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Home My WebLink About20182956.tiffCHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTRS FOR CHILDREN This Agreement, made and entered into the/ ay of 2018, by and between the Board of Weld County Commissioners, on behalf of the Weld County Depart ent f Human Services, hereinafter referred to as the "Department' and Griffith Centers for Children, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Bid, Exhibit B, Contractor's Bid, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services or other funding to the Department for Crisis Intervention and Stabilization, Home -Based Intensive Services, Life Skills, Mental Health Services, Mentoring/Behaivoral Health Intervention, Monitored Visitation, Supervised Visitation, Therapeutic Visitation, RELOAD (Reboot Educational Learning Opportunities Affecting Direction), Telebehavioral Health (Indivdival and Family Therapy, Supervised Visitation, Therapeutic Visitation), Truancy ASK (Advocate Succes for Kids). 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, 2018, upon proper execution of this Agreement and shall expire May 31, 2019, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Bid and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. '9.474 1 ce: o4 080 1 -/7 -id 2018-2956 dew?? 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. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Bid, Exhibit B, Contractor's Bid, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 2 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Bid, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under 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 3 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §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 4 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, 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 Bid, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. 5 At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/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. 6 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 Bid. 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: County of Weld 1150 'O' Street Greeley, Colorado 80631 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 Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial 8 failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: Heather Walker, Administrator 17. Notice For Contractor: Jessica Rock -Jackson, Director of Community Programs 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: Jessica Rock -Jackson, Director of Comm. Programs 1724 Gilpin Street Denver, CO 80018 (415) 283-6455 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise 9 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 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. 10 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 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 11 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 A, and provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. 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 12 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. 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 13 Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: Weld By. Deputy Clerk to BOARD OF COUNTY COMMISSIONERS o rrd ,,mo..._.,_ WELD COUNTY, COLORADO 14 Steve Moreno, Chair SEP 1 7 2018 Griffith Centers for Children 1724 Gilpin Street Denver, CO 80018 (415) 283-6455 By: Date: )Jessica Rock -Jackson, Director Community Programs c,2-€3/8-02.9.0 EXHIBIT A WELD COUNTY'S REQUEST FOR BID Weld County Department of Human Services Bid No. B1800058 REQUEST FOR BID WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80634 DATE: March 1, 2018 BID NUMBER: 61800058 DESCRIPTION: Child Welfare — Various Services DEPARTMENT: Human Services BID OPENING DATE: March 16, 2018 i, NOTICE TO BIDDERS The Human Services Advisory Commission (HSAC), on behalf of the Weld County Department of Human Services (WCDHS), by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS SERVICES PAGES 1-9 OF THIS REQUEST CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-8 MAY BE APPLICABLE. SPECIFICATIONS UNIQUE TO THIS REQUEST FOR PROPOSAL FOLLOW PAGE 10. Bids for the stated services will be received electronically by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter at HS Contract Management@co.weld.co.us through: FRIDAY, MARCH 16, 2018 AT 5:00 P.M. II. INVITATION TO BID A. The Human Services Advisory Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services. B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. 1 Weld County Department of Human Services Bid No. B1800058 C. Emailed Bids Are Required. Emailed (fully typed) bids are required. See Bid Specifications for specific instructions. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III. INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him/her with his/her usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. 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. 2 Weld County Department of Human Services Bid No. B1800058 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Human Services Advisory Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Human Services Advisory Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. 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. 3 Weld County Department of Human Services Bid No. B1800058 Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. 24-76.5-103(4) if such individual applies for public benefits provided under this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M. All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. 4 Weld County Department of Human Services Bid No. B1800058 IV. General Specifications. A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 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 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract 5 Weld County Department of Human Services Bid No. B1800058 or incorporated herein by reference shall be null and void. G. No Third -Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorneys Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. I. Insurance Requirements. i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: 6 Weld County Department of Human Services Bid No. B1800058 (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: * $1,000,000 each occurrence; * $2,000,000 general aggregate; * $50,000 any one fire; and * $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: * Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: * If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; * Unlimited defense costs in excess of policy limits; * 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 7 Weld County Department of Human Services Bid No. B1800058 retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. 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 Proposal. 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. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. V. Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; 8 Weld County Department of Human Services Bid No. B1800058 B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. Confidential Information: Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the 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. 9 Weld County Department of Human Services Bid No. 81800058 BID SPECIFICATIONS I. PROJECT OVERVIEW The Weld County Department of Human Services (WCDHS) is seeking qualified providers in various service areas under various funding sources. Service areas include, but are not limited to Aftercare, Anger Management/Domestic Violence, Crisis Intervention and Stabilization Services, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Home Based Intervention including 24/7 Crisis Intervention, Kinship Services (Therapeutic), Home Studies, Life Skills, Mediation, Mental Health Services, Monitored Sobriety, Multisystemic Therapy, Relinquishment Counseling, Sexual Abuse Treatment, and Substance Abuse Treatment Services. Refer to pages 13-15 for specific definitions related to the above -mentioned service areas. II. CONTRACT PERIOD AND PRICING 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The agreement, if awarded, shall be for a period of three years, but shall require renewal by both parties, in writing, on an annual basis. 2) The initial contract will be funded through Core Services Program, Child Welfare Administration, or other funding, so long as funding is made available. 3) Selected vendors will be required to bill the WCDHS monthly according to billing requirements set forth in Exhibit A, Sample Agreement, and by the applicable funding source. III. DUE DATE All bids must be submitted electronically to the Weld County Department of Human Service at HS Contract Management@weldgov.com, Attn: Tobi Vegter, Contract and Services Coordinator. Proposals will be accepted through Friday, March 16, 2018, at 5:00 p.m. 10 Weld County Department of Human Services Bid No. B1800058 IV. QUESTIONS All questions regarding the requirements in this Request for Proposal must be submitted in writing to HS Contract Management@weldgov.com, Attn: Tobi Vegter, Contract and Services Coordinator. To guarantee sufficient time to provide bidders with a response, all questions must be received by Friday, March 9, 2018 at 5:00 p.m. V. INTRODUCTION LETTER A bidder must submit a one (1) page or less letter in Microsoft Word that introduces the bidder and addresses, at a minimum, the following: 1) Ability to deliver the service(s) as proposed and comply with the specific requirements set forth by the Weld County, as stated in the Request for Proposal (RFP) and in Exhibit A, Sample Agreement. 2) Capacity to be organized, responsive and to quickly and successfully schedule services as requested. VI. PROVIDER INFORMATION FORM 1) Bidder must complete and submit one (1) Provider Information Form, herein attached as Exhibit B. The form is available at https://www.weldgov.com/departments/purchasing/bids proposals/. VII. PROPOSAL CONTENT 1) Proposal content must be submitted in Microsoft Word and may not exceed three (3) pages per proposed services. 2) A bidder must utilize the Proposal Template, herein attached as Exhibit C, for each service being proposed. All questions noted on the template must be addressed for each service proposed by the bidder. The template is available at https://www.weldgov.com/departments/purchasing/bids proposals/. 3) If submitting to provide services in a language other than English, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. a. Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs. b. Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 11 Weld County Department of Human Services Bid No. B1800058 VIII. STAFF INFORMATION 1) Bidder must attach a list of applicable staff and/or contractors who will manage and/or administer the proposed service(s), utilizing the Staff Data Sheet. Bidder should submit one Staff Data Sheet per proposed service. Bidder should not combine services. Resumes and/or Curriculum Vitae should not be submitted with the proposal, but may be requested later if bidder is awarded a contract. 2) The Staff Data Sheet is herein attached as Exhibit D. It is available at https://www.weldgov.com/departments/purchasing/bids proposals/. IX. CERTIFICATE OF INSURANCE (COI) Bidder must attach a standard Certificate of Insurance (COI), or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Proposal. If awarded a contract, bidder will be required to provide a Standard COI that meets the requirements set forth by Weld County in the Sample Agreement, herein attached as Exhibit A, and list Weld County on the COI as an Additional Insured. X. EVALUATION OF PROPOSALS All proposals that meet the requirements will be reviewed by the Division of Child Welfare and the Human Services Advisory Commission (HSAC), Contracted Services Workgroup. The HSAC will make recommendations regarding bid awards to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. 12 Weld County Department of Human Services Bid No. B1800058 XI. SERVICE AREA DEFINITIONS (NOT LIMITED TO THIS LIST - OTHER SERVICES WILL BE CONSIDERED) Program•Area Definition Aftercare Services Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out - of -home placement of the child. Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve family communication, functioning and relationships, and to prevent further domestic violence. Crisis Intervention and Stabilization Services Services that provide an immediate, in-person/in- home response to families, youth and children, in *crisis, 24 hours a day, seven (7) days a week. *A "crisis" is further defined as a situation or circumstance, usually acute (recent) in nature, which breaks down the normal functioning of an individual and/or family, and results in the inability of the individual and/or family to resolve the crisis through normal coping behaviors, or without immediate intervention. Day Treatment Comprehensive, highly structured services that provide education to children and therapy to children and their families. Foster Parent Consultation Services provided to foster and group home families caring for WCDSS children and youth in their homes to enhance and improve the quality of care being provided. Foster Parent Training Topic specific training for new Weld County foster parents. 13 Weld County Department of Human Services Bid No. B1800058 Program Area Definition - Functional Family Therapy Intensive family -based treatment that addresses the pervasive patterns of relational dysfunction known to be determinants of conduct disorder, violent acting out, and substance abuse among youth 10-18 years old. Home -Based Intervention Services provided primarily in the home of the client that include a variety of services which can include therapeutic services, concrete services, collateral services and *crisis intervention directed to meet the needs of the child and family. *Crisis Intervention is defined as 24/7 phone access and in -home counseling. Home Studies Structured Analysis Family Evaluation (SAFE) for the purpose of foster home certification, kinship placement, and/or adoption. Kinship Services (Therapeutic) Kinship services in the areas of (1) consultation and kinship parent support specific to a child placed in a kinship home, (2) corrective consultation specific to a child placed in a kinship home, and (3) critical care consultation specific to a child placed in a kinship home. Children placed in kinship care are maintained in the lowest level of care and least restrictive setting when out -of -home placement is necessary. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective access to community resources, parenting techniques and family conflict management. 14 Weld County Department of Human Services Bid No. B1800058 Program Area • s. "Definition Mediation Intervention typically with all family members to improve family communication, functioning and relationships. Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multisystemic Therapy Intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out -of -home placement. Relinquishment Counseling Relinquishment counseling for parents considering relinquishment of their children. Sexual Abuse Treatment Therapeutic intervention designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetration, and to prevent further sexual abuse and victimization. Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. 15 EXHIBIT A SAMPLE AGREEMENT CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND This Agreement, made and entered into the _ day of , 201, 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 Request 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 �x WHEREAS, required approval, clearance, and coordination have been accomplished from and -with appropriate agencies; and N •N' WHEREAS, the Colorado Department of Human Services has proVided ,fto`tDepartment for 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 -ex cutioh of this Agreement and shall expire , unless sooner terminated asprovided herein. The.agreement is for a period of three years. However, the agreement must berenewed bylbo' h>parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided bythe Contractor to any'"person(s) eligible for services in compliance with Exhibit B, Contractorf P\oposal"a rd'Exhibit C,'Scope of Services. 3. Referrals, Billing ancrT..racking a. Contractorunderstands and will comply with all aspects of the referral authorization, billing and tacking requirr ments as set forth by the Department. Failure to comply with all aspects may result inl forfeiture of•p\ayment... b. Contractor-agreeeto receive referrals for services through e-mail and will provide an identified e- \Admail address prior to the start of this Agreement. Contractor acknowledges that services are not `au h rizedduntil the Contractor has received an authorized referral form from the Department. Cont actoriurther 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 EXHIBIT A SAMPLE AGREEMENT 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. 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 EXHIBIT A SAMPLE AGREEMENT 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. sea, 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 EXHIBIT A SAMPLE AGREEMENT 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 EXHIBIT A SAMPLE AGREEMENT 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 shalt 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 EXHIBIT A SAMPLE AGREEMENT 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; EXHIBIT A SAMPLE 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. B. 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 EXHIBIT A SAMPLE AGREEMENT 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 EXHIBIT A SAMPLE AGREEMENT 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: Heather Walker, Administrator 17. Notice For Contractor: CONTRACTOR, TITLE 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 EXHIBIT A SAMPLE AGREEMENT 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 EXHIBIT A SAMPLE AGREEMENT 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 EXHIBIT A SAMPLE AGREEMENT 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 EXHIBIT A SAMPLE AGREEMENT 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 EXHIBIT A SAMPLE AGREEMENT 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 APPROVED AS TO FORM: County Attorney Elected Official or Department Head Director of General Services CONTRACTOR Contractor, Title 14 EXHIBIT B CONTRACTOR'S BID Introduction to Griffith Centers for Children, Chins Up Griffith Centers for Children's (GCC) mission is to "Strengthen Colorado Communities One Family at a Time." GCC is a Trauma Informed Agency that provides troubled children the environment and opportunities to become healthy, participating and productive members of society. With a wide array of services and programs, GCC serves 1,600 children and families annually. GCC provides community programs such as family preservation, day treatment, education and Truancy support, which include a Reload program, mentoring, counseling services and Telebehavioral Health Services. GCC's programs are licensed and nationally accredited to serve children from birth to 21 years of age and parents. GCC currently has six (6) locations:) These locations are in Colorado Springs, Pueblo, Denver, Northglenn (Truancy Office), Greeley and Grand Junction. GCC has licensed and unlicensed individuals, registered in the Department of Regulatory Agencies (DORA), who hold Master's degrees in areas relating to mental health and education. All GCC contractors and employees have background checks, finger prints completed and are expected to follow DORA regulations, along with those set by Medicaid and partnering counties. GCC has the ability to comply with WCDHS billing requirements. GCC contractors have their documentation reviewed on a weekly basis by their Clinical Consultant (CC). The CC then submits the documentation to GCC billing department who then submits billing to the WCDHS by the expected due dates. GCC also has a file compliance associate to monitor files and reassure that GCC contractors are keeping up with regulatory expectations. GCC has a thorough supervisory structure to support the capacity of cases that GCC absorbs and allows for best practice in regards to supervision. Each contractor with GCC meets with a clinical consultant for consultation, as per DORA requirements. Contractors are continually assessed and may meet weekly with a clinical consultant if needed. The majority, although not all, of clinical consultants with GCC are licensed as Licensed Professional Counselors (LPCs), Licensed Marriage and Family Therapist (LMFTs) and Licensed Clinical Social Workers (LCSWs). GCC has multiple systems in place that allows for an organized, responsive team with the ability to quickly schedule services as requested. Referrals (requests for services) are sent to the GCC referrals email, referrals(a,griffithcenters.org. Once a referral is received a Designated Supervisor reviews the referral. The Designated Supervisor might identify a specific contracted clinician that is a good fit for a referral based on clinical skills and directly reach out to the contractor to see if they will accept the case. If a specified contractor is not immediately identified, the Designated Supervisor summarizes the information from the referral in an email and sends it to the contractor team. No identifying information, such as date of birth, specific address, etc., is included to protect confidentiality. If a contractor responds to this email and is interested in the referral, then the Designated Supervisor will assess if they would be a good fit for a case and assigns it as applicable. Following assignment, the Designated Supervisor introduces the contractor who is assigned to the case to the referral source via email. If the referral is not assigned in 72 -hours, the referral source is notified and asked if they would prefer us to continue to attempt to assign the referral or if they would like to attempt to send the referral to another provider. GCC is dedicated to providing the best services possible and working closely with clients and their treatment teams. EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services Griffith Centers for Children AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID (1510665) Jessica Rock -Jackson PRIMARY CONTACT - FULL NAME (415)283-6455 PHONE NUMBER Jessica.rock@gnffithcenters.org PRIMARY CONTACT - E-MAIL ADDRESS 1724 Gilpin Street AGENCY MAILING ADDRESS Denver Director of Community Programs PRIMARY CONTACT - TITLE 303 )237-6873 FAX NUMBER gnffithcenters.org AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) CITY 80018 ZIP Amanda Dunn REF FERAL CONTACT - FULL NAME 1928)515-9043 REFERRAL CONTACT - PHONE NUMBER REFERRAL CONTACT EXT. Program Supervisor REFERRAL CONTACT - TITLE Arnandadunn.contractor@griffithcenters.org REFERRAL CONTACT - E-MAIL ADDRESS Esther Torrez BILLING CONTACT - FULL NAME 13031237-6865 ext 115 BILLING CONTACT— PHONE NUMBER BILLING CONTACT Accounts Receivable Supervisor BILLING CONTACT - TITLE Esther.torrez@gnffithcenters.org EXT. BILLING CONTACT E-MAIL ADDRESS I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to rejec ny or all bi . "to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of e Board, is the best i erests of the Board and of the County of Weld, State of Colorado. The Board of Weld ounty Co issioners s tl givepference to resident Weld County bidders in all cases where the b+ s'a ompetitiv n price ands Signature of Authorized Representative: Date of Signature: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Crisis Intervention and Stabilization 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. First appointment will be within 24 hours of referral, regardless of day of the week. b. Crisis response will be in person/in-home, school or other location as needed to provide service. c. Availability 24 hours a day, 7 days a week. d. Solution -Focused plans and interventions to stabilize the family within 60 days. e. Intensive Case management services. f. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith contractor providing services. iv. Each case should have approximately a 2 -hour intake service. g. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. h. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org i. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. Client will be seen 2-3 times a week for 2-3 hours at a time. 5. Anticipated duration of the service (ex. 3-4 months). a. Services should last take place for 1-2 months. 6. Goals of the service. a. To stabilize the client and family so they can remain safely in the home. b. Treatment goals to be mutually agreed upon by the family, Griffith contractor, and other Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) professionals (i.e., caseworker, probation officer) c. Increase the support system for the family and client. d. Individualized approach with the family, based on ethnicity, culture, and lifestyles. 7. Outcomes of service. a. Referral to additional resources, including hands on assistance for services attainment. b. Facilitate access to community resources to ensure post crisis stability. c. Collaboration with the county and other agencies as needed to support the family. 8. Target population for service. a. Children (0-17) who are in crisis and are at risk of losing their placement. b. Parents with children (ages 0-17) who are at risk of out of home placement. c. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care and the child is at risk of losing their placement. 9. Service access. a. Weld County, home based service. 10. Languages service is available in. a. English 11. Medicaid eligibility of service. a. Can be funded through Medicaid and CORE. 12. Transportation of clients. a. Not available with service. 13. Rates of service. Crisis Intervention/Stabilization: $55 an hour Crisis Intervention/Stabilization Intake (up to two hours): $55 an hour Intensive Case Management: $25 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 g. EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Home -Based Intensive Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Home -based intensive therapeutic service for high -risk families designed to prevent out - of -home placement orprepare a family for reunification. i. This service is flexible and individualized to each family. ii. The home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur in home, school, and community settings. b. GCC - Chins Up family preservation services are modeled after the National Family Preservation Network's definition of intensive Family Preservation Services - IFPS c. IFPS services are designed to support families in crisis in which children are either at imminent risk of placement or have been placed out of the home. The services are for birth and adoptive families and are effective as reunification services as well as for placement prevention. i. Interventions may be aimed at the individual, entire family, or appropriate community members. ii. A strengths -based psycho -educational model that focuses onskill-building iii. Other skills areas include anger management, problem solving, home management, and accessing community resources. d. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith contractor providing services. iv. Each case should have approximately a 2 -hour intake service. e. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. f. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org Client No Show Procedure: Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. Meet 3-6 hours a week with in the home, intensity can be increased in response to the need. b. Appointment times are flexible and based on the family's needs, including evenings and weekends. c. Availability 24 hours I7 days per week. 5. Anticipated duration of the service (ex. 3-4 months). a. Target length of service is 2-6 months. 6. Goals of the service. a. The goal of intensive family preservation services (IFPS) is to keep children safe and avoid both unnecessary removal and long separations from family in out -of -home care i. Treatment goals to be mutually agreed upon by the family, FP specialist, and other professionals (i.e., caseworker, probation officer). ii. This service is flexible and individualized to each family iii. The home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur -in home, school, and community settings. 7. Outcomes of service. a. Stabilize family and reduce safety risks. i. Teach families to work with community agencies, assist in teaching parenting skills, stress reduction, problem -solving, and communication skills. ii. Families learn how to coordinate and advocate with school systems, court, and social services. iii. Services available for one year after discharge, to aid in long-term success. b. Provide the family with referrals within their community to increase support system. 8. Target population for service. a. Families who are in crisis or experiencing major struggles in functioning. b. Families with youth in the home who are acting out behaviorally or sexually. c. Children ages 0-17. d. Children who are at risk for out -of -home placement, ortransitioning back home from foster care, residential treatment, youth corrections, etc. e. Family Preservation can also be utilized to work with foster parents to stabilize a child(ren) in fostercare. f. Family preservation can work with parents, relatives, guardians, and foster parents. 9. Service access. a. Service can occur throughout Weld County. Services the to be home and community. 10. Languages service is available in. a. English 11. Medicaid eligibility of service. a. Can be billed through Medicaid. 12. Transportation of clients. a. Transportation not available. 13. Rates of service. Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) Family Preservation Services: $54 an hour Intake Services (up to two hours): $54 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Life Skills 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Intensive home -based model focusing on improving parenting skills, increasing safety and stability. b. Aid in reunification of parents and children following out of home placement. c. Parenting skills are taught with an emphasis on the child's developmental needs. d. Life skills are taught with an emphasis on the parent achieving self-sufficiency. e. GCC contractor assists parents/caregivers with basic parenting skills, household management, budgeting, organizational skills, and other day-to- day issues that impede the care and development of children f. The GCC contractor teaches, models, and coaches parents to help them learn new skills identified in the initial needsassessment. g. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program." h. Each client receives a GCC contractor who is trained and specializes in parenting, child development, and life skills. i. Interventions may be aimed at the individual, entire family, or appropriate community members. j. Parenting Skills Group (Service offered through Life Skills Program): i. The Parenting Skills group is based on the Nurturing Parenting Program. ii. Nurturing Parenting Program Group Facilitator Qualifications. iii. The Nurturing Parenting Program has several levels of prevention including: iv. Prevention Program (Primary Prevention) Example: Pre -parent stage, Prenatal Stage. v. Intervention Programs (Secondary Prevention) Programs are designed to "intervene" to prevent further escalation of the early stages of maltreatment. Also for families labeled as "at -risk". vi. Treatment Programs (Tertiary Prevention) Programs are designed to "treat" families identified by social services for child abuse and/or neglect. vii. The Nurturing Parenting Programs are evidenced -based parenting programs that can be offered in a group setting for cost effective delivery. viii. The flexibility within the structure of the programs allows facilitators to ensure the specific needs of families are being met. ix. The nurturing philosophy of non-violent parenting focuses on the development of empathy, self-worth, self-awareness, empowerment, and discipline with dignity, appropriate family roles and age -appropriate expectations ofchildren's development. k. Frequency of Duration of the parenting group: i. The group is 10 weeks in duration and occurs 1 time a week. ii. It is an open-ended group, so clients can enter at anytime. iii. Parent (s) must attend 8 out of the 10 groups to successfully complete the group Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith Contractor providing services. iv. Each case should have approximately a 2 -hour intake service. m. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. n. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method — subpoenas@griffithcenters.org o. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. This service is flexible and individualized to each family. b. Families will meet 1-2 times a week totaling 3-4 hours/week in the home. c. Intensity can be increased in response to the need. d. Flexible appointment times based on the family's needs, to include evenings and weekends. e. Availability 24 hours 17 days per week. 5. Anticipated duration of the service (ex. 3-4 months). a. Target length of treatment is on average 2-5 months 6. Goals of the service. a. A home -based model of service delivery is utilized to overcome barriers to accessand to provide treatment where the problems occur -in the home, school, and community settings b. Coordination and advocacy with school systems, court, and social services. c. The GCC contractor will immediately address all safety risks and work to stabilize the family. d. Treatment goals to be mutually agreed upon by the family, visitation worker, and other professionals (i.e., caseworker, probation officer). e. Individualized approach with the family, based on ethnicity, culture, and lifestyles. 7. Outcomes of service. a. The Griffith Contractor will teach the family to work with community Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) agencies, assist in teaching ongoing parenting skills, as well as helping the parent(s) with stress reduction, problem -solving, and communication skills. b. Services available for one year after discharge, to aid in long-term success. c. Teach the parent skills individually, as well as coach and model with the children present so that parents can implement skills once services end. d. Aid parent in learning life skills to become self-sustaining long-term. 8. Target population for service. a. Parents or primary caregivers who need in -home instruction with parenting skills, household management, and accessing community resources. b. Parents with children (ages 0-17) who are at risk of out of home placement. c. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. d. Children who are transitioning back home from out of home placement. 9. Service access a. Located throughout Weld County, home based service. 10. Languages service is available in. a. English 11. Medicaid eligibility of service. a. Not eligible through Medicaid, CORE funded. 12. Transportation of clients. a. No Transportation for this service. 13. Rates of service. Life Skills/Parenting Skills: $46 an hour Intake Service (up to two hours): $46 an hour Life Skills/Parenting Skills Group: $45 an hour, 4 or more clients Intake Services (up to two hours): $45 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Mental Health Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Individual and family therapy for adults and children, spanning all ages and circumstances related to the child welfare system b. This service can be utilized to address mental health and behavior issues, as well as issues around abuse/neglect, reunification, trauma, etc. c. Sessions can occur in the office or a client's home/community, to reduce barriers such as transportation d. Can be utilizes in conjunction with or as a follow-up to in -home services (Life Skills/Parenting, Family Preservation and The Family Violence Group). e. If client(s) have received previous services through Chin Up, they can remain with the same provider for continuity f. Therapy conducted by a Master's level mental health professional g. 24 hours / 7 days per week Crisis phone access h. Therapeutic modalities include Behavioral, Cognitive -Behavioral, Family Systems, Play Therapy and other modalities approved by DORA i. Brief and present -focused j. Interventions and parenting skills based on the established programs of "Love & Logic" and "Nurturing Program" and "Common Sense Parenting." k. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the mental health therapist providing services. iv. Each case should have approximately a 2 -hour intake service. 1. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. m. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) n. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. The service will occur 1-2 times a weekly dependent on client(s) need. 5. Anticipated duration of the service (ex. 3-4 months). a. Service should last on average for 3-6 months. b. Time frame is adjusted based on each individual client(s) need. 6. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, provider and other professionals (i.e., caseworker, probation officer). b. Client/Family will process family dynamics and life stressors. c. Outcomes of the Service: d. Client will meet treatment goals created by client, family and Griffith Contractor. e. Interventions may be aimed at the individual, entire family, or appropriate community members. f. If need client will process trauma and gain skills on how to manage triggers moving forward. g. Other skills areas include anger management, problem -solving, home management, and accessing community resources. 7. Outcomes of service. a. Client and or family will meet their treatment goals. b. Client/Family will learn to engage in a healthy, appropriate communication. c. Client/Family will gain skills to advocate for their needs. 8. Target population for service. a. Families with youth in the home who are acting out behaviorally i. Families who are in crisis or experiencing major struggles in functioning ii. Families with youth in the home who are acting out behaviorally iii. Children ages 0-17 iv. Children who are at risk for out -of -home placement, or transitioning back home from foster care, 9. Service access. a. Throughout Weld county, can be home based or community based. 10. Languages service is available in. a. English 11. Medicaid eligibility of service. a. Eligible through Medicaid funding and CORE. 12. Transportation of clients. a. Not eligible for transportation. 13. Rates of service. Individual Therapy: $60 an hour Intake Services, Individual Therapy (up to two hours): $60 an hour Family Therapy: $64 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) Intake Services, Family Therapy (up to two hours): $64 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Mentoring/Behavioral Health Intervention 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Home -based behavioral health services addressing social skills, life skills, and other behavioral concerns for children (0-17 years of age). b. This service is flexible and individualized to each family and child c. The home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur -in home, school, and community settings. d. Educate individuals in areas such as social functioning, job -readiness, time management, problem -solving skills, and address behavioral concerns/problem behaviors. e. A strengths -based psycho -educational model that focuses onskill-building f. Services are delivered with a sensitivity to the family's ethnicity, culture, values and beliefs g. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith contractor providing services. iv. Each case should have approximately a 2 -hour intake service. h. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. i. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org j. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. 1-2 hours/week in the home, school, or community settings Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) b. Appointment times are flexible and based on the family's needs, including evenings and weekends. 5. Anticipated duration of the service (ex. 3-4 months). a. Target length of treatment is 3-12 months. 6. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and other professionals (i.e., caseworker, probation officer). b. Behavioral Health Specialist will be trained in specific behavioral interventions. c. Interventions may be aimed at the individual, entire family, or appropriate community members. d. Other skills areas include anger management, problem -solving, home management, and accessing community resources. 7. Outcomes of service. a. Teach coordination with school systems, court, and social services b. Client will develop skills to advocate for oneself c. Follow-up services available for one year after discharge, to aid in long-term success. 8. Target population for service. a. Families who are in crisis or experiencing major struggles in functioning b. Families with youth in the home who are acting out behaviorally. c. Children ages 0-17. d. Children who are at risk for out -of -home placement, or transitioning back home from foster car. e. Children who are in out of home placement and/or transitioning back home from out of home placement. 9. Service access. a. Located Throughout Weld County, community based and home -based service. 10. Languages service is available in. a. English 11. Medicaid eligibility of service. a. Service can be funded through Medicaid as long as there is also a therapist on the case. Otherwise services can be billed through CORE. 12. Transportation of clients. a. Not eligible for transportation 13. Rates of service. Mentoring Services: $44 an hour Intake Services (up to two hours): $44 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins up Monitored Visitation (home -based intervention) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. o Home -based model (can be flexible to the needs of each individual case -visits can occur safely in the community, DEIS building, Greeley GCC office location, local library, etc.) that's primary goals are to assess the parent's/caregiver's parenting abilities during the visitation time and to teach appropriate skills in order to meet the needs of the children. o The visitation supervisor will remain with a 5 -minute radius of the visit location throughout the duration of the visit and do random or scheduled pop -in monitoring based on caseworker request. Due to visitation supervisor being unable to take on additional appointments at this time, compensation will cover the length of the visit. o Redirection given when appropriate. o A visitation log is filled out after each visitation and is reviewed with the parent/caregiver in order to make progress consistently. o The parent/caregiver is responsible for signing each form applicable. o Intake: • Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ■ This service covers the mandatory intake paperwork needed to start and continue services. • Intake service will be completed by the visitation supervisor providing services. • Each case should have approximately a 2 -hour intake service. o Family Team Meeting: • Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. o Court Staffing: • When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. • Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. • GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.oil o Client No Show Procedure: ■ Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) o Services will occur 1-2 times a week for 1-3 hours at time but can vary based on the need. 5. Anticipated duration of the service (ex. 3-4 months). o Service should last 2-3 months. o Duration can be assessed based on the need of the client. 6. Goals of the service. o Treatment goals to be mutually agreed upon by the family, LSP specialist, and other professionals (i.e., caseworker, probation officer). o Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program", and "Common Sense Parenting". o The objectives are to ensure child safety during the visit; to closely monitor parent - child interaction to ensure the appropriateness of the interactions; and to improve parenting skills. o Parenting skills focus on learning and effectively meeting the developmental needs of the children (Nurturing model) 7. Outcomes of service. o Parents will learn Life skills that will help them focus on achieving self-sufficiency through empowerment and accountability. o Family will eventually be able to visit without a professional present. o In some cases reunification may be the desired outcome. 8. Target population for service. o Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. o Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. o Children who are in out of home placement and/or transitioning back home from out of home placement. 9. Service access. o Services located throughout Weld County, services mostly occur in the community but can occur in the home if requested by the county. 10. Languages service is available in. o English 11. Medicaid edibility of service o Not eligible for Medicaid funding, only funded through CORE 12. Transportation of clients. o Transportation of children (under 18 years of age) provided to or from a monitored, supervised, or therapeutic visitation. o This service will not be provided to adult clients. o Contractor begins billing from the location that the client is being picked up (i.e. client's home, school, daycare, etc.) until arrival at the location of the visit. Contractor will then bill for travel time from the visit to the designated drop off point (i.e. home, school, daycare, etc.). In essence the contractor will bill for any travel time where the client is in the car. ■ There will be a maximum of 45 -minutes of transportation one-way 13. Rates of service. Monitored Visitation Cost: $40 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) Intake Service (up to two hours): $40 an hour Transportation: $22 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Client No -Show Cost: $25 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins up Supervised Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Home -based model (can be flexible to the needs of each individual case -visits can occur safely inthe community, DHS building, Westminster GCC office location, local library, etc.) primary goals are to assess the parent's/caregiver's parenting abilities during the visitation time and to teach appropriate skills in order to meet the needs of the children. b. Parenting skills focus on learning and effectively meeting the developmental needs of the children (Nurturing model). c. Life skills focus on achieving self-sufficiency through empowerment and accountability. d. Redirection given when appropriate. e. A visitation log is filled out after each visitation and is reviewed with the parent/caregiver in order to make progress consistently. f. The parent/caregiver is responsible for signing each form to recognize strengths and needs of each visit and overall parenting/life skills. g. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. h. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. i. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@,griffithcenters.org Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. J• Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 4. Anticipated frequency of the service (ex. 4 hours/week). a. This service should occur 1-2 times a week for 2-3 hours per visit. 5. Anticipated duration of the service (ex. 3-4 months). a. This service should occur on average for 2-6 months. 6. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and other professionals (i.e., caseworker, probation officer). b. The objectives are to ensure child safety during the visit; to closely monitor all parent - child interaction to ensure the appropriateness of the interactions; and to improve parenting skills. c. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program", and "Common Sense Parenting". d. Griffith Contractor will teach the parent skills individually, as well as coach and model with the children present. 7. Outcomes of service. a. Family will move to a lower level of care (i.e. family members supervising visits or supervision no longer required). b. Parents or Primary Caregiver will have developed healthy developmentally appropriate parenting skills. 8. Target population for service. a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. c. Children who are in out of home placement and/or transitioning back home from out of home placement. 9. Service access. a. Throughout Weld County, community based or can take place in an office setting depending on the request of DI -IS. 10. Languages service is available in. a. English 11. Medicaid eligibility of service. a. Not Eligible for Medicaid funding, only funded through CORE 12. Transportation of clients. a. Transportation of children (under 18 years of age) provided to or from a monitored, supervised, or therapeutic visitation. b. This service will not be provided to adult clients. c. Contractor begins billing from the location that the client is being picked up (i.e. client's home, school, daycare, etc.) until arrival at the location of the visit. Contractor will then bill for travel time from the visit to the designated drop off point (i.e. home, school, daycare, etc.). In essence the contractor will bill for any travel time where the client is in the car. d. There will be a maximum of 45 -minutes of transportation one-way. 13. Rates of service. Supervised Visitation: $53 an hour Intake Service (up to two hours): $53 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service. Transportation: $22 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Client No -Show Cost: $25 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Therapeutic Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Therapeutic Visitation Supervisor will utilize therapeutic modalities approved by DORA and most appropriate for the client and family (i.e. Family Systems Approach, CBT, Solution Focused Therapy, Play therapy, Attachment, Behavioral Modification etc.). b. Therapeutic Visitation Supervisor will provide a more non -directive approach to family therapy and intervene with therapeutic interventions as needed and appropriate. c. Redirection given when appropriate. d. A visitation log is filled out after each visitation and is reviewed with the parent/caregiver in order to make progress consistently. e. The parent/caregiver is responsible for signing each form to recognize strengths and needs of each visit and overall parenting/ life skills. f. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. g. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. h. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org i. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 4. Anticipated frequency of the service (ex. 4 hours/week). a. Service should occur 1-2 times a week for 1-3 hours at a time. 5. Anticipated duration of the service (ex. 3-4 months). a. Service should last 2-6 months. 6. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Therapeutic Visitation Supervisor, and other professionals (i.e., caseworker, probation officer). b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents or primary caregiver and child(ren) will learn coping skills to help them regulate and effectively communicate with each other. d. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). e. Parents will learn to processing past/current family dynamics. f. Parents and or children will reduce maladaptive behaviors and learn coping skills. g. Therapeutic Visitation Supervisor will encourage the family to engage in bonding activities and allow for a space to process issues/concerns. 7. Outcomes of service. a. The family will move to a lower level of care (i.e. supervised visitation). b. Clients will meet treatment goals. c. Clients will learn to engage each other in a healthy, appropriate manner. d. Clients may move to a lower level of care such as Supervised Visitation. e. Parents will learn skills to help their children regulate and process past/current issues. 8. Target population for service. a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents who need help processing past/current family dynamics. d. Parents and or children who have maladaptive behaviors and need to be taught coping skills. e. Parents with barriers to developing a health attachment and bond with their child(ren). f. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. g. Children who are in out of home placement and/or transitioning back home from out of home placement. 9. Service access. a. Throughout Weld County, community based or can take place in an office setting depending on the request of DHS. Community -based model (can be flexible to the needs of each individual case -visits can occur safely in the community, DHS building, Westminster GCC office location, local library, etc.) 10. Languages service is available in. Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) a. English 11. Medicaid eligibility of service. a. Not eligible for Medicaid funded, funded through CORE. 12. Transportation of clients. a. Transportation of children (under 18 years of age) provided to or from a monitored, supervised, or therapeutic visitation. b. This service will not be provided to adult clients. c. Contractor begins billing from the location that the client is being picked up (i.e. client's home, school, daycare, etc.) until arrival at the location of the visit. Contractor will then bill for travel time from the visit to the designated drop off point (i.e. home, school, daycare, etc.). In essence the contractor will bill for any travel time where the client is in the car. d. There will be a maximum of 45 -minutes of transportation one-way. 13. Rates of service. Therapeutic Visitation: $58 an hour Intake Service (up to two hours): $58 an hour Transportation: $22 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Client No -Show Cost: $25 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Reload (Reboot Educational Learning Opportunities Affecting Direction) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. A therapist or Behavioral Health Worker will provide every student with a caring counselor. Every client will be provided an individualized educational and career portfolio, which will be used during the service. b. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith contractor providing services. iv. Each case should have approximately a 2 -hour intake service. c. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. d. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method — subpoenas(a,griffithcenters.org e. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. The curriculum takes approximately 3 months (12 individual sessions and 2 family sessions) to complete. Extra time may be needed, depending on the client's service plan. 5. Anticipated duration of the service (ex. 3-4 months). a. The curriculum takes approximately 3 months (12 individual sessions and 2 family sessions) to complete. Extra time may be needed, depending on the client's service plan. 6. Goals of the service. a. The goals are created in collaboration with the client, family and/or caseworker involved. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and the other Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) professionals (i.e., caseworker, probation officer). b. The goals intend to provide students with an individualized educational and career portfolio that includes: future planning, career assessment, financial budget, educational and career track. 7. Outcomes of service. a. Each session is intended to provide students with the skills and resources to achieve academic improvement and self -development. b. The completed portfolio will include such items such as: a personal statement, resume, financial budget, job or college applications, names, addresses and phone number of references, letters of recommendation and a copy of high school transcripts. 8. Target population for service. a. RELOAD is a program designed to target students who are currently truant, lacking the credits to graduate and struggling to utilize school resources. b. The ideal student is 16-18 years old, of any gender. However, 15 year olds are accepted into the program as well. 9. Service access. a. Services based out of Weld County, can be community based and/or home based. 10. Languages service is available in. a. English 11. Medicaid eligibility of service. a. Services are billable under Medicaid and can be funded through CORE 12. Transportation of clients. a. There is no transportation for this service. 13. Rates of service. Reload Sessions: $44 an hour Intake Services (up to two hours): $44 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Truancy ASK (Advocate Success for Kids) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. The ASK truancy program creates an individual plan that focuses on the strength of the client and family, increases student engagement at school and in the home and uses wrap around and advocacy approaches. b. The intervention model increases student engagement at school and in the home, using wrap around and advocacy approaches, including; parental engagement, court support, systems support, individual support, school support, teacher support, accountability and crisis intervention. c. The family will be supported and the therapist will attend truancy court hearings as an added layer of engagement and provide education through modeling. The therapist will work closely with the parents, family and school to get educational goals met, through an advocacy approach. Therapists are also able to work directly with the student's individual teachers to stabilize the student while they are at school. d. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the mental health therapist providing services. iv. Each case should have approximately a 2 -hour intake service. e. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. f. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org g. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) a. The ASK program is extremely flexible and the frequency and duration of services is dependent on the needs of the client and family. b. Generally speaking, therapists spend about 2 hours a week in the home providing therapeutic services and one hour a week of case management providing court, school and teacher support 5. Anticipated duration of the service (ex. 3-4 months). a. The ASK program varies in length, dependent on the need of the client and family. The duration of services usually depends on the time the student has been out or truant from school. A general estimate is 3- 6 months of consistent therapy. 6. Goals of the service. a. The goals are created in collaboration with the client, family and/or other professionals involved. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and the other professionals (i.e., caseworker, truancy court, school officials, probation officer). b. ASK is committed to maximizing a student's educational potential both inside and outside the school setting. c. The program promotes academic achievement, attendance, good character, responsible decision - making, and mental health wellness. d. Parents are empowered through family therapy sessions in order to provide a foundation to positive parental influence and school attendance. 7. Outcomes of service. a. Therapists will guide students to develop career/vocational plans, prevent academic failure, increase attendance, decrease behavioral problems in and out of school, develop social skills, create structure in the home, repair family relationships and create an individualized treatment plan for the student's mental health. 8. Target population for service. a. The targeted population is any age or gendered students who either is currently truant from school, historically truant from school or at -risk for truancy. At -risk students often include (though not limited to) those students whose family members did not graduate from school, students who have a history of trauma, students with family discord and students who are displaying maladaptive behaviors at school. 9. Service access. a. Services can be home -based and/or community -based, anywhere in Weld County 10. Languages service is available in. a. ASK Truancy program is available in English. 11. Medicaid eligibility of service. a. Services are Medicaid billable and can be billed through CORE 12. Transportation of clients. a. Transportation is not available for this service. 13. Rates of service. Truancy Intervention Services: $47 an hour Intake Services (up to two hours): $47 an hour Truancy Case Management Services: $25 an hour, 1-2 hours a week Family Team Meeting: $25 an hour Court Preparation: $25 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service. Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Telebehavioral Health Individual and Family Therapy 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. A qualified Master's level therapist will be able to utilize therapeutic modalities that are approved by DORA. Sessions will occur one time a week or biweekly, depending on the client(s) need. This service can be funded through Medicaid or Core funds if needed. a. Description of Individual and Family Therapy: i. Individual and family therapy for adults and children, spanning all ages and circumstances related to the child welfare system ii. Individual therapy for children ages 10 and older iii. This service can be utilized to address mental health and behavior issues, as well as issues around abuse/neglect, reunification, trauma, etc. iv. Sessions occur via Zoom to reduce barriers such as location and transportation. v. Can be utilized in conjunction with or as a follow-up to in -home services (Life Skills/Parenting, Family Preservation, The Family Violence Group). vi. If client(s) have received previous services through Chins Up, they can remain with the same provider for continuity when client(s) placement changes and/or relocates throughout Colorado. vii. Therapy conducted by a Master's level mental health professional viii. Contact is weekly, unless higher frequency is needed ix. 24 hours / 7 days per week Medicaid Crisis phone access. 1. Intake: a. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. b. This service covers the mandatory intake paperwork needed to start and continue services. c. Intake service will be completed by the visitation supervisor providing services. d. Each case should have approximately a 2 -hour intake service. x. Family Team Meeting: 1. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. b. Modalities and Curriculum Used: i. A pre-treatment assessment used to get an initial picture of the mental health functioning of an individual ii. A pre-treatment assessment used to get an initial picture of the mental health Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) functioning of an individual/family iii. Conducted by a licensed mental health professional or Master's level professional under the supervision of licensed mental health professions in the office setting or at client's home. iv. Recommendations for immediate interventions/goals are made, v. In order to receive TBH services clients will need to have the ability to access the Internet to receive these services. vi. Client will either have to have a smart phone or laptop with the video option. Clients will also need to have a phone that the therapist can call if the session is disconnected. vii. Lastly, the client will need to be able to create an email account to receive documents from DocuSign. DocuSign is a secure and encrypted platform that allows the sharing of documents in a secure manner. viii. Therapeutic modalities include Behavioral, Cognitive -Behavioral, Family Systems, Play Therapy ix. Brief and present -focused x. Interventions and parenting skills based on the established programs of "Love & Logic," "Nurturing Program" and "Common Sense Parenting." 4. Anticipated frequency of the service (ex. 4 hours/week). a. The service will occur 1-2 times a weekly dependent on client(s) need. 5. Anticipated duration of the service (ex. 3-4 months). a. Service should last for 3-6 months. b. Time frame can be adjusted based on the client(s) need. 6. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, provider and other professionals (i.e., caseworker, probation officer). b. Client/Family will process family dynamics and life stressors. c. Outcomes of the Service: d. Client will meet treatment goals created by client, family and Griffith Contractor. e. Interventions may be aimed at the individual, entire family, or appropriate community members. f. If need client will process trauma and gain skills on how to manage triggers moving forward. g. Other skills areas include anger management, problem -solving, home management, and accessing community resources 7. Outcomes of service. a. Client and or family will meet their treatment goals. b. Client(s) and Family will learn to engage each other in a healthy, appropriate manner. c. Parents or primary caregiver will be able to help provide the child(ren) tools to regulate 8. Target population for service. a. Families who are struggling with communication b. Youth and or families that frequently move c. Families with youth in the home who are acting out behaviorally d. Children ages 10 and older for individual therapy e. Parents who would like to improve attachment and bond with children 9. Service access. a. Due to the mobility of TBH Services, TBH can be accessed throughout the state of Colorado as long as the client has Internet. Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 10. Languages service is available in. a. This service can be offered in English and Spanish. 11. Medicaid eligibility of service. a. Individual and family via TBH are eligible for Medicaid funding and can be funded through CORE. 12. Transportation of clients. a. Not available for this service. 13. Rates of service. TBH Individual Therapy: $60 an hour Intake Service (up to two hours): $56 an hour TBH Family Therapy: $64 an hour Intake Service (up to two hours): $58 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Telebehavioral Health Supervised Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Telebehaviorl Health (TBH) is a mental health service provided through a HIPAA compliant platform named Zoom to provide therapy and visitation services to clients from a qualified counselor. Griffith Centers for Children (GCC) can provide 3 different types of services via Telebehavioral Health (supervised visitation, therapeutic visitation and Mental Health services). Each service is described below. b. Primary goals are to assess the parent's/caregiver's parenting abilities during the visitation time and to teach appropriate skills in order to meet the needs of the children. c. Parenting skills focus on learning and effectively meeting the developmental needs of the children (Nurturing model). d. Life skills focus on achieving self-sufficiency through empowerment and accountability. e. Redirection given when appropriate. f. In order to receive TBH services clients will need to have the ability to access the Internet to receive these services and have either a smart phone or laptop with the video option. Clients will also need to have a phone that the therapist can call if the session is disconnected. Lastly, the client will need to be able to create an email account to receive documents from DocuSign. DocuSign is a secure and encrypted platform that allows the sharing of documents in a secure manner. g. Interventions and parenting skills based on the established programs of "Love & Logic," "Nurturing Program" and "Common Sense Parenting." h. Visitation worker will teach the parent skills individually, as well as coach and model with the children present. i. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. j. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. k. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method — subpoenas(a,griffithcenters.org 1. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. This service should occur 1-2 times a week for 2-3 hours per visit. 5. Anticipated duration of the service (ex. 3-4 months). a. Service should last for 3-4 months. 6. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and other professionals (i.e., caseworker, probation officer). b. The objectives are to ensure child safety during the visit; to closely monitor all parent - child interaction to ensure the appropriateness of the interactions; and to improve parenting skills. c. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program", and "Common Sense Parenting". d. Griffith Contractor will teach the parent skills individually, as well as coach and model with the children present. 7. Outcomes of service. a. Family will move to a lower level of care (i.e. family members supervising visits or supervision no longer required). b. Parents or Primary Caregiver will have developed healthy developmentally appropriate parenting skills. 8. Target population for service. a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. c. Children who are in out of home placement and/or transitioning back home from out of home placement. 9. Service access. a. Due to the mobility of TBH Services, TBH can be accessed throughout the state of Colorado as long as the client has Internet. In regard to supervised visitation services can be accessed in other states if the client needs a visit with a placement option out of state. 10. Languages service is available in. a. This service can be offered in English and Spanish. 11. Medicaid eligibility of service. a. Supervised Visitations via TBH are not eligible for Medicaid funding and must be funded through CORE. Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 12. Transportation of clients. a. Not available for this service. 13. Rates of service. TBH Supervised Visitation: $53 an hour Intake Service (up to two hours): $50 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Client No -Show Cost: $25 an hour Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Telebehavioral Therapeutic Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Therapeutic Visitation — conjoint parent -child therapy is conducted by a Masters Level professional under the supervision of a Licensed Clinical professional, also trained to provide supervised visitation. Role of the visitation worker is to use therapeutic modalities to address parent- child interactions. b. Visitation conducted by a Master's level mental health professional c. Therapeutic Visitation Supervisor will use therapeutic modalities to address parent- child interactions. d. Therapeutic intervention and redirection given when appropriate. e. In order to receive TBH services clients will need to have the ability to access the Internet to receive these services and have either a smart phone or laptop with the video option. f. Clients will also need to have a phone that the therapist can call if the session is disconnected. g. Lastly, the client will need to be able to create an email account to receive documents from DocuSign. DocuSign is a secure and encrypted platform that allows the sharing of documents in a secure manner. h. Therapeutic modalities include Behavioral, Cognitive -Behavioral, Family Systems and Play Therapy. i. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. j. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. k. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method — subpoenas@griffithcenters.org 1. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Anticipated frequency of the service (ex. 4 hours/week). a. The service will occur 1-2 times a week for no more than 2 hours at a time. 5. Anticipated duration of the service (ex. 3-4 months). a. Service should last for 3-4 months. 6. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, visitation worker and other professionals (i.e., caseworker, probation officer). b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents or primary caregiver and child(ren) will learn coping skills to help them regulate and effectively communicate with each other. d. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). e. Parents will learn to processing past/current family dynamics. f. Parents and or children will reduce maladaptive behaviors and learn coping skills. g. Therapeutic Visitation Supervisor will encourage the family to engage in bonding activities and allow for a space to process issues/concerns. h. The objectives are to ensure child's emotional safety during the visit; to utilize therapeutic interventions throughout the visit to ensure the appropriateness of the parent- child interactions; and to improve parenting skills. 7. Outcomes of service. a. Client/Family will meet treatment goals. b. Client/Family will learn to engage in a healthy, appropriate communication. c. Client/Family will gain skills to advocate for their needs. 8. Target population for service. a. Parents or primary caregivers whose children have been removed and who need instruction with parenting skills, household management and accessing community resources. b. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. c. Children who are in out of home placement and/or transitioning back home from out of home placement. d. Children who may be moving to an out of state placement. 9. Service access. a. Due to the mobility of TBH Services, TBH can be accessed throughout the state of Colorado as long as the client has Internet. 10. Languages service is available in. a. This service can be offered in English and Spanish. 11. Medicaid eligibility of service. a. Therapeutic Visitations via TBH are eligible for Medicaid funding CORE funds if needed. 12. Transportation of clients. a. Not available for this service. Bid No.: B1800058 EXHIBIT C PROPOSAL TEMPLATE (Bidder must use this template for each service proposed. Maximum of 3 pages per proposed service.) 13. Rates of service. TBH Therapeutic Visitation: $58 an hour Intake Service (up to two hours): $54 an hour Family Team Meeting: $25 an hour Court Preparation: $25 an hour Time Waiting in Court: $20 an hour Time Spent Testifying: $50 an hour Client No -Show Cost: $25 an hour Bid No.: B1800058 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: BIDDER LEGAL ENTITY NAME: Griffith Centers For Children, Inc. _ - - APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION , " • ' `- _ ; ' . - SUPERVI! No. Last Name- d. ;' _• First e: Work#. : Work. Email .. Education' Level . Degree Focus Mansura/ .,DORA Credentials # (If applicable) Last Name First Name Work # 1 Annan Katie (970) 231-5936 katiea mar. contract MA Counseling LPCC 15882 Livingston Stephanie (720) 215-9216 2 Booth Sarah (831)402.7514 sarahboolh.contract MSW Social Work LSW 9921678 Rock Jessica (415) 283-6455 3 Carlson Mary Ellen (253) 394-1054 mayellencarison.cc MA Counseling LPCC 14899 Williams Cassandra (970) 817-1072 4 Cruz Viviana (737) 310-3708 vivianacruzcontrac MA Counseling Registering (just started) Williams Cassandra (970) 817-1072 5 Dauk Nadara (719) 821-5279 nadaradauk.contrac MS Counseling LPCC 15943 Livingston Stephanie (720) 215-9216 6 Durkee Robin (970) 692-4782 robindurkee.contrac MSW Social Work NLC 108415 Williams Cassandra (970)817-1072 7 Easton Aaryn (970) 980-8125 aaryneaston.conrrat MA Marriage/Famil MTFC 13506 Livingston Stephanie (720) 215-9216 8 Felhauer Vanessa (970) 481-5818 vanessalelh;meccor MA Counseling LPC 14491 Livingston Stephanie (720) 215-9216 9 Guerrier Megan (786) 547-5414 mcuanuuerrier.cor MA Counseling Registering (just stated) Williams Cassandra 1970) 817-1072 10 Lambl in Jeremy (970) 821-6312 Jeremylamblin.cont MA Counseling LPCC 15777 Livingston Stephanie (720) 215-9216 11 Lipton Brielle (434) 678.0421 briellelipron.contrac MA Counseling NLC 108297 Livingston Stephanie (720) 215-9216 12 Livingston Stephanie (720) 215-9216 stephanielivingsta MA Counseling LPC 11500 Rock Jessica (415) 283-6455 13 McCall Courtney (303) 746-0187 counneymccall.con MA Counseling LPCC 15098 Livingston Stephanie (720) 215-9216 14 McCarthy Chantal (970) 302-6624 cha talmccarthy.co MA Counseling LPC 151 1 2 Williams Cassandra (970) 817-1072 15 Norris Chelsea (970) 217-6701 chelseanorris.contra MA Counseling LPCC 15786 Livingston Stephanie (720) 215.9216 16 Rosenberg Josie (646) 209-9728 josiorosenber.contr MS :Vlariage/Famil MET 1175 Williams Cassandra (970) 817-1072 17 Stainbrook Tamara (515) 988-8469 tamarastainbrook.cc MA Counseling LPC 12898 Williams Cassandra (970) 817-1072 18 Tuma Jodi (970) 631-7273 jodiuma.contractor MA Counseling NLC 106236 Livingston Stephanie (720) 215-9216 19 Washington Cammv (815) 670-9188 cammywashington. MA Marriage/Famil MTFC 13767 Williams Cassandra (970) 817-1072 20 Williams Cassandra (970)817-1072 cassandrawilliamsMSW Social Work LSW 106802 Rock Jessica (415)283-6455 21 Garza Juanita (405) 625-9703 juaritagarza.contrac MA Counseling LPC 12693 Sossi Tania (303) 656-1203 22 Dunn Amanda (92_8)5I5-9043 pmandadunn.conuMA Counseling NLC 105812 Rock Jessica (415)2_83-6455 23 24 25 26 27 28 81800058 EXHIBIT C SCOPE OF SERVICES Contractor will provide various services to Weld County children, youth and families, as referred by the Department. 1. Services available under this Agreement include: a. Crisis Intervention and Stabilization i. Target Population: 1. Children, ages 0-17, who are in crisis and are at risk of out -of -home placement or placement disruption. 2. Parent(s) or primary caregiver(s) with children, ages 0-17, who are at risk of out -of -home placement. 3. Parent(s) or primary caregiver(s) with children, ages 0-17, who are placed out of the home with relatives or in foster care and are at risk of a placement disruption. ii. Anticipated Frequency of Services: Two (2) to three (3) times per week for two (2) to three (3) hours per session. iii. Anticipated Duration of Services: One (1) to two (2) months. iv. Goals of Service: 1. To stabilize the referred child or youth, and family, so they can remain safely in the home. 2. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 3. Increase the support system for the referred child or youth and family. 4. Individualized approach with the family, based on ethnicity, culture, and lifestyle. v. Outcomes of Service: 1. Referral to additional resources, including hands on assistance with service attainment. 2. Facilitate access to community resource ensure post crisis stability. 3. Collaboration with other agencies as needed to support the family. vi. Service Area: Weld County, in -home. vii. Language: English. viii. Medicaid Eligibility: Services is Medicaid eligible. ix. Transportation: Transportation is not available. b. Home -Based Intensive Services i. Target Population: 1. Families who are in crisis or experiencing major struggles in functioning. 2. Families with youth in the home who are acting out behaviorally or sexually. 3. Children, ages 0-17. 4. Children who are at risk for out -of -home placement, or transitioning back home form foster care, residential treatment, youth corrections or another out -of -home placement. 5. Children, and caregivers, who require stabilization in a home setting (foster home, parental home, relative or guardian). ii. Anticipated Frequency of Services: Three (3) to six (6) hours per week in the home. Frequency can be changed to meet the needs of family. Contractor is available 24 hours/7 days a week. iii. Anticipated Duration of Services: Two (2) to six (6) months. iv. Goals of Service: 1. Keep children safe and avoid both unnecessary removal and long separations from family in out -of -home care. 2. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 3. Individualized approach with the family, based on ethnicity, culture, and lifestyle. 4. Services provided in -home, in school or in the community to overcome service access barriers. v. Outcomes of Service: 1. Stabilization of family and reduction in safety risks. 2. Families will learn to work with community agencies. 3. Families will be taught parenting skills, stress reduction, problem - solving, and communication skills. 4. Families will learn how to coordinate and advocate with school systems, court and social services. 5. Families will be referred to resources in their community to increase support system. 6. Contractor will offer services one year after discharge to aid in long- term success. vi. Service Area: Weld County, in -home or in the community. vii. Language: English. viii. Medicaid Eligibility: Eligible service under Medicaid. ix. Transportation: Transportation is not available. c. Life Skills i. Target Population: 1. Parent(s) or primary caregiver(s) who need in -home instruction with parenting skills, household management, and accessing community resources. 2. Parent(s) or primary caregiver(s) with children, ages 0-17, who are at risk of out -of -home placement. 3. Parent(s) or primary caregiver(s) with children, ages 0-17, who are placed out of the home with relatives or in foster care and are at risk of a placement disruption. 4. Children who are transitioning back home form foster care, residential treatment, youth corrections or another out -of -home placement. ii. Anticipated Frequency of Services: One (1) to two (2) times per week for a total of three (3) to four (4) hours per week in the home. Frequency can be changed based on the needs of the family. Contractor offers flexible appointment times including evenings and weekends and is available 24/7. iii. Anticipated Duration of Services: Average of two (2) to five (5) months. iv. Goals of Service: 1. Overcome barriers and provide treatment where problems occur; in the home, in school or in the community. 2. Coordination and advocacy with school systems, court and social services. 3. Address safety risks and work towards stabilization of the family. 4. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 5. Individualized approach with the family, based on ethnicity, culture, and lifestyle. v. Outcomes of Service: 1. Contractor will teach the family to work with agencies, assist in teaching ongoing parenting skills, as well as helping Parent(s) or primary caregiver(s) with stress reduction, problem -solving and community skills. 2. Contractor will teach parenting skills individually, as well as coach and model with the children present so that Parent(s) or primary caregiver(s) can implement learned skills. 3. Aid parent(s) or primary caregiver(s) in learning life skills that lead to self-sufficiency long term. vi. Service Area: Weld County, in -home. vii. Language: English. viii. Medicaid Eligibility: Services are not Medicaid eligible. ix. Transportation: Transportation is not available. d. Mental Health Services i. Target Population: 1. Families with youth in the home who are acting out behaviorally. 2. Families who are in crisis or experiencing major struggles in functioning. 3. Children 0-17. 4. Children who are at risk of out -of -home placement or transitioning back home from foster care. ii. Anticipated Frequency of Services: One (1) to two (2) times per week depending on the needs of the family. iii. Anticipated Duration of Services: Average of three (3) to six (6) months. iv. Goals of Service: 1. Family will process family dynamics and life stressors. 2. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). v. Outcomes of Service: 1. Family members will meet their treatment goals. 2. Family will learn to engage in healthy, appropriate communication. 3. Family will gain skills to advocate for their needs. vi. Service Area: Weld County, in home or in the community. vii. Language: English. viii. Medicaid Eligibility: Service is Medicaid eligible. ix. Transportation: Transportation is not available. e. Mentoring/Behavioral Health Intervention i. Target Population: 1. Families with youth in the home who are acting out behaviorally. 2. Families who are in crisis or experiencing major struggles in functioning. 3. Children 0-17. 4. Children who are at risk of out -of -home placement or transitioning back home from placement. ii. Anticipated Frequency of Services: One (1) to two (2) hours per week in the home, school or community. iii. Anticipated Duration of Services: Three (3) to twelve (12) months. iv. Goals of Service: 1. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 2. Develop skills, such as anger management, problem -solving, home management, and accessing community resources, through work with Behavioral Health Specialist. v. Outcomes of Service: 1. Families will learn how to coordinate and advocate with school systems, court and social services. 2. Client will develop skills to advocate for oneself. 3. Contractor will offer services one year after discharge to aid in long- term success. vi. Service Area: Weld County, in home or in community. vii. Language: English. viii. Medicaid Eligibility: Service is Medicaid eligible so long as there is a therapist assigned to the case. ix. Transportation: Transportation is not available. f. Monitored Visitation i. Target Population: 1. Parent(s) or primary caregiver(s) whose children have been removed, and who instruction with parenting skills, household management, and accessing community resources. 2. Parent(s) or primary caregiver(s) with children, ages 0-17, who are placed out of the home. 3. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. ii. Anticipated Frequency of Services: One (1) to two (2) times per week for one (1) to three (3) hours per session, based on the needs of the family. iii. Anticipated Duration of Services: Two (2) to three (3) months. iv. Goals of Service: 1. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 2. Ensure child's safety during visits, closely monitor parent/child interaction to ensure the appropriateness of the interactions and improve parenting skills. Parent(s) or primary caregiver(s) will learn skills that focus on the developmental needs of the child(ren). v. Outcomes of Service: 1. Parent(s) or primary caregiver(s) will learn life skills that will help them focus on achieving self-sufficiency and through empowerment and accountability. 2. Family will progress to unmonitored visitation, and reunification, if that is the goal. vi. Service Area: Weld County, primarily in the community but can occur in home. vii. Language: English. viii. Medicaid Eligibility: Services is not Medicaid eligible. ix. Transportation: 1. Transportation of children (under 18 years of age) provided to or from a monitored visit. 2. Transportation is available for 18 and older (adults). 3. Transportation is billed for any time the client is in the vehicle, with a maximum of 45 minutes transportation available per client, one-way. Supervised Visitation i. Target Population: 1. Parent(s) or primary caregiver(s) whose children have been removed, and who instruction with parenting skills, household management, and accessing community resources. 2. Parent(s) or primary caregiver(s) with children, ages 0-17, who are placed out of the home. 3. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. ii. Anticipated Frequency of Services: One (1) to two (2) times per week for one (1) to three (3) hours per session, based on the needs of the family. iii. Anticipated Duration of Services: Two (2) to six (6) months. iv. Goals of Service: 1. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 2. Ensure child's safety during visits, closely monitor parent/child interaction to ensure the appropriateness of the interactions and improve parenting skills. Parent(s) or primary caregiver(s) will learn skills that focus on the developmental needs of the child(ren). v. Outcomes of Service: 1. Family will move to a lower level of care, such as family supervising visits or supervision no longer required. 2. Parent(s) or primary caregiver(s) will develop healthy developmentally appropriate parenting skills. vi. Service Area: Weld County, in the community or in an office setting. vii. Language: English. viii. Medicaid Eligibility: Services is not Medicaid eligible. ix. Transportation: 1. Transportation of children (under 18 years of age) provided to or from a monitored visit. 2. Transportation is available for 18 and older (adults). 3. Transportation is billed for any time the client is in the vehicle, with a maximum of 45 minutes transportation available per client, one-way. h. Therapeutic Visitation i. Target Population: 1. Parent(s) or primary caregiver(s) whose children have been removed and who need instruction with parenting skills, household management, and accessing community resource. 2. Parent(s) or primary caregiver(s) that struggle to engage their children in healthy developmentally appropriate conversations. 3. Parent(s) or primary caregiver(s) who need help processing past and/or current family dynamics. 4. Parent(s) or primary caregiver(s) and/or child who have maladaptive behaviors and need to learn coping skills. 5. Parent(s) or primary caregiver(s) with barriers to developing a healthy attachment and bond with their child(ren). 6. Parent(s) or primary caregiver(s) with children, ages 0-17, who are placed out of the home. 7. Children who are in out -of -home placement and/or transitioning back home from placement. ii. Anticipated Frequency of Services: One (1) to two (2) times per week for one (1) to three (3) hours per visit. iii. Anticipated Duration of Services: Two (2) to six (6) months. iv. Goals of Service: 1. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 2. Parent(s) or primary caregiver(s) will learn to engage their children in healthy developmentally appropriate conversations. 3. Parent(s) or primary caregiver(s), and child(ren), will learn coping skills to help them regulate and effectively communicate with each other. 4. Parent(s) or primary caregiver(s) will learn to address barriers to developing a healthy attachment and blond with their child(ren). 5. Parent(s) or primary caregiver(s) will learn to appropriately process past/current family dynamics. 6. Parent(s) and/or child(ren) will reduce maladaptive behaviors and learn coping skills. 7. Families will be encouraged to engage in bonding activities and allow for a space to process issues/concerns. v. Outcomes of Service: 1. The family will move to a lower level of care. 2. Family will meet treatment goals. 3. Family will learn to engage each other in a healthy, appropriate manner. 4. Parent(s) or primary caregiver(s) will learn skills to help their children regulate and process past and current issues. vi. Service Area: Weld County, in the community or in an office setting. vii. Language: English. viii. Medicaid Eligibility: Services is not Medicaid eligible. 1. Transportation: Transportation of children (under 18 years of age) provided to or from a monitored visit. 2. Transportation is available for 18 and older (adults). 3. Transportation is billed for any time the client is in the vehicle, with a maximum of 45 minutes transportation available per client (one-way). i. RELOAD (Reboot Educational Learning Opportunities Affecting Direction) i. Target Population: Students, ideally 16-18 years old, who are currently truant, lacking the credits to graduate and struggling to utilize school resources. Students age 15 will be considered for this program. ii. Anticipated Frequency of Services: Twelve (12) individual sessions and two (2) family sessions. iii. Anticipated Duration of Services: Three (3) months. iv. Goals of Service: 1. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer, as appropriate). 2. Develop an individualized educational and career portfolio that includes future planning, career assessment, financial budget, educational and career track. v. Outcomes of Service: 1. Each session will provide students with the skills and resources to achieve academic improvement and self -development. 2. Completed portfolio that includes the following: a. Personal statement b. Resume c. Financial budget d. Job or college applications e. Names, addresses and phone numbers for references f. Letters of recommendation g. Copy of high school transcripts vi. Service Area: Weld County, in home or in the community. vii. Language: English. viii. Medicaid Eligibility: Services are Medicaid eligible. ix. Transportation: Transportation is not available. Telebehavioral Health i. Individual and Family Therapy 1. Target Population: a. Families who are struggling with communication. b. Children and/or families that frequently move. c. Families with youth in the home who are acting out behaviorally. d. Children ages 10 and older (Individual Therapy). e. Parent(s) or primary caregiver(s) who like to improve attachment and bond with children. 2. Anticipated Frequency of Services: One (1) to two (2) times per week, dependent upon needs. 3. Anticipated Duration of Services: Three (3) to six (6) months. 4. Goals of Service: a. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer, as appropriate). b. Family will process family dynamics and life stressors. 5. Outcomes of Service: a. Family will meet treatment goals. b. Family will learn to engage each other in a healthy, appropriate manner. c. Parent(s) or primary caregiver(s) will learn skills to help their children regulate and process past and current issues. 6. Service Area: State of Colorado so long as client has internet access. 7. Language: English and Spanish. 8. Medicaid Eligibility: Services are Medicaid eligible. 9. Transportation: Transportation is not available. ii. Supervised Visitation 1. Target Population: a. Parent(s) or primary caregiver(s) whose children have been removed, and who instruction with parenting skills, household management, and accessing community resources. b. Parent(s) or primary caregiver(s) with children, ages 0-17, who are placed out of the home. c. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. 2. Anticipated Frequency of Services: One (1) to two (2) times per week for two (2) to three (3) hours per visit. 3. Anticipated Duration of Services: Three (3) to four (4) months. 4. Goals of Service: a. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). b. Ensure child's safety during visits, closely monitor parent/child interaction to ensure the appropriateness of the interactions and improve parenting skills. Parent(s) or primary caregiver(s) will learn skills that focus on the developmental needs of the child(ren). 5. Outcomes of Service: a. Family will move to a lower level of care, such as family supervising visits or supervision no longer required. b. Parent(s) or primary caregiver(s) will develop healthy developmentally appropriate parenting skills. 6. Service Area: State of Colorado so long as client has internet access. 7. Language: English and Spanish. 8. Medicaid Eligibility: Services are not Medicaid eligible. 9. Transportation: Transportation not available. iii. Therapeutic Visitation 1. Target Population: a. Parent(s) or primary caregiver(s) whose children have been removed and who need instruction with parenting skills, household management, and accessing community resource. b. Parent(s) or primary caregiver(s) with children, ages 0-17, who are placed out of the home. c. Children who are in out -of -home placement and/or transitioning back home from placement. d. Children who may be moving to an out-of-state placement. 2. Anticipated Frequency of Services: One (1) to two (2) times per week for no more than two (2) hours per visit. 3. Anticipated Duration of Services: Three (3) to four (4) months. 4. Goals of Service: a. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). b. Parent(s) or primary caregiver(s) will learn to engage their children in healthy developmentally appropriate conversations. c. Parent(s) or primary caregiver(s), and child(ren), will learn coping skills to help them regulate and effectively communicate with each other. d. Parent(s) or primary caregiver(s) will learn to address barriers to developing a healthy attachment and blond with their child(ren). e. Parent(s) or primary caregiver(s) will learn to appropriately process past/current family dynamics. f. Parent(s) and/or child(ren) will reduce maladaptive behaviors and learn coping skills. g. Families will be encouraged to engage in bonding activities and allow for a space to process issues/concerns. h. Ensure child's emotional safety during the visit, utilizing therapeutic interventions through the visit to ensure the appropriateness of the parent/child interactions while improving parenting skills. 5. Outcomes of Service: a. Family will meet treatment goals. b. Family will learn to engage each other in a healthy, appropriate manner. c. Family will gain skills to advocate for their needs. 6. State of Colorado so long as client has internet access. 7. Language: English and Spanish. 8. Medicaid Eligibility: Services are not Medicaid eligible. 9. Transportation: Transportation not available. k. Truancy ASK i. Target Population: Any age student currently truant from school, historically truant from school or at risk for truancy. ii. Anticipated Frequency of Services: Approximately two (2) hours per week in the home. Frequency is flexible based on the needs of the student. iii. Anticipated Duration of Services: Approximately three (3) to six (6) months. Duration is flexible based on the needs of the student. iv. Goals of Service: 1. Develop treatment goals that are mutually agreed upon by the family, Contractor and other professionals (i.e., caseworker, probation officer). 2. Maximization of student's educational potential both inside and outside the school setting. 3. Promotion of academic achievement, attendance, good character, responsible decision making, and mental health wellness. 4. Parent(s) or primary caregiver(s) will be empowered through family therapy sessions in order to provide a foundation for positive parental influence and school attendance. v. Outcomes of Service: 1. Students will be guided to develop career/vocational plans, prevent academic failure, increase attendance, decrease behavioral problems in and out of school, develop social skills, create structure in the home, and repair family relationships. 2. Development of an individualized treatment plan for the student's mental health. vi. Service Area: Weld County, in home or in the community. vii. Language: English. viii. Medicaid Eligibility: Services are Medicaid eligible. ix. Transportation: Transportation is not available. 2. 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. 3. Contractor understands that the Department does not reimburse for cancelled appointments, either on the part of the client or the Contractor. 4. 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. 5. 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. 6. 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. 7. 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. 8. 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. 9. 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 (if in person) 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. Contractor may participate by phone. 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 specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2019. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $55.00/Hour (Crisis Intervention/Stabilization Services) $55.00/Hour (Crisis Intervention/Stabilization — Intake Up to Two (2) Hours) $25.00/Hour (Crisis Intervention - Intensive Case Management) $25.00/Hour (Family Team Meeting) $54.00/Hour (Home Based Intensive Services - Family Preservation Services) $54.00/Hour (Home Based Intensive Services — Intake Up to Two (2) Hours) $46.00/Hour (Life Skills/Parenting Skills) $46.00/Hour (Life Skills/Parenting Skills — Intake Up to Two (2) Hours) $45.00/Hour (Life Skills/Parenting Skills Group. Four (4) or more clients.) $60.00/Hour (Individual Therapy) $60.00/Hour (Individual Therapy — Intake Up to Two (2) Hours) $64.00/Hour (Family Therapy) $64.00/Hour (Family Therapy — Intake Up to Two (2) Hours) $44.00]/Hour (Mentoring Services.) $44.00j/Hour (Mentoring Services — Intake Up to Two (2) Hours) $40.00/Hour (Monitored Visitation) $40.00/Hour (Monitored Visitation — Intake up to Two (2) Hours) $22.00/Hour (All Visitation except Telebehavioral Health - Transportation) $25.00/Hour (All Visitation, Client No -Show Cost — Up to Two (2) Consecutive No -Shows) $53.00/Hour (Supervised Visitation) $53.00/Hour (Supervised Visitation — Intake Up to Two (2) Hours) $58.00/Hour (Therapeutic Visitation) $58.00/Hour (Therapeutic Visitation — Intake Up to Two (2) Hours) $60.00/Hour (Telebehavioral Health Individual Therapy) $56.00/Hour (Telebehavioral Health Individual Therapy — Intake Up to Two (2) Hours) $64.00/Hour (Telebehavioral Health Family Therapy) $58.00/Hour (Telebehavioral Health Family Therapy — Intake Up to Two (2) Hours) $53.00/Hour (Telebehavioral Health Supervised Visitation) $50.00/Hour (Telebehavioral Health Supervised Visitation — Intake Up to Two (2) Hours) $58.00/Hour (Telebehavioral Health Therapeutic Visitation) $54.00/Hour (Telebehavioral Health Therapeutic Visitation — Intake Up to Two (2) Hours) $44.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction) $44.00/Hour (Reload— Intake Up to Two (2) Hours) $47.00/Hour (Truancy ASK) $47.00/Hour (Truancy ASK — Intake Up to Two (2) Hours) $25.00/Hour (Truancy ASK — Case Management Services 1-2 Hours/Week) 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billing sand applicable reports to the Department by 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. GRIFF-1 OP ID: GA ACORO k.... ----CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 05/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of the LV 3001 Emrick Blvd, Suite 120 Bethlehem, PA 18020 CONTACT _ _ ?c, : 610-974-9791 _NAME: E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A: Philadelphia Indemnity Insu Co _ NAIC # !18058 + I INSURED Griffith Centers for Children dba The Emily Griffith Center 1724 Gilpin Street Denver, CO 80218 INSURER B: — — — - INSURER C : INSURER D : INSURER E : INSURER F : ICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER ,IMMI DYIYYYY) '.IMMIDDIYYYY) LIMITS A I X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PHPK1790071 04/01/2018' 04/01/2019 PREM TORENTED I $ 1,000,000 ,__PREMISES La occurtence) ___+___— MED EXP (Any one person) II $ 20,0_00 X ' ', CLAIMS -MADE •- OCCUR - -_ PERSONAL & ADV INJURY ''.$ 1,000,000 J _ _ GENERAL AGGREGATE ' $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: l' PRO---_ POLICY JECT LOC OTHER: - PRODUCTS - COMP/OP AGG $ 3,000,000 : $ 1 !! AUTOMOBILE LIABILITY A I' ' ANY AUTO x ' ALL OWNED I _I AUTOS _ LX �'� HIRED AUTOS '', X _ _ I SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ Ea accident 1,000,000 PHPK1790071 04/01/2018 04/01/2019 BODILY INJURY (Per person) ; $ BODILY INJURY (Per accident)! _ ____- PROPERTY DAMAGE (per accident) $ - _ $ $ A X UMBRELLA LIAB ! EXCESS LIAB jDED j X RETENTION OCCUR CLAIMS -MADE $ 10,0001 EACH OCCURRENCE • $ 5,000,000 ___ PHUB620963 04/01/2018 04/01/2019 AGGREGATE ! $ 5,000,_000 I $ I WORKERS COMPENSATION PER I 0TH STATUTE ER AND EMPLOYERS' LIABILITY Y ' PROPRIETOR/PARTNER/EXECUTIVE I N E. L. EACH ACCIDENT $ --"- OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IN / A --!ANY --- - El. DISEASE - EA EMPLOYEE $ ' If yes, describe under DESCRIPTION OF OPERATIONS below i I : E.L. DISEASE - POLICY LIMIT ''I $ A !Professional Liab ' A Abuse/Molestation PHPK1790071 PHPK1790071 04/01/2018 04/01/2018 04/01/2019 04/01/2019 OCC/AGG $1MIU$3MIL OCC/AGG $1MIL/$3MIL DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION COUADAM Adams County 7190 Colorado Blvd Commerce City, CO 80022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Mayne«ne- c, ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD GRIFF-1 INSURED'S NAME Griffith Centers for Children OP ID: GA PAGE 2 Date 05/10/2018 Additional Named Insureds: ChinsUp Youth & Family Services Colorado Springs Asset Management LLC Griffith Centers for Children Foundation, Inc. GRIFF-1 OP ID: GA ACOR09 k... --CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 05/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of the LV 3001 Emrick Blvd, Suite 120 Bethlehem, PA 18020 CONTACT PHONE FAX (AIC, No, EXq: 610-974-9490 (A/C, No(_ 610-974-9791 E-MAIL ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A: Philadelphia Indemnity Insu Co 18058 INSURED Griffith Centers for Children dba The Emily Griffith Center 1724 Gilpin Street Denver, CO 80218 INSURER B INSURER C: r INSURER D: INSURER E : INSURER F : ICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ' 'iADDL,SUBRT LTR TYPE OF INSURANCE POLICY NUMBER , POLICY EFF ! POLICY EXP T (MM/ODIYYYY) ' LIMITS A II X COMMERCIAL GENERAL LIABILITY IINSD IWVD PHPK1790071 104/01/2018 .. '!IMM/DD/YYYY) EACH OCCURRENCE $ 1,000,000 - X ' CLAIMS -MADE OCCUR 04/01/2019 r DAMAGE To RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any_ one person) $ 20,000 _ I I'I PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- __ �, POLICY ��, JECT _ LOC OTHER: GENERAL AGGREGATE $ 3,000,000 I PRODUCTS - COMP/OP AGG I $ 3,000,000 _ ! t_ $ A AUTOMOBILE LIABILITY I ANY AUTO X ' ALL OWNED SCHEDULED i AUTOS ; AUTOS NON -OWNED X HIRED AUTOS ' X • • N AUTOS PHPK1790071 04/01/2018 COMBINED SINGLE LIMIT accident) $ 1,000,000 IH(Ea I 04/01/2019 I BODILY INJURY (Per person) $ i �, BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ f_Per accident' A X UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE, PHUB620963 I 04/01/2018 EACH OCCURRENCE i $ 5,000,000 04/01/2019 AGGREGATE $ 5,000,000 ' DED I X ' RETENTIONS 10,000' ' $ ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN , I IN I A ' ! , PER 10TH- 1 STATUTE ER I__ E.L. EACH ACCIDENT i$ ANY PROPRIETOR/PARTNER/EXECUTIVE ' OFFICER/MEMBER EXCLUDED? • E.L. DISEASE - EA EMPLOYEE'S $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below r E . DISEASE - POLICY LIMIT $ A A Professional Liab Abuse/Molestation PHPK1790071 PHPK1790071 04/01/2018 04/01/2019 OCC/AGG 04/01/2018' 04/01/2019IOCC/AGG $1MIL/$3MIL $1MIL/$3MIL DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION COUWELD County of Weld 1150 O Street Greeley, CO 80631 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD GRIFF-1 INSURED'S NAME Griffith Centers for Children OP ID: GA Additional Named Insureds: ChinsUp Youth & Family Services Colorado Springs Asset Management LLC Griffith Centers for Children Foundation, Inc. PAGE 2 Date 05/10/2018 Hello