANCE OR RESULTS YOU MAY OBTAIN BY USING THE SOFTWARE. Some jurisdictions do not allow certain disclaimers or limitations of warranties, so some of these may not apply to you. 9. Exclusion of Certain Damages. UNDER THIS FACILITY AGREEMENT, TO THE FULLEST EXTENT PERMITTED BY LAW, NO PARTY IN ANY CASE SHALL BE LIABLE FOR INDIRECT, SPECIAL, PUNITIVE, EXEMPLARY, INCIDENTAL, OR CONSEQUENTIAL LOSS OR DAMAGE OF ANY KIND, INCLUDING WITHOUT LIMITATION, ANY LOSS OF USE, LOST OR DAMAGED DATA, ANY INABILITY TO ACCESS OR RETRIEVE DATA, OTHER COMMERCIAL, MEDICAL OR ECONOMIC LOSS, OR FOR ANY INDIRECT, STATUTORY, LOSS OF PROFITS, LOSS OF REVNENUE OR BUISINESS, COSTS OF COVERAGE, AND/OR EQUIPMENT DOWNTIME ARISING FROM OR RELATING TO THIS FACILITY AGREEMENT OR FROM THE USE OR INABILITY TO USE THE MEDICAL RECORDS SOFTWARE, REGARDLESS OF THE FORM OF ACTION AND EVEN IF COREMR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE. THIS DISCLAIMER OF LIABILITY/DAMAGES WILL NOT BE AFFECTED IF ANY REMEDY PROVIDED HEREIN FAILS IN ITS ESSENTIAL PURPOSE. Some jurisdictions do not allow certain exclusions or limitations of liability, so some of these may not apply to you. 10. Limitation of Liability. THE AGGREGATE LIABILITY OF COREMR ARISING FROM OR RELATING TO THIS FACILITY AGREEMENT OR YOUR FACILITY'S USE OR INABILITY TO USE THE MEDICAL RECORDS SOFTWARE (REGARDLESS OF THE FORM OF ACTION OR CLAIM, WHETHER CONTRACT, WARRANTY, TORT, EQUITABLE AND/OR OTHERWISE) SHALL NOT EXCEED THE AMOUNT OF ALL INITIAL SET UP FEES AND MONTHLY SERVICE FEES PAID BY ARMOR FOR THE SOFTWARE LICENSE GRANTED FOR USE AT YOUR FACILITY.. 11. Sole Remedy and Allocation of Risk. YOUR SOLE AND EXCLUSIVE REMEDY AND COREMR'S SOLE AND EXCLUSIVE LIABILITY UNDER THIS LICENSE AGREEMENT IS SET FORTH IN THIS FACILITY AGREEMENT. This Facility Agreement defines a mutually agreed -upon allocation of risk. 12. Severability. If a court of competent jurisdiction determines that any provision of this Facility Agreement is invalid or unenforceable or contrary to applicable law, such provision shall be construed, limited, or altered, as necessary, to eliminate the invalidity or unenforceability or the conflict with applicable law, and all other provisions of this Facility Agreement shall remain in effect. 13. Construction. No rule of strict construction shall apply against or in favor of either party in the construction and interpretation of this Facility Agreement and/or the Master Agreement. The Recitals to this Facilities Agreement are incorporated herein and made a part hereof. 14. Assignment. Neither ARMOR nor You may assign, sublicense, or transfer this Facility Agreement, any rights or obligations under this Facility Agreement, the Medical Records Software, or any enhancements, updates, upgrades, modifications, or amendments to the Medical Records Software. CorEMR may not assign or transfer this Facility Agreement and its rights and obligations hereunder at its discretion to any third person or legal entity without your 5 prior permission. 15. Force Majeure. Neither CorEMR, ARMOR nor You shall be liable to the other(s) or be deemed to be in breach of this Facility Agreement for any failure or delay in rendering performance arising out of causes beyond its reasonable control and without its fault or negligence. Such causes may include, but are not limited to, acts of God or the public enemy, fires, floods, epidemics, quarantine restrictions, strikes, freight embargoes and unusually severe weather. 16. Entire Agreement. This Facility Agreement and the Master Agreement and Master License Agreement between CorEMR and ARMOR set forth the entire understanding and agreement between the parties relating to the subject matter hereof. This Facility Agreement may be amended only by a writing signed by all parties. Any waiver of or promise not to enforce any right under this Facility Agreement shall not be enforceable unless evidenced by a writing signed by the party making such waiver or promise. ANY TERMS AND CONDITIONS OF ANY PROPOSAL, OR OTHER WRITING OR DOCUMENT SUBMITTED TO YOU, OR BY YOU, IN CONNECTION WITH THE MEDICAL RECORDS SOFTWARE THAT ARE IN ADDITION TO, DIFFERENT FROM, OR INCONSISTENT WITH THE TERMS AND CONDITIONS OF THIS FACILITY AGREEMENT ARE NOT BINDING ON COREMR AND ARE INEFFECTIVE. ONLY AUTHORIZED MANAGERS (NOT SALES PERSONS) OF COREMR HAVE AUTHORITY, ON BEHALF OF COREMR, TO MODIFY THIS FACILITY AGREEMENT OR TO MAKE ANY WARRANTY, REPRESENTATION, OR PROMISE THAT IS DIFFERENT THAN OR IN ADDITION TO THE WARRANTIES, REPRESENTATIONS, OR PROMISES EXPRESSLY SET FORTH IN THIS FACILITY AGREEMENT. ^O IN WIT$SS WHEREOF the Parties have executed this Facility Agreement effective the O1.7 day of ,W. .' , 2017. Weld County Julie A. Cozad, Chair, Board of Weld County Commissioners DEC 2 7 2017 uthorized Signature 6 026/4,- 67i Coirth'aci 1581 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW RE: Jail Inmate Medical Services Extension with Annual Increase DEPARTMENT: Weld County Sheriff's Office DATE: PERSON REQUESTING: Matthew J. Elbe Brief description of the problem/issue: The Weld County Sheriff's Office has a contract in place with Armor Correctional Health Services, Inc. on a three year term for Inmate Medical Services. Each year of this contract, an extension is done to address any annual increases as set forth in the original contract agreement. Following the Boulder -Denver CPI rate increase for 2017 from 2016 of 3.1%, this creates an annual increase for this contract during 2018 of $ l 1 1,021.20. This brings the total cost of this contract for the year of 2018 to $3,692,350.20. This 3.1% increase is below the 5% annual increase maximum allowed per this contract. The previous language of an "on -sight" medical records server in Armor's original bid proposal has been changed to reflect actual practice of the medical records data, which is a "cloud base" system and not an on - sight system. The new articulation guarantees the County the same price in case the contract terminates and makes sure the medical data is safe. To further safeguard the County financially in the event the contract between Armor is terminated, a facilities agreement has been signed between the County and CorEMR, third party for whom our inmate medical data is managed via the County's contract with Armor Correctional Health Services, Inc. What options exist for the Board? (Include consequences, impacts, costs, etc. of options) The Board could refuse to agree with this extension and annual increase and language clarifying medical data storage, terminate the contract and go back out to bid for Inmate Medical Services. Or they could agree to this extension and the annual increase as is set forth in the original contract and the recommended medical data amendment. Recommendation: It is recommended that the Board agree to this extension with the annual increase and amendment language for how medical records and data is stored. Armor Correctional Health Services, Inc. has done a great job providing Inmate Medical Services at the Weld County Jail in their first year of this contract. The annual increase is within the limits of the original contract and is appropriate. The amended medical records and data language accurately reflect current practice. County Attorney Frank Haug, the County Information Technologies Director Ryan Rose and Lieutenant Brandon Cody with the Sheriff Office are in agreement with the recommendation for approval by the Board. J� 7 (-pia.— �o so 0-a/,t.c�� /02-021- /7 o?or'G - 3579 5006 39 Sean P. Conway Julie A. Cozad, Chair Mike Freeman Barbara Kirkmeyer Steve Moreno, Pro -Tern Approve Schedule ItiNgubmtbdatio Work Session Other/Comments: tivViros,,t lA�l�l CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY SHERIFF'SOFFICE AND ARMOR CORRECTIONAL HEALTH SERVICES, INC. This Agreement Extension/Renewal ("Renewal"), made and entered intdC2- day of ' , 2017, by and between the Board of Weld County Commissioners, on behalf of the Weld County Sheriff's Office, hereinafter referred to as the "Department", and Armor Correctional Health Services, Inc. hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2016-3579 approved on 12/28/2016. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, 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 12/31/2017. • The parties agree to extend the Original Agreement for an additional 12 month period, which will begin 01/01/2018, and will end on 12/31/2018. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. There is an annual increase in the pricing for 2018 of 3.1% of the 2017 pricing of $3,581,329.00. This 3.1% increase is based on the Denver -Boulder CPI increase from 2016 to 2017 and is per the original contract. With this increase, the 2018 pricing will be $3,692,35O.2O. 2. Previous Language of an "on -site" medical records server in Armor's original bid proposal has been proposed and verbally agreed in an Addendum to reflect actual practice of the medical records data storage, which is a "cloud base" system and not an on -site system. The new articulation guarantees the County the same price in case the contract terminates and makes sure the medical data is safe. This further safeguards the County financially, in the event the contract between Armor is terminated, a facilities agreement is being signed between the County and Cor-EMR, the third party for whom our inmate medical data is managed via the County's contract with Armor Correctional Health Services, Inc. The Addendum and this extension are being signed concurrently. • 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. CONTRACTOR: AiQafo! ut 6,' -7— / H A EElt4 *,J ed Name . Signature ATTEST: BOARD OF WELD COUNTY COMMISSIONERS Julie A. Cozad, gEC 20 ld Co. ty Clerk to the Board puty Cl-`k to the 020/6-e-11 ADDENDUM TO AGREEMENT FOR PROFESSIONAL SERVICES This Addendum to the Agreement for Professional Services (the "Agreement") entered into by and between the County of Weld, Colorado ("Weld" or the "County") and Armor Correctional Health Services, Inc. ("Armor") is effective as of this R7 "day of /V0 I/04ER, , 2017. WHEREAS, Armor and the County entered into the Agreement on December 28th, 2016; WHEREAS, the parties desire to add an addendum to the Agreement as it pertains to the electronic health record system, specifically, the County has requested that the electronic health record system be installed and maintained as a cloud hosted application instead of the initial proposal by Armor to install server hardware and have the application hosted locally at the County; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. First Tier Support End User hardware is owned by Armor. Armor hardware is installed on a network owned and maintained by Weld County. Weld County is allowed full access to the onsite hardware. Weld County can install any required software to meet the needs of the county. Weld County will install and maintain virus protection on all applicable devices on the network. Weld County will maintain sole administrative rights to all hardware. Armor employees will be provided with user access as needed to provide health care services. Weld County support desk will serve as the first -tier support for any IT related issues. If the support desk identifies an issue with Hardware owned by Armor or other issue they are unable to correct the problem is escalated to Second Tier support 2. Second Tier support Armor Clinical Technology team will serve as the Second -Tier support to assist in obtaining any replacement hardware or to assist in fixing a problem in conj unction with the Weld County support desk team. Armor will be responsible for replacing/repairing any Armor hardware that is in need of replacement/repair 1 Weld County should not be responsible for any additional fees that may be associated with any changes in server hosting that are not directly related to a change required by Weld County. See Exhibit B for costs related to the Cloud. 3. Ownership All data stored as part of the Electronic Health Record becomes the sole property of Weld County. Armor is the custodian of the medical record while this contract is in place. CorEMR, the medical records software, is licensed to Armor, not sold and Armor does not have any ownership of any kind in or to the Medical Records Software. Likewise, CorEMR has no ownership, or claim of ownership, of any medical data (or intellectual property rights therein) that may be stored on the databases stored on the Server(s) or accessed via the Medical Records Software at Weld County. Electronic Health Record data will always be stored within the USA. The location of the data storage facility has been disclosed to Weld County. The location of data storage will not be relocated without notification in writing being made to Weld County. The equipment listed in Exhibit C that has been purchased by Armor will remain Armor owned equipment unless otherwise mutually agreed. 4. Regulatory Compliance a) Armor and Armor employees will operate within the guidelines of the CJIS Security Policy. https://www.fbi.gov/file-repository/cjis- security-policy-v5_6 20170605.pdf b) Armor and Armor employees will operate within the guidelines of the I-IIPAA policy. https://www.hhs.gov/hipaa/for- professional s/security/laws-regulations/index.html c) The information contained within the electronic health record will be transferred, maintained and stored in accordance with CJIS Security Policy and HIPAA Regulations. 5. In the Event of Contract Termination CorEMR Application Armor will facilitate a facility agreement between CorEMR and Weld County which will allow for CorEMR to make its Medical Records Software available to Weld County at the same price as it charged Armor prior to termination for the remainder of the contract term in existence prior to termination. Thereafter, CorEMR will make its Medical Records Software available to Weld County on terms mutually agreeable to Weld County and CorEMR. The facility agreement will also allow for a read only version of the medical data for use at Weld County and the license to use that software at no cost. The data schema and SQL database will also be provided by CorEMR. Database Hosting, Storage and Maintenance Armor will maintain hosting, storage and maintenance of the medical records database while this contract is in effect. In the event of termination, Armor will transfer the current hosting, storage and maintenance agreement in effect between Armor and the service provider which will insure that the Medical Records Data is available to Weld at the same price charged to Armor prior to termination for the remainder of the contract term in existence prior to termination. Thereafter, the service provider will provide services on terms mutually agreeable to them and Weld County. IN WITNESS WHEREOF, the parties hereto have signed this Addendum this 7re'day of No✓67Z(6'E,e, 2017. Armor By: 04,244.4.„(w) V�_A \ Name: • CTo-R rA - Title: 51/P Date: (e740(7 Weld County Attest: didiet) `&441;t1 Weld • my Clerk to th- Board By: Deput and Board of County Commissi Weld County, Colorado Julie A. Cozad, Ch DEC 2 7 2017 /e x'79 EXHIBIT B Cloud Based per year Secure Domain Registration Server Maintenance Secure Server Access Monthly n/a $500.00 $1,335.00 Annual Total Annual $100.00 $6,000.00 $16,020.00 $22,120.00 3 Year Cost ($22,120 X 3) $66,360.00 EXHIBIT C ARMOR OWNED EQUIPMENT 13 Dell Optiplex Desktop PCs 9 15.6" Dell Laptops HP Desktop Printer 2 Document Scanners HP Laserjet Printer Total (excludes labor) $11,916.87 $7,825.46 $125.00 $2,129.48 $800.62 $22,797.43 AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN WELD COUNTY & Armor Correctional Health Services, Inc. Inmate Medical Services THIS AGREEMENT is made and entered into this 7th day of December, 2016, by and between the County of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County Commissioners, whose address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County," and Armor Correctional Health Services, Inc., whose address is 4960 SW 72 Ave. Suite 400, Miami, Florida 33155 hereinafter referred to as "Contract Professional". WHEREAS, County desires to retain Contract Professional as an independent Contract Professional to perform services as more particularly set forth below; and WHEREAS, Contract Professional has the ability, qualifications, and time available to timely perform the services, and is willing to perform the services according to the terms of this Agreement. WHEREAS, Contract Professional is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the services as set forth below; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibits A and B, each of which forms an integral part of this Agreement. Exhibits A and B are specifically incorporated herein by this reference. County and Contract Professional acknowledge and agree that this Agreement, including specifically Exhibits A and B, define the performance obligations of Contract Professional and Contract Professional's willingness and ability to meet those requirements. Exhibit A consists of County's Request for Proposal (RFP) as set forth in "Proposal Package No. B 1600169". The RFP contains all of the specific requirements of County. Exhibit B consists of Contract Professional's Response to County's Request for Proposal. The Response confirms Contract Professional's obligations under this Agreement. In the event of a conflict between the agreement and the incorporated exhibits, the order of precedence is as follows: first, this Agreement; second, Exhibit B — the Contract Professionals Response; and third, Exhibit A — the RFP. 2. Service or Work. Contract Professional agrees to procure the materials, equipment and/or products necessary for the project and agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the project described in Exhibit A which is attached hereto and incorporated herein by reference, subject to clarifications/assumptions/exceptions set forth in Exhibit B. Contract Professional shall coordinate with Weld County to perform the services described on attached Exhibits A and B. Contract Professional shall faithfully perform the work in accordance with the standards of professional care, skill, training, diligence and judgment provided by highly competent Contract Professionals performing services of a similar nature to those described in this Agreement. Contract Professional shall further be responsible for the timely completion, and acknowledges that a failure to comply with the standards and requirements of Exhibits A and B within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Agreement. a�,,�� Le: 5 Jo)Q -207o/6- 67 X? / /a-8 / So to 57 3. Term. The term of this Agreement shall commence on the /41" day of FjjA, 2011, and shall continue through and until Contract Professional's completion of the responsibilities described in Exhibit A, subject to clarifications/assumptions/exceptions set forth in Exhibit B. Both of the parties to this Agreement understand and agree that the laws of the State of Colorado prohibit County from entering into Agreements which bind County for periods longer than one year. Therefore, within the thirty (30) days preceding the anniversary date of this Agreement, County shall notify Contract Professional if it wishes to renew this Contract. 4. Termination. County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. However, nothing herein shall be construed as giving Contract Professional the right to provide services under this Agreement beyond the time when such services become unsatisfactory to the County. If this Agreement is terminated by County, Contract Professional shall be compensated for, and such compensation shall be limited to, (1) the sum of the amounts contained in invoices which it has submitted and which have been approved by the County; (2) the reasonable value to County of the services which Contract Professional provided prior to the date of the termination notice, but which had not yet been approved for payment; and (3) the cost of any work which the County approves in writing which it determines is needed to accomplish an orderly termination of the work. County shall be entitled to the use of all material generated pursuant to this Agreement upon termination. Upon termination, County shall take possession of all materials, equipment, tools and facilities owned by County which Contract Professional is using, by whatever method it deems expedient; and, Contract Professional shall deliver to County all drawings, drafts or other documents it has completed or partially completed under this Agreement, together with all other items, materials and documents which have been paid for by County, and these items, materials and documents shall be the property of County. Copies of work product incomplete at the time of termination shall be marked "DRAFT -INCOMPLETE." Upon termination of this Agreement by County, Contract Professional shall have no claim of any kind whatsoever against the County related to the decision to terminate except for compensation for work satisfactorily performed and/or materials described herein properly delivered. 5. Extension or Modification. Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by Contract Professional shall be the basis for additional compensation unless and until Contract Professional has obtained written authorization and acknowledgement by County for such additional services. Accordingly, no claim that the County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder. In the event that written authorization and acknowledgment by the County for such additional services is not timely executed and issued in strict accordance with this Agreement, Contract Professional's rights with respect to such additional services shall be deemed waived and such failure shall result in non-payment for such additional services or work performed. In the event the County shall require changes in the scope, character, or complexity of the work to be performed, and said changes cause an increase or decrease in the time required or the costs to the Contract Professional for performance, an equitable adjustment in fees and completion time shall be negotiated between the parties and this Agreement shall be modified accordingly by a supplemental Agreement. Any claims by the Contract Professional for adjustment hereunder must be made in writing prior to performance of any work covered in the anticipated supplemental Agreement. Any change in work made without such prior supplemental Agreement shall be deemed covered in the compensation and time provisions of this Agreement. 6. Compensation/Contract Amount. Upon Contract Professional's successful monthly completion of the services, and County's acceptance of the same, County agrees to pay, on a monthly basis, an amount no greater than the monthly proportion of the annualized total of $3,581,329, which is the bid set forth in Exhibit B, together with any cap overages. Contract Professional acknowledges no payment in excess of that amount will be made by County unless a "change order" authorizing such additional payment has been specifically approved by the Director of Weld County Public Works, or by formal resolution of the Weld County Board of County Commissioners, as required pursuant to the Weld County Code, or as set for in this Agreement and incorporated Exhibits. In no event shall County be liable for payment for services rendered and expenses incurred by Contract Professional under the terms of this Agreement for any amount in excess of the sums of the bid amount set forth in Exhibit B. Contactor acknowledges that any work it performs beyond that specifically authorized by County is performed at Contract Professional's risk and without authorization under this Agreement. County shall not be liable for the payment of taxes, late charges or penalties of any nature other than the compensation stated herein. If, at any time during the term or after termination or expiration of this Agreement, County reasonably determines that any payment made by County to Contract Professional was improper because the service for which payment was made did not perform as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from County, Contract Professional shall forthwith return any such undisputed payment(s) to County. Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall forthwith be returned to County. County will not withhold any taxes from monies paid to the Contract Professional hereunder and Contract Professional agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Except for expenses incurred pursuant to this Agreement and incorporated Exhibits, County shall have no obligations under this Agreement after, nor shall any payments be made to Contract Professional in respect of any period after December 31 of any year, without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25, title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). 7. Independent Contract Professional. Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law (and as set forth in Exhibit B provide proof thereof when requested to do so by County. 8. Subcontractors. Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional 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. County shall have the right in its reasonable discretion to approve all personnel assigned to the subject project during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the project. Contract Professional shall require each subcontractor, as approved by County and to the extent of the Services to be performed by the subcontractor, to be bound to Contract Professional by the terms of this Agreement, and to assume toward Contract Professional all the obligations and responsibilities which Contract Professional, by this Agreement, assumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contract Professional and Contract. Professional shall cooperate in such process. The Contract Professional shall be responsible for the acts and omissions of its agents, employees and subcontractors. 9. Ownership. Except for Contract Professional's proprietary systems and information (e.g., our policies and procedures, which County may use in perpetuity, but not share beyond county, except as legally necessary) all work and information obtained by Contract Professional 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 Contract Professional 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. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 10. Confidentiality. Confidential financial information of the Contract Professional should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, Contract Professional is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq, with regard to public records, and cannot guarantee the confidentiality of all documents. Contract Professional agrees to keep confidential all of County's confidential information. Contract Professional agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contract Professional agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this agreement. 11. Warranty. Contract Professional warrants that the 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. Contract Professional further represents and warrants that all services shall be performed by qualified personnel in a professional and workmanlike manner, consistent with industry standards, and that all services will conform to applicable specifications. 12. Acceptance of Services Not a Waiver. Upon completion of the work, Contract Professional shall submit to County originals of all test results, reports, etc., generated during completion of this work. Acceptance by County of reports and incidental material(s) furnished under this Agreement shall not in any way relieve Contract Professional of responsibility for the quality and accuracy of the project. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contract Professional, and County's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to County with respect to such breach or default. 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 County of, or payment for, the services completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance and Indemnification. Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contract Professional. Contract Professional shall be responsible for the payment of any deductible or self - insured retention. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Professional. The County in no way warrants that the minimum limits contained herein are sufficient to protect them from liabilities that might arise out of the performance of the work under this Contract by the Contract Professional, its agents, representatives, employees, or subcontractors. The Contract Professional shall assess its own risks and if it deems appropriate and/or prudent, maintain higher limits and/or broader coverages. The Contract Professional is not relieved of any liability or other obligations assumed or pursuant to the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types. The Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. Any modification to these requirements must be made in writing by Weld County. The Contract Professional stipulates that it has met the insurance requirements identified herein. The Contract Professional shall be responsible for the professional quality, technical accuracy, and quantity of all services provided, the timely delivery of said services, and the coordination of all services rendered by the Contract Professional and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. INDEMNITY: The Contract Professional shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or willful acts or omissions of Contract Professional, or claims of any type or character arising out of the work done by Contract Professional_ in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers' compensation law or arising out of the failure of the Contract Professional to conform to any statutes, ordinances, regulation, law or court decree. The Contract Professional shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement, or on account of or in consequence of neglect of the Contract Professional in its methods or procedures; or in its provisions of the materials required herein, or from any claims or amounts arising or recovered under the Worker's Compensation Act, or other law, ordinance, order, or decree, except to the extent such arises from Contract Professional acting in accordance with County directive. This paragraph shall survive expiration or termination hereof. It is agreed that the Contract Professional will be responsible for primary loss investigation, defense and judgment costs where this contract of indemnity applies. In consideration of the award of this contract, the Contract Professional agrees to waive all rights of subrogation against the County its associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents, and volunteers for losses arising from the work performed by the Contract Professional for the County, except to the extent such arises from Contract Professional acting in accordance with County directive. A failure to comply with this provision shall result in County's right to immediately terminate this Agreement. fypes of Insurance: The Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of the Contract Professional's employees acting within the course and scope of their employment. Policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contract Professional or subcontractor is exempt under Colorado Workers' Compensation Act, AND when such Contract Professional or subcontractor executes the appropriate sole proprietor waiver form. Commercial General Liability Insurance shall include bodily injury, property damage, and liability assumed under the contract. $1,000,000 each occurrence; $2,000,000 general aggregate; $1,000,000 Personal Advertising injury Automobile Liability: Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned, hired, and non - owned vehicles used in the performance of this Contract. Professional Liability (Errors and Omissions Liability) The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contract Professional shall maintain limits for all claims covering wrongful acts, errors and/or omissions, including design errors, if applicable, for damage sustained by reason of or in the course of operations under this Contract resulting from professional services. In the event that the professional liability insurance required by this Contract is written on a claims -made basis, Contract Professional warrants that any retroactive date under the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or an extended discovery period will be exercised for a period of two (2) years beginning at the time work under this Contract is completed. Minimum Limits: Per Loss Aggregate $ 1,000,000 $ 2,000,000 Contract Professionals shall secure and deliver to the County at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. Proof of Insurance: County reserves the right to require the Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. Additional Insureds: For general liability Contract Professional's insurer shall name County as an additional insured. Waiver of Subrogation: For all coverages, Contract Professional's insurer shall waive subrogation rights against County for any claim arising out of the acts or omissions of Contract Professional. Subcontractors: All subcontractors, independent Contract Professionals, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverage's required of Contract Professional. Contract Professional shall include all such subcontractors, independent Contract Professionals, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contract Professional agrees to provide proof of insurance for all such subcontractors, independent Contract Professionals, sub -vendors suppliers or other entities upon request by the County. 14. Non -Assignment. Contract Professional may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. Any attempts by Contract Professional to assign or transfer its rights hereunder without such prior approval by County shall, at the option of County, automatically terminate this Agreement and all rights of Contract Professional hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. 15. Examination of Records. To the extent required by law, the Contractor agrees that any duly authorized representative of County, including the County Auditor, shall have access to and the right to examine and audit any books, documents, papers and records of Contractor, involving all matters and/or transactions related to this Agreement. The Contractor agrees to maintain these documents for three years from the date of the last payment received. 16. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 17. Notices. County may designate, prior to commencement of work, its project representative ("County Representative") who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to County Representative. The County Representative for purposes of this Agreement is hereby identified as, Lieutenant Brandon Cody of Weld County Sheriff Office, or his designee. All notices or other communications (including annual maintenance made by one party to the other concerning the terms and conditions of this contract shall be deemed delivered under the following circumstances: (a) personal service by a reputable courier service requiring signature for receipt; or (b) five (5) days following delivery to the United States Postal Service, postage prepaid addressed to a party at the address set forth in this contract; or (c) electronic transmission via email at the address set forth below, where a receipt or acknowledgment is required by the sending party; or (d) transmission via facsimile, at the number set forth below, where a receipt or acknowledgment is required by the sending party. Either party may change its notice address(es) by written notice to the other. Notification Information: Contract Professional: Attn.: CEO, Address: Address: E-mail: Facsimile: With copy to: Name: Position: Address: Address: E-mail: Facsimile: County: Name: Position: Address: Address: E-mail: Facsimile: Armor Correctional Health Services, Inc. Bruce Teal 4960 SW 72 Ave Suite 400, Miami, FL 33155 bteal@armorcorrectional.com Armor Correctional Health Services, Inc. Ken Palombo COO 4960 SW 72 Ave Suite 400, Miami, FL 33155 knalombo@armorcorrectional.com Brandon Cody Weld County Sheriff Detentions Lieutenant 2110 "O" ST Greeley, CO 80631 bcody@co.weld.co.us 18. Compliance with Law. As set forth in Exhibit B, Contract Professional shall strictly 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. 19. Non -Exclusive Agreement. This Agreement is nonexclusive and County may engage or use other Contract Professionals or persons to perform services of the same or similar nature. 20. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 21. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 22. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. County has no interest and shall not acquire any interest direct or indirect, that would in any manner or degree interfere with the performance of Contract Professional's services and Contract Professional shall not employ any person having such known interests. During the term of this Agreement, Contract Professional shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by Contract Professional to ensure compliance with this provision may result, in County's sole discretion, in immediate termination of this Agreement. No employee of Contract Professional nor any member of Contract Professional's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to Contract Professional. 23. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 24. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-10I et seq., as applicable now or hereafter amended. 25. No Third Party Beneficiary. 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. 26. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 27. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 28. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre- employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring an new employee to perform work under the contract, affirm that Contract Professional has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 29. Attorneys Fees/Legal Costs. In the event of a dispute between County and Contract Professional, 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. 30. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in this Agreement or incorporated herein by reference shall be null and void. Acknowledgment. County and Contract Professional acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits A and B, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. IN ITNESS WHERE/OF, the parties hereto have signed this Agreement this a0 r day of �/_ , 2016e! CONTRACTOR: Armor Correctional Health Services, Inc. By: -? Name: Ken Palombo Title: COO Date 12/15/2016 WELD TOUP t��jj'' JC/.L0��.GT.Y , L ATTEST: Weld C ty lerk to the Boa d BY Deputy Cle BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair DEC 2 8 201{, doa,-397y INN at) CCAnstrit STh\JE WE MS TO: FROM: DATE: SUBJECT: Board of County Commissioners Lieutenant Brandon Cody & Inmate Services Director Matt Elbe 11/05/2016 Inmate Medical Services -- Bid #B1600169 A competitive bidding process for Inmate Medical Services commenced on October 13th, 2016. p Bids from Correct Care Solutions, LLC (CCS), Armor Correctional Health Services, Inc (Armor) and Southwest Correctional Medical Group Inc (SWCMG) were received and opened on November 21, 2016. Proposed: SWCMG Monthly w/out performance bond $366,299 Annual w/out performance bond $4,395,587 CCS Monthly w/out performance bond $323,706 Annual w/out performance bond $3,884,472 ARMOR Monthly w/out performance bond $292,475.17 Annual w/out performance bond $3,509,702 Monthly w/performance bond $370,757 Annual w/performance bond $4,449,587 Monthly w/performance bond $328,706 Annual w/performance bond $3,944,472 Monthly w/performance bond $298,444.08 Annual w/performance bond $3,581,329 A comprehensive review of all three above named proposals began on November 22nd by p Lieutenant Brandon Cody and Director of Inmate Services Matthew Elbe to determine the best value and pricing for Weld County and the citizens thereof. This review considered four main areas: Pricing, Staffing, Technical, Qualifications and Functional Jail Compatibility. As a result of that review, we believe the best value and pricing going forward for inmate medical services for Weld County is with Armor Correctional Health Services, Inc. at the lowest bid price of $3,581,329 with a performance bond. We recommend that a performance bond remain in place. Scoring Categories Pricing (Max -25) Staffing (Max -3d) Correct Care Armor Correctiona Solutions Health Services Southwest Correctional Medical Group Southwest Substation 4209 WCR 24 1/2 Longmont, Colorado 80504 (720) 652-2415 Fax (720) 652-4217 15 20 10 25 20 Headquarters 1950 O Street Greeley, Colorado 80631 (970)356-4015 Fax (970)304-6467 Toll Free (800)436-9276 www.weldsheriff.com 10 Southeast Substation 2950 9th Street Fort Lupton, Colorado 80621 (303) 857-2465 Fax (303) 637-2422 e2ot(379 sope52m7 Technical (Max -25) Qualifications (Max - 10) Compatibility (Max - 10) TOTALS: Respectfully Submitted, , 3/4) Brandon Cody try 20 10 10 80 4 Lieutenant WC0247 Weld County Sheriff Office Southwest Substation 4209 WCR 241/2 Longmont, Colorado 80504 (720) 652-2415 Fax (720) 652-4217 walD co'unn 20 10 5 STEVE RE MRS 15 10 5 75 50 Headquarters 1950 O Street Greeley, Colorado 80631 (970)356-4015 Fax (970)304-6467 Toll Free (800)436-9276 www.weldsheriff.com Southeast Substation 2950 9rh Street Fort Lupton, Colorado 80621 (303) 857-2465 Fax (303) 637-2422 Page 12 WELD COUNTY PURCHASING 1150 O Street Room #107, Greeley CO 80631 E-mail: mwalters(a�co.weld.co.us E-mail: reverett@co.weld.co.us Phone: (970) 400-4222 or 4223 Fax: (970) 336-7226 DATE OF BID: NOVEMBER 21, 2016 REQUEST FOR: INMATE MEDICAL SERVICES DEPARTMENT: SHERIFF'S OFFICE/JAIL BID NO: #B1600169 PRESENT DATE: NOVEMBER 23, 2016 APPROVAL DATE: DECEMBER 7, 2016 VENDORS CORRECT CARE SOLUTIONS LLC 1283 MURFREESBORO ROAD SUITE 500 NASHVILLE TN 37217 SOUTHWEST CORRECTIONAL MEDICAL GROUIP 2511 GARDEN ROAD SUITE A160 MONTEREY CA 93940 ARMOR CORRECTIONAL HEALTH SERVICES INC 4960 SW 72 AVENUE SUITE 400 MIAMI FL 33155 THE SHERIFF'S OFFICE/JAIL WILL REVIEW THE BIDS. 2016-3579 X0037 Hello