The URL can be used to link to this page

Browse Search

Home My WebLink About20190596.tiffRESOLUTION RE: APPROVE AGREEMENT FOR CHILD PROTECTION SERVICES AND AUTHORIZE CHAIR TO SIGN - UNIVERSITY OF NORTHERN COLORADO (CAMPUS CONNECTIONS) WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement for Child Protection Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and University of Northern Colorado (Campus Connections), commencing December 1, 2018 and ending May 31, 2019, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for Child Protection Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and University of Northern Colorado (Campus Connections), 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 6th day of February, A.D., 2019, nunc pro tunc December 1, 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: do/1m) ;e1 EXCUSED W. `k Barbara Kirkmeyer, Chair Weld County Clerk to the Board Date of signature: 2-12-19 Mike Freeman, Pro-Tem Steve Moreno C.C.t (si 2/2111ct 2019-0596 HR0090 0__etrxvapJ PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: December 4, 2018 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Child Protection Agreement for Services with the University of Northern Colorado for Campus Connections Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Departments' Child Protection Agreement for Services with the University of Northern Colorado for Campus Connections. The University of Northern Colorado offers Campus Connections, a program whose mission is to strengthen youth life skills, self-confidence, and encourage productive engagement with the community. The goals of the program are to promote the resilience and life success of at -risk youth as well as strengthen community systems to better serve youth and their families. Youth will receive four (4) hours per week of direct therapeutic contact with mentors, counselors and program staff for twelve (12) weeks. The major provisions of the Agreement are as follows: Term Service/Funding Rate December 1, 2018 -May 31, 2019 Campus Connections (Mentoring) Core/Other $1,500.00/Youth (12 -week program) I do not recommend a Work Session. I recommend approval of this Agreement. Sean P. Conway Julie A. Cozad Mike Freeman Barbara Kirkmeyer, Pro -Tern Steve Moreno, Chair Approve Recommendation Work Session Schedule Pass -Around Memorandum; December 4, 2018 — CMS 2300 a,co Other/Comments: 2019-0596 I-1 RO090 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND UNIVERSITY OF NORTHERN COLORADO (CAMPUS CONNECTIONS) Vir This Agreement, made and entered into the_ ay o 201q by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department" or "County" and the Board of Trustees for the University of Northern Colorado for the use and benefit of Campus Connections, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Bid, Exhibit B, Contractor's Bid, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services or other funding to the Department for Therapeutic Mentoring Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on December 1, 2018, upon proper execution of this Agreement and shall expire May 31, 2019, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Bid and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. 1 O2o/ c. Contractor agrees to submit an itemized complete billing statement by the 7"' of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7`" of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the neededservice; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. . b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Bid, Exhibit B, Contractor's Bid, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 2 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Bid, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under theapproved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of.1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 3 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2.45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. 48-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S.. §8-17.5-102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and County within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or 4 contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5- 102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee,. retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8- 17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such•individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the 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. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. Insurance Requirements Without waiving sovereign immunity, each party to this Agreement shall be responsible for the negligent acts or omissions of its own employees, officers, and/or agents in the performance of this Agreement. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Bid, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. 5 At a minimum, Contractor shall procure, either personally,or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors 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. Contractors 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 Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds s or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. iii.Automobile Liability: Contractor 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. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by County. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or,before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") 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 Bid. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor's required insurance. County reserves the right to require Contractor 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. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured as follows: County of Weld 1150'0' Street Greeley, Colorado 80631 f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, 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 coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial 8 failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Jael Esquibel, Program Coordinator 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Jael Esquibel, Program Coordinator 501 20`x' Street, Campus Box 131 Greeley, CO 80639 1970)351-1635 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. 9 Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement 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. 21. 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 of §§24-10-101 et. sea., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest.. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, anofficer or employee of Congress, or an employee of a Member of Congress in connection, with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 10 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. Department understands that Contractor is a Colorado state entity, and as such is subject to the Colorado Open Records Act (C.R.S. §24-72-200.1, et seq.). Thus, Contractor may receive a request for inspection under the Colorado Open Records Act that would require disclosure of information for which Department has requested confidentiality or nondisclosure under the provisions of this Agreement. Contractor agrees to notify the Department before releasing any confidential information so that if necessary, the Department may file in Court to prevent disclosure. 11 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent contractor and that Contractor'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. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, 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 Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor I 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 A, and provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warran The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this 12 Agreement or under the law generally. 32. 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. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. 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. 34. 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, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions 13 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. 39. 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. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ;&k, BOARD OF COUNTYCOMMISSIONERS Weld Cou ty Clerk to the Board WELD COUNTY, COLORADO By: Deputy Clerk to the 14 Mike Freeman, Pro —Tern FEB 062019 CONTRACTOR: Board of Trustees for the University of Northern Colorado Campus Connections 501 20th Street McKee Hall, Room 307 Greeley, CO 80639 (970) 351-1635 By: Date: Ll iiillak ichelle F. Quin , Sr. Vice President & CFO cc 1 o2D/9=O�`�G EXHIBIT A WELD COUNTY'S REQUEST FOR BID Weld County Department of Human Services Bid No. 81800058 REQUEST FOR BID WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80634 DATE: March 1, 2018 BID NUMBER: B1800058 DESCRIPTION: Child Welfare — Various Services DEPARTMENT: Human Services BID OPENING DATE: March 16, 2018 I. NOTICE TO BIDDERS The Human Services Advisory Commission (HSAC), on behalf of the Weld County Department of Human Services (WCDHS), by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES PAGES 1-9 OF THIS REQUEST CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-8 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 10. Bids for the stated services will be received electronically by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at HS Contract Management@co.weld.co.us through: FRIDAY, MARCH 16, 2018 AT 5:00 P.M. II. INVITATION TO BID A. The Human Services Advisory Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services. B Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. 1 Weld County Department of Human Services Bid No. 81800058 C Emailed Bids Are Required. Emailed (fully typed) bids are required. See Bid Specifications for specific instructions. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him/her with his/her usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. G Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 2 Weld County Department of Human Services Bid No. B1800058 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Human Services Advisory Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Human Services Advisory Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K Intentionally Omitted. Numbering Preserved. L Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that - fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5- 101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 3 Weld County Department of Human Services Bid No. B1800058 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. 24-76.5-103(4) if such individual applies for public benefits provided under this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is .otherwise lawfully present in the 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 a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing_ negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. 4 Weld County Department of Human Services Bid No. B1800058 IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the 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 §§24-10-101 et seq., as applicable now or hereafter amended. G Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder 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 (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder 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. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract 5 Weld County Department of Human Services Bid No. B1800058 or incorporated herein by reference shall be null and void. G. No Third -Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. Insurance Requirements. I General Requirements: Contractors/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. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. 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 Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/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. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: 6 Weld County Department of Human Services Bid No. B1800058 (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/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. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * A severability of interests provision; * Waiver of exclusion for lawsuits by one insured against another; * A provision that coverage is primary; and * A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the 7 Weld County Department of. Human Services Bid No. B1800058 retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. is Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") 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. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent orbroker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/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. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vu. Subcontractors: All subcontractors, subcontractors, independent contractors, sub - vendors, suppliers orother 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 coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. V. Warranty. The successful bidder shall warrant that: A The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; 8 Weld County Department of Human Services Bid No. B1800058 B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. Confidential Information: Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisionsof C.R.S. 24-72-201, et seq. the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 Weld County Department of Human Services Bid No. B1800058 BID SPECIFICATIONS I. PROJECT OVERVIEW The Weld County Department of Human Services (WCDHS) is seeking qualified providers in various service areas under various funding sources. Service areas include, but are not limited to Aftercare, Anger Management/Domestic Violence, Crisis Intervention and Stabilization Services, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Based Intervention including 24/7 Crisis Intervention, Kinship Services (Therapeutic), Home Studies, Life Skills, Mediation, Mental Health Services, Monitored Sobriety, Multisystemic Therapy, Relinquishment Counseling, Sexual Abuse Treatment, and Substance Abuse Treatment Services. Refer to pages 13-15 for specific definitions related to the above -mentioned service areas. II. CONTRACT PERIOD AND PRICING 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The agreement, if awarded, shall be for a period of three years, but shall require renewal by both parties, in writing, on an annual basis. 2) The initial contract will be funded through Core Services Program, Child Welfare Administration, or other funding, so long as funding is made available. 3) Selected vendors will be required to bill the WCDHS monthly according to billing requirements set forth in Exhibit A, Sample Agreement, and by the applicable funding source. III. DUE DATE All bids must be submitted electronically to the Weld County Department of Human Service at HS Contract Management@weldgov.com, Attn: Tobi Vegter, Contract and Services. Coordinator. Proposals will be accepted through Friday, March 16, 2018, at 5:00 p.m. 10 Weld County Department of Human Services Bid No. B1800058 IV. QUESTIONS All questions regarding the requirements in this Request for Proposal must be submitted in writing to HS Contract Management@weldgov.com, Attn: Tobi Vegter, Contract and Services Coordinator. To guarantee sufficient time to provide bidders with a response, all questions must be received by Friday, March 9, 2018 at 5:00 p.m. V. INTRODUCTION LETTER A bidder must submit a one (1) page or less letter in Microsoft Word that introduces the bidder and addresses, at a minimum, the following: 1) Ability to deliver the service(s) as proposed and comply with the specific requirements set forth by the Weld County, as stated in the Request for Proposal (RFP) and in Exhibit A, Sample Agreement. 2) Capacity to be organized, responsive and to quickly and successfully schedule services as requested. • VI. PROVIDER INFORMATION FORM 1) Bidder must complete and submit one (1) Provider Information Form, herein attached as Exhibit B. The form is available at https://www.weldgov.com/departments/purchasing/bids proposals/. VII. PROPOSAL CONTENT 1) Proposal content must be submitted in Microsoft Word and may not exceed three (3) pages per proposed services. 2) A bidder must utilize the Proposal Template, herein attached as Exhibit C, for each service being proposed. All questions noted on the template must be addressed for each service proposed by the bidder. The template is available at_ https://www.weldgov.com/departments/purchasing/bids proposals/. 3) If submitting to provide services in a language other than English, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as, noted below. a. Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs. b. Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 11 Weld County Department of Human Services Bid No. B1800058 VIII. STAFF INFORMATION 1) Bidder must attach a list of applicable staff and/or contractors who will manage and/or administer the proposed service(s), utilizing the Staff Data Sheet. Bidder should submit one Staff Data Sheet per proposed service. Bidder should not combine services. Resumes and/or Curriculum Vitae should not be submitted with the proposal, but may be requested later if bidder is awarded a contract. 2) The Staff Data Sheet is herein attached as Exhibit D. It is available at https://www.weldgov:com/departments/purchasing/bids proposals/. IX. CERTIFICATE OF INSURANCE (COI) Bidder must attach a standard Certificate of Insurance (COI), or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. If awarded a contract, bidder will be required to provide a Standard COI that meets the requirements set forth by Weld County in the Sample Agreement, herein attached as Exhibit A, and list Weld County on the COI as an Additional Insured. X. EVALUATION OF PROPOSALS All proposals that meet the requirements will be reviewed by the Division of Child Welfare and the Human Services Advisory Commission (HSAC), Contracted Services Workgroup. The HSAC will make recommendations regarding bid awards to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 12 Weld County Department of Human Services Bid No. B1800058 XI. SERVICE AREA DEFINITIONS (NOT LIMITED TO THIS LIST - OTHER SERVICES WILL BE CONSIDERED) og wf Area . -- ' ' iiDefinition • - V Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Crisis Intervention and Stabilization Services Services that provide an immediate, in-person/in- home response to families, youth and children, in *crisis, 24 hours a day, seven (7) days a week. *A "crisis" is further defined as a situation or circumstance, usually acute (recent) in nature, which breaks down the normal functioning of an individual and/or family, and results in the inability of the individual and/or family to resolve the crisis through normal coping behaviors, or without immediate intervention. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Topic specific training for new Weld County foster parents. 13 Weld County Department of Human Services Bid No. B1800058 ProgramrAreaT Definition , Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Home Studies Structured Analysis Family Evaluation (SAFE) for the purpose of foster home certification, kinship placement, and/or adoption. Kinship Services (Therapeutic) Kinship services in the areas of (1) consultation and kinship parent support specific to a child placed in a kinship home, (2) corrective consultation specific to a child placed in a kinship home, and (3) critical care consultation specific to a child placed in a kinship home. Children placed in kinship care are maintained in the lowest level of care and least restrictive setting when out -of -home placement is necessary. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. 14 Weld County Department of Human Services Bid No. 81800058 ,ogram?Aeea - GTDefmitior Mediation Intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Relinquishment Counseling Relinquishment counseling for parents considering relinquishment of their children. Sexual Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetration, and to prevent further sexual abuse and victimization. Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 15 EXHIBIT A SAMPLE AGREEMENT (Intentionally Omitted) 16 EXHIBIT B CONTRACTOR'S BID EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of •Human Services (,._iir usl_.fitl::«i; .;.Ili'_ci'',![:'i'iN••irdlcrr._l'ci�;`i:iis!J.. ,� li'i?: i I S'r••iit'I1jlG� 11;1 U i,c: jiiJ ?G!- Oth Box l_ I t.''!! !..._'I1633 -ieit!'h�'!' iIt'1111 !';'c!lcs 'r:;nd :hair _t,7',1`:1L11�1i1:�Li'=�ll'�71L'•_ui1.1!Ju:Iin nn �_.. Vrc'1ey. (IL ttl7iria.:I c r, ' ...� Pal.!.16 C l'rygrSil7 l..non!ia;e:;,.- IeLB�gttiJi'Ii+:'t1 L•t't 7,rilU •is ... .. ..:;,.Si fl•:fers 'i' j 77_i1 i J.iir I! ren:i ' :7<C v} lime C!1! t•:v7:!•.; I?:i ,utluel,t c•t !-Iumema: e,' Ites :vll! cn all tL' SjJc',';IiC 7 nn. it h:,• ,t; ima,-!Irtl !1 Ilec br.l u!n:. i i El:r! at7t ? t iii.L• li!')il I,1 cute' Info :1!: r_t rl:et :•..th We:i! „1lll. .., tlr h:.,:.:! the c!G I. , Ii ' fi ''!ITC; i. r?; !1711I11f::u': And c'.1^ti',''..'tl; .. ( I:•t'•I:[2fl,_ 't the .,•:;ITaci. '''hu!o:•rd'J!"••'•,•Icj 'rn i.'<:rur,1:2.;;+r,:r-I'e :::•: the''!1',i;,trC•j,,_!'!r. rl.!!'hul:.!:'.'iii.:.;:t' Iniiar:'trt' 1 'he I l�IJa ;:,id 10 r . em: il':,, !b,. i:r !Ste: Ul a . :hat. tii fi`.: :jii:.i!;It!!I .,.. Boar,!.• d.! the •, .5T !17n:I:, , !:: l.l.: Ii,, i.I .v2.1 o•,,ho ,-.II.^.t`. f7�_, !:1:. t C:ll:r7:iI :1 ` 1•j !?(Aril t f �. i!,: t ..7 , . , ?. ,hm(L : .: +t �J ` � 1:: , •: .'.'.Ili.' (';,ri li:!Ii�:,'n 'l ••:. � ri Cil,`: ' . rr.;! i ,' Iri c •ur'c' .,:1•dcu 7.' ..ii is. _ ........ !I:c �d1.:."r rent l:••:::<,, iii.•:: a ,;;)IV<, r i ; I� ISier,ature of rluthorilec Repr?;:entative: Gate' of Sir t :r e: �:� Campus Connections Re: Bid No. B! 800058 Proposal Campus Connections at U'JC Campus Connections is pleased to submit this proposal to provide services to Weld County youth. Campus Connections is a community engaged course at the University of Northern Colorado that pairs UNC students as mentors with local Lolnrnunity) outh (agc:s i i-18). •Youth are referred throu;lh \Veld ( ounty colrinl unil:v partners and arc matchcd n-ith a I JNC' student"' ho provides one -on -on\? therapeutic rncntoring throughout the )Cnlc:-;tcr. allowin4 �ul�lnv i; Dia nni irely on UINC's campus. providing �ossibi li rally developed by colleagues generously collaborated with us to successfully establish ma serve youth in the Greeley and st ricuindine, areas. Campus Fall 2015 and has been successfully running for the past three proposed in alignment with the )ie t\t.reeinent. prior I :ompietel :onfident niverslty learning'. ilarlingI We appreciate the opportunity to submit this bid. Piease !et us know any questions you have or if you need any additional information. We look forward to working with you in the future Sin rely, 'feather Helm. Ph UNC (:Ni VI,ItslTNORIAfERN r.ril.r)RA DU Campus C:onneetions 501 ≥ti`i' Street C:antpI Bo,. I ! 970•33 (-1635 i reelc) . C•<) ;:i06-39 1:;11111?ll.e Unll l'ia lcill$Ci IIIt cn.ettl! Exhibit C:: I3icl Proposal I. (Bidder's legal entity name: Campus Connections: Therapeutic Menrcrring University ot•Northern Colorado IL. Program name or service OTC being proposed: Campus Connections: Therapeutic Willi:6(1g Providing individual and small group nlentoring to community youth. Ill. Modalities, curriculum or tools that %gill he utilized in the delivery of the service: Campus Connections provides individual and group tiicnlorlllg services by trained and supervised mentors who are current U (. students. Doctoral level instructors and licensed faculty provide clinical therapeutic check -ins with youth as needed. Youth who participate in Campus Connections also receive access in tree, optional individual and family counseling services through LINC's Psychological Services Clinic while they are enrolled: IV. Anticipated frequency of the service: 4 hours/week V. Anticipated duration of the services: I�) eecks VI. Goals. of the service: I. Promote the resilience and life success ufat-risk youth, through strengthening social hinds. Increasing ac:iLlemic engagement and pertormane . decreasing substance use and delinquent behaviors. and improving sense or self. Respond to conurniirnty iniliatlyes FO strengthen community systems to better serve at -risk youth and their families. Prepare university students to become high! k. �l•:Ilfed. civically engaged community leaders. VII. Outcome of service: Over die past. three years of Campus Connections at L t\l'. we hale seen siuniticantly impi.oved behavioral changes in youth. reduced substance use, increased school attendance, reduced recidivism, :u' cr intcractio is with criminal justice systems. and increased efficacy in career and college placement. VIII. Target population for service: Weld County Youth. aces I I -18 years old. who have been identified as at -risk. IX. Service access: McKee .I -hill University of Northern (Colorado Greeley. CO 806.39 X. Languages service is available in: Fnylish. XI. Medicaid eligibility of service: `;one. XI I. Transportation of clients: NIA X I t I. Rates of service: S I . UI) per :youth, per I 2 -week session. I( r J "� t1 ,( r1•�1 lie:tl;er Helm auir;P, Counectinr;': Applied l'S' :hUloy arid .:!ttnselor Education 1.:nk.ersitorNurtlri:ra Colorado) STAFF DATA SHEET EXHIBIT 0 (Bidder mutt IN ell applloMe staff who Wll manage an0/pr edm0drter the proposed vendee. One Stan Data Sheet per proposed smite. /ldder r6oidd not combine tanker.] PROPOSED SERVICE 06 SERVICE TYPE: Indt ttual6 group men tonng for Weld County youth ages 11-I1. (Campus I 110010 LEGAL ENTITY NAME: Connections at University of Northern Colorado lt_— — o*P UCAOU STAP. MIMIC* 011 COMlNACEO11 INFO 1MATON _ - -.•SOPD1V9SOII O(POIOM*7WMi Work PaNel;:n. ,a,;,� s..v l.� On/. F... ..1Oedw>Wk- � Mo pllOh]I'..1 SAtgIE�Y:L. 1(rft fla,pe;. 6.,,e. e Wti� 1 Helm Heather 970.351.1630 nN thy. h.lmnunco. .du Doctorate Counselor lducabon 6 Suemetic n lPC l?C 3915 _ rfLlall 1 Johnson Irian 970-351-2209 prun.lnhnsnnnuncc. ,,ly Doctorate Canteen, Psychology IP CO 2073 AMurdoctbthop Jennifer 970-351-2544 j.nn,l.r mWdx1,•r.rhopfluncc.rdu Doctorate Counselor fduc anon 6 Superstition 1PC 1LPC.000Sa116- 4 Cormier Savannah 970-351.1635 s:l7nnanp7r 70-Uuny_or ltu Masters CIINOI Mental Health Counseling OTC VCC.0014462 Helm Heather 970.351.1630 0 rme,.hr+,.,nunc9-ed,l 5 Matheson Owe 970-351-1635 elace.mnthYspr ?V^cy ly Ma st erc Clinical Mental Health Counseling IPC LPC.001A293 Helm Heather 970-351.1630 SJthtr1elmounlys,ly f Ee0uib.l lad 970.351.1635 IaOLnW!b'IHu^Sllfl_4 Master. Clinical Mental Health Counseling CPC LPC.0012230 Helm Heather 970.351-1630 I1ti mrr trUul oncu..du 7 11 11 32, 13 11 1c If 17 lEf 15 IC 21 22 - 23 21 25 24 27 2 EXHIBIT C SCOPE OF SERVICES UNC UNIVERSITY OF NORTHERN COLORADO Campus Connections Campus Connections at UNC: Program Overview Colleagues at Colorado State University (CSU) developed Campus Connections and since its inception have established the effectiveness of this therapeutic mentoring model. Our colleagues at CSU have generously collaborated with us at the University of Northern Colorado to bring Campus Connections to UNC to serve youth in the Greeley and surrounding areas. We have the good fortune of benefitting from the knowledge and expertise of our CSU colleagues. We look forward to our on -going collaboration. The implementation of Campus Connections UNC has been made possible through support of the Colorado Division of Probation Service and El Pomar Foundation. We specifically want to thank Susan Collins for her support and excitement about Campus Connections and her dedication to bringing it to UNC. The Campus Connections Philosophy Through partnerships between the University of Northern Colorado (UNC) and stakeholders in the Weld County community, Campus Connections provides therapeutic mentoring to youth ages 11-18 years, in a structured multi -level mentoring community. Youth who are at risk of not reaching their full potential due to individual or environmental risk factors are referred to Campus Connections and matched with a UNC student mentor. Graduate and undergraduate students enrolled at the University of Northern Colorado will provide one-on-one mentorship to youth. The Campus Connections program takes place entirely on UNC's campus, providing exposure to campus and university life, thus allowing for youth to experience firsthand the possibilities of education and the value of learning. Working collaboratively, university faculty, doctoral -level students and staff coordinate and supervise the experiential mentorship evening while providing comprehensive group learning and instruction to compliment the mentorship experience and needs of the youth. Campus Connections creates an environment in which each mentorship pairing is nested within a small mentoring group, known as a mentor family. The mentor family is typically comprised of youth in similar developmental and chronological ages. This unique feature of Campus Connections allows youth to positively interact with their peers while benefiting from their primary mentor and a community of caring peers within their Mentor Family. The Campus Connections Mission Campus Connections aims to strengthen youth life skills, self-confidence, and productive engagement with the community. The goals of the program are to promote the resilience and life success of at -risk youth as well as strengthen community systems in order to better serve youth and their families. 1 Additionally, the mentorship program strives to prepare UNC students to become community engaged leaders. Student mentors spend four hours once a week with their mentee in a group setting to provide academic support, career planning, positive social skill development, and to develop goals while providing an environment conducive to goal attainment. Strong bonds between mentors and mentees develop over the course of the program. Advanced graduate students and experienced clinical supervisors provide support and guidance to the mentors during Campus Connections to form a collaborative approach and supportive environment for working with youth. UNC's Campus Connections is housed in the Department of Applied Psychology and Counselor Education (APCE) located in McKee Hall on UNC's campus in Greeley, Colorado. APCE also houses the Psychological Services Clinic (PSC), which provides counseling and assessment services to the Greeley and surrounding communities. Youth involved in Campus Connections and their families will have access to services through the PSC, including individual counseling, family counseling, couples counseling, play therapy, and assessment services. The Youth Experience Campus Connections runs for two 12 -week sessions each year, February -May and September -December, one night a week from 4:30-8:30pm. 4:20-4:30pm: Youth are greeted and checked in by mentors. 4:30-5:00pm: Walk & Talk Activity - A thirty -minute walk to different locations on UNC's campus. • Small groups of mentor-mentee pairs lead by a Mentor Coach take a walk together to different locations on campus each week. Each location has a corresponding Walk & Talk Card with fun and interesting facts about the location and related questions. The walk provides time for the youth and their mentor to catch up and connect in an informal way. 5:00-6:OOpm: Supporting School Success - Individual academic and career mentoring. • Mentor-mentee pairs will engage in school tasks, such as homework, studying for the GED, career exploration and job applications. Each mentee has an academic folder that the mentor and mentee work on together to accomplish academic goals, check current grades, attendance, and assignments. - 6:00-6:30pm: Dinner - A family style meal provided by Weld Food Bank. • Mentor families sit together and engage in a family style dinner, which encourages conversation between all members of the family. It is a time for mentor families to build relationships, and for mentors to model pro -social behavior and positive interactions. 2 6:30-7:30pm and 7:30-8:20pm: Prosocial Activity — Youth choose from three mentor -led activates. • There are two activity sessions per night, enabling the mentees to participate in two different activities each week with their mentor. These activities are run by the mentors and can be anything from interactive games, to sports, to team building, to art activities. 8:30pm: Youth are signed out and picked up by caretaker. The Referral Process 1. Fill out the Referral Form located on our website: www.unco.edu/campus-connections 2. A Campus Connections team member will contact the youth referral and his/her parent or caregiver to schedule an intake appointment. 3. Once enrolled into the Campus Connections program, the youth will choose their mentor from several mentor profiles. For any questions regarding the referral process, please don't hesitate to contact us at Campus.Connectionsunco.edu Campus Connections UNC Fees The cost per youth per semester enrollment in Campus Connections totals $1,500 per youth. This includes 12 weeks of therapeutic mentoring, in which youth are provided four hours per week of direct contact with mentors, counselors, and program staff. Included in the chart below is a breakdown of the Campus Connections fee. Program Fee Breakdown Program Fee Per Youth Costs Per Youth Per Semester: $1,500 Program License Fee $400 Personnel & Mentor Training Costs $600 Intake Appointment and Assessment Fees $250 General Program Materials (activity supplies, name tags, t -shirts, etc.) $100 Communication Materials $20 Community Banquet Costs $100 Meals $30 Descriptions of Youth Sponsorship Costs: Program License Fee — The license to implement the Campus Connections program at UNC was purchased from another university. This fee covers the legal costs of running the program. 3 Personnel & Mentor Training Costs — Personnel costs cover program staff who run the Campus Connections Program. Due to the nature of Campus Connections as a therapeutic mentoring program, each mentor in the program is required to receive in-depth training on a wide variety of topics prior to working with youth in order to promote safety and success for the youth throughout the program. This training is provided by program leadership teams and staff with proficiency in these topics. Intake Appointment and Assessment Fees — Each youth, along with their family, is required to attend an intake appointment prior to enrolling in Campus Connections. This intake is used to gain consent from guardians, screen for potential risks, provide a general program overview and associated rules, set goals for the youth's time in the program, and provide additional resources. General Program Materials — This fee includes the cost of supplies for activities, supporting school success time, and paperwork associated with completing progress reports weekly for each youth enrolled in the program. Communication Materials - This fee covers the costs of communication with each youth's referral sources, communication with parents, and invitations for the end of semester community banquet (see below). Community Banquet Costs — This fee covers the cost of providing a graduation ceremony for each youth. The banquet is a time for the youth to invite family and friends to share the progress they have made through Campus Connections. Each youth receives a certificate and is given the opportunity to speak at the banquet on their experiences during Campus Connections. Local community members and referral sources are also invited to attend the banquet, including judges, magistrates, probation officers, case workers, teachers, 'school officials, and other interested parties. Meals — This fee is associated with the cost of providing meals in collaboration with the Weld County food bank each night to the mentors and staff of the program, as well as providing food for the night of the banquet. Youth meals are covered under the Weld Food Bank Kid's Caf� program. As part of the youth's participation in Campus Connections, the youth and their immediate family is eligible for free counseling services through the Psychological Services Clinic at UNC during the semester in which the youth is participating. More specifically, the youth, a sibling or parent/guardian of the youth can receive services throughout the semester at no cost. Additional services for the youth and/or their family and family members can be provided, but a fee may be charged, depending on the ability of the family to pay. Program Staff: Leadership Team Many people are involved in coordinating the Campus Connections UNC program. Our team includes faculty, staff and graduate students. A summary of the responsibilities for each role within the leadership team is discussed below. 4 Position (# of positions) Status Responsibility Director Dr. Heather Helm, PhD, LPC, RPT/S Faculty Primary lead on collaboration between CSU and UNC, Provides guidance and support for the Campus Connections program. Faculty Clinical Supervisors Dr. Jennifer Murdock Bishop, PhD, LPC Dr. Brian Johnson, PhD, LP Faculty Provides clinical supervision to Clinical Supervisors/Instructors. On site and on call each night of Campus Connections. Clinical Supervisors/Instructors Savannah Cormier, MA, LPCC, NCC, Doctoral Candidate Dave Matheson, MA, LPC, NCC, Doctoral Candidate Advanced Applied Psychology and Counselor Education PhD students Responsible for leading Campus Connections lab night each week. Provides clinical supervision to mentors and instructs service -learning course for the lab night. Program Coordinator Jael Esquibel, MA, LPC, NCC Staff Manage coordination of the program including logistical and program related duties. Clinical Leads (2) Applied Psychology & Counselor Education PhD students Manage all logistical issues during Campus Connections nights and provide additional support to youth. Available for clinical issues that arise with the youth. 5 EXHIBIT D. PAYMENT SCHEDULE 1. Funding and Method of Payment • The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after June 30, 2019. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that'said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $1,500.00/Youth Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7`h day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. . For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. ACORD CERTIFICATE OF LIABILITY INSURANCE ktom..../ DATE(MhVDD/YYYY) 7/10/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, -AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood and Peterson PO Box 578 Greeley, CO 80632 "'nm"' Rim Case, CIC, CPSR NAME: PHONE /c° No, Eas • (970) 506-3213 "K" (970)506-6865 (( ). I (A/C, No): DD RESS: RCaseg floodpeterson. com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC s INSURERA:Philadelphia Insurance Companies INSURED University of Northern Colorado 501 20th Street Campus Box 54 - Greeley CO 80639 INSURER a :Pinnacol Assurance 41190 INSURER C:RSUI Indemnity Company 22314 INSURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER:2017-2018 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR TYPE OF INSURANCE AWOL sUHR INV° POUCY NUMBER ELUY (MMIDDIY 1 (MM/DD) LIMITS A X COMMERCIAL GENERAL UABILITY OCCUR PBPK1664387 7/1/2017 7/1/2018 $ 1,000,000 I CLAIMS -MADE# ppEAAqCH��,O,EECCCTpURRENCE PREMISES(EaExcurr0ence) S 100,000 GENL X MED EXP (Any one person). $ 5,000 AGGREGATE LIMIT APPLIES PER: POLICY I I JECOT I I LOC OTHER: PERSONALS ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 3,000,000 PRODUCTS - COMP/OP AGG S 3,000,000 S A AUTOMOBILE X _ X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUTOS. - p8PK1664387 7/1/2017 7/1/2018 eaccaRINGLE LIMI I S 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S P cen ( (Per acdBe accident) S S A X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE PBUB586889 7/1/2017 7/1/2018 EACH OCCURRENCE S 2,000,000 AGGREGATE S 2,000,000 DED I X I RETENTIONS " 10,000 5 B WORKERS COMPENSATION AND EMPLOYERS' UABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If Yyes describe under DESCRIPTION OF OPERATIONS below NIA 4106084 7/1/2017 7/1/2018 H v. x I SERTUTE I I ER E.L. EACH ACCIDENT S 500,000 E.LDISEASE- EAEMPLOYEE S 500,000 E.L. DISEASE - POLICY LIMIT S 500,000 C Professional Nursing S Audiology NBP672430 7/1/2017 7/1/2018 Limit S3,0.00,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Weld Adolescent Resources, Inc. and the State of Colorado/DYC are included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. The coverage is primary and non-contributory to any other valid and/or collectible insurance to the fullest extent the law allows per policy terms and conditions- Waiver of subrogation in favor of Weld AR, The State of Colorado and its agencies, institutions, organizations, officers, agents, employees, and volunteers. CERTIFICATE HOLDER CANCELLATION Weld Adolescent Resources, Inc. 1750 25th Ave., Suite 305 Greeley, CO 80634 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE K Case, CIC, CPSR/KPA ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION: All rights reserved. The ACORD name and logo are registered marks of ACORD Hello