HomeMy WebLinkAbout950867.tiff Recorded at / o'clock ._.i ._..M..._Z. r._.._i
852 1774170 t'i1 :,.
Rec. No.
/0- /
State of Colorado, Weld County Clerk & Recorder
ORDINANCE NO. 37
IN THE MATTER OF APPROVING THE TITLE XX HOMEMAKER CONTRACT FOR
1979 BETWEEN THE COLORADO DEPARTMENT OF SOCIAL SERVICES AND WELD
COUNTY HEALTH DEPARTMENT.
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF WELD
COUNTY, COLORADO:
WHEREAS, the Director of Social Services has presented the
Title XX Homemaker Contract for 1979 to the Board of County Com-
o.
missioners of Weld County, Colorado, and
WHEREAS, said contract is for the continuation of the agree-
ment between the Colorado Department of Social Services and the
Weld County Health Department, a copy of said contract being
attached hereto and incorporated herein by reference at this
point.
NOW, THEREFORE, BE IT ORDAINED by the Board of County Com-
missioners of Weld County, Colorado that the Title XX Homemaker
Contract for 1979 between the Colorado Department of Social Ser-
vices and the Weld County Health Department be, and hereby is ,
approved.
BE IT FURTHER ORDAINED by the Board of County Commissioners
of Weld County, Colorado that an emergency exists which requires
that this Ordinance be enacted forthwith in that in order for
funds to be available from State and Federal sources , the agree-
ment must be in effect by January 1, 1979 and normal Ordinance
procedures would prevent this, and therefore, this Ordinance is
declared to be an emergency Ordinance under the provisions of
Section 3-14 of the Weld County Home Rule Charter.
The above and foregoing Ordinance No. 37 was, on motion duly
made and seconded, adopted by the following vote on the 29th day
of November, A.D. , 1978.
`11,; BOARD OF COUNTY COMMISSIONERS
ATTEST: lair d WELD COUNTY, COLORADO
Weld County Clerk and Recorder
and-"terk to the Board 7 Protein
BV: Li-Au
T,erury County Clem l�l �
APPRSV A TO FORNJ,:
LO
Asst. County Attorney
Date Presented: November 29 , 1978
`' Dated: December 4, 1978vcc
950867
Published: December 7 , 1978 in the Johnstown Breeze
$52 1774170
/D
CONTRACT
THIS CONTRACT, made this 1 day of January 1979, by and between the
State of Colorado for the use and benefit of the Department of Social Services,
1575 Sherman Street, Denver, Colorado 80203
hereinafter referred to as the State, and Weld County Department of Health,
1516 Hospital Road, Greeley, Colorado 80631
hereinafter referred to as the contractor,
WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated
and otherwise made available and a sufficient unencumbered balance thereof remains
available for payment in Fund Number , G/L Account Number , Contract
Encumbrance Number ; and
WHEREAS, required approval, clearance and coordination has been accomplished
from and with appropriate agencies; and
WHEREAS, under Provision of the Federal Social Security Act, Title XX:
the U.S. Code of Federal Regulations (CFR) Title 1+5, Chapter II, Part 228, et
seq. , and other federal rules derived from the aforesaid Social Security Act,
the State secures federal financial participation for Homemaker Services; and
WHEREAS, Weld County Department of Social Services, 315 N. 11 Avenue,
P. 0. Box A, Greeley, Colorado shall hereinafter be referred to as the agent; and
WHEREAS, the State is authorized to provide social services for individuals
and families under 26-1-111 and 26-2-122, C.R.S. 1973, aS amended; and
W EREAS, those eligible for Homemaker services are eligible as provided
under Title XX of the Social Security Act and in accordance with the rules
of the State; and
WHEREAS, the purpose of services contemplated by the Contract is to
provide Homemaker services to Eligible Recipients to enable them to remain in
their own homes and communities; and
WHEREAS, provisions of Federal and State Law and Rules and any amendments
thereto require that certain conditions be met in order for State to receive
Federal matching funds for purchased services and such conditions must be
continuously met; and
WHEREAS, after making maximum utilization of and coordination with other
public and volunteer agencies providing similar or related services and related
services which may be available without additional cost, State has established
that this Contract is necessary to provide these services and that these services
are not available without cost.
NOW THEREFORE, it is hereby agreed that in consideration of the mutual under-
takings, promises and agreements, hereinafter set forth, the State and the Contractor
agree as follows:
1. Subject to its other provisions, the term of the Contract shall be
from 1 day of January , 1979, through the 31 day of
December , 1979.
2. This Contract is subject to the provisions of 45 CFR 228, relevant
provisions of CRS 1973, Chapter 26 as amended, Title XX State Plan as
amended, and relevant State rules and regulations as the same shall be
amended from time to time.
3. Subject to the terms and conditions set forth in this Contract and
Exhibit A attached hereto, incorporated herein by reference and made a
part hereof, the -State agrees to purchase for and the Contractor agrees
to furnish to eligible recipients, as determined by the Agent, the
necessary care and services, hereinafter referred to as "purchased ser-
vices, " as determined by the Agent and provided for in this Contract.
a. The purchased services to he provided to an individual
eligible recipient under this Contract are limited to but need
not include all of the following:
1) Assisting with home management by vacuuming, dusting,
kitchen cleaning, bathroom cleaning, changing bed clothing,
removing trash, doing the laundry, ironing clothes,
Page 1 of _ 7 pares
17741'70
852 103
mending clothes, grocery shopping, food preparation, and
child care, to aid people with serious limitations to renain
in or return to their own home. This assistance does not
include the performance of heavy tasks such as heavy la'ndry,
outside window washing and washing walls and ceilings, or
tasks which require standing on ladders or chairs.
2) Providing personal care services such as bathing, grooming
the hair and nails, dressing, and exercising aged and
disabled people and other services as may be directed un'_er
medical supervision.
3) Providing educational and supportive services to indi-
viduals and families needing guidance and assistance in
day to day living. The homemaker may establish a household
routine, teach money management and purchasing skills,
menu planning skills, skills in providing for special dietary
needs and skills in paying bills and assist in letter writing.
4) Observing individual and family functioning and, as
part of the Agent's department team suggesting possible
intervention or the provision of additional services.
5) Providing transportation for shopping and medical needs
when all other resources for transportation have been explored
and are not available.
b. The total amount o£ this contract is not to exceed $129,000.00.
See Exhibit A for detailed budget information.
c. Reimbursement will be for actual reasonable and necessary costs
incurred for services described herein and will be made monthly
upon receipt of a monthly statement of costs submitted by Con-
tractor to Agent at the end of each month, except that the total
reimbursement for services which Contractor agrees to provide
for the full period of the Contract is not to exceed $129,000.00.
Costs expended pursuant to this Contract shall be solely for
the cost of the purchased services as provided herein and
other activities which are essential to the management and
support of such services.
d. The Contractor will serve no fewer than 100 eligible recip-
ients per month.
NOW THEREFORE, it .is further mutually agreed as follows:
I. DUTIES OF THE CONTRACTOR
CONTRACTOR agrees to:
1. Provide the necessary care and services at the location shown as
the address of the Contractor or in the recipient of said services own home.
2. Conform with and abide by all State and Federal laws, rules acd
regulations, as such may be amended from time to time, which shall be binding
the Contractor and control in any disputes concerning this contract.
3. Meet the requirements of and maintain all necessary current
licenses, comply with the rules of the State applicable to this Contract
and otherwise meet State and Federal standards in order to provide the
services specified in this contract.
4. Abide by all applicable provisions of Title VI and VII of the
Federal Civil Rights Act of 1964 and regulations of the Department of Health,
Education and Welfare promulgated pursuant thereto.
5. Maintain fiscal books, records, documents, other evidence,
accounting procedures and practices which:
Page 2 of 1 pages .
Boc
852 1774170
a. Sufficiently and properly reflect all direct and indirect
costs of any nature incurred in the performance of this Contract.
b. Shall be subject at all reasonable times to inspection, review
or audit by State, Federal officials, and/or others authorized
in writing by the State. All exceptions of a monetary nature
resulting from such reviews, inspections and audits shall be
subject to recoupment.
c. Shall be sufficient to provide data on a regular basis to
produce fiscal statistical reports at times prescribed by, and
on forms furnished by the State.
d. Following completion of the Contractor's fiscal year and
before the subsequent May 1, the Contractor shall provide the
State with an audit report for the program under Contract, pre-
pared in accordance with generally accepted auditing standards
by an independent certified public accountant.
6. Maintain service program records and other evidence which:
a. Will allow for a program and facilities review including
review of source records, service policy, procedure issuances,
job descriptions , and meetings with staff directly or indirectly
involved with the provision of services to be conducted. et any
reasonable time by the State, Federal officials, and/or others
authorized in writing by the State;
b. Shall be sufficient to provide data of a service program
nature on a regular basis and to produce program reports at
times and in a format prescribed by the State.
7. The Contractor will obtain, and maintain at all times during the
term of this Contract, a fidelity bond covering the activities of any
of its officers or agents responsible for the implementation and/or
administration of this Contract in an amount sufficient to make repar-
ations for any wrongful acts, omissions, or other defalcations of the
Contractor.
8. The Contractor agrees that it will at all times during the tern
of this Contract have and keep in force a liability insurance policy,
issued by a company authorized to do business in Colorado, which includes
the area covered by this Contract with liability coverage provided for
therein of at least $25,000 for property damage sustained by any one
person, $100,000 for injury and/or damages to any one person, and $300,000
for total injuries and/or damages arising for any one accident. Prior
to or upon the execution of this Contract, the Contractor shall furnish
the State with written verification of the existence of such liability
insurance policy.
9. No duties or obligations of Contractor under this Contract shall be
assigned without the express written approval of the State. Any subcontracts
permitted by this contract shall be subject to the requirements of 45CFR
part 228.70. The Contractor is responsible for the performance of any
subcontractor.
10. Contractor shall obtain information from applicants for purchased
services on Forms SS-1, SS-6, SS-7, and HM-1 and transmit the completed
forms to Agent.
11. No fees shall be imposed by the Contractor other than those set
by the State.
12. Contractor shall submit to the Homemaker Unit of Agent by the
5th of each month all WI-ls and reports of total month;— mileage.
Page 3 of 7 pages .
852 17741'70
II. DUTIES OE THE STATE
STATE agrees to:
1. Through Agent:
a. Determine eligible recipients.
1) Persons eligible for Homemaker service are: Income
maintenance recipients (recipients of Aid to Families with
Dependent Children and recipients of Supplemental Security
Income) ; income status recipients (Medicaid only recipients,
recipients of state only Aid to the Needy Disabled, recip-
ients of state only Old Age Pension, and recipients of state
only Aid to the Blind) ; and Without Regards to Income cate-
gory recipients.
b. Prepare and execute a written service plan or program of
necessary care and services required to meet the individual
needs of eligible recipients. The service plan should be
evaluated every six months.
c. Authorize purchased services on the proper document as pre-
scribed by the State Department of Social Services.
d. Report purchased services on the proper document as pre-
scribed by the State Department of Social Services.
e. Monitor said purchased services for quality and effective-
ness at least every six months in order to determine if estab-
lished purposes are met.
f. Maintain appropriate documentation in the case record that
• contracted services have been provided.
g. Provide consultation and technical assistance to providers
of purchased services.
h. Submit to the State on the prescribed billing forms the
request for reimbursement for necessary purchased services.
i. Reimburse the Contractor for the purchased services provided
to eligible recipients under this contract.
2. Through the State:
a. Reimburse the Agent in accordance with State rules, for
purchased services furnished by the Contractor and paid by- t=.e
Agent to the Contractor.
b. Accept full fiscal responsibility for all money which it
certifies as State funds for matching purposes.
c. Provide consultation and technical assistance to the Agent
in implementing the provisions of this contract.
III.GENERAL PROVISIONS
IT IS FURTHER AGREED AND UNDERSTOOD BY STATE AND CONTRACTOR THAT:
1. All books, records and other documents relevant to this Contract
shall be retained for five years or until a federal audit is complete'_,
whichever occurs later, after the final payment under this Contract,
and State, federal auditors and any person duly authorized in writir_
by State shall have full access to and the right to examine any of said
materials during said period.
Page 4 of 7 pages.
1774170
• �y 2. All licable Federal and State law: id regulations regard- /c-6
• 052 ing the confiuentiality of the books, records and documents aforementioned
will be complied with.
3 . The funds used to match Federal monies for use in purchasing ser-
vices dull not be Federal funds and nor shell these funds be used to •
match any other Federal monies.
4. This Contract may be canceled or terminated by either the State
or the Contractor during the term of this Contract; however, the party
seeking to terminate or cancel this Contract must give written notice
of its intention to do so to the other party at its address herein-
above stated, at least sixty (60) days prior to the effective date of
cancellation or termination.
5. This Contract contains the entire understanding between the
parties and no modification, amendment, novation, renewal or other
alternation to this Contract shall be deemed valid or of any force or
effect whatsoever, unless mutually agreed upon by the parties and em-
bodied in writing.
6. It is understood and agreed that in the event reimbursement to
the State from State and Federal sources or county funds are not obtained
and continued at an aggregate level sufficient to allow for the purchase
of the indicated quantity and quality of purchased services, the obli-
gations of each party hereunder shall thereupon be terminated, provided
that any termination of this Contract shall be without prejudice to any
obligations or liabilities of either party already accrued prior to
such termination.
7. Incorrect payments to the Contractor due to omission, error,
fraud or defalcation shall he recovered from said Contractor either
by deduction from subsequent payments or by the Agent as a debt due
to the State and the Agent in proportion to the amount paid by each
respectively.
8. In no event shall the Contractor be considered nor act directly
or indirectly as an employee, servant or agent of the State of Colorado
or any of its agencies, but shall be deemed an independent contractor
for all purposes.
9. The violation of any of the mutual undertakings, agreements,
duties, and/or general provisions of this Contract shall be grounds
for terminating the Contract upon sixty (60) days written notice to the other
party. The waiver of any violation shall not be construed as a waiver
of any other or subsequent violation. If the party in violation of
the Contract does not furnish satisfactory evidence of compliance
within sixty (60) days, this Contract shall, at the end of such sixty
(60) days period terminate and only such obligations as have accrued
through the end of such period shall be binding upon the parties hereto.
10. Should federal audits result in recoupment of funds from Social
Services such total amounts shall be recouped from the Contractor except
where such recoupments are due to improper authorizations by the
Agent.
11. In the event this Contract is terminated under the provisions
of III-9 of this Contract further payment to Contractor by Agent and/or
State will be withheld until an audit and necessary adjustments are made.
12. If the total expenditures for services under this Contract as
shown on page 2 of this contract exceed $100,000 Contractor agrees
to comply with all applicable standards, orders or regulations issued
pursuant to the Clean Air Act of 1970 as amended (42 USC part 18576 et.
seq.) . Suspected violations shall be reported by the State in writing
to the regional office of the United States Environmental Protection
Agency with a copy to the Department of Health, Education and Welfare.
13. The Contractor agrees that it will comply with applicable
regulations and standards of. the Cost of Living Council in establishing
wages and prices. The submission of an invoice or voucher by the
Contractor for services furnished under this Contract shall constitute
certification by the Contractor that amounts to be paid do not exceed
maximum allowable levels authorized by the Cost of Living Council's
regulations or standards. Suspected violations shall be reported by
the State in writing to the local Internal Revenue Field Office with
a copy to the Department of Health, Education and Welfare.
r0}:t 652
co n:vl_t.1at's APPR0VAL• 1774170
This contract shall not be deemed valid until it shall base been approved by the Controller of the State of /U_ 7
Colorado or such assistant as he may designate. This provision is applicable to any contract involving the payment of
•
money by the State.
FUND AVAILABILITY
2. Financial obligations of the State payable after the current fiscal year are contingent upon funds for that
purpose being appropriated, budgeted and otherwise made available.
BOND REQUIREMENT
3. If this contract involves the payment of more than ten thousand dollars for the construction, erection, repair,
maintenance, or improvement of any building, road, bridge, viaduct, tunnel, excavation or other public work for
this State, the contractor shall, before entering upon the performance of any such work included in this contract,
duly execute and deliver to and file with the official whose signature appears below for the State, a good and
sufficient bond to be approved by said official in a penal sum not less than one-half of the total amount payable
by the terms of this contract. Such bond shall be duly executer,' by a qualified corporate surety,conditioned for the
due and faithful performance of the contract, and in addition, shall provide that if the contractor or his subcon-
tractors fail to duly pay for any labor, materials, team hire, susienvmce, provisions, provender or other supplies used
or consumed by such contractor or Iris subcontractor in performance of the work contracted to be done,the surety
will pay the same in an amount not exceeding the sum specified in the bond, together with interest at the rate of
eight per cent per annum. Unless such bond, when so required, is executed, delivered and filed, no claim in favor
of the contractor arising under this contract shall be audited, allowed or paid.
MINIMUM WAGE
4_ Except as otherwise provided b} law, if this contract provides for the payment of more than five thousand
dollars and requires or involves the employment of laborers or mechanics in the construction, alteration or repair of
any building or other public work, (except highways, highway bridges, underpasses and highway'structures of all
kinds) within the geographical limits of the State, the rate of wage for all laborers and mechanics employed by the
contractor or any subcontractor on the building or public work covered by this contract shall be not less than the
prevailing rate of wages for work of a similar nature in the city, town,village or other civil subdivision of the State in
which the building or other public work is located. Disputes tech ding prevailing rates will be resolved as provided in
8-16-101, CRS 1973, as amended.
DISCRIMINATION AND AFFIRMATIVE ACTION
5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957,
•
as amended, and other applicable law respecting discrimination and unfair employment practices (2434301, CRS
1973. as amended), and as required by Executive Order, Equal Opportunity and Affirmative Action, dated April 16,
1975.Pursuant thereto, the following provisions shall be contained in all State contracts or sub-contracts.
During the performance of this contract, the contractor agrees as follows:
(1) The contractor will not discriminate against any employee or applicant for employment because of
race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age.
The contractor will take affirmative action to insure that applicants are employed, and that employees are
treated during employment, without regard to the above mentioned characteristics. Such action shall include,
•
but not be limited to the following: employment, upgrading, demotion, or transfer, recruitment or
recruitment advertisings:lay-offs or terminations;rates of pay or other forms of compensation;and selection
for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to
employees and applicants for employment, notices to be provided by the contracting officer setting forth
provisions of this non-discrimination clause.
(2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the
contractor, state that all qualified applicants will receive consideration for employment without regard to
race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age.
(3) The contractor will send to each labor union or representative of workers with which he has collective
bargaining agreement or other contract or understanding, notice to be provided by the contracting officer,
advising the labor union or workers', representative of the contractor's committment under the Executive
Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, and of the rules, regulations,and
relevant Orders of the Governor.
(4) The contractor and labor unions will furnish all information and reports required by Executive Order,
Equal Opportunity and Affirmative Action of April 16, 1975, and by the rules, regulations and Orders of the
Governor, or pursuant thereto, and will permit access to his hooks, records,and accounts by the contracting
agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance
with such rules, regulations and orders.
(5) A labor organization will not exclude any individual otherwise qualified from full membership rights in
such labor organization, or expel any such individual from membership in such labor organization or
discriminate against any of its members in the full enjoyment of work opportunity, because of race,creed,
color,sex, national origin,or ancestry.
(6) A labor organization, or the employees or members thereof will not aid, abet,incite,compel or coerce
the doing of any act defined in this contract to he discriminatory or obstruct or prevent any person from
complying with the provisions of this contract or any order issued thereunder;or attempt,either directly or
indirectly, to commit any act defined in this contract to be discriminatory.
page_6 of_7 pages
852 1774170
(7) In the event of the contractor's non-compliance with the non-discriminate n clauses of this contract or with any of such rules, regulations, or orders, this
contract may be cancelled, terminated or suspended in whole or in part and the
contractor may be declared ineligible for further State contracts in accordance
with procedures, authorized in Executive Order, Equal Opportunity and Affirmative
Action of April 16, 1975 and the rules, regulations, or orders promulgated in
accordance therewith, and such other sanctions as may be imposed and remedies
as may be invoked as provided in Executive Order, Equal Opportunity and
Affirmative Action of April 16, 1975, or by rules, regulations, or orders
promulgated in accordance therewith, or as otherwise provided by law.
(8) The contractor will include the provisions of paragraphs (1) through (8)
in every sub-contract and sub-contractor purchase order unless exempted by
rules, regulations, or orders issued pursuant to Executive Order, Equal
Opportunity and Affirmative Action of April 16, 1975, so that such provisions
will be binding upon each sub-contractor or vendor. The contractor will take
such action with respect to any sub-contracting or purchase order as the
contracting agency may direct, as a means of enforcing such provisions,
including sanctions for non-compliance; provided, however, that in the even:
the contractor becomes involved in, or is threatened with, litigation with
the subcontractor or vendor as a result of such direction by the contracting
agency, the contractor may request the State of Colorado to enter into such
litigation to protect the interest of the State of Colorado.
COLORADO LABOR PREFERENCE
6. Provisions of 8-17-101, & 102, CRS 1973 for preference of Colorado labor
are applicable to this contract if public works within the State are underta-en
hereunder and are financed in whole or in part by State funds.
GENERAL
7. The laws of the State of Colorado and rules and regulations issued pursuant
thereto shall be applied in the interpretation, execution and enforcement of
this contract. Any provision of this contract whether or not incorporated
herein by reference which provides for arbitration by any extra-judicial body
or person or which is otherwise in conflict with said laws, rules and regu-
lations shall be considered null and void. Nothing contained in any provisicn
incorporated herein by reference which purports to negate this or any other
special provision in whole or in part shall be valid or enforceable or available
in any action at law whether by way of complaint, defense or otherwise. Any
provision rendered null and void by the operation of this provision will not
invalidate the remainder of this contract to the extent that the contract is
capable of execution.
8. The signatories hereto aver that they are familiar with 18-8-301, et seq..
(Bribery and Corrupt Influences) and 18-8-401, et seq. . (Abuse of Public Office),
C.R.S. 1973, as amended and that no violation of such provisions is present.
9. The signatories aver that to their knowledge, no state employee has any
personal or beneficial interest whatsoever in the service or property described
herein.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day
first above written.
Contractor /L `� �
_r Executive erector
DEEAETI
Position Di1ecter OF SOCTAI. SERVICES, WELD COUNTY
Weld County Department of Health
Social Security Lumber or Etployer ID
APPROVALS
ATTOFCTEY CETE CO—nr
By By
Page 7 which is the last of 7 pages
852 1774170
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12 I �': �rf;f ..unwn (ies) nr ir.di'.ikIu lli.) n.u:,cl C .fall addl-VN.Ies).
(3) Insert a brief statement indicatin2, reason for cu:ftraet, C. L .'Tile contractor harinp spe;ial 4,e,-.,rte
e\p ertise and shill iu di:r_nf.ing and testing diwasrs affecting cat lie: and.' Use as noun' "Whyrea.'•" as r: ;':.red
If additional space is required continue lo aline words "NOW, Tliifi:FI O'tli:'' and stifle "continued on I` 2".
p..2e 2. slate -Ithereas continued from parr ] ' if required. .
14) Specife clearly the _:soda ur ser•.ice; contra...l:d for. the consideration mosinr from oft., ;,are' hf the
[i : hale nn;thin uhirh the contract is to he esecuted. luoitatif ns on :nsienments. if ass,and special pro'.iJ,•us d n- required.See•i. Ic,_al assistance s%hsu in d!.ubt. Se pirate each principal item and ran!ber iouseculisei
15) If a dcleeee sires for the Esecuiine Director place the curds `FOR IIIE•before the word "c\FCETI\ E._
Auto_rapbie, as distinguished from stamped. sit:natures should, as a minimum, he affixed to the uri:inal. •hieh
nsill he filed by the Division of accounts and Control,and ty,o counterparts. fine of which shall he tram --'rted
c.•::;r_ciur. If there is more than one contractor a cups so syned will he sent to each, thus requirire add:?i.m:a
a�to_rapitic si_nat tires •
•
•
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Boo's, 852
1774170
WELD COUNTY HEALTH DEPARTMENT lb -10
Title XX Budget - 1979
Salaries, Regular $ 120,177.00
Retirement 11,850.00
Health Insurance 5,010.00
Life Insurance 42.00
State Comp. Insurance 610.00
Printing 225.00
Postage, Freight & Storg. 344.00
Telephone & Telegraph 2,993.00
Equipment Rental 615.00
Local Mileage Reimbursement 8,306.00
Employee Education & Training 500.00
Dues & Membership 75.00
Books and Periodicals 75.00
Data Processing Services 3,075.00
Medical 50.00
Office 529.00
Speech 113.00
Occupational 405.00
Physical 232.00
$ 155,226.00
Revenue:
Title XX contract - Weld County Department of Social Services $129,000.00
1
Medicaid - Colorado State Department of Social Services 266.00
,22$1 6.00
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19 f�l. notice-16 -t� (i) The coattraaator wltl aot nt' hpe
I and of m bpn�otice-of anYttie - inn tae mIn`tet az t °em em, a woad r D�q w y a
inaela wryer
ry m• �u annr- f saw: M raoq« ,�cloayv p t7 ope1l-Yr atMrwarall nd.
I II T! STATE } le 1 j*Uon.M tbs a void b : the not note
VII
JT'A7, Dan to _�W"'^'hhaetssanot c.y Zvi a comppl a or _ ctor will- or wNk4his contraactwP bt le
f _ _ _ Iiam • 'at aM At" ara--,.,. n
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off that, kr1.841 of
>m• •-rvand
and s®'vice are:Income mmnn- parties hereto. limited t to the folio ploy• Corrupt(IAnbtl ands 18-E-401,
r113 4"4 - { --10. OhaWd fetaral< :result meat, r or'recuito- C.Rs..2a[E,as am _ t
is re meat t. ai from' moat a ve a ae of
-4.: _r of .� t:' Y•r .2 s avAatrtit'.'.
-''VVV�'� " "` ` = {�' .. H>•a . any nonal or.
_ +:Xa qt interest whatsoever [n
Sir
e.
1,4 x a `"",a --, • it Naerclae or property described VA'b. a H utS 7a r attn of ;r IIQ F.
and '"�'alaUae• m as the dabove j
ri '.'i are'.wade. , or t ay* id Atoi e01.
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OF
sr
&Y ., �t F. D. Yoder E
tes �eI - � qa•t., Phltbn .IN»etw'wgb Weld
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cs_ . aOtlOe�Oo a
' !e The s; f ;pr
t—,4,-....�`., r les mu 3 e4. Vii Natattra ler astai , a Title NS Budget-MeMALint - w,asi ' ``m, Id 1e7E, and �tli8 ru g9aito rba:R�td6�r - pll,1?2..0
te't'r a ° - .. t O as a E;010.00
�_3y„y c is ¢Yg, {y� _nor. .-.�.... raw Jr wive
we 4E•earD rri mons IMAM 041,3y' s R t A a r ` t IFi 1 nd nd k .7Yltjtl fturt {
..w ram- venue344.00
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c ;,rr r z a ,r'-^e ,i � Wd•' 8�.. . . t BAEE.00
114Y im ben P 000:OD
catmoralaa`8 ainovat. h s tot . • p 76.00
Vb
1 ,,0r, , s -^+..gym+ vatt$ 76.00
wed
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E1EEe986.ix)
1 al+. +sue P'—' 'fl Revenue: -
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AFFIDAVIT OF PUBLICATION
THE JOHNSTOWN BREEZE
STATE OF COLORADO )
) ss.
COUNTY OF WELD )
I, Eugene Thomas, do solemnly swear
that I am publisher of The Johnstown
Breeze; that the same is a weekly
newspaper printed,in whole or in part,and
published in the County of Weld, State of
Colorado, and has a general circulation
therein; that said newspaper has been
published continuously and uninterrupted-
ly in said County of Weld for a period of
more than fifty-two consecutive weeks
prior to the first publication of the annexed
legal notice or advertisement; that said
newspaper has been admitted to the
United States mails as second-class matter
under the provisions of the Act of March 3,
1879,or any amendments thereof,and that
said newspaper is a weekly newspaper
duly qualified for publishing legal notices
and advertisements within the meaning of
the laws of the State of Colorado.
That the annexed legal notice or
advertisement was published in the
regular and entire issue of every number of
said weekly newspaper for the period of
consecutive insertions; and that the
first publication of said notice was in the
issue of said newspaper dated D.ec- 7 ,
A.D. 19 , and that the last publication
of said notice was in the issue of said
newspaper dated p- ' 7 ,A.D. 19 79
In witness whereof I have hereunto set
my hand this 04 day of 1)-"
-
A.D. 19 78
Publisher.
Subscribed and sworn to before me. a
Notary Public in and for the County of
Weld,State of Colorado, this fx` day
of p4(.- A.D. 19 7/C
t.i:. •.cx
Notary Public.
My commission expires../.....! /.%../_ at
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