The URL can be used to link to this page

Browse Search

Home My WebLink About20172976.tiff&41fiet /B* -A3 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND CENTENNIAL BOARD OF COOPERATIVE EDUCATION SERVICES This Agreement Amendment, made and entered into'htl day of �v (- , 2018 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Centennial Board of Cooperative Education Serviceshereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Day Treatment Alternative Services (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2017-2976 approved on August 28, 2017. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2018. • The Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Agreement: 1. WHEREAS, the Colorado Department of Human Services has provided Core Services or other funds to the Department for Day Treatment Alternative Services. 2. Paragraph 1, Term This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and shall expire May 31, 2019, unless sooner terminated as provided herein. 3. Payment 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; 6vkaemi afe-tia_ CA' V i-02-'a 02o/ 7- 029 ?!o //kaz.88 v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. 4. Exhibit C, Scope of Services, amended as attached. 5. Exhibit D, Payment Schedule, amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY; ATTEST: dolaritt4) G Weld By: Deputy Clerk t t Clerk to the Boa d Stiol •, he Board I 1kl BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair JUL 0 2 2D18 CONTRACTOR: Centennial Board of Cooperative Education Services 2020 Clubhouse Drive Greeley, Colorado 80634 (970) 888-3150 ers l W By: ( f Joc /yn , Director of Special Education Date: 1o5 ) 8 001-7-aq-7Co EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Day Treatment Services to students with emotional disabilities and students on the autism spectrum in grades 6-12, as referred by the Department. Students with emotional disabilities and students on the autism spectrum will receive services in separate classrooms set up specifically for their needs. 2. All services occur at 2040 Clubhouse Drive, Greeley, Colorado 80634. 3. All students referred to Contractor will receive educational services based on their Individual Education Plan (IEP). Contractor currently only serves students with special education needs. Contractor's certified special education teachers and program director compose, implement, and track all students IEPs. 4. Model for Students with Emotional Disabilities. Each student shall: • Receive individual or dyad -based "tutorial" sessions in English/Language Arts, Math, and Reading based upon their skill level, as well as their individual learning pace and style. • Receive a minimum of three (3) sessions daily with the student, teacher and/or teaching assistant to provide direct instruction, review material, reinforce skill development, and prepare for an exhibition, test or mastery -of -material assessment. • Rotate through independent work, teacher -directed tutorials, technology -based activities and small group reinforcement sessions. • Receive curriculum aligned with the Common Core Standards. • Receive Individual and/or group counseling will be provided as prescribed by the student's IEP. 5. Model for Students with Autism. Each student shall participate in: • Discrete Trial Training (DTT): An intensive 1:1 where students are engaged in trails of demands which focus on expanding the repertoire of language development. • Social Skills Lab: A small group opportunity for social skills application utilizing an interactive activity that requires them to use greetings, requesting, and sharing skills in order to complete the activity. • Independent Play and Leisure: An independent station that allows students to engage in an age - appropriate item for a set duration of time to increase their ability to learn a variety of functionalities and maintain independence. • Natural Environment Teaching (NET): A small group setting in which students have an opportunity to practice their greetings, requesting, sharing, play, and leisure skills to use in a less contrived setting. • Activity Schedules: An activity that requires students to independently complete visual performance and fine motor tasks when guided by a visual schedule in order to prepare students for an academic or workplace setting. • Life Skills: An individualized plan of skills that focuses on everyday functional activities to increase successful home and community generalization. • Motor Lab: A sequence of progressive skills, which increase fine and gross motor abilities. 6. Services shall include: • Development, implementation and tracking of Individualized Education Plan (IEP). • Personalized, tutorial -based target and interactive instructional approaches to meet all student IEP goals provided by one certified teacher and an instructional aide per classroom. 1 • Classroom utilization of technology to supplement teacher -guided instruction. Classroom desktop computers are equipped with word recognition and speech -to -text software, and AlphaSmart keyboards. iPads and large screen calculators are provided as necessary. • An intensive behavior modification system designed to minimize classroom disruptions and maximize learning is implemented, supported by positive reinforcement techniques and student incentives. • Social skills' training is infused throughout the school day, to teach students the aptitudes and self-confidence needed to function well interpersonally and intrapersonally. • A flexible curriculum, focused on holistically educating challenging students while conforming to the home district's unique curriculum and instruction standards, is utilized. • Renaissance Learning STAR Assessments are used to both monitor progress and inform daily instruction. • An expansive array of transition services are provided, including the use of a Transition Planning Inventory; training in financial independence/management and the use of transportation resources; the develop of good work habits; community involvement for the purposes of career readiness, exposure to occupations/industries, and volunteer activities; and exploration of and preparation for postsecondary educational opportunities. • End -of -year outcomes measurements relating to pre- and post -text academic achievement, attendance, behavioral level summary, standardized test scores, and positive trends working toward LRE and IEP progress are provided to referral entity. 7. Goals for students: • To acquire academic skills in reading and writing • To acquire skills in obtaining and managing information, solving problems, thinking critically, and communicating effectively • To acquire specific information concerning the principles of the physical and biological sciences • To understand specific events and the broader context of social studies, the historical record of human achievements and failures, and current social issues • To become an effective and responsible contributor to the political decision -making processes of the community, state, country, and world • To play a greater role in his/her educational environment • To acquire an awareness of career opportunities and to acquire knowledge necessary for further education • To acquire an understanding of and the ability to form responsible relationships with a wide range of people • To acquire the capacities for playing satisfying and responsible roles in family life • To acquire the knowledge, habits, and attitudes that promote personal and public health, both physical and mental • To acquire the ability and the desire to express himself/herself creatively in one or more of the arts, as well as in other educational disciplines, and to appreciate the creative expressions of other people • To acquire an understanding of ethical principles and values and the ability to apply them to his/her own life • To develop an understanding of his/her own worth, abilities, potential, and limitations • To enjoy the process of learning and to acquire skills necessary for a lifetime of continuous learning and adaptation to change 2 8. Contractor strongly encourages parental involvement in the learning process and will instruct parents on behavioral and academic protocols that may be used at home. Contractor will regularly monitor relationships and dynamics in each family to provide the most comprehensive counseling services. 9. Contractor does not have bilingual capacity. 10. Contractor is sensitive to family ethnicity, culture, values and beliefs. 11. Contractor does not bill Medicaid. 12. Contractor will offer an initial appointment within seven (7) days of receiving the referral and will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 13. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 14. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 15. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 16. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 17. Contractor understands that the Department will not reimburse Contractor for "no shows" after two (2) consecutive "no shows". It is the responsibility of the Contractor to communicate "no shows" to the Department in a timely manner to determine continuation of services. 18. Contractor understands that the Department does not reimburse for cancelled appointments, either on the part of the client or the Contractor. 19. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. Services are inclusive of attendance and contractor may appear by phone. 3 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 in Trails after May 31, 2018. 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 $72.00/Day (Day Treatment —Therapeutic Costs Only) Educational and Transportation Services are the responsibility of the student's district of residence. Contractor will bill the student's district of residence directly for Educational Services. 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 Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th 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. 1 b. 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. COLORADO SCHOOL DISTRICTS SELF INSURANCE POOL CERTIFICATE OF COVERAGE 07/01/2017 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 POLICY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER, AUTHORIZED REPRESENTATIVE THE CERTIFICATE HOLDER. MEMBER: CENTENNIAL BOCES ATTN: Shana Garcia ADDRESS: 2020 CLUBHOUSE DRIVE CITY, STATE ZIP: GREELEY, CO 60634 POLICY NUMBER: 0705-17-00132 POLICY PERIOD: 07/01/2017 to 07/01/2018 Colorado School Districts Self Insurance Pool, 6657 South Spruce St Centennial, Colorado 80112 (303) 722-2600 (303) 722-7888 Fax THIS IS TO CERTIFY THAT THE POLICY OF COVERAGE LISTED BELOW HAS BEEN ISSUED TO THE MEMBER 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 COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, DEFINITIONS AND CONDITIONS OF SAID POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE UNITS/DEDUCTIBLES SCHOOL ENTITY LIABILITY Occurrence Form EACH OCCURRENCE, SCHOOL LEADERS WRONGFUL ACT & EMPLOYMENT WRONGFUL ACT ANNUAL AGGREGATE LIMIT MEDICAL EXPENSE (PER PERSON/PER ACCIDENT) $2,000,000 $5,000,000 $1,000/310,000 SCHOOL AUTO Any Auto, Hired and Non -Owned Medical Payments Auto Physical Damage Coverage LIMIT PER ACCIDENT LIMIT PER ACCIDENT/PER PERSON AUTO PHYSICAL DAMAGE DEDUCTIBLE $2,000,000 $5,000 $500 PROPERTY Special Form BUILDING/BUSINESS PERSONAL PROPERTY LIMIT DEDUCTIBLE PROPERTY DAMAGE TO PREMISES RENTED TO YOU $9,310,140 $1,000 $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate Holder has been Included as injury", "personal injury" or "property damage" agreement subject to the policy terms and conditions an Additional Insured on the Member's School Entity Liability Coverage for "bodily caused by the Member's negligence if required by written contract or with respect to Day Treatment Services. CERTIFICATE HOLDER: Attn: Tobe Vegter Email: vegtertaOweldgov.com Weld County Department of Human Services Department of Child Welfare 315 North iithAve Greeley, CO 80631 CANCELLATION: SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE, WE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, 115 AGENTS OR REPRESENTATIVES. AUTHORUED REPRESENTATIVE CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND CENTENNIAL BOARD OF COO••P,,ERATIVE EDUCATION SERVICES This Agreement, made and entered into thday o County Commissioners, on behalf of the Weld County Department the "Department' and Centennial Board of Cooperative Education S "Contractor". 2017, by and between the Board of Weld uman Services, hereinafter referred to as ices, hereinafter referred to as the The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Reuquest for Proposal, Exhibit B, Contractor's Proposal, 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 funding to the Department for Day Treatment Alternative Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and shall expire May 31, 2018, 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 Proposal 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. CC' 140 1 '021 11 2017-2976 Weeosag c. Contractor agrees to submit an itemized complete billing statement by the 7th 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 7th 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. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, 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 OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, 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. 2 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 the approved 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 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. 3 - 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. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional 4 has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 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. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. 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 Proposal, 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. 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. 5 a. 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, 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/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. b. 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: i.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. 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/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. 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; Contractual liability covering the indemnification provisions of this Agreement; 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/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. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. 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. e. 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 as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional'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/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. 7 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 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 8 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 Jocelyn Walters, Director of Special Education 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 j970) 352-1551 18. Litigation For Contractor: Jocelyn Walters, Director of Special Education 2020 Clubhouse Drive Greeley, CO 80634 (970) 888-3150 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 18. 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. 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. 9 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. seq., 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, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 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 10 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. 27. Independence of Contractor: Not an Employee of Weld County Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when 11 due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law (and as set forth in Exhibit A) 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. Warranty 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 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 12 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 Contract Professional'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, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 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. 13 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY; ATTEST: Weld Cou By: Clerk to the Board Deputy Clerk By: 14 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO e Cozad, Chair UG282aht CONTRACTOR; Centennial Board of Cooperative Education Services 2020 Clubhouse Drive Greeley, Colorado 80634 (970) 888-3150 Date: oc -;P n Walters • irector of Special Education aZoi-7-01971 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL REQUEST FOR BIDS AND PROPOSALS WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80634 DATE: April 3, 2017 BID NUMBER: B1700080 DESCRIPTION: Annual Request for Various Services DEPARTMENT: Human Services MANDATORY PRE -BID CONFERENCE DATE: N/A BID OPENING DATE: APRIL 24, 2017 PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO THIS REQUEST FOR BID FOLLOW PAGE 9. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS ENGLISH AND BILINGUAL(ENGLISH/SPANISH) SERVICES (SERVICE AREAS INCLUDED IN THIS PROPOSAL INCLUDE, BUT ARE NOT LIMITED TO THE BELOW LIST. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVE SERVICES.) Program Area Definition AftercareServices 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 familycommunication, functioning and relationships, and to prevent further domesticviolence. 1 Program Area Definition Crisis Intervention and Stabilization Services Day Treatment Foster ParentConsultation 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, orwithout Comprehensive, highly structured services that provide education to children and therapy to children and theirfamilies. Services provided to foster and group home families caring for Weld County children and youth in their homes to enhance and improve the quality of care being provided. Foster ParentTraining Core training for new Weld County foster parents. Functional Family Therapy Home -Based Intervention 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 yearsold. 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. 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 accessto community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve familycommunication, functioning and relationships. 2 Program Area Definition 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. Multi-systemicTherapy 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. RelinquishmentCounseling Relinquishment counseling for parents considering relinquishment of their children. 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. Other Creative and unique services designed to meet the needs of children, youth and families interacting with the Child Welfare system through a prevention or traditional case. B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Ihereby waive my right to a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. Hand Delivery. Hand -delivered bids should be submitted in a sealed envelopewith the bid title and bid number on it. Bids must include the following statement on the email: "I hereby waive my right to a sealed bid". Hand - delivered bids can be dropped off at: Weld County Department of Human Services, Attn: Tobi Vegter, Financial Unit, 822 7th Street, Suite 150, Greeley, CO 80631. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. 3 II. INVITATION TO BID A. The Families, Youth and Children's 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 (as described above). 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. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. 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 with his 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. C. 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. 4 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. I. 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 Families, Youth and Children's 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 Families, Youth and Children's 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. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. 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. 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 orolder 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.AII 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. 5 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. 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. C. 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 6 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 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. Attorney 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. V. 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 tothis 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: (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: 7 • $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; • Contractual liability covering the indemnification provisions of this Agreement; • 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 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. iii. 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 Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, 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. vii. 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/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. 8 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. VI.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; 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 provisions of 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. i 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, 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. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staffand/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. 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 selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 11) Each bidder must submit a Standard Certificate of Insurance, 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 Bid. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the following: • Qualifications, appropriate licensure, and experience. • Cost structure. • Relationships and collaboration. • Organizational experience and past performance. The FYC Commission will make recommendations 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. EXHIBIT A SAMPLE AGREEMENT CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND This Agreement, made and entered into the _ day of , 2015, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», 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 Reuquest for Proposal, Exhibit B, Contractor's Proposal, 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 for WHEREAS, the Colorado Department of Human Services has provided funding to the Department NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on , upon proper execution of this Agreement and shall expire , 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 Proposal 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. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 1 d. Contractor agrees to submit a monthly report with the billing statement by the 7th 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. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, 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. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, 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 2 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 the approved 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 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. 3 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. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, 4 and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 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. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. 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 Proposal, 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. 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/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 5 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/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. b. 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: 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. 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/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. 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; Contractual liability covering the indemnification provisions of this Agreement; 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/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. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. 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. e. 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 as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional'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/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. 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 7 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 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. 8 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 CONTRACTOR, TITLE 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: 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 18. 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. 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 9 any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 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, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 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. 10 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. 27. Independence of Contractor: Not an Employee of Weld County Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law (and as set forth in Exhibit 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 11 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. Warranty 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 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 Contract Professional'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. 12 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, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 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. 13 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board WELD COUNTY, COLORADO BY: Deputy Clerk to the Board , Chair APPROVED AS TO FUNDING: APPROVED AS TO SUBSTANCE: Controller Elected Official or Department Head APPROVED AS TO FORM: Director of General Services County Attorney CONTRACTOR Contractor, Title 14 EXHIBIT B CONTRACTOR'S PROPOSAL PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services Centennial BOCES AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID (If Known) Jocelyn Walters Special Education Director PRIMARY CONTACT— FULL NAME PRIMARY CONTACT - TITLE f 970 , 352-7404 PHONE NUMBER jwalters(gcboces. org 1104 ) 970 1352-7350 EXT. FAX NUMBER www,cboces org PRIMARY CONTACT - E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS (IF APPUCABLE) 2020 Clubhouse Dr. AGENCY MAILING ADDRESS Sarah Strothkamp Greeley 80634 REFFRRAL CONTACT -FULL NAME Of DIFFERENT THAN PRIMARY CONTACT) 970 , 888-3150 REFERRAL CONTACT -PHONE NUMBER EXT. CITY Program Director ZIP REFERRAL CONTACT - TITLE Sarah strothkamp@catapultteaming.com REFERRAL CONTACT - E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or 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. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. Signature of Author% ed Rep esentativ Date of Signature: tie,/ ?f 4Oi Centennial BOCES 2020 Clubhouse Drive Greeley, CO 80634 April 24, 2017 Attn: Tobi Vegter Division of Child Welfare, Financial Unit P.O. Box A Greeley, CO 80632 Dear Ms. Vegter: Re: Bid Number B 1700080 Centennial Board of Cooperative Education Services (BOCES), in partnership with Catapult Learning, LLC, formally Specialized Education Services, Inc. (SESI), wishes to bid on the provision of Day Treatment services to Weld County Department of Human Services. Centennial BOCES has contracted with Catapult Learning since June 2014 for the operation of the Sierra School of Weld County, a Day Treatment program serving students from 6'h grade through 21 years of age, from Centennial BOCES and surrounding school districts. Catapult Learning has proven expertise in effectively teaching and supporting students with learning disabilities, social emotional disabilities, autism spectrum disorders, and the most challenging at -risk behaviors. As a nationwide provider, Catapult Learning skillfully individualizes programs while fulfilling its mission to build student confidence and competence through personalized academic and behavioral interventions. The Sierra School of Weld County operates three separate classrooms: two for students with emotional disability eligibilities and one for students with autism exceptionalities. Sierra School of Weld County employs a program director, three special education teachers, a school social worker, five teaching assistants, 1:1 paraprofessionals as needed based on each student's IEP, and an administrative assistant. Sierra School is located at 2040 Clubhouse Drive in Greeley, CO 80634. Thank you for your consideration of this bid. Should you require additional information, please do not hesitate to contact me. I can be reached by phone at (970) 352-7404 ext 1104, or via email at jwalters@cboces.org. Sincerely, titraut-vs Jlyn Walters Director of Special Education Centennial BOCES CENTENNIAL BOLES Weld County Department of Human Services Bid Number B1700080 Submitted by: Centennial Board of Cooperative Education Services 2020 Clubhouse Drive Greeley, CO 80634 (970) 352-7404 In Partnership with: Catapult Learning, LLC Two Aquarium Drive Camden, Nj 08103 (800) 841-8730 Attn: Tobi Vegter vegterta@weldgov.com Division of Child Welfare, Financial Unit P.O. Box A Greeley, CO 80632 1 Table of Contents Centennial BOCES Overview Catapult Learning Overview Location of Services Targeted Population IEP Requirements Availability of Bilingual Services Catapult Learning/ Sierra School Program Overview Model for Students with Autism Model for Students with Emotional Disabilities Curriculum Components Therapeutic Modalities/ Trauma Informed Care Life Skills Components Overall Daily Schedules/Routines Behavior Response Systems Behavior Management System Behavior Level System Goals of Program Anticipated Outcomes of Program Medicaid/Alternative Funding Options Transportation Options Rate Schedule Referral Process/ Responsiveness to Schedule Services Supervisory Structure Colorado State Vendor Lists Agreements Appendices Resumes Certifications page 3 page 3 page 3 page 3 page 3 page 3 pages 4-12 pages 4-6 pages 6-7 page 7-8 page 8 page 8 page 9 page 9 page 10 page 10 page 11 page 11-12 page 12 page 12 page 12 page 13 page 13 page 13 page 13 pages 14-? pages 13 - pages ?-? 2 Centennial BOCES Overview Centennial BOCES, or Board of Cooperative Educational Services, is a cooperative agency that provides educational services to school districts across northern Colorado. The pooled resources at BOCES allow for more educational opportunities in small, rural districts that may not be able to afford some services on their own, and in larger districts that would like to partake in educational innovation. Catapult Learning Overview Catapult Learning, LLC partners with school districts across the country, providing customized services for special and alternative education students in grades K-12. Catapult Learning has proven expertise in effectively teaching and supporting students with learning disabilities, social emotional disabilities, autism spectrum disorders, and the most challenging at -risk behaviors. As a nationwide provider, Catapult Learning skillfully individualizes programs while fulfilling our mission to build student confidence and competence through personalized academic and behavioral interventions. Availability of Bilingual Services Centennial BOCES is not applying to provide bilingual services. Location of Services Full -day, comprehensive services are provided at the Sierra School of Weld County, at the following address: 2040 Clubhouse Drive, Greeley, CO 80634. Targeted Population The Sierra School of Weld County serves both students with emotional disabilities and students on the autism spectrum in grades 6-12. The Sierra School of Weld County operates three separate classrooms: two for students with emotional disability eligibilities and one for students with autism exceptionalities. As an organization, Catapult Learning fully believes in returning students to the least restrictive environment (LRE) at the appropriate time based on the Individualized Education Plan (IEP) team's decision. Ultimately, all of our special education and alternative education programs and services aim to produce observable positive outcomes. Year after year, in school after school, Catapult's results -driven approach keeps our focus on qualitatively and quantitatively measuring the effectiveness of our academic, behavioral, and therapeutic interventions. IEP Requirements All students at Sierra School of Weld County receive educational services based on their Individual Education Plan (IEP). Currently, Sierra School of Weld County only serves students with special education needs. The certified special education teachers and the program director of the Sierra School of Weld County compose, implement, and track all students IEPs. 3 Catapult Learning/ Sierra School Program Overview Model for Students with Autism When a student is enrolled in a Catapult Learning classroom designed for students with autism, the school staff begins the process of integration by interviewing the parents and/or guardians, to gain perspective into the child's pertinent diagnostic history and learn their goals for the student. It is important to discover what applications are functional in their lives, as the practices selected for the classroom must be reinforced across all environments. Subsequently, Sierra School staff utilizes their extensive professional knowledge to design a program that will create the greatest opportunities for success, based on the premise of continuity in all settings. The goal is always to create a skill set of independence, which the student and family can use to establish a functional path for their future. In order to establish a complete representation of the student, the interview process is paired with a formal assessment. Through examination, the student's functional living, language, and academic (if applicable) skill set is determined using the Assessment of Basic Language and Learning Skills, Revised (ABLLS-R) and Assessment of Functional Living Skills (AFLS). The interview and assessment results, together, allow Catapult Learning to develop and adopt the most proper program for growth. Programming Catapult Learning strives to build strong foundation skills in the areas of: • Language (imitation, receptive, expressive, and intraverbal) • Visual performance • Fine and gross motor skills It is common to discern defined splinter skills in children and adolescents with autism. Likewise, a common trend is a large "gap" between receptive and expressive language, which hinders social abilities and is often the antecedent to maladaptive behaviors. Consequently, Sierra School programs for these breaks in the language continuum, building a strong linguistic foundation that results in faster acquisition of all skills and an increase in awareness of the student's surroundings. Implementation Rotations: Each student moves about the building or classroom to specific learning modalities. This model diversifies their setting and supports quick generalization. The rotations consist of the following modules: o Discrete Trial Training (DTT): An intense 1:1 learning environment where students are engaged in trials of demands which focus on expanding the repertoire of language development. The session consists of a combination of current target interventions and mastered skills that use motivational operations to keep the students engaged and the session quick -paced. o Social Skills Lab: A small -group opportunity for social skills application. Students engage with a teacher and peers in an interactive activity that 4 MA 11 TVA. EACH IMM}ti1 TEACHING 4 requires them to use greetings, requesting, and sharing skills in order to complete an activity or age -appropriate game in a contrived setting. o Independent Play and Leisure: An independent station where students are required to stay in a designated area and engage themselves with an age - appropriate item for a duration of time. This session looks to increase their ability to learn a variety of functionalities within the activity or item while maintaining independence. o Natural Environment Teaching (NET): A small -group setting in which students learn to put their greetings, requesting, sharing, play, and leisure skills to use in a less contrived setting. o Activity Schedules: An activity whereby students are required to independently complete visual performance and fine motor tasks when guided by a visual schedule. The aim is to increase the number of completed tasks, duration of the tasks, and difficulty level of the tasks, ultimately preparing the students for an academic or workplace setting. o Life Skills: An individualized plan of skills focusing on everyday functional activities to increase successful home and community generalization. o Motor Lab: A sequence of progressive skills, which increase fine and gross motor abilities. Implementation Explanation Each rotation is centered on the student's individual skill set and is consistently monitored to increase the individualized skill and expand it to larger group or environment, constantly generalizing it across their day. Consequently, each rotation is designed to progressively build into the next level of skills (for example, what is taught in DTT serves as a building block for the Social Skills Lab, which is generalized into the NET room, which is generalized into routine components of the day [recess, lunch, transitional times] and eventually to real -world encounters). The progression of skills is focused on gaining a premise of language, leading to two long-term goals: the ability to participate, function, and demonstrate independence in the general public, and the ability to transition to an academic setting. A visual model is below: GEM NATURAL ENMRUNMENI TEACHING I MEI:, 5 General Program Features: • Program Supervision by Board -Certified Behavior Analyst (BCBA) • Small Class Size • High Staff -to -Student Ratios • Personalized Instruction • Assistive Technology • Year -Round Classes • Evaluation & Consultation Services Communication Development: • Curriculum -Based Instruction • Auditory Processing • Expressive & Receptive Language Development • Group & One -on -One Sessions • Software Applications • Picture/Object Exchange for Communication Social Skills Development: • Systematic Instruction Procedure • Pre -Teaching Strategies • Social Stories & Scripting • Coping Strategies, Anxiety Reduction & Anger Management • Relationship Development • Peer/Age- Appropriate Social Skills • Group & Interactive Play • Incidental Teaching Behavioral Development: • Functional Behavior Assessment (FBA) • Behavior Intervention Plan (BIP) • Applied Behavior Analysis (ABA) • Positive Behavior Support • Rewards -Based Incentive Systems (e.g., tokens, colorized levels, school privileges) • Behavioral Rating Scales Related Services/Supports: • Speech -Language Therapy • Occupational Therapy • Family Support Services Model for Students with Emotional Disabilities The Catapult Learning academic model offers personalized, interactive instruction and flexible curriculums within the basic skills domains. Students advance at their own pace guided by teachers familiar with a range of learning styles and instructional methods. Features of the program model to be implemented are: 6 • Research -based, standards -aligned curriculums featuring integrated technology/data-driven instructional software • Small class sizes and a low student -to -faculty ratio • Classroom methodology developed in our schools based on 30 years of experience • Targeted therapeutic interventions • Highly qualified staff • Safe, structured, positive learning environment that builds self-esteem and encourages achievement Each student receives individual or dyad -based "tutorial" sessions in English/language arts, math, and reading depending on their skill level, as well as on individual learning pace and style. Lesson plans are driven both by assessment information and by the teachers' observations and understanding of each student's unique situation. Assessments used include: iReady, Woodcock Reading Mastery Test, and Key Math 3. The teacher and teaching assistant (TA) meet with each individual student for tutorial instruction a minimum of three sessions daily to: • Provide direct instruction (teacher) • Review material (teacher or TA) • Reinforce skill development (teacher or TA) • Prepare for an exhibition, test, or mastery -of -material assessment (teacher) A visual of this rotational model is below: RPM i I Catapult Lear i, nq Teacher -Directed Sessions Personalized instruction based on student's skill level, pace, and learning style Independent Seatwork Students develop a sense of identity, accountability, and self -monitoring skills Small -Group Lessons Promote social competencies and interaction while improving learning proficiency Tech -Based Workstations E -learning tools allow highly individualized instruction by virtual faculty Curriculum Components Because not all students learn the same way, Catapult Learning offers flexible curriculums that allow for the customization of programming for the individual child. Catapult Learning draws from a rich and varied inventory of curricular materials, selected specifically for each student. For example, reading and math curriculums include Wilson Reading, S.P.I.R.E., Lexia Reading, TouchMath, Second Step, and On Cloud Nine, which are particularly useful for meeting the needs of at - risk students and learning- and/or language -disabled students. Catapult Learning teachers regularly attend in-service training sessions and the Catapult Learning Summer Reading Institute to ensure that they stay on the cutting edge of educational developments and pedagogy. These efforts are driven by Catapult's in - 7 house team of experts, led by Dr. Ellen Gaske, Doctor of Education from Johns Hopkins University. Curricular decisions are aimed at increasing the student's ability to gain mastery of concepts, information, skills, and knowledge, rather than at content coverage alone. Curricular decisions and materials selection in the basic domains (reading, math, and language arts) can be aligned to Common Core State Standards and modified as determined by the teacher and supervisor according to the following student criteria: • Fund of general information • Motivation and interest • Skills and abilities (levels) • Learning style and pace of instruction • Assessment -based learning maps Students are placed in reading and math programs that vary from traditional eclectic approaches to student -specific programs modified to compensate for significant learning deficits. A sequential, comprehensive, and appropriate curriculum forms the basis of the individualized education program. Each child performs at a different developmental and educational level on each subject area. Depending on individual needs, certain curricular elements will take on greater or lesser emphasis. For purposes of planning, teaching, and evaluation, the curriculum is frequently presented as a sequence of information and skills through which the student advances. This should not be misconstrued as a rigid, lock -step curriculum program requiring strict adherence and mastery. Instead, acquisition of skills and knowledge along the curriculum sequence will proceed at the student's own pace and in the order most appropriate for the individual. Therapeutic Modalities/ Trauma Informed Care As counseling is recognized as an important attribute for this project, individual and/or group counseling will be provided by Catapult Learning. Individual counseling is provided as prescribed by the student's IEP. In addition, parent workshops and family counseling are offered on an as -needed basis in an effort to increase communication between family members and to facilitate healthy dynamics within the family unit. Parents will be encouraged to become part of the learning process and be instructed on behavioral and academic protocols that may be used at home. Monitoring of relationships and dynamics in each family occurs regularly in an effort to provide the most comprehensive counseling services. Sierra School of Weld County provides extensive training to staff on trauma informed care. All adults in the school building are trained to recognize and appropriately respond to those affected by traumatic stress. The school -wide positive behavior model inherently provides clear and predictable expectations to guide all students through difficult situations. Additionally, Sierra School operates on a culture of understanding and respect for all individuals and their experiences. All Sierra School of Weld County staff members are trained on the principles and theories of the Life Space Crisis Intervention program. Sierra School of Weld County 8 is on track to have full implementation of the Life Space Crisis Intervention program by the beginning of the 2017-2018 school year. Additionally, all Sierra School staff members are trained in crisis prevention and intervention using the Handle With Care system. Life Skills Components A full spectrum of supportive and supplementary services —including group counseling, community immersion initiatives, extracurricular activities, active parental involvement, social skills and life skills training, and college and career readiness —are infused into the student's day. These services focus on supplementing academic skills acquisition with additional abilities and proficiencies that will lead students to thrive not just in school, but also at home and in the community. Additionally, Sierra School staff work closely with the Centennial BOCES transition coordinator to develop individualized goals for each student in the areas of post- secondary education, employment, and independent living. Students are then able to access community -based experiences through connections made by the transition coordinator and the School to Work Alliance Program. Overall Daily Schedules/Routines Please see the sample daily schedule below depicting the Sierra School of Weld County's two classrooms: Cls rootub7igibilityFocus = S 8:30 Advisory 1(morning meeting and journal) 9:00 English/ Language Arts 10:20 Social Studies 11:00 Lunch 11:30 Advisory 2 (recess) 12:00 Math 1:20 Science 2:00 Elective (P.E., Group Social Skills) Classroom Eligibility Focus = ASD 8:30 Motor lab 9:00 Language skills (Discrete Trial Training, activity schedule, designated academics) 10:20 Social skills 11:00 Lunch 11:30 Recess 12:00 Elective 1:00 Language skills (Discrete Trial Training, activity schedule, designated academics) 2:00 Vocational skills (Community job placements, on -campus vocational skills activities) Behavior Response Systems The concept of positive reinforcement drives the Catapult Learning behavioral model. Moreover, Catapult Learning utilizes a school -wide token economy system, with corresponding levels. Students earn points throughout the day for initiating various positive behaviors and following teacher direction. These points are converted to levels (red, yellow, green, blue, and gold). As students move up in level, 9 the number of privileges increases. For students who require a more structured behavioral support system, special contracts are designed to support students to gain mastery in developing skills that promote sage behavior and self-confidence. For teachers, this model allows them to manage behavior within the classroom, thereby maximizing learning time. For students, the model provides a nurturing environment that holds them accountable and reinforces appropriate behavior. This promotes a new relationship between the teacher and the student that ensures a healthy balance between empathy and accountability. Behavior Management System Frequently occurring behavior difficulties are dealt with within the classroom. An appropriate behavior management program is set up whereby the teacher has established specific target behaviors and subsequent interventions. Whenever possible, a "no -intervention, ignoring" technique is used to decrease undesirable behavior. At the same time, the school employs positive reinforcement to increase desired behavior. The most effective type of reinforcement depends on the child's responsiveness. The following order of implementation is typically used for younger students: • Social reinforcement- praise, smile, nod, tap on back, hug. If these reinforcers are not strong enough by themselves to produce desired results, use with: • Object reinforcement - including stars, points, happy faces, tokens, tickets, etc. • Activity reinforcement - toys, puzzles, coloring, painting, water play, iPad use, computer time, etc. • Primary reinforcement - food, snacks, treats, etc. Behavior Level System To promote positive behavior, Catapult Learning utilizes a token economy system based on points. Throughout the school day, students receive points as they exhibit positive behavior. In turn, these points are translated into levels defined by the colors gold, blue, green, yellow, and red, each of which have corresponding privileges. Below is a sample point sheet: 'Blue Level Student Name Date Day Personal Goal Student Behaviors 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 Dis. Follow Directions Remain on Task Stay in Assigned Area Appropriate Language BE IIII' 1s) Ile Show Respect to Others Personal Goal Staff Initials Total Points 1-2 minuses One point 3 or more minuses'- Zero point (+) Met behavioral objective (-) Did not meet behavioral objective Bonus Point Total Points 10 Goals of Program Goals for our students: • To acquire academic skills in reading and writing • To acquire skills in obtaining and managing information, solving problems, thinking critically, and communicating effectively • To acquire specific information concerning the principles of the physical and biological sciences • To understand specific events and the broader context of social studies, the historical record of human achievements and failures, and current social issues • To become an effective and responsible contributor to the political decision - making processes of the community, state, country, and world • To play a greater role in his/her educational environment • To acquire an awareness of career opportunities and to acquire knowledge necessary for further education • To acquire an understanding of and the ability to form responsible relationships with a wide range of people • To acquire the capacities for playing satisfying and responsible roles in family life • To acquire the knowledge, habits, and attitudes that promote personal and public health, both physical and mental • To acquire the ability and the desire to express himself/herself creatively in one or more of the arts, as well as in other educational disciplines, and to appreciate the creative expressions of other people • To acquire an understanding of ethical principles and values and the ability to apply them to his/her own life • To develop an understanding of his/her own worth, abilities, potential, and limitations • To enjoy the process of learning and to acquire skills necessary for a lifetime of continuous learning and adaptation to change Anticipated Outcomes of Program Catapult Learning has an impressive track record (93-100% success rate) of effectively transitioning students back to the school district's mainstream environment whenever applicable. Special education students typically gain from 1 to 3 years of academic growth in reading and math in the span of a single school year. Students in Catapult Learning's IDC (In -District Classroom) Program average an 81% pass rate in required courses. School districts also benefit from a dramatic reduction in, if not elimination of, student suspensions; of 500 IDC-enrolled students, Catapult Learning has experienced only one student in need of suspension. The staff at the Sierra School of Weld County will deliver the following services in each classroom: 11 • Personalized, tutorial -based targeted and interactive instructional approaches to meet all student IEP goals are provided by one certified teacher and an instructional aide per classroom. • Classroom utilization of high -end, award -winning technology to supplement teacher -guided instruction, including Voyager, Odysseyware, PEG Writing, IXL Math, Lexia Reading, and Newsela. Additionally, desktop computers equipped with word recognition and speech -to -text software, AlphaSmart keyboards, iPads, and large -screen calculators are provided as necessary. • An intensive behavior modification system designed to minimize classroom disruptions and maximize learning is implemented, supported by positive reinforcement techniques and student incentives. • Social skills training is infused throughout the school day, to teach students the aptitudes and self-confidence needed to function well interpersonally and intrapersonally. • A flexible curriculum, focused on holistically educating challenging students while conforming to sending district's unique curriculum and instruction standards, is utilized. • iReady Assessments are given and used to both progress monitor and inform daily instruction. • Expansive array of transition services are provided, including the use of a Transition Planning Inventory; training in financial independence/ management and the use of transportation resources; the development of good work habits; community involvement for the purposes of career readiness, exposure to occupations/industries, and volunteer activities; and exploration of and preparation for postsecondary educational opportunities. • End -of -year outcomes measurements relating to pre- and post-test academic achievement, attendance, behavioral level summary, standardized test scores, and positive trends working toward LRE and IEP progress are provided to sending districts. Medicaid/Alternative Funding Options Currently Centennial BOCES and Catapult Learning, LLC do not bill Medicaid for the services provided. Rate Schedule Centennial BOCES and Catapult learning, LLC agree upon an annual Funding Agreement outlining all services and a fee schedule. The services include the implementation of the aforementioned academic and behavioral programs as warranted by each student's Individual Education Plan (IEP), including but not limited to: Social Work Services, Speech Language Therapy, Occupational Therapy and Physical Therapy. The mental health, therapeutic fees will be $72 a day per student. Tuition will be billed separately to the student's district of residence for educational services. 12 Supervisory Structure Centennial BOCES works closely with Catapult Learning, LLC to ensure adequate supervision of program performance. All Sierra School of Weld County certified staff members (special education teachers and the school social worker) receive monthly supervision from the Program Director. There are four certified staff members supervised by the Program Director. Non -certified staff members (teaching assistants and 1:1 paraprofessionals) receive weekly supervision by the Special Education Teacher to whose classroom they are assigned, and quarterly supervision from the Program Director. There are six non - certified staff members supervised by the Program Director. The Sierra School of Weld County Program Director has six years of supervisory experience. Additionally, all certified staff members participate in Colorado Department of Education's educator evaluation program. The CDE evaluations are conducted the Centennial BOCES Director of Special Education. The Centennial BOCES Director of Special Education has 13 years of supervisory experience. Referral Process/ Responsiveness to Schedule Services The Sierra School of Weld County currently receives referrals from Centennial BOCES, surrounding school districts, and the Department of Human Services. Referrals made to Sierra School should include the student's most recent IEP and special education evaluation. Within 24 hours of the receipt of a complete referral packet, Sierra School's Program Director will notify the referring agency if the referral appears appropriate for the program and if there is space in the program. When space is not available, the referring agency will be given the option to place the student on the waiting list. If there is enrollment availability and the referral appears appropriate for the programming offered at the Sierra School, Sierra School will contact the student's guardian within 48 hours of the receipt of the complete referral packet to arrange an intake meeting and a tour of the program. Once the intake is complete, the Program Director will discuss the student's case with the Centennial BOCES Director of Special Education to make a final determination of appropriateness. Should the student be accepted into the Sierra School program, an intake IEP will be held with the referring agency, the student's home school district, and Sierra School staff. At this meeting, a start date will be determined. When spaces in the program are available, students start on average within 2 weeks of the initial referral. Referrals might be deemed inappropriate for the following reasons: • Student does not fall within the range of ages/grades served by the school • Student's needs do not align with services provided by the program Transportation Options For the current students at the Sierra School of Weld County, their sending district provides transportation. 13 Colorado State Vendor Lists Currently, the Sierra School of Weld County contracts solely with the Centennial BOCES and does not require certification from Colorado state agencies. Agreements Centennial BOCES and Catapult Learning, LLC agree to track outcome data related to services proposed. Centennial BOCES agrees to enter into an agreement with the Weld County Department of Human Services and comply with all requirements of the agreement. 14 Appendix I: Resumes Jocelyn Walters - Director of Special Education Sarah Strothkamp - Sierra School Program Director Alisha Howard - Board Certified Behavior Analyst Nicole Miller - Occupational Therapist Leslie Shaver - Speech and Language Pathologist Kim Larson - Speech and Language Pathologist Assistant Ashley Hearing - School Social Worker Emmie Swift - Special Education Teacher Amanda Best Smallwood - Special Education Teacher John Passaniti - Special Education Teacher Appendix 2: Certifications Jocelyn Walters - Director of Special Education Sarah Strothkamp - Sierra School Program Director - Colorado School Social Worker certification pending Alisha Howard - Board Certified Behavior Analyst Nicole Miller - Occupational Therapist Leslie Shaver - Speech and Language Pathologist Kim Larson - Speech and Language Pathologist Assistant Ashley Hearing - School Social Worker Emmie Swift - Special Education Teacher Amanda Best Smallwood - Special Education Teacher John Passaniti - Special Education Teacher - Colorado Special Education Teacher certification pending 15 0 q "13 co 3 co J aW 4.0 a\t11 (5 O 0 411V s •% 3 til4 12 rill u al 1..7 c w) 647. co -a W O 0 CO co O O V t 41) ce cQ C) to ao C •3 O .CU L C N i •L L(1 4-1 V^ a QJ O. (1) +au� C •� o b.0 rt M ±+ N tCL tn 0J J f0 CU d ev Number: 197832 Effective: 08/02/2016 Expires: 08/02/2019 COLORADO Department of Education x U, O 0 CU m V 6, v 0 0 0 a ea oa 0 N CU ro h —1 .C O r+ N y� N 4-6 ro 120 ro CID m < c c d V Q1 C L C 4.,, ,, C- m a' a > +, ro r0 3 ,.-a QJ >•• Q1 O U, H W O C C - CD al 3 = CO W ++ O CO O co c m 0 73 cin V L O s o V C1 U O V N cc to cu t•I t (1,) = ,miiii y C O N •i O < ca 4a C N y 3 NC W CU c •,: 4A � 'C-+ aJ w OC V > O N >-- E W 2 wTS2 E tz E. L U LI O " in O. E cu - V) w 0 -1.6; CO . c a) C a) U Type: Authorization N cD O lc.) 0 NI aw .a E z O Q ce O —J U De STATE OF COLORADO In accord with Colorado State Law and Rules of the Colorado Board of Education Ashley Elizabeth Hearing Is granted this Special Services Provider License to teach or serve in the following areas: School Social Worker (0-21) This e -certificate was printed on: December 10, 2014 Always verify a credential status online at: https://www.colorado.gov/cde/licensing/ Type: Initial Number: 128313 Effective: 11/22/2014 Expires: 11/22/2017 COLORADO Coe DEPARTMENT of EDUCATION COLORADO Department of Regulatory Agencies Division of Professions and Occupations Congratulations! Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time through your Online Services account by visiting our homepage at www.dora.colorado.gov/professions and clicking on the "Print your License" link under the label "Quick Links". If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information, please contact our Customer Service Team at 303-894-7800 or dora_registrations@state.co.us. Colorado Department of Regulatory Agencies Division of Professions and Occupations State Board of Registered Psychotherapists Ashley Hearing Registered Psychotherapist NLC.0105805 Number 09/29/2015 Issue Date Active 08/31/2017 Credential Status Expire Date Verify this credential at: www.dora.colorado.gov/profession s ision Director: Lauren Larson Credential Holder Signature Cut along the line Colorado Department of Regulatory Agencies Division of Professions and Occupations State Board of Registered Psychotherapists Ashley Hearing Registered Psychotherapist NLC.0105805 Number Active Credential Status 09/29/2015 Issue Date 08/31/2017 Expire Date Verify this credential at: www.dora.colorado.gov/profession s ision Director: Lauren Larson Credential Holder Signature 1 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 www.dora.colorado.gov/professions COLORADO Department of Regulatory Agencies Division of Professions and Occupations Congratulations! Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time through your Online Services account by visiting our homepage at www.dora.colorado.gov/professions and clicking on the "Print your License" link under the label "Quick Links". If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information, please contact our Customer Service Team at 303-894-7800 or dora_registrations@state.co.us. Cut along the line Colorado Department of Regulatory Agencies Division of Professions and Occupations SWP.0001261 Number Active Credential Status Social Work Examiners Board Ashley Elizabeth Hearing Provisional Social Worker 08/09/2016 Issue Date 08/31/2017 Expire Date Verify this credential at: www.dora.colorado.gov/profession s ision Director: Lauren Larson Credential Holder Signature Colorado Department of Regulatory Agencies Division of Professions and Occupations SWP.0001261 Number Active Credential Status Social Work Examiners Board Ashley Elizabeth Hearing Provisional Social Worker 08/09/2016 Issue Date 08/31/2017 Expire Date Verify this credential at: www.dora.colorado.gov/profession s ision Director: Lauren Larson Credential Holder Signature 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 www.dora.colorado.gov/professions SARAH P. STRDTHKAMP 550 North Lincoln Ave • Loveland, CO 80634 • (860) 709 - 0464 • sarah.strothkamp@gmail.com EDUCATIDN Loyola University Chicago Master of Social Work; May 2016 Boston University Master of Public Health; May 2011 University of Richmond Bachelor of Arts in Economics, with a Minor in French; May 2009 CIEE Study Abroad Semester Study Abroad, Fall 2007 PRDFESSIDNAL EXPERIENCE Chicago, IL Boston, MA Richmond, VA Dakar, Senegal Catapult Learning (formally Specialized Education Services, Inc.) Program Director — Sierra School of Weld County and Sierra School at Main Street • Oversee the operations at the Sierra School of Weld County (a program operated for Centennial BOCES) and the Sierra School at Main Street (a program operated for St. Vrain Valley School District). • Implement cutting edge programming from Catapult Learning's Assessment, Curriculum, and Instruction (ACI) Team. • Supervise, train and lead a staff of 25 teachers, teaching assistants, and support staff across two campuses with a focus on developing internal leaders. ■ Work closely with sending school districts to ensure that each student's IEP needs are being met. • Collaborate with sending school districts to transition students back to less restrictive environments as they become ready. ■ Led Sierra School of Weld County through process of AdvancED accreditation. • Develop relationships with providers throughout Weld, Larimer, and Boulder Counties to ensure that students and families are connected with programs outside of school. Advocate Illinois Masonic Medical Center Crisis Team Intern — Emergency Department • Evaluate patients presenting to the emergency department(ED) with mental health complaints. • Collaborate with the supervising Crisis Worker and ED doctors to determine level of care necessary for all patients with psychiatric complaints. ■ Assist patients in adapting to the hospital setting by providing psycho education, stress management, and de-escalation as necessary. • Establish and maintain lines of communication with Chicago Police Department, Chicago Fire Department, and other community agencies to ensure the highest quality of patient care. • Facilitate communication between ED staff and patients' families in regards to patient care. ■ Respond to all trauma calls within the emergency room to provide support to patients and families. Leading Healthy Futures Consultant • Facilitated the development of the Lake County Behavioral Health Action Plan for the Lake County Health Department. Tasks for this project included facilitating meetings and writing the document. • Assisted clients with strategic planning by conducting organizational assessments, developing draft mission, vision, and value statements, and assisting Leading Health Futures President in facilitating strategic planning retreats and meetings. • Conducted a feasibility study for a client to determine whether or not the client should expand its services to include workforce development. It was determined that the service expansion was viable, and three models for viable programs were subsequently developed for the client. • Analyzed demographic data for the ZCTAs within a health center's service area to determine the current needs of the community. Provided the client with a comprehensive community needs assessment. Greeley & Longmont, CO July 1, 2016 -present Chicago, IL Sept. 2015 -May 2016 Chicago, IL July 2015 -Feb. 2016 I SARAH P. STRDTHKAMP 550 North Lincoln Ave • Loveland, CO 80634 • (860) 709 - 0464 • sarah.strothkamp@gmail.com Specialized Education Services, Inc. (now Catapult Learning) Program Development Specialist— Business Development Team • Served as a resource for school districts and charter school organizations to develop systems to improve educational outcomes among special education and alternative education students. Program Director — High Road School of Hartford • Developed and led a staff of 25 professionals including teachers, social workers, and teaching assistants resulting in the highest staff retention rate among the eight High Road School sites in Connecticut for the 2012-2013 and 2013-2014 school years. • Ensured student success through the case management of all enrolled students, an average of 55 students. Case management included extensive communication with parents and guardians. • Developed a school -wide truancy intervention plan, which successfully increased average daily attendance over prior year. • Established a strong relationship with the Local Education Authority (LEA) to ensure the smooth transition of new students to High Road School. • Coordinated transition planning for the return of students to a less restrictive environment, such as a district school, with a 100% rate of students who returned to district schools succeeding in that school through graduation. • Facilitated IEP meetings with LEAs, parents, and advocates. Health Services Coordinator — High Road Schools of Connecticut • Developed the role of Health Services Coordinator to enhance the provision of school health services across the eight High Road Schools of Connecticut sites. • Developed and implemented region -wide CPR training program for staff school nurses and medical technicians at the nine High Road Schools in Connecticut. • Trained and certified medical technicians and other school staff in First Aid and CPR through the American Red Cross. • Revised and refined health office policies through close collaboration with the medical advisor. • Created connections with community health organizations in each school's catchment area. • Oversaw and coordinated trainings led by school nurses for regional medical technicians. • Coordinated clinical case meetings for students with special health care needs, such as students with severe Type 1 Diabetes and co-occurring behavioral health needs. Associate Director — High Road School of Hartford • Assisted the Program Directors and the Education Director with tasks such as preparation for IEP meetings, addressing student concerns, and collaborating with each student's LEA. Substance Abuse and Mental Health Services Administration Graduate Prevention Intern —Center for Substance Abuse Prevention • Analyzed the affect of substance use on the citizens of Stoughton, MA. • Developed substance abuse prevention initiatives, such as social media campaigns, to reach children and adolescents. • Organized the first ever Medicine Collection Event in Stoughton, MA through close collaboration with the Drug Enforcement Administration. • Created a website for the SAFE Foxborough Coalition. • Analyzed quantitative and codified qualitative data from a Foxborough community survey. • Developed a more sustainable tobacco vendor compliance check program in Stoughton, MA. VOLUNTEER POSITIONS Chicago, IL July 2014 -July 2015 Hartford, CT Apr. 2011 -July 2014 Various Sites Aug. 2013 -May 2014 Hartford, CT Feb. 2011 -Apr. 2011 Stoughton, MA June 2010 -Aug. 2010 Bryan and Amanda Bickell Foundation- Registered Therapy Animal Team • Assist in group therapy sessions for residents of Hephzibah House, ages 5-14, with a history of behavioral health needs. • Teach responsible dog ownership including how to approach an unknown dog, the importance of spaying and neutering, and proper leash and harness usage. Pet Partners- Registered Therapy Animal Team • Promote social skills through Animal Assisted Therapy among students, ages 5-21, with social, emotional, and behavioral needs. Chicago Area June 2015 -Present Various Sites Nov. 2013 -Present SARAH P. STROTHKAMP 550 North Lincoln Ave • Loveland, CO 80634 • (860) 709 - 0464 • sarah.strothkamp@gmail.com • Encourage students, ages 12-21, to improve reading skills and self-esteem through Animal Assisted Activities. Connecticut Humane Society- Shelter Volunteer • Increased adoption rates of shelter dogs by teaching basic obedience skills as using behavior modification techniques to decrease undesirable behaviors such as jumping and mouthing. Pine Street Inn— Clinic Volunteer • Developed a rapport with more than 25 regular residents, homeless men aged 21-85, and numerous short-term residents, to ensure the residents' comfort with seeking medical care at Pine Street Inn. ■ Created a welcoming environment for Clinic guests as they arrived for their morning medications. • Assisted Clinic staff by dispensing non-prescription medications and pulled medical records for guests who needed prescription medications. ADDITIONAL SKILLS Newington, CT Feb. 2012 -July 2014 Boston, MA Sept. 2010 -Feb. 2011 ■ Certified CPR Instructor through the American Red Cross • Strong Microsoft Excel skills including proficiency with pivot tables and formulas • Working knowledge of SAS, SPSS, and R Statistical Software ■ Conversational French and beginner Wolof AMANDA BEST SMALLWOOD Phone: 703-963-2897 Email: abest1120@gmail.com LinkedIn Profile: http://www.linkedin.com/in/AmandaGBest EDUCATION Colorado Christian University August 2016 — present Master of Arts, Curriculum and Instruction The Johns Hopkins University, Baltimore, MD Cum Laude graduate, December 2013 B.A. Psychology; minor in Entrepreneurship & Management National University of Ireland, Galway January — May 2013 Selected for participation in small -size cultural immersion classes. Awarded "ALIVE Certificate" — Presidential Award for community service. Competed on varsity volleyball team. Traveled independently to explore family roots in Europe. Financed living and personal expenses while in school through part-time work (approx. 20 hours/week). WORK EXPERIENCE Special Education Teacher, Sierra School of Weld County, Greeley, CO August 2016 — present • Case manager and classroom teacher for six students with significant Autism • Provide instruction for six students in grades 6t11-11`11 using principles of Verbal Behavior • Develop and implement behavioral interventions for students using principles of Applied Behavior Analysis • Differentiate instruction to meet needs of all students • Create lesson plans and individualized education plans • Track goal progress and put interventions in place to ensure success • Frequently communicate with parents, public school service providers, and student advocates Teaching Assistant, Sierra School of Weld County, Greeley, CO October 2015 — August 2016 • Support classroom teacher in implementation of individualized lessons including Discrete Trial Training, Natural Environment Teaching, and social skills lessons Medical Receptionist, Olde Towne Pediatrics, Manassas, VA January 2015 —August 2015 • Responsible for range of administrative tasks including answering phones, scheduling appointments, keeping patient charts up-to-date, and collecting on patient balances. • Awarded increased responsibilities in June 2015 to include assisting in billing and insurance claim tasks. Children & Youth Ministry Coordinator, St Tom in the Hay, Haymarket, VA April 2015 — August 2015 • Responsible for selecting and implementing Children's Ministry curriculum and activities for children 10 and under. • Planned long-term projects for internal growth and evangelism opportunities through the children's programming. • Responsible for recruiting and training all volunteers to staff the Children's Ministry program weekly. • Hired as Children's Ministry Coordinator, given additional responsibilities in July 2015 when Youth Ministry coordination was added to role. Temporary Employee, Temporary Solutions, Inc., Manassas, VA April 2010 — August 2015 • As -needed administrative support for various companies. Responsible for range of tasks depending on assignment. • Received consistently excellent feedback from clients and was frequently requested for future assignments. Clients include: o Northern Virginia and Fairfax County Criminal Justice Academies, Toll Brothers, Birmingham Green Extended Care and Rehabilitation, Finley Asphalt, Kestler Financial, Employment Enterprises, and Appleton Campbell. Traffic Manager, SME Digital, Hampstead, MD February 2014 — November 2014 • Responsible for planning of projects and workload of employees. Assisted Account Managers in client work including status sheets, data collection and analysis, and communications. • Hired as Project Manager; laterally transferred to Traffic Manager in organizational restructuring in October 2014. Study Consultant, JHU Office of Academic Advising, Baltimore, MD August 2012 — December 2013 • Worked one-on-one with students, meeting weekly to diagnose study problems and advise them on necessary steps for improvement. Established goals and designed individualized plans for students to develop their academic skills. • Received merit increase after one semester based on performance. LEADERSHIP ACTIVITIES Adult Volunteer, Reach Mission Trips, Greeley, CO 2005-2015 • Lead a team of 5-8 high school students in a week-long mission of service to low-income communities in the US. • Started as youth camper in 2005, returned each year and was able to volunteer through college, and now lead a team as an adult volunteer. Vice President of Service, Alpha Phi Omega, Johns Hopkins University chapter 2013 • One of 12 students elected to Executive Board to lead chapter for semester. Coordinated chapter -wide community service projects while managing records of all service projects and hours completed by brothers in chapter. • Volunteered 50+ hours per semester, active member since September 2010. Literacy Tutor, Literacy and Learning in the Community, Galway, Ireland Spring 2013 • Participated in a service -learning program that worked on children's literacy in Ireland. • Attended after -school homework clubs and worked with children in groups or individually on their assigned coursework. John C. Passaniti 5563 Spine Road Apt 309 Boulder, CO 80301 • 410-978-4669 • ipassaniti88@gmail.com Educational Experience University of Colorado, Boulder Master of Arts, Special Education University of Baltimore Bachelor of Arts, History • "Honors with Greatest Distinction" • Graduated cum laude (GPA 3.7) Boulder, Colorado December 2016 -present Baltimore, Maryland Aug. 2010- May 2014 Teaching Experience Sierra School of Weld County (Catapult Learning, LLC) Greeley, Colorado Special Education Teacher September 2015 — Present • TEE (Temporary Educator Eligibility) with Colorado Department of Education • Collaborate with related services providers to develop lEPs for students • Specifically tailor lessons and teaching methods on a daily basis to cater to each individual student's abilities and special educational needs • Grade assignments and provide feedback to both students and their parents in order to work as a team to reach academic goals • Manage student behavior and resolve conflicts. High Road School of Anne Arundel County (Catapult Learning, LLC) Millersville, Maryland Social Studies High School Assistant Teacher September 2014 — June 2015 • Generate and implement high school curricula in compliance with federal, state, county and school requirements • Implement Core Curriculum into classroom exercises through SMART board presentations in multiple subjects including World History, U.S. History, and U.S. Government Maintain attendance records of homeroom students which has resulted in an overall improvement in their grades across disciplines • Develop and administer assessments to judge students' competency levels • Specifically tailor lessons and teaching methods on a daily basis to cater to each individual student's abilities and special educational needs such as learning disabilities, autism, and various reading/writing levels • Assist students in completing class assignments • Grade assignments and provide feedback to both students and their parents in order to work as a team to reach academic goals • Ensure students' progress is directed towards daily objectives and expectations • Manage student behavior and resolve conflicts. Mount Royal Elementary School Teacher's Assistant Baltimore, Maryland September 2013 — December 2013 • Assisted lead teacher in conducting increased learning experience for 5`h grade students • Demonstrated ability to communicate to students and parents in a positive manner • Substantial knowledge of child growth/development and behavior characteristics • Carried out supportive and clerical tasks and maintained discipline of students in the absence of the teacher • Coordinated with the Lead Teacher to enhance established classroom concepts. • Prepared and delivered lectures to the class • Initiated health and behavioral interventions Camp Puh'Tok Monkton, Maryland Counselor May 2007 — September 2007 • Taught Native American history and about historical events in the past • Applied effective measures in the case of camper misbehavior • Demonstrated evidence of self -motivation and willingness to be a team player Additional Experience Kerr McDonald LLP Baltimore, Maryland Mail Room Administrator June 2013 — August 2014 • Maintained record of incoming mail ensuring no deadlines missed for the year • Assisted with payroll checking and accounts payable, printing and distribution • Conceptualized and initiated a new filing and archival system which resulted in $5,000 saved by the firm in the first 3 months of implementation • Performed data entry activities as well as scanned and made copies of legal documents Courthouse Copy Service Baltimore, Maryland Office Administrator, Digital Department January 2007 — May 2013 • Gave quotes and met important deadlines given by clients • Ensured all legal documents are organized and well presented • Scheduled and coordinated deliveries with clients • Prepared, processed and filed legal papers, images, and video • Liaison for clients, borrowers, attorneys, and public • Trained new team members Activities and Honors • Experience coaching and playing Tennis, Basketball and Soccer 2004 -Present • Phi Alpha Theta (National History Honor Society) 2011-2013 • Referee for high school level basketball November -March 2012-2014 Special Skills • Extensive social media and computer knowledge • CPR and Lifeguard Certified • Experienced in teaching swim classes May 2014 May -August 2014 EXPERIENCE EMMIE SWIFT EMMIE.SWIFT@CATAPULTLEARNING.COM EMAIL _1808-782-8932 TELEPHONE SKILLS Communication Punctuality Multi -tasking Teachable SIERRA SCHOOL OF WELD COUNTY SPECIAL EDUCATION TEACHER August 2014 -Current -Provide academics to students in grades 7-12`h -Differentiate instruction to meet needs of all students -Create lesson plans and individualized education plans -Track goal progress and put interventions in place to ensure success -Frequently communicate with parents, public school service providers, and student advocates SUBSTITUTE TEACHER FOR HAWAII PUBLIC AND PRIVATE SCHOOLS September 2012 -May 2014 -Taught in classrooms for students grades K -8`h -Long-term substitute taught in two kindergarten classrooms for 3 months at a time -Created lesson plans and tracked -Differentiated instruction -Held parent/teacher conferences EDUCATION BACHELORS DEGREE IN ELEMENTARY EDUCATION/MINOR IN SOCIAL STUDIES Iowa State University 2012 -Student taught at the elementary and middle school level CURRENTLY PURSUING SPECIAL EDUCATION ENDORSEMENT Morningside University -Projected completion date: December 2017 CERTIFICATIONS AND RELATED EXPERIENCE • Current State of Colorado Temporary Special Educator Licensure • Current Handle with Care certification • Big Brothers Big Sisters Colfax, Iowa 2005-2007 • Best Buddies University of Northern Iowa 2008-2010 • Pilot relationship and school building missions trip to Mozambique 2009 • After school program volunteer Hudson, Iowa 2009-2010 • Respite care provider Honolulu, Hawaii 2013-2014 • Private childcare provider Fort Collins, Colorado April 2014 - August 2014 2 Ashley E. Hearing 9551 County Road 11 Longmont, CO 80504 937-776-3640 aehearing@gmail.com SUMMARY I hold my School Social Work License through the state of Colorado. I have 5 years of experience in a school setting working with a diverse population of students addressing social/ emotional/ cognitive/behavioral needs. I have excellent student evaluation skills, and ability to connect student and families to resources within the community. Proven ability to establish rapport and working relationships with students, and recognized by colleagues as working extremely well with any type of student. EDUCATION Eastern Michigan University, Ypsilanti, MI Masters in Social Work -Children and Family Services & School Social Work, August 2010 Licensure: LSSW, School Social Work License through CDE Licensure: Registered Psychotherapist through DORA Eastern Michigan University, Ypsilanti, MI Bachelors Degree in Social Work, April 2009 EXPERIENCE The Sierra School of Weld County, Greeley, Colorado School Social Worker • Provide weekly individual therapy sessions to students. • Provide Social/ Emotional support to students on a daily/weekly basis • Facilitate Social Skills Group 4x week. • Write IEP Goals for IEP's • Attend IEP Meetings • Manage day-to-day operations when Program Director is away. Aug. 2016 -Present Reflections For Youth, Loveland, Colorado Dec. 2014 -August 2016 School Social Worker • School Social Worker for RFY Loveland Day Treatment School. • Provide individual and family therapy on a daily and weekly basis to students and families. • Provide social/ emotional support to students, create and implement treatment plans based on students' goals. • Therapy centered on Nurtured Heart Approach and Dialectical Behavior Therapy. • Facilitated groups within school and group home setting. • Plan and attend staffing's, IEP Meetings. • Administering BASC to students who are up for IEP Revaluations. Thompson School District, Loveland, Colorado April 2012 -Nov. 2014 Special Education Paraprofessional & Academic Facilitator • Special Education paraprofessional as well as an Academic Facilitator. I work with students who have emotional and behavioral disabilities as well as work with students who have failed previous classes and are required to take those classes online. • Interact with students in and outside of classroom providing emotional/behavioral support. I utilize narrative therapy, dialectical behavioral therapy. • Working with a variety of teachers to help identify and implement strategies to work with these students. I am responsible for Individual Education Plan Notifications, testing such as BASC, WOODCOCK Johnson, and documentation of student progress in areas of academic difficulty. • Facilitating large and small group discussions with students addressing emotional/social behaviors. Cherry Creek School District -Joliet Learning Center, Aurora, Colorado Oct. 2011- June 2012 Special Education Paraprofessional • Special Education Paraprofessional worked with a variety of Special Education students, but mainly students on the Autism Spectrum Scale. • Interacted with students in and outside of the classroom providing emotional/social/ behavioral support. • Worked closely with teachers and mental health staff to help identify and implement strategies to work with students. • Facilitated small groups with School Social Worker. Northern —Allen Park Schools, Melvindale, Michigan Sept 2009 -May 2010 School Social Work Intern • Worked in conjunction with the School Social Worker at the high school and middle school. I carried a caseload of 10 Special Education students, and 5 504 Plan students. • Met with individual students on a weekly basis to discuss academic, personal, and home situations. • Planned/facilitated student support groups centered on bullying, crisis intervention, self-esteem and goal setting. • Wrote and presented IEP's and 504 Plans to our mental health team. Documentation, Evaluations, and Medicaid reporting was done on a weekly and monthly basis. • Performed testing such as CONNORS and BASC on students. Alternatives for Girls, Detroit, Michigan Sept. 2008- April 2010 Prevention Team Intern • Worked in conjunction with Prevention Team leaders that served at risk girls' ages 4-20 that were at risk for teen pregnancy, school truancy and gang involvement. • Facilitated after school tutoring. Assisted in teaching arts and crafts and special events on Saturdays for our participants. • Evening lessons were focused around teaching life skills, self-esteem, job -training, substance abuse and healthy relationships. • Worked as an Intake Specialist assisting walk-in clients with personal needs as well as connecting them with community resources. SKILLS • Proficient in testing procedures and implementations with the BASC, CONNORS, WOODCOCK -JOHNSON. • Peer mediation, group planning and facilitation. • Linking clients to community resources. • Department organization and organizational skills. • Interpretation of behavior assessments and incoming of new client documentation. TRAININGS • Dialectical Behavior Therapy Training • Play Therapy Training • Motivational Interviewing Training • Informed Supervision Training • QMAP • Trauma Focused CBT Training • CPI Training • Self -Regulation Training • Handle with Care PROFESSIONAL AFFILIATION • National Association of Social Workers, 2008 -Present EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Day Treatment Services to students with emotional disabilities and students on the autism spectrum in grades 6-12, as referred by the Department. Students with emotional disabilities and students on the autism spectrum will receive services in separate classrooms set up specifically for their needs. 2. All services occur at 2040 Clubhouse Drive, Greeley, Colorado 80634. 3. All students referred to Contractor will receive educational services based on their Individual Education Plan (IEP). Contractor currently only serves students with special education needs. Contractor's certified special education teachers and program director compose, implement, and track all students IEPs. 4. Model for Students with Emotional Disabilities. Each student shall: • Receive individual or dyad -based "tutorial" sessions in English/Language Arts, Math, and Reading based upon their skill level, as well as their individual learning pace and style. • Receive a minimum of three (3) sessions daily with the student, teacher and/or teaching assistant to provide direct instruction, review material, reinforce skill development, and prepare for an exhibition, test or mastery -of -material assessment. • Rotate through independent work, teacher -directed tutorials, technology -based activities and small group reinforcement sessions. • Receive curriculum aligned with the Common Core Standards. • Receive Individual and/or group counseling will be provided as prescribed by the student's IEP. 5. Model for Students with Autism. Each student shall participate in: • Discrete Trial Training (DTT): An intensive 1:1 where students are engaged in trails of demands which focus on expanding the repertoire of language development. • Social Skills Lab: A small group opportunity for social skills application utilizing an interactive activity that requires them to use greetings, requesting, and sharing skills in order to complete the activity. • Independent Play and Leisure: An independent station that allows students to engage in an age - appropriate item for a set duration of time to increase their ability to learn a variety of functionalities and maintain independence. • Natural Environment Teaching (NET): A small group setting in which students have an opportunity to practice their greetings, requesting, sharing, play, and leisure skills to use in a less contrived setting. • Activity Schedules: An activity that requires students to independently complete visual performance and fine motor tasks when guided by a visual schedule in order to prepare students for an academic or workplace setting. • Life Skills: An individualized plan of skills that focuses on everyday functional activities to increase successful home and community generalization. • Motor Lab: A sequence of progressive skills, which increase fine and gross motor abilities. 6. Services shall include: • Development, implementation and tracking of Individualized Education Plan (IEP). • Personalized, tutorial -based target and interactive instructional approaches to meet all student IEP goals provided by one certified teacher and an instructional aide per classroom. 1 • Classroom utilization of technology to supplement teacher -guided instruction. Classroom desktop computers are equipped with word recognition and speech -to -text software, and AlphaSmart keyboards. iPads and large screen calculators are provided as necessary. • An intensive behavior modification system designed to minimize classroom disruptions and maximize learning is implemented, supported by positive reinforcement techniques and student incentives. • Social skills' training is infused throughout the school day, to teach students the aptitudes and self-confidence needed to function well interpersonally and intrapersonally. • A flexible curriculum, focused on holistically educating challenging students while conforming to the home district's unique curriculum and instruction standards, is utilized. • Renaissance Learning STAR Assessments are used to both monitor progress and inform daily instruction. • An expansive array of transition services are provided, including the use of a Transition Planning Inventory; training in financial independence/management and the use of transportation resources; the develop of good work habits; community involvement for the purposes of career readiness, exposure to occupations/industries, and volunteer activities; and exploration of and preparation for postsecondary educational opportunities. • End -of -year outcomes measurements relating to pre- and post -text academic achievement, attendance, behavioral level summary, standardized test scores, and positive trends working toward LRE and IEP progress are provided to referral entity. 7. Goals for students: • To acquire academic skills in reading and writing • To acquire skills in obtaining and managing information, solving problems, thinking critically, and communicating effectively • To acquire specific information concerning the principles of the physical and biological sciences • To understand specific events and the broader context of social studies, the historical record of human achievements and failures, and current social issues • To become an effective and responsible contributor to the political decision -making processes of the community, state, country, and world • To play a greater role in his/her educational environment • To acquire an awareness of career opportunities and to acquire knowledge necessary for further education • To acquire an understanding of and the ability to form responsible relationships with a wide range of people • To acquire the capacities for playing satisfying and responsible roles in family life • To acquire the knowledge, habits, and attitudes that promote personal and public health, both physical and mental • To acquire the ability and the desire to express himself/herself creatively in one or more of the arts, as well as in other educational disciplines, and to appreciate the creative expressions of other people • To acquire an understanding of ethical principles and values and the ability to apply them to his/her own life • To develop an understanding of his/her own worth, abilities, potential, and limitations • To enjoy the process of learning and to acquire skills necessary for a lifetime of continuous learning and adaptation to change 2 8. Contractor strongly encourages parental involvement in the learning process and will instruct parents on behavioral and academic protocols that may be used at home. Contractor will regularly monitor relationships and dynamics in each family to provide the most comprehensive counseling services. 9. Contractor does not have bilingual capacity. 10. Contractor is sensitive to family ethnicity, culture, values and beliefs. 11. Contractor does not bill Medicaid. 12. Contractor will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 13. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 14. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 15. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 16. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 17. Contractor understands that the Department will not reimburse Contractor for "no shows" after two (2) consecutive "no shows". It is the responsibility of the Contractor to communicate "no shows" to the Department in a timely manner to determine continuation of services. 18. Contractor understands that the Department does not reimburse for cancelled appointments, either on the part of the client or the Contractor. 19. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. Services are inclusive of attendance and contractor may appear by phone. 3 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 in Trails after May 31, 2018. 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 $72.00/Day (Day Treatment —Therapeutic Costs Only) Educational and Transportation Services are the responsibility of the student's district of residence. Contractor will bill the student's district of residence directly for Educational Services. 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 Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th 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. 1 b. 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. COLORADO SCHOOL DISTRICTS SELF INSURANCE POOL CERTIFICATE OF COVERAGE 07/01/2017 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 POLICY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER, AUTHORIZED REPRESENTATIVE THE CERTIFICATE HOLDER. MEMBER: CENTENNIAL BOCES ATTN: Shana Garcia ADDRESS: 2020 CLUBHOUSE DRIVE CITY, STATE ZIP: GREELEY, CO 80634 POUCY NUMBER: 0705-17-00132 POLICY PERIOD: 07/01/2017 to 07/01/2018 Colorado School Districts Self Insurance Pool, 6857 South Spruce St. Centennial, Colorado 80112 (303) 722-2600 (303) 722-7888 Fax THIS IS TO CERTIFY THAT THE POLICY OF COVERAGE LISTED BELOW HAS BEEN ISSUED TO THE MEMBER 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 COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, DEFINITIONS AND CONDITIONS OF SAID POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE LIMITS/DEDUCTIBLES SCHOOL ENTITY LIABILITY Occurrence Form EACH OCCURRENCE, SCHOOL LEADERS WRONGFUL ACT & EMPLOYMENT WRONGFUL ACT ANNUAL AGGREGATE LIMIT MEDICAL EXPENSE (PER PERSON/PER ACCIDENT) $2,000,000 $5,000,000 $1,000/$10,000 SCHOOL AUTO Any Auto, Hired and Non -Owned Medical Payments Auto Physical Damage Coverage LIMIT PER ACCIDENT LIMIT PER ACCIDENT/PER PERSON AUTO PHYSICAL DAMAGE DEDUCTIBLE $2,000,000 $5,000 $500 PROPERTY Special Form BUILDING/BUSINESS PERSONAL PROPERTY LIMIT DEDUCTIBLE PROPERTY DAMAGE TO PREMISES RENTED TO YOU $9,310,140 51,000 $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate Holder has been included as an Additional Insured on the Member's School Entity Liability Coverage for "bodily injury", "personal injury" or "property damage" caused by the Member's negligence If required by written contract or agreement subject to the policy terms and conditions with respect to Day Treatment Services. CERTIFICATE HOLDER: Attn: Tobe Vegter Email: vegterta©weldgov.com Weld County Department of Human Services 315 Department of Child Welfare North 11th Ave Greeley, CO 80631 Greeley, CANCELLATION: SHOULD THE ABOVE DESCRIBED POUCY BE CANCELLED BEFORE THE EXPIRATION DATE, WE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE -:) .• �� 4 Hello