HomeMy WebLinkAbout20181192.tiffRESOLUTION
RE: APPROVE AGREEMENT FOR PROFESSIONAL SERVICES FOR CLIENT -SPECIFIC
DOMESTIC VIOLENCE TREATMENT AND AUTHORIZE CHAIR TO SIGN - A
TURNING POINT OF COLORADO SPRINGS, INC.
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Agreement for Professional Services
for Client -Specific Domestic Violence Treatment between the County of Weld, State of Colorado,
by and through the Board of County Commissioners of Weld County, on behalf of the Department
of Human Services, and A Turning Point of Colorado Springs, Inc., commencing March 1, 2018,
and ending December 31, 2018, with further terms and conditions being as stated in said
agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Agreement for Professional Services for Client -Specific Domestic
Violence Treatment between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Department of Human Services, and A
Turning Point of Colorado Springs, Inc., be and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 18th day of April, A.D., 2018, nunc pro tunc March 1, 2018.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dj„Qrk%) .,l�p.�� EXCUSED
St ve Moreno, Chair
Weld County Clerk to the Board
BY:
Deputy Clerk to the
APPR
ount ttomey
Mike Freeman
Date of signature: OS -g2 /8
arbara Kirkmeye?, Pro-Tem
Sean P. Conway
EXCUSED
Julie A. Cozad
riftA.P4.1 e.0
c -c : HSD
O5-23-tg
2018-1192
HR0089
/orcc*d ID4i 17a.1
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: March 13, 2018
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Agreement for Professional Services with A Turning Point of
Colorado Springs, Inc.
Please review and indicate if you would like a work session prior to placing this item on the Board's agenda.
Request Board Approval of the Departments' Agreement for Professional Services with A Turning Point
of Colorado Springs, Inc. This case specific agreement is for court -ordered domestic violence treatment
services. The major provisions of the Agreement are as follows:
No.
Term
Service/Funding
Rate
1
March 1 -December 31, 2018
Domestic Violence
Treatment
CW Admin
$35.77/Episode (Domestic Violence Group,
1.5 Hours/Episode)
$22.35/Episode (In -person Staffing, 15
Minutes/Episode)
$17.87/Episode (Phone Staffing, 15
Minutes/Episode)
I do not recommend a Work Session. I recommend approval of this Agreement.
Approve Schedule
Recommendation Work Session
Sean P. Conway
Julie A. Cozad
Mike Freeman r4
Barbara Kirkmeyer, Pro-Tem Y..
Steve Moreno, Chair
Other/Comments:
Pass -Around Memorandum; March 13, 2018 — CMS 1721
2018-1192
HRoo��'
WELD COUNTY AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN WELD COUNTY & A TURNING POINT OF COLORADO SPRINGS, INC.
(DOMESTIC VIOLENCE TREATMENT - CLIENT SPECIFIC
THIS AGREEMENT is made and entered into this 1 ' ' day of «pr'., 2018, by and
between the County of Weld, a body corporate and politic of the State of Colorado, by and through
its Board of County Commissioners, whose address is 1150 "O" Street, Greeley, Colorado 80631
hereinafter referred to as "County," and A Turning Point of Colorado Springs, Inc., a
corporation, who whose address is 5460 North Union Boulevard, Colorado Springs, CO
80918, hereinafter referred to as "Contractor".
WHEREAS, County desires to retain Contract Professional as an independent Contract
Professional to perform services as more particularly set forth below; and
WHEREAS, Contract Professional has the ability, qualifications, and time available to
timely perform the services, and is willing to perform the services according to the terms of this
Agreement.
WHEREAS, Contract Professional is authorized to do business in the State of Colorado
and has the time, skill, expertise, and experience necessary to provide the services as set forth
below;
NOW, THEREFORE, in consideration of the mutual promises and covenants contained
herein, the parties hereto agree as follows:
1. Introduction. The terms of this Agreement are contained in the terms recited in this document
and in Exhibits A, B and C, which forms an integral part of this Agreement. Exhibits A, B, and C
are specifically incorporated herein by this reference.
2. Service or Work. Contractor agrees to procure the materials, equipment and/or products
necessary for the Project and agrees to diligently provide all services, labor, personnel and
materials necessary to perform and complete the Project described in Exhibit B.
3. Term. The term of this Agreement begins March 1, 2018, and shall continue through and until
December 31, 2018.
4. Termination. County has the right to terminate this Agreement, with or without cause on thirty
(30) days written notice. Furthermore, this Agreement may be terminated at any time without
notice upon a material breach of the terms of the Agreement.
5. Extension or Modification. Any amendments or modifications to this agreement shall be in
writing signed by both parties. No additional services or work performed by Contractor shall be
the basis for additional compensation unless and until Contractor has obtained written
authorization and acknowledgement by County for such additional services.
ozoif- //�,2-
6. Compensation/Contract Amount. Upon Contractor's successful completion of the Project,
and County's acceptance of the same, County agrees to pay an amount no greater than
$$35.77/Hour (Domestic Violence Group, 1.5 Hours/Group)/$22.35/Episode (In -Person Staffing,
15 Minutes/Episode)/$17.87/Episode (Phone Staffing, 15 Minutes/Episode), which is the amount
set forth in Exhibit C. County will not withhold any taxes from monies paid to the Contractor
hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment
of any taxes related to payments made pursuant to the terms of this Agreement.
7. Independent Contractor. Contractor agrees that it is an independent Contractor and that
Contractor's officers, agents or employees will not become employees of County, nor entitled to
any employee benefits from County as a result of the execution of this Agreement. Contractor shall
perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible
for its acts and those of its agents and employees for all acts performed pursuant to this Agreement.
Contractor, its employees and agents are not entitled to unemployment insurance or workers'
compensation benefits through County and County shall not pay for or otherwise provide such
coverage for Contractor or any of its agents or employees.
8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in
reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into
any subcontractor agreements for the completion of this Project without County's prior written
consent, which may be withheld in County's sole discretion.
9. Ownership. All work and information obtained by Contractor under this Agreement or
individual work order shall become or remain (as applicable), the property of County.
10. Confidentiality. Contractor agrees to keep confidential all of County's confidential
information. Contractor agrees not to sell, assign, distribute, or disclose any such confidential
information to any other person or entity without seeking written permission from the County.
Contractor agrees to advise its employees, agents, and consultants, of the confidential and
proprietary nature of this confidential information and of the restrictions imposed by this
agreement.
11. Warranty_ Contractor warrants that the services performed under this Agreement will be
performed in a manner consistent with the standards governing such services and the provisions
of this Agreement. Contractor further represents and warrants that all services shall be performed
by qualified personnel in a professional and workmanlike manner, consistent with industry
standards, and that all services will conform to applicable specifications.
12. Acceptance of Services Not a Waiver. In no event shall any action by County hereunder
constitute or be construed to be a waiver by County of any breach of this Agreement or default
which may then exist on the part of Contractor. Acceptance by the County of, or payment for, the
services completed under this Agreement shall not be construed as a waiver of any of the County's
rights under this Agreement or under the law generally.
13. Insurance and Indemnification. Contractor shall procure at least the minimum amount of
automobile liability insurance required by the State of Colorado for the use of any personal vehicle.
Proof of said automobile liability insurance shall be provided to County prior to the performance
of any services under this Agreement. Professional Liability (Errors and Omissions Liability)
The policy shall cover professional misconduct or lack of ordinary skill for those positions defined
in the Scope of Services of this contract. Contract Professional shall maintain limits for all claims
covering wrongful acts, errors and/or omissions, including design errors, if applicable, for damage
sustained by reason of or in the course of operations under this Contract resulting from professional
services. In the event that the professional liability insurance required by this Contract is written
on a claims -made basis, Contract Professional warrants that any retroactive date under the policy
shall precede the effective date of this Contract; and that either continuous coverage will be
maintained or an extended discovery period will be exercised for a period of two (2) years
beginning at the time work under this Contract is completed.
Minimum Limits:
Per Loss
Aggregate
$ 1,000,000
$ 2,000,000
14. Indemnity. The Contractor shall defend, indemnify and hold harmless County, its officers,
agents, and employees, from and against injury, loss damage, liability, suits, actions, or claims of
any type or character arising out of the work done in fulfillment of the terms of this Contract or on
account of any act, claim or amount arising or recovered under workers' compensation law or
arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, law
or court decree.
15. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein
or claim thereunder, without the prior written approval of County.
16. Interruptions. Neither party to this Agreement shall be liable to the other for delays in
delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where
such failure is due to any cause beyond its reasonable control, including but not limited to Acts of
God, fires, strikes, war, flood, earthquakes or Governmental actions.
17. Compliance with Law. Contractor 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.
18. Non -Exclusive Agreement. This Agreement is nonexclusive and County may engage or use
other Contractors or persons to perform services of the same or similar nature.
19. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto
and incorporated herein, contains the entire agreement between the parties with respect to the
subject matter contained in this Agreement. This instrument supersedes all prior negotiations,
representations, and understandings or agreements with respect to the subject matter contained in
this Agreement. This Agreement may be changed or supplemented only by a written instrument
signed by both parties.
20. Fund Availability. Financial obligations of the County payable after the current fiscal year
are contingent upon funds for that purpose being appropriated, budgeted and otherwise made
available. Execution of this Agreement by County does not create an obligation on the part of
County to expend funds not otherwise appropriated in each succeeding year.
21. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-
50-507. The signatories to this Agreement state 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.
22. 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.
23. Governmental Immunity. No term or condition of this contract shall be construed or
interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections
or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as
applicable now or hereafter amended.
24. No Third -Party Beneficiary. It is expressly understood and agreed that the enforcement of
the terms and conditions of this Agreement, and all rights of action relating to such enforcement,
shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or
allow any claim or right of action whatsoever by any other person not included in this Agreement.
It is the express intention of the undersigned parties that any entity other than the undersigned
parties receiving services or benefits under this Agreement shall be an incidental beneficiary only.
25. Board of County Commissioners of Weld County Approval. This Agreement shall not
be valid until it has been approved by the Board of County Commissioners of Weld County,
Colorado or its designee.
26. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant
thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any
provision included or incorporated herein by reference which conflicts with said laws, rules and/or
regulations shall be null and void. In the event of a legal dispute between the parties, Contractor
agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute.
27. Public Employment Retirement Program. Contractor is responsible for notifying Weld
County of any previous participation in the Colorado Public Employee Retirement Program.
Contractor must notify Weld county of the most recent employment for a PERA contributing
employer.
28. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees
that it does not knowingly employ or contract with an illegal alien who will perform work under
this contract. Contractor will confirm the employment eligibility of all employees who are newly
hired for employment in the United States to perform work under this Agreement, through
participation in the E -Verify program or the State of Colorado program established pursuant to
C.R.S. §8-17.5-102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien
to perform work under this Agreement or enter into a contract with a subcontractor that fails to
certify with Contractor that the subcontractor shall not knowingly employ or contract with an
illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or
State of Colorado program procedures to undertake pre -employment screening or job applicants
while this Agreement is being performed. If Contractor obtains actual knowledge that a
subcontractor performing work under the public contract for services knowingly employs or
contracts with an illegal alien Contractor shall notify the subcontractor and County within three
(3) days that Contractor has actual knowledge that a subcontractor is employing or contracting
with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing
or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not
terminate the contract if within three days the subcontractor provides information to establish that
the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall
comply with reasonable requests made in the course of an investigation, undertaken pursuant to
C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor
participates in the State of Colorado program, Contractor shall, within twenty days after hiring a
new employee to perform work under the contract, affirm that Contractor has examined the legal
work status of such employee, retained file copies of the documents, and not altered or falsified
the identification documents for such employees. Contractor shall deliver to County, a written
notarized affirmation that it has examined the legal work status of such employee, and shall comply
with all of the other requirements of the State of Colorado program. If Contractor fails to comply
with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate
this Agreement for breach, and if so terminated, Contractor shall be liable for actual and
consequential damages.
Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if
Contractor receives federal or state funds under the contract, Contractor must confirm that any
individual natural person eighteen (18) years of age or older is lawfully present in the United States
pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under
the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty
of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United
States pursuant to federal law, (b) shall produce one of the forms of identification required by
C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by
C.R.S. § 24-76.5-103 prior to the effective date of the contract.
29. Acknowledgment. County and Contractor acknowledge that each has read this
Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this
Agreement, with the attached Exhibits A, B and C, is the complete and exclusive statement of
agreement between the parties and supersedes all proposals or prior agreements, oral or written,
and any other communications between the parties relating to the subject matter of this Agreement.
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the
day, month, and year first above written.
COUNTY:
ATTEST:
BOARD OF COUNTY COMMISSIONERS
Weld 'o i ,Clerk to the Bo d WELD COUNTY, CO ORADO
By:
Deputy Cl:s' tot T:o. ��: �:arbara Kirkmey r, Chair ro-Tem
APR 18 2018
A Turning Point of Colorado Springs, Inc.
5160 North Union Boulevard
Colorado Springs, CO 80918j
(719) 550-1011
By:
Kathye Pebley, Owner/Clinica
Y
Supervisor
Date: 3/%A
O20/ 6?, //
EXHIBIT A
CONTRACTOR'S INFORMATION
CONTRACT MANAGEMENT
SCOPE OF SERVICES CONTENT CHECKLIST
❑ Name of service or service type Domestic violence offender treatment
❑ Applicable modalities, curriculum or tools utilized Various curriculum utilized aimed at behavior modification and the
mastering of core competencies.
❑ Anticipated frequency of service (ex. 4 hours/week) Frequency of service is one and a half hours per week.
❑ Anticipated duration of service (ex. 3-4 months) Duration of service is typically 24 to 36 weeks depending on the progress of the
individual, as well as treatment plan reviews and input from all applicable sources
❑ Goals of service The ability to master core competencies and to take accountability for their actions while developing an acceptable
personal change plan.
❑ Anticipated outcomes of serViCeNoted changes in attitude as well as beliefs around violence and the use of force to resolve issues, as well as
an understanding of the dynamics of power and control, as well as the effects of violence on children.
❑ Target population including:
o Age range 18-70
o Gender all genders -separated by specific genders into specific groups
o Specific characteristics or needs, if applicable
❑ Location where service will be provided. If office -based, vendor should provide address and include all
location if multiple sites exist. If provided outside the office, vendor should note home -based and/or
community -based, and geographical area(s) vendor is willing to travel to. Office: either 1221 Lake plaza Drive Suite A C/S CO
80906 or 5160 N. Union Blvd. C/S CO 80918
❑ Bilingual capacity and available language. If submitting to provide bilingual services, a vendor must
demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department
of State, and as noted below. Spanish Provider -Jesus Garcia
o Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels
pertinent to professional needs
o Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and
reading).
❑ Medicaid eligibility. If only a portion of the service is billable to Medicaid, please note the specific portion.
Vendor should note that all Medicaid -eligible services will be required to be billed to Medicaid first before
other funding sources are accessed. Medicaid for substance abuse services if the client is deemed eligable following agency screening
❑ Ability to transport clients to and from services, and specific transportation range/radius.
❑ All applicable rates for provision of the service, including fee for service, staffing, mileage, or other applicable
costs. Rates must be an exact amount and must include the unit if cost (i.e., hour, day, month, episode).
Approximate rates or a range of rates for a service will not be accepted.
❑ List of applicable staff and/or contractors who will manage and/or administer the service(s). The list must
include the following information for each person: See attached roster
o Full name, work phone number and work email address.
o Current Education Level and Degree Focus (ex. MA, Psychology). Resumes and/or Curriculum Vitae
should not be submitted with the proposal, but may be requested later if vendor is awarded a
contract.
o Current Licensure and/or Credentialing, including applicable number.
o Current Supervisor, including supervisor's full name, phone number and email address.
Weld County Department of Human Services
CTD: 01/26/18, tav
From: Doug Hainlev
To: Tobi Vegter
Subject: FW: New email
Date: Friday, March 2, 2018 12:56:29 PM
Attachments: jmage001.pnq
jmage005.pnq
Hi Tobi,
Below is the rate information regarding scopes of service for A Turning Point for DV treatment.
Thank you.
Doug 3-tainley
Family Engagement Supervisor
Weld County Department of 3-uman Services
822 7th St. Ste. 15o reeCey, CO 80632
970-400-6210
State ChiCd Abuse 3fotline 1-844-CO-43Cids (1-844-264-5437)
Vision:
The people of Weld County are connected to the resources needed to thrive in the
community and feel safe and empowered.
Mission:
Engaging and partnering with the community to improve the safety, health and well-
being of individuals and families through the delivery of responsive and collaborative
services.
Confidentiality Notice: This electronic transmission and any attached documents or other writings
are intended only for the person or entity to which it is addressed and may contain information that
is privileged, confidential or otherwise protected from disclosure. If you have received this
communication in error, please immediately notify sender by return e-mail and destroy the
communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is
strictly prohibited.
From: jennifer@aturningpointcs.org[mailto:jennifer@aturningpointcs.org]
Sent: Friday, March 2, 2018 12:55 PM
To: Doug Hainley <Hainlejd@weldgov.com>
Subject: FW: New email
Jennifer Cherok
A Turning Point Of Colorado Springs INC.
5160 N Union Blvd, Colorado Springs, CO 80918
(719) 550-1011
Confidentiality Statement: This email message and any attachments from A Turning Point of Colorado
Springs, are confidential and intended solely for the use of the individual or entity to which it is addressed.
The information contained herein may include protected or otherwise privileged information. Unauthorized
review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may
be unlawful. If you have received this message in error, please notify the sender by replying to this message,
and delete the email without disclosure. Thank you.
From: jenniferPaturningpointcs.org<jenniferPaturningpointcs.org>
Sent: Tuesday, January 23, 2018 12:17 PM
To: 'Doug Hainley'.<HainlejdCaweldgov.com>
Subject: RE: New email
These are the 4 therapists we have that do DV groups,
Kathye Pebley MA, LPC, CAC III
Jesus Garcia BS, CAC III
Jack Logie MA, CACIII
Carrie Watson MA, LPC, CAC II
They are all certified under the DVOMB
Our Legal entity name: A Turning Point of Colorado Springs Inc
Taxpayer Identification 84-1309228
Address: 5160 N. Union Blvd. C/S CO. 80918
AND
1221 Lake Plaza Dr. C/S CO. 80906
Contract Representative is Kathye Pebley- changesmadePearthlink.net 719-550-1011
She is the owner, clinical supervisor.
She would be the person reviewing the agreement.
DV groups are held once a week
The classes are 1 1/2 hour
DV class cost are 35.77 an hour
Staffing cost 22.35 per 15 minutes in person
17.87 per 15 minutes over the phone
Client gets to choose which office is best for them. If they live closer to the south office then they
can attend there. And if the North is better then they choose a group at the North office.
They will attend this class every week.
There is no set amount of groups. It could be 30-40 weeks more or less.
I think I have everything you requested. If not please let me know what I have missed.
I hope this helps,
Jennifer Cherok
A Turning Point Of Colorado Springs INC.
5160 N Union Blvd, Colorado Springs, CO 80918
(719) 550-1011
Confidentiality Statement: This email message and any attachments from A Turning Point of Colorado
Springs, are confidential and intended solely for the use of the individual or entity to which it is addressed.
The information contained herein may include protected or otherwise privileged information. Unauthorized
review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may
be unlawful. If you have received this message in error, please notify the sender by replying to this message,
and delete the email without disclosure. Thank you.
From: Doug Hainley [mailto:Hainlejd(aweldgov.com]
Sent: Monday, January 22, 2018 4:07 PM
To: jenniferPaturningpointcs.org
Subject: RE: New email
Hi Jennifer,
Below is the needed information, if you have any question please do not hesitate to ask.
Here's the needed information for a contract again...
• Legal entity name (as they would list themselves on a W-9)
• Legal entity address
• Contract representative name, title, address, email and phone number (this should be the
person that DHS can agreement in the future for contract information)
• Signature authority name, title, address, email and phone number (this should be the person
that will sign the agreement)
• Scope of service that outlines the service(s) to be provided in detail and includes the
following:
• Speciic description of service(s) to be provided
o Location where services will occur (physical address)
o Expected frequency of each service (if applicable)
o Specific goals and outcomes of service(s)
• Staff - Who will provide the services? Provide full name, credentials including DORA if
applicable, and supervisor information
• Rate/Unit Schedule
o All rates applicable to the provision of the service (including any charges for staffing,
etc.)
o What is the unit (hourly, monthly, episode, etc.)
Thank you.
Doug 3-laintey
Family Engagement Supervisor
-Weld County Department of 3-uman Services
822 7th St. Ste. 15o Greeley, CO 80632
970-400-6210
State Child Abuse 3Cotline 1-844-CO-4Xids (1-844-264-5437)
•
Confidentiality Notice: This electronic transmission and any attached documents or other writings
are intended only for the person or entity to which it is addressed and may contain information that
is privileged, confidential or otherwise protected from disclosure. If you have received this
communication in error, please immediately notify sender by return e-mail and destroy the
communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is
strictly prohibited.
From: jenniferPaturninRpointcs.org[mailto:jenniferPaturningpointcs.org]
Sent: Monday, January 22, 2018 3:24 PM
To: Doug Hainley <HainlejdPweldgov.com>
Subject: New email
Here I am with my new email.
Jennifer Cherok
A Turning Point Of Colorado Springs INC.
5160 N Union Blvd, Colorado Springs, CO 80918
(719) 550-1011
Confidentiality Statement: This email message and any attachments from A Turning Point of Colorado
Springs, are confidential and intended solely for the use of the individual or entity to which it is addressed.
The information contained herein may include protected or otherwise privileged information. Unauthorized
review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may
be unlawful. If you have received this message in error, please notify the sender by replying to this message,
and delete the email without disclosure. Thank you.
I'OINTEEE
Staff Roster Information -2017
Organization Name: A Turning Point of Colorado Springs INC.
Staff Name
Job Title
Degree
Licensure Discipline and
Number (if applicable)
Employment
Status**
1. Beyak, Mathew
Counselor
MA
NLC.0106234
F/T
2. Brady, James
Counselor
BA
ADVP
P/T
3. Brady, Tim
Counselor
BA
ADVP
P/T
4. Bustamante, Frank
Reception
F/T
5. Cherok, Jennifer
Billing
F/T
6. Coleman, Margo
Counselor
MA
CAC III ACC.0004112
P/T
7. Eronilde, Shores
Intern
ACD.0000874
P/T
8. Garcia, Jesus
Counselor
BS
CAC III 5247; ADVP
F/T
9. Haynes, Christopher
Reception
F/T
10. Hoffman, Lisa
Counselor
MA
ACB.0008032
F/T
11. Jones, Shelley
Counselor
BA
ACC.0005890
P/T
12. Lechuga, Lose
Counselor
NLC.0106303
P/T
13. Lenzini, Neesha
Counselor
NLC.0104786
F/T
14. Logie, Jack
Counselor
MA
ACC.0005341
F/T
15. Manthei, Jean
Counselor
MA
CACIII 4104, LPC 2381
FIT
16. Manus, Tom
Counselor
BA
ACC.0020859
F/T
17. Sullivan, Daniel
Intake
P/T
18. Paulsen, Ahlene
Office Manager
F/T
19. Paxton, Cherll
Counselor
MA
NLC.0013419
P/T
20. Pebley, Kathye
Director
MA
CACIII 2780; ADVP; LPC
5833
F/T
** Please designate: F/T = Full Time, P/T= Part Time, I/S=Independent subcontractor
AsPER
FOINTE
21. Pebley, Lorren
Office Manager
F/T
22. Pierce, Jennifer
Counselor
NLC.0104909
F/T
23. Sanders, Caroll
Counselor
MA
CAC II # ACB-7217
F/T
24. Schwiem, Laurie
Counselor
MA
ACB.0006933
F/T
25. Scott, Victoria
Reception
F/T
26. Torres, Rafael
Counselor
ACC.0007305
F/T
27. Watson, Carrie
Counselor
MA
NLC 104019, ADVP
P/T
28. Henderson, Luther
Counselor
BA
CAC III #ACC.0004741
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
** Please designate: F/T = Full Time, P/T= Part Time, I/S=Independent subcontractor
EXHIBIT B
SCOPE OF SERVICES
1. Contractor will provide Domestic Violence Offender Treatment to client R.V. (Trails
Case ID 1634775), as referred by the Department.
2. Services will be provided at 1221 Lake Plaza Drive, Suite A, or 5160 North Union
Boulevard, in Colorado Springs, Colorado.
3. Contractor utilizes various curriculum aimed at behavior modification and the mastering
of core competencies as outline by the Domestic Violence Offender Management Board
(DVOMB).
4. Contractor will provide 1.5 hours of gender -specific group per week for 24-36 weeks.
Duration of services is dependent upon the individual client as well as treatment plan
reviews and input from applicable sources.
5. Goal of Service: Client will master core competencies and take accountability for their
actions while developing an acceptable personal change plan.
6. Anticipated Outcomes of Service:
a. Noted changes in attitude
b. Noted changes in beliefs around violence and the use of force to resolve issues
c. Understanding of the dynamics of power and control
d. Understanding of the impact of domestic violence on children
7. Contractor does have bilingual capacity (Spanish).
8. 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 immediately.
9. Contractor will document in detail 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.
10. 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.
11. Contractor understands that the Department will not reimburse Contractor for "no
shows" or cancelled appointments, either on the part of the client or the
Contractor.
12. 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. The Department will reimburse
for actual participation in the meeting only so long as the meeting is at least one
hour in length, the Contractor obtains the Facilitator's signature on the Client
Verification Form at the time of the meeting and participation in the meeting is
deemed appropriate and necessary by the Department. Staffings and/or meetings
other than those listed above are not considered reimbursable unless otherwise
approved by the Child Welfare Contract and Services Coordinator.
EXHIBIT C
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 June 30, 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
$35.77/Episode (Domestic Violence Group, 1.5 Hours/Episode)
$22.35/Episode (In -person Staffing, 15 Minutes/Episode)
$17.87/Episode (Phone Staffing, 15 Minutes/Episode)
Contractor may not attempt to collect co -pays and/or fees for services for which a
Department client is responsible, but which a particular client refuses or fails to pay.
Contractor will collect any applicable sliding scale co -pays and credit the Department for
any payment received on the monthly billing.
3. Submittal of Vouchers
Contractor shall prepare and submit monthly an itemized voucher, and signed monthly
report if applicable, certifying that services authorized were provided on the date(s)
indicated and the charges made were pursuant to the terms and conditions of Exhibit B.
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.
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.
CERTIFICATE OF INSURANCE
SHELTER MUTUAL INSURANCE COMPANY
A MUTUAL COMPANY
SHELTER GENERAL INSURANCE COMPANY
A STOCK COMPANY
Name & Address To Whom Issued: Name & Address of the Named Insured:
County of Weld
11500 St
Greeley. CO 80631
A Turning Point of Colorado Springs Inc.
5160 N Union Blvd
Colorado Springs. CO 80018-2033
This Certificate of Insurance neither affirmatively nor negatively amends, alters or extends the coverage afforded by the policy(s) listed. The
Certificate is issued for informational purposes only and confers no rights to the certificate holder.
This is to certify that insurance policies shown below by policy number have been issued for the policy period(s) indicated:
Company
Type of Insurance
Policy Number
Policy
Inception
Policy
Expiration
Limits of Liability
Shelter
Mutual
General Liability:
Premises & Operations
PerOccurmtce
A881rgate
Products/Completed Operations For. (Describe)
_
Products/Completed
Operations Provided
Shelter
— Mutual
Automobile
All Owned or Leased Autos
Combined Single Limit
BI Per Person
RI Per Accident
PD Per Accident
Shelter
— General
(described in declarations
of a Shelter issued policy)
Scheduled Autos
Hired Autos
Non Owned Autos
Shelter
Mutual
Apartment Owner's/
Rental Dwelling
Per Occurrence
Per Aggregate
Shelter
Mutual1.000.000
Business
05-78-3381384-1
8/28/2017
8/28/2018
1,000,000 Per Occurrence
Per Aggregate
Shelter
Mutual
Other:
Shelter
— General
REMARKS:
Date 03/08,2018
M-5 I.26 .M
By
Authorized Representative
1817 WEST BROADWAY • COLUMBIA, MISSOURI • 65218-0001 • 1-800-743-5837
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