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Home My WebLink About20173214.tiffee-a;4te. /pdfr/r7 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MAPLE STAR COLORADO This Agreement Amendment, made and entered into lfday {�of 2018 by and between the Board of Weld County Commissioners, on behalf of the Weld Co ty D partment of Human Services, hereinafter referred to as the "Department", and Maple Star Colorado, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home Studies (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2017-3214 approved on September 18, 2017. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on June 30, 2018. • The Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Agreement: 1. WHEREAS, the Colorado Department of Human Services has provided Core Services or other funds to the Department for Home Studies. 2. Paragraph 1, Term This agreement shall become effective on September 1, 2017, upon proper execution of this Agreement and shall expire June 30, 2019, unless sooner terminated as provided herein. 3. Payment The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; 66: 1 -He - ii 0.2-o/7- g.0214. 1-11)081 v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. 4. Exhibit C, Scope of Services, amended as attached. 1. Exhibit D, Payment Schedule, amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: f v• . p•ti Weld o Clerk to the Boa d By , • �_� Deputy Clerk t, the : oard BOARD OF COUNTY COMMISSIONERS WELD CQUNTY, COLORADO Steve Moreno, ChairJUL 6 2018 CONTRACTOR: Maple Star Colorado 2250 South Oneida Street, Suite 200 Denver, Colorado 80224 (303) 564-2595 By: H at er Morris, State Direcfor Date: 6/31 ! 5 O2o/7-42/1L EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide home study services, as referred by the Department. 2. Contractor utilizes the Structured Analysis Family Evaluation (SAFE) tool developed by the Consortium of Children. Contractor is SAFE certified and on the State's approved home study vendor list. Contractor also is certified as a SAFE supervisor. 3. Contractor will attend SAFE Refresher training during the term of this contract. 4. Contractor will ensure that all studies are completed utilizing the most up-to-date forms and templates as found on www.consortforkids.org or www.SAFEhomestudy.org. 5. Contractor will complete a Department of Motor Vehicle background check at no additional charge. All CBI, FBI and LexisNexis background check information will be completed by the Department, unless otherwise directed by the Department. 6. Contractor will submit a completed home study to the Department with their billing within 60 days of receipt of the home study referral. A complete home study will include the study in SAFE format, background check information, SAFE questionnaires completed by the applicants, references and all other original documents submitted by the home study applicant. 7. Contractor will document in detail any and all observed or verbalized concerns regarding any specific Weld County home. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Child abuse must be reported immediately per law. 8. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 1 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after June 30, 2019. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $1,375.00/Episode (Home Study, 2 Adults) $1,550.00/Episode (Expedited Home Study, 2 Adults) $700.00/Episode (Home Study Update) $50.00/Hour (Incomplete/Canceled Home Study) Mileage shall be reimbursed after the first 30 miles at two cents below the most current IRS rate/mile. Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7ch day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. 1 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. ACORIJ, CERTIFICATE OF LIABILITY INSURANCE DAE(Mio" eD ") 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 have ADDITIONAL INSURED provisions or 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 Marsh Risk 8 Insurance Services CA License 80437153 777 South Figueroa Street Los Angeles, CA 90017 CN102049935•PROV-CASUA-18-19 CONTACT NAME:PHONE FAX (A/C No. Eat), I (NC. No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC it INSURER A : Lexington Insurance Company 19437 INSURED Maple INSURER B : Travelers Indemnity Co 25658 Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 INSURER C : Travelers Property Casualty Company Of America 25674 INSURER D : WA N/A INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS -002278753-13 REVISION NUMBER: 3 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 LTR TYPE OF INSURANCE ADDL INSO SUBR MND POLICY NUMBER POLICY EFF (MMIDD/YYYYI POLICY EXP (MMIDWYYYYI LIMTS A X COMMERCIAL GENERALuABILITY 6797667 03/O1/2018 03)01/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X 1 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S MED EXP (My one person) $ GENT X r AGGREGATE LIMIT APPLIES PER POLICY I f 1 LOC OTHER PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 1,000.000 $ 6 AUTOMOBILE X x _ LIABILITY ANY AUTO OWNED ^ _, _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY TC2JCAP-42556955-18 03/01/2018 03/01/2019 COMBINED SINGLE LIMIT $ 1000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ C YVORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED', (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N I A HC2JUB-42578395-17 10/01/2017 10/01/2018 x I g7I/ZTUTE I ER El. EACH ACCIDENT 5 1,000,000 E.L DISEASE • EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT $ 1,000,000 A HEALTHCARE PROFESSIONAL UA6 CLAIMS MADE 6797667 03/01/2018 03/01/2019 EACH MEDICAL INCIDENT AGGREGATE 1,000,000 83.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS( VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached n more apace M required) Weld County is/are included as additional insured where required by written contract with respect to general liability. CERTIFICATE HOLDER Weld County Weld County Ceparnneo(,)f Hr3rnan See 11x) 0 St P0 Box 'S% CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AO IHCRIZED REPRESENTATIVE at Marsh Risk R Insurance S,,rvvices 98ti 2010 A OR° CORPORA 1ION. All rights reserver! I r. ACORU� �-�. CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 03/15,2018 THIS CERTI;ICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERY)FICATE 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 have ADDITIONAL INSURED provisions or be endorsed. H 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 Marsh Risk 8 insixance Services CA License>f0437153 777 South Figueroa Street Los Angeles, CA 90017 Allot: heallkam.accountscssuamarsh.corn Fax. 212-948-1307 CN102049935-TECH -18-19 CONTACT NAME: PHONE I FAX WC, No. EXD. INC, No): E-MAIL AOPRISS: INSURERS) AFFORDING COVERAGE NAIC C INSURER A : AMYed World National Assurance Company 10690 INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 INSURER e : INSURER C : INSURER D INSURER E : INSURER F : VERAGES CERTIFICATE NUMBER: LOS -002079286-17 REVISION NUMBER: 9 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. DOR LTRINS0 IMPEDE INSURANCE L RR MD POLICY NUMBER POLICY EFF IMWDDIYYYY) POLICY EXP IMMIDDIYYYY) UNITS COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ J CLAIMS -MADE H OCCUR DAMAGE NTED PREMISESO(Es Eocc4rrence) $ MED EXP (Any one person) $ $ PERSONAL 8 ADV INJURY GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY L ,ECT LOC PRODUCTS - COMP/OP AGG $ OTHER S AUTOMOBILEUABIUTY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS ONLY _ __ NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ __ _._.._ I $ UMBRELLA LUB OCCUR EACH OCCURRENCE S E�XCESSUAO CLAIMS -MADE AGGREGATE $ DED 1- i RETENTION S $ WORKERS COMPENSATION OTH I PER STATUTE 1 I ER AND EMPLOYERS' UABLITY ANYPROPRIETORIPARTNER/EXECUTIVE Y 1 N E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDE D7 (Mandatory in NH) N / A E L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT S A Tedt/Secunty & Privacy 0309-4884 03/15/2018 03/1512019 Limit of Liability SIR $10,000,000 $2,500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule. may be attached N more space Is required) Weld Adolescent Resources are included as an additional Insured under the Cyber liability policy if required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION WeldCoolly Weld'; atilt' peLarimeni A':lomat Sero. IISO(:- '' 40x SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS At) TH0RI EI)REPRUiENIA ',F 1988 !lira Ai 14{" C • , POI' S 11(.14 A i 7 rte reservTt l RESOLUTION RE: APPROVE AGREEMENT FOR CHILD PROTECTION SERVICES AND AUTHORIZE CHAIR TO SIGN - MAPLE STAR COLORADO WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement for Child Protection Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Maple Star Colorado, commencing September 1, 2017, and ending June 30, 2018, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for Child Protection Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Maple Star Colorado be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair Pro -Tern be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of September, A.D., 2017, nunc pro tunc September 1, 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: dailet)..aC,�tD• Weld County Clerk to the Board BY: Q---Ofit-P— c • puty Clerk to the Board APPR• . D AS TO ounty A •rney Date of signature: q ( f CC , HSO, Pct tU/q / t•7 EXCUSED Julie A.ozad, Chair Steve Moreno, Pro-Tem Sean P. Conway arbara Kirkmeyer 2017-3214 HR0088 RIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: August 31, 2017 TO: Board of County Commissioners — Pass -Around • Judy A. Griego, Director, Human Services Weld County Department of Human Services' Child Protection A _ 't for Services with Mapl Star d" a if you would like a wmt session prior to placing this item on the Board's Request B card Approval of the Departments' Child Protection Agreement for Services with Maple Star. The major provisions of the Agreement are follows: Term September 1, 2017- June 30, 2018 Non -Core S1,375.0©/Episode (Full Home Study) $1,550.00 (Expedited Full Home Study) $700. isode (Home Study Update) $50.00/Hour (Incomplete Home Study) I do not recommend a Work Session. I recommend approval of the Agreement. Apg ovf Sean P. Conway Julie A. Cozad, Chair Mike Freeman Barbara Kirkmeyer Steve Moreno, Piro-Tem t► er/Com s: s -A nd o August 31 2017 ID 1423 altiatt lb * 11123 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND MAPLE STAR COLOR DO This Agreement, made and entered into thq.�day o 2017, by and between the Board of Weld County Commissioners, on behalf of the Weld County Depart ent Human Services, hereinafter referred to as the "Department' and Maple Star Colorado 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 WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration funding to the Department for Home Studies. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on September 1, 2017, upon proper execution of this Agreement and shall expire June 30, 2018, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. 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 2017-3214 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 Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.5.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. 3 b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, 4 and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of 5 the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non- payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. iii.Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self-insurance provided by County. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows: 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. 7 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. 8 - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Heather Morris, Executive Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Heather Morris, Executive Director 2250 S. Oneida Street, Suite 200 Denver, CO 80224 (303) 564-2595 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 9 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, 10 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 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 11 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Of ell BOARD OF COUNTY COMMISSIONERS Weld Co Clerk to the Board WELD COUNTY, COLORADO By: Dep lerktoth Board Steve Moreno, Chair Pro-Tem SEP 1 8 2017 MEElliednal Maple Star Colorado 2250 South Oneida Street, Suite 200 Denver, CO 80224 (303) 560495 By: Date: Br her Morris, State Director 020/7- 0021'f EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL REQUEST FOR BIDS AND PROPOSALS WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80634 DATE: April 3, 2017 BID NUMBER: B1700080 DESCRIPTION: Annual Request for Various Services DEPARTMENT: Human Services MANDATORY PRE -BID CONFERENCE DATE: N/A BID OPENING DATE: APRIL 24, 2017 PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO THIS REQUEST FOR BID FOLLOW PAGE 9. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS ENGLISH AND BILINGUAL (ENGLISH/SPANISH) SERVICES (SERVICE AREAS INCLUDED IN THIS PROPOSAL INCLUDE, BUT ARE NOT LIMITED TO THE BELOW LIST. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVE SERVICES.) 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 domesticviolence. 1 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, orwithout DayTreatment Comprehensive, highly structured services that provide education to children and therapy to children and theirfamilies. Foster ParentConsultation Services provided to foster and group home families caring for Weld County children and youth in their homes to enhance and improve the quality of care being provided. Foster ParentTraining Core training for new Weld County foster parents. Functional Family Therapy 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. Kinship Services (Therapeutic) Kinship services in the areas of (1) consultation and kinship parent support specific to a child placed in a kinship home, (2) corrective consultation specific to a child placed in a kinship home, and (3) critical care consultation specific to a child placed in a kinship home. Children placed in kinship care are maintained in the lowest level of care and least restrictive setting when out - of -home placement is necessary. Life Skills Visitation (both in -home and in -office) and services provided primarily in the home that teach household management, effective accessto community resources, parenting techniques and family conflict management. Mediation/Intensive Family Therapy Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. 2 Mental Health Services Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, functioning and relationships. Multi-systemrcTherapy 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. Substance Abuse Treatment Services Diagnostic and/or therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning and relationships, and to prevent further abuse of drugs or alcohol. Other Creative and unique services designed to meet the needs of children, youth and families interacting with the Child Welfare system through a prevention or traditional case. B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Iherebywaive my right to a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. Hand Delivery. Hand -delivered bids should be submitted in a sealed envelopewith the bid title and bid number on it. Bids must include the following statement on the email: "I hereby waive my right to a sealed bid". Hand - delivered bids can be dropped off at: Weld County Department of Human Services, Attn: Tobi Vegter, Financial Unit, 822 7th Street, Suite 150, Greeley, CO 80631. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. 3 II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described above). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III.INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 4 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5- 101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age orolder is lawfully present in the United States pursuant to C.R.S. 24-76.5-103(4) if such individual applies for public benefits provided under this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M.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. 5 0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV.GENERAL SPECIFICATIONS A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24- 10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by 6 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. V. Insurance Requirements i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant tothis request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: 7 • $1,000,000 each occurrence; • $2,000,000 general aggregate; • $50,000 any one fire; and • $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: • If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; • Unlimited defense costs in excess of policy limits; • Contractual liability covering the indemnification provisions of this Agreement; • A severability of interests provision; • Waiver of exclusion for lawsuits by one insured against another; • A provision that coverage is primary; and • A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. iii. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub- vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 8 Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. VI.Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. CONFIDENTIAL INFORMATION Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Contract Period and Pricing: 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the following: • Qualifications, appropriate licensure, and experience. • Cost structure. • Relationships and collaboration. • Organizational experience and past performance. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. EXHIBIT A SAMPLE AGREEMENT CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND This Agreement, made and entered into the _ day of 2015, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Reuquest for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and for WHEREAS, the Colorado Department of Human Services has provided funding to the Department NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on , upon proper execution of this Agreement and shall expire , unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 1 d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 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 Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and the Age Discrimination in Employment Act of 1967; and the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. 3 b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, 4 and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of 5 the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non- payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self-insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. 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 Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 8 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator CONTRACTOR, TITLE 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 9 any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 10 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law (and as set forth in Exhibit provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in 11 Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 12 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 13 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board WELD COUNTY, COLORADO BY: Deputy Clerk to the Board , Chair APPROVED AS TO FUNDING: APPROVED AS TO SUBSTANCE: Controller Elected Official or Department Head APPROVED AS TO FORM: Director of General Services County Attorney CONTRACTOR Contractor, Title 14 EXHIBIT B CONTRACTOR'S PROPOSAL PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services AGENCY OR PRIVATE PRACTICE NEta7'Hr Mofns 'ASW PRIMARY CONTACT- FULL NAME X303 ) 564-2595 PRONE NUMBER r,;(42P5LY: may;. : n` PRIMA RV CONTACT - EMAIL ADDRESS 22.-;1 S rnf'za Sr S:.;wte 20r, NC, AOC-FESS 4f, 4.A C.' MIACT NAM( :LQiET MN PAR PRIMARY CONTACT) REFERRAL CONTACT - PRONE NUMBER TRAILS PROVIDER ID OF Known) PRIMARY CONTACT - TITLE L303 ; 433-1980 FAX NUMBER AGENCY/PRACTICE WEB ADORE (IF APPUCABLE) Cvtr Cry tl v REFERRAL CONTACT -E-AMAILADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. � t Signature of Authorized Rep eeSentative: date of Signature: y a) % i 2xs Weld County RFP Bid No. B1700080 Other Services- Home Study Program Maple Star Colorado Bid No. B1700080 Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). See Cover page 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. Maple Star currently employs staff members who meet the Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). If selected, Maple Star would recruit bilingual Spanish/ English speaking staff members to meet the needs of the contract. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. Maple Star Colorado was incorporated in 1994 as a Colorado non-profit child placement agency by the state of Colorado Department of Human Services. Since that time Maple Star has developed multiple community services to meet the need of the children and families of many communities throughout Colorado. Services include KEEP Removal Prevention and Reunification Services, KEEP Kinship, KEEP Teen, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction, Intensive Family Finding and SAFE Home Studies. Additionally, Maple Star provides Clinical Services such as the Virtual Residential Program, Family Preservation (Therapeutic and non -therapeutic level), Life Skills, STAND adoption disruption prevention program, comprehensive Trauma Assessments, Autism and in -home Family/ Child therapy. Maple Star provides individualized client care that is creative, flexible, adaptive, and timely. Maple Star actively provides services throughout the Front Range from Larimer and Weld to Pueblo County, but also contracts with multiple other Counties and states to provide our Community, Clinical and Foster Care services within Colorado. Beginning in 2014, Maple Star has provided trauma focused services under the Title IV -e waiver to El Paso and Denver Counties. Mission and Service Philosophy: Maple Star's trauma -specific approach provides individualized and holistic services that promote wellness, durability, and healing through the context of relationship. Service Philosophy: Maple Star believes in enhancing the self-determination of each client through a model that encourages healing, growth, and progress through a relationship -based model. This model is developed from current research (Bruce Perry, Karyn Purvis, Heather Forbes, Bryan Post, and Daniel Siegel) and incorporates an understanding of trauma and the brain. Weld County RFP Bid No. 81700080 Other Services- Home Study Program The common thread of Maple Star services is the emphasis on the strengths and uniqueness of each client and family. We are dedicated to ensuring that all clients are offered services with treatment methods that will accomplish treatment goals. We encourage clients and families to participate fully in developing their goals and the means to successfully achieve these goals. Exploring available community support networks and facilitating connections with these services for families is an underpinning of the durable nature of Maple Star's services. Maple Star strives to provide services in home and community -based settings, whenever possible, Trauma Assessments and some visitations do occur in our office locations in Denver, Colorado Springs or Pueblo. In 2014 Maple Star became a trauma -informed workplace participating in a yearlong process through the National Council of Behavioral Health. Through conducting organizational assessments developed with a trauma lens, Maple Star was able to evaluate agency -wide trauma competency and implement new, or improve current, practices to best meet the needs of clients, staff and community partners with a holistic trauma informed approach. Maple Star selected multiple Trauma Champions within the agency to help implement trauma specific strategies into all areas of Maple Star's operations. Maple Star provides a wide array of services to meet the needs of multiple populations and is continually creating new programs in response to identified needs in a particular area. All of our programs share a primary commitment to provide care that builds upon our clients' strengths, responds to our clients' concerns, and utilizes natural support systems and community resources. Maple Star is part of Pathways, the behavioral health component of Molina Healthcare. Maple Star specializes in providing client centered therapy, case management, and foster care services to children, adolescents and adults served and monitored by government -subsidized programs. Maple Star Colorado has a demonstrated ability to provide highly trauma competent and resourceful services cross discipline throughout multiple communities in Colorado. Maple Star understands the unique needs of counties served and strives to contextualize our services to best serve the related population. Agency Directors manage the contracts. They are responsible to oversee Quality Assurance compliance, billing, and program development. In the last year, during all behavioral health as well as state audits, Maple Star passed with exceptional ratings and no significant deficiencies or safety concerns noted. Maple Star operates along the front range of Colorado including Weld County with its main office located at: 2250 South Oneida Street, Suite 200 Denver, CO 80224 303-433-1975 www. maplestar. net Brooks. Kaskelat5loathways. corn Emily. Kleeman a[�pathways.corn heathe r. morrisa pathways. corn Weld County RFP Bid No. B1700080 Other Services- Home Study Program Maple Star's Director of Community Programs, Brooks Kaskela, MA, oversees all community -based programming to ensure quality assurance. Emily Kleeman oversees all community programs in Northern Colorado including KEEP and Visitation. Heather Morris, MSW, State Director, provides leadership and oversight for all programs. Their resumes can be found in Attachment 1. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Maple Star Colorado is proposing to utilize the Home Study Program being administered for multiple Counties including: Douglas, Arapahoe, Jefferson, Clear Creek, Denver and Adams to meet the needs of the families and children served by Weld County Department of Human Services. Scope of Services: Maple Star Colorado utilizes the SAFE Home Study to evaluate applicants' suitability and preparedness to provide care to children involved with the Child Welfare System. Maple Star believes that a thorough psychosocial evaluation and mitigation of current and historical concerns is vital to providing the highest quality of matching and placements to children in need of kinship, foster or adoptive homes. Through the use the of SAFE, Maple Star supports the need for qualified, safe a stable homes for children. Maple Star Colorado's Home Study Program has been providing contracted home studies to multiple counties throughout Colorado, since May 2012. Since the inception of the home Study Program over 1,500 SAFE Home Studies have been completed by the Maple Star team. Counties served include: Jefferson, Douglas, Arapahoe, Denver, Adams and Clear Creek. Maple Star has also completed studies for Gilpin and Larimer counties. Maple Star provides a seamless service to the Department from referral to finalization, including the following services, the fundamental elements of which shall include: Maple Star's team of approximately 35 Home Study Evaluators provides comprehensive SAFE (Structured Analysis Family Evaluation) home studies and SAFE home study updates of foster, adoptive, interstate compact for the placement of children (ICPC) or kinship homes. Maple Star also completed Safety, Stability and Permanency Assessments (SSPA) for Adams County. Maple Star's Home Study Program is currently staffed to provide SAFE Home Studies to Departments of Human Services and families with whom they are working from Ft. Collins along the front range to Alamosa county. Weld County RFP Bid No. 61700080 Other Services- Home Study Program Maple Star endeavors to recruit and train staff members within the communities served by the Departments of Human Services with whom they contract and additional Home Study Providers may be hired if a need is identified. Maple Star employs Home Study Providers that speak both English and Spanish with the goal of administering the SAFE Home Study in the language in which the applicant is most comfortable communicating. Home Study evaluators are trained and supervised to view the family in a strengths -based manner, taking in to consideration the family's cultural identity and practices. Each Home Study Provider is assigned a SAFE trained Home Study Supervisor who is qualified to provide supervision to their home study staff in accordance with Volume VII and SAFE guidelines. The Maple Star Home Study Supervisor is responsible for staffing cases with providers, reviewing all documentation and questionnaires and reviewing and approving the SAFE Home Study and Psychosocial Inventory according to SAFE standards. Maple Star's Home Study Supervisors ensure that all SAFE guidelines are followed with regards to interviews, evaluation and mitigation, that the home study documentation is completed correctly and signed off on by all necessary parties, and that the final SAFE home study is submitted to the Department of Human Services. A certification with regards to each of these areas is completed, signed and submitted by the Home Study Supervisor with the final report in accordance with SAFE Home Study guidelines. Current Supervisors are: Name Year of SAFE training Year of SAFE Supervisor training Heather Morris, MSW 2005 2010 Barb D'Albey, Ph. D, LCSW 2004 2008 Julie Berland, LCSW 2006 2012 Josh Aevum, LCSW 2010 2012 Beth Risdon, MSW 2004 2012 Stephanie Walker, MSW 2006 2014 Lauren Patterson, MA 2008 2010 Kristy Briggs 2016 Content of the SAFE Home Study assessments include those items as listed in Volume VII of the Policies and Procedures for Child Welfare Services, Colorado Department of Human Services: for Foster Homes and Adoptive Homes: 7.500.2 A. 1-8; C. 1-9, D.; for Kinship Care Homes: 7.500.31 A. 1., and 2. a -m., and the Study Outline. These guidelines also apply to ICPC home studies. SAFE home studies / updates include structured questionnaires, interviews, assessment guides, structured family references, and the pre -formatted home study report. Maple Star's staff use the most current SAFE home study format / SAFE home study desk guide, which is required by the Colorado Department of Human Services. The site is checked regularly and all SAFE updates are distributed to the team by the program administrator. Maple Star's staff will also: (1) discuss with the family any and all concerns that arise during the study process as they relate to recommendations; (2) verbally inform the family of the recommendation being made to Weld County Department of Human Services regarding certification, kinship care or adoption; and (3) inform family members they will be active participants in the development of the SAFE home study report and they will be able to read a copy of their SAFE home study report, arranged by Maple Star's staff. Weld County Department of Human Services may request to participate in a face-to-face meeting with the Weld County RFP Bid No. B1700080 Other Services- Home Study Program applicant family, should the study conclude with a recommendation against placement of a child in the applicant family home. Maple Star's staff will be available by telephone or in person for Certification Review Team meetings. Maple Star's staff will communicate directly with Weld County Case Workers for child specific home studies to ensure that the family is evaluated to meet any special needs of that child. Maple Star also remains in constant communication with certification workers and supervisors regarding the progress on studies and notify the Department immediately of any situation which may result in a delay of the submission of the finalized report. All SAFE Home Study Providers and Supervisors are logged on the Colorado Department of Human Services Vendors list by Maple Star Colorado staff and appropriate records of qualifications are maintained by Maple Star Colorado Human Resources personnel. Designated County Department of Human Services staff complete a home study referral and submit to Maple Star. The program administrator checks for and assigns referrals daily. The program administrator will notify the referring Weld County staff member of the assigned writer and supervisor. Weld County Department of Human Services will complete initial background checks including fingerprinting, CBI, FBI, and National and Colorado Sex Offender registries, CDHS application, references and all required Department certification paperwork. All supporting documentation is sent to the Maple Star SAFE Home Study Provider and SAFE Home Study Supervisor assigned using secure encrypted email. All referrals for home studies or home study updates will be completed, unless the applicant family voluntarily withdraws their application, or unless Weld County staff recommend closure of the home study process. In these situations, Weld County staff and Contractor's staff will be in close communication regarding a final decision about completing a study or update. All completed home studies or home study updates and partial home studies or home study updates will be electronically forwarded to designated Weld County Department of Human Services personnel using password protected/ encrypted emails. Original documents including Questionnaire Its administered by the Home Study Provider, signature pages, signed psychosocial inventory and Supervisor Home Study Certification check list will be delivered in person or via U.S. mail to the designated Weld County staff member. All documentation and the SAFE Home Study report will be submitted to Weld County Human Services and will become the Department's property. Future requests for release or review of a completed home study must be directed to Weld County Human Services. Maple Star SAFE Home Study evaluations are completed using trauma informed interviewing techniques to avoid retraumatization of applicants when discussing sensitive historical events. Maple Star Home Study Evaluators treat all applicants with respect and treat every applicants information with the highest level of confidentiality and maintain records in accordance with HIPPA requirements. Weld County RFP Bid No. 81700080 Other Services- Home Study Program In addition to provision of the SAFE Home Study, Maple Star assumes the following responsibilities regarding the administration of the Home Study Program: Advertising, recruitment, interviewing, application review and approval of writing sample, completing pre -employment references, etc for each Home Study Provider and/ or Home Study Supervisor. New hire orientation and paperwork is conducted with each employee by Maple Star's Office Manager. Background checks including CBI, FBI, BIU, eVerify and DORA, where applicable, are conducted on every Maple Star employee. The cost of the fingerprints and the background checks are covered by Maple Star. Maple Star's Office Manager supports newly hired employee with processing of new hire paperwork, facilitating the assignment and set up of company email, ADP, etc through corporate offices. Maple Star's administration compiles and maintains personnel files on all employees and conducts regular audits to ensure that all required documents including but not limited to auto insurance, driver's license, licensure documentation, are all current. State Director Heather Morris or other program supervisor, conducts program orientation and assigns new Home Study Providers to SAFE certified Supervisor. At the time of hire , all employees are required to complete the following trainings: Ethics Cultural Diversity Safety in the workplace HIPPA Cell phone security- PHI Harassment Maple Star Agency Orientation Trauma Informed Care Maple Star requires completion of HIPPA and Workplace Harassment annually. Additionally, all Maple Star Home Study providers require initial training to Maple Star Colorado Home Study Program standards and practices and Department specific requirements. This training is provided through initial program training and orientation, shadowing, and initial study reviews and editing. Employees will be paid an hourly rate for the completion of all new hire and on -going trainings and meetings. Home Study Providers and Supervisors working solely for Maple Star are covered 100% by Maple Star Colorado professional liability insurance. Those working independently or for other agencies are covered by Maple Star Colorado but also required to provide proof of independent insurance. Maple Star Colorado assumes the cost of payroll taxes and processing, employment taxes/ insurance, 401K, medical and dental insurance for all employees working more than 30 hours per week in accordance with federal law and monthly phone stipends. Weld County RFP Bid No. B1700080 Other Services- Home Study Program A Part-time, hourly, program administrator receives, logs and assigns all home study referrals, tracks receipt of required paperwork from Department, tracks delays and communications with Department, provides QA regarding contract compliance for timelines, etc. and provides information to Maple Star State Director to support payroll administration and monthly billing. Maple Star Home Study Program Director attends contracts meetings with the Department of Human Services as agreed upon to review contract utilization and ensure contract compliance. Certification Review Team attendance or phone ins are required by evaluator or supervisor for every certified study (unless not required by Department). Fee Schedule: $1375 for a full completed SAFE Home Study $1550 for an expedited full SAFE Home Study $700 for a completed Home Study update $50/ hour for incomplete SAFE home studies. Home Studies requested outside of Maple Star's primary service area may be subject to additional travel fees. Home Study services are not Medicaid billable. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. None 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. See Attachment 1 for the resumes and trainings for the Supervisory staff members who will manage and/or administer services under this proposal. Staff members who will provide services under this contract, should it be awarded, are maintained in Maple Star personnel files. Maple Star Home Study Providers have a minimum of a Bachelor's Degree and have completed the 2 day SAFE assessment training class. Maple Star Home Study Evaluators and Supervisors are registered with CDHS as an approved vendor to complete SAFE Home Study evaluations and in accordance with the laws of the State of Colorado, as applicable, and as required by any rules or regulations of CDHS. Maple Star requests feedback from the Department in the form of a Home Study Satisfaction Survey. Input from the Department is utilized by Maple Star Home Study Program administrators and supervisors to help inform needed training and support for individual Home Study Providers and for the overall program. Weld County RFP Bid No. B1700080 Other Services- Home Study Program Maple Star training certificates are located in the files of the staff members and are available for review upon request. Maple Star requires completion of HIPPA and Workplace Harassment annually. Additionally, all Maple Star Home Study providers require initial training to Maple Star Colorado Home Study Program standards and practices and Department specific requirements. Background checks including CBI, FBI, BIU, eVerify and DORA, where applicable, are conducted on every Maple Star employee. All required background checks are conducted as outlined in Colorado Department of Human Services Volume 7 Rules and Regulations. Maple Star conducts a minimum of three telephone reference checks prior to employment. A driving record check is completed prior to employment. 7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. • A copy of the most recent Vendor's list available to Maple Star can be found in Attachment 2. • Maple Star's Organizational chart can be found in Attachment 3. • Most supervisors have master's degrees plus two years or more experience; while supervisors without master's degrees generally demonstrate two years or more work experience. Maple Star Home Study Supervisors have completed the 2 day SAFE class and the additional one day SAFE Supervisor training. Current Supervisors are: Name Year of SAFE training Year of SAFE Supervisor training Heather Morris, MSW 2005 Barb D'Albey, Ph.D, LCSW 2004 Julie Berland, LCSW 2006 Josh Aevum, LCSW 2010 Beth Risdon, MSW 2004 Stephanie Walker, MSW 2006 Lauren Patterson, MA 2008 Kristy Briggs 2010 2008 2012 2012 2012 2014 2010 2016 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. Designated Weld County Department of Human Services will staff complete a home study referral and submit to Maple Star. The program administrator checks for and assigns Weld County REP Bid No. B1700080 Other Services- Home Study Program referrals daily. The program administrator will notify the referring Weld County staff member of the assigned writer and supervisor. Weld County Department of Human Services will complete initial background checks including fingerprinting, CBI, FBI, and National and Colorado Sex Offender registries, CDHS application, references and all required Department certification paperwork. All supporting documentation is sent to the Maple Star SAFE Home Study Provider and SAFE Home Study Supervisor assigned using secure encrypted email. All referrals for home studies or home study updates will be completed, unless the applicant family voluntarily withdraws their application, or unless Weld County staff recommend closure of the home study process. In these situations, Weld County staff and Contractor's staff will be in close communication regarding a final decision about completing a study or update. Maple Star's staff communicate directly with Weld County Case Workers for child specific home studies to ensure that the family is evaluated to meet any special needs of that child. Maple Star also remains in constant communication with certification workers and supervisors regarding the progress on studies and notify the Department immediately of any situation which may result in a delay of the submission of the finalized report. A Part-time, hourly, program administrator receives, logs and assigns all home study referrals, tracks receipt of required paperwork from Department, tracks delays and communications with Department, provides QA regarding contract compliance for timelines, etc. and provides information to Maple Star State Director to support payroll administration and monthly billing. Maple Star Home Study Program Director attends contracts meetings with the Department of Human Services as agreed upon to review contract utilization and ensure contract compliance. Certification Review Team attendance or phone ins are required by evaluator or supervisor for every certified study (unless not required by Department). Maple Star Home Study Providers will complete each assigned SAFE Home Study and submit to their Home Study Supervisor for review and approval. Completed, supervisor approved studies, including applicant signatures and any original documentation used to collect client information will be submitted to the Department no later than sixty (60) calendar days after the date the study is assigned to the to Maple Star and the Home Study Provider has received all required documentation from the Department. Expedited requests shall be completed within thirty (30) calendar days. Home Study evaluators will be available in person or by phone for Certification Review or as requested by the Department to staff a submitted home study. Maple Star will provide the County a written report of each completed or partially completed study. These written reports shall be provided to the County in the SAFE format. Maple Star employs SAFE Home Study Supervisors who will review and approve home studies prior to their submission to the County. A spreadsheet containing required billing information, documented email correspondence regarding specific study's progress on completion, recommendations regarding individual studies and number of days from assignment until finalization will be submitted along with the monthly invoice by the 5th of the month. Weld County RFP Bid No. B1700080 Other Services- Home Study Program 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. Maple Star currently provides Home Study services in'the communities of Adams, Jefferson, Denver, Arapahoe, Douglas and Clear Creek counties. Maple Star has SAFE certified home study evaluators located along the front range and are able to accept/ complete studies from Fort Collins through Alamosa Counties. Maple Star also has the ability to accept and complete studies in other outlying areas on a case by case basis. Should Maple Star be awarded a contract for multiple service lines, they are considering opening an office in the northern Colorado region. Maple Star will be able to meet the need of Weld County through this office or from their other offices to provide services in a timely and effective manner. Maple Star will be able to take referrals within 30-45 days of the initiation of the contract or upon formal notification of intent to award the contract. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. Fee Schedule: $1375 for a full completed SAFE Home Study $1550 for an expedited full SAFE Home Study $700 for a completed Home Study update $50/ hour for incomplete SAFE home studies. Home Studies requested outside of Maple Star's primary service area may be subject to additional travel fees. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. See Attachment 4 Weld County RFP Bid No. 81700080 Attachment 1 Heather Morris, MSW 10318 Cheetah Tail, Littleton CO 80124 714-883-9875 cell Heatherm1207@gmail.com Objectives Seeking a challenging position where my education and varied experience will be effectively utilized. Experience Maple Star Colorado Director of Community Operations May 12 -present Assisted with the design and implementation of more than 5 new programs, including Home Study writing and supervision, Facilitated Visitation and Parent Coaching, Domestic Violence Reduction Program, Permanency and Removal Prevention services, Kinship Services and Intensive Family Finding. Programs currently serving community programs to 10 major Colorado Counties. Foster Care services are provided along the Front Range and regularly contract with over 15 counties. PRIMARY RESPONSIBILITIES: This position is responsible to oversee all program services in Community and Foster Care Program areas. These services may include, but not be limited to, assessments; service team meetings; case management services; foster care, support groups; advocacy; recruitment and certification of foster parents and home studies. Administratively, this position will oversee Human Resource, Information Technology, and Billing processes. Program Supervisors, Orientation and Training • Responsible for the interviewing, hiring, orientation, training, on -going supervision, and written evaluations of the program supervisors that work in the agency. • insure completion of orientation for new program supervisors • Develop and coordinate ongoing training agenda for staff Program Supervisors Supervision • Provide minimum of two individual supervisions each month for full time supervisors, may include phone supervision and will include documentation of supervisory sessions. Performance Assessments • Continually assess and develop methods to improve performance of individual programs • Respond to conflicts or concerns pertaining to supervisors' performance in addition to the monitoring performance of the staff supervised by the program supervisors • Provide performance evaluations according to guidelines for newly hired staff and for yearly reviews Foster Care Director October 2009 -May 2012 Supervised up to 7 full time staff, 50 foster homes and 100 children in placement. Primary Responsibilities: The Foster Care Regional Director is responsible for the certification and training of foster homes, placement of youth into foster homes, and supervision of agency case management personnel. • Responsible for collaboration with Recruiter and Home Supervisors in the recruitment, licensing, training, and evaluation of Foster Parents. • Review all Home Studies completion according to SAFE requirements • Assist Recruitment staff in development of robust recruitment plans, assist with specialized recruitment and ensure appropriate tracking and reporting formats are completed, accurate and timely • Complete file audits and approve prior to certification and on annual basis for compliance with Volume 7 regulations. • Complete license and Issue Certificate only after thorough file audit has been conducted. • Ensure appropriate profile development for matching of youth and family information communicated to referral agencies. • Responsible for obtaining and following up on referrals from outside sources, the matching and placement of youth into foster homes, as well as the subsequent rate negotiations. . • Maintain record of monthly census for preparation of foster parent invoices as well as financial reporting to Executive Director. Concept 7 Family support and Treatments Centers, Orange, CA Regional Director- Foster Care Program- Orange and San Diego Counties March 2004- May 2009 • Hire, supervise and evaluate the Masters level Social Work staff and support staff for the Orange and San Diego County regions • Recruit, train, and certify treatment foster homes according to Community Care Licensing and County contract requirements • Oversee the intake placement and termination process for foster children • Oversee home study process and approval for new and recertifying families Program Supervisor Monitored Visitation and Transportation Program April 2002 -March 2004 • Family Support Specialist • February 2001 -April 2002 Education San Diego State University, San Diego, CA USA Masters, GPA 3.92 Major: Social Work May 2000 University of California, Santa Barbara, Santa Barbara, CA USA Bachelor of Arts GPA 3.27 Major: Psychology June 1994 Certifications SAFE Home Study- May 2005 SAFE Home Study Supervisor September 2011 2 E ca. 0 LI, U L. p CD C) CD 0 This is to certify that Has completed 2 hours of training As witnessed by Maple Star Staff Structured Analysis Family Evaluation This is to certify that ‘.evum JOSHUA L. AEVUM 1409 Chadwick Drive Colorado Springs, CO 80906 jlaevum@gmail.com 719.425.5026 (c) 719.5463166 (w) Citizenship: U.S.A. OBJECTIVE SOCIAL WORKER PROFESSIONAL EXPERIENCE MILITARY FAMILY LIFE COUNSELOR Magellan Health Fort Carson -Patriot Elementary Colorado Springs, CO 80902 08/2014 - PRESENT 40 hours per week $65,000 per year S: Kenn Briggs, LCSW P: 719-367-4916 I assist Service Members and their families with issues they may face throughout the cycle of deployment in a school based setting. I provide short-term, non -medical counseling support for a range of issues including: relationships, crisis intervention, stress management, grief, occupational and other individual and family issues. I also provide psycho -educational presentations focused on issues common to the military family including reunion/reintegration, stress/coping, grief/loss and deployment. I am able to provide this information to Family Readiness Groups (r1{Gs), Soldier Readiness Processing and other locations, as requested. I facilitate deployment groups with students and discuss their feeling around having a deployed parent, in a safe and understanding environment. I counsel clients using counseling methods and procedures using approved evidence -based treatment modalities, to assist clients into gaining insight into personal and interactive problems, to define goals, and to plan actions reflecting interest, abilities, and needs. I evaluate results of counseling methods to determine the effectiveness of treatments used. I interact with other professionals and other MFLC's to discuss therapy, new resources, or techniques. I support service members and empower individuals during the problem -solving process, increase individual and family competency and resilience in coping with the challenges of military life, and ensure that these issues do not detract from operational readiness. I provide emergency on -call crisis management services for military families as designated by my duty station. I continuously assess the changing needs of clients based on deployment cycles or critical events. I have worked on Air Force and Army instillations in two different states in schools, child development centers, school aged centers, and youth centers. My services are available cost free to all service members and all services provided by MFLC's are confidential. SOCIAI. WORKER II Colorado Mental Health Institute of Pueblo 1600 W 24th Street Pueblo, CO 81003 01/2013-07/2014 40 hours per week $48,000 per year S: Marcella Lopez -Hardy, LCSNX/ P: 719-288-3594 As a social worker I provided individual and group clinical counseling services using various evidence -based modalities as clinically indicated for adults in an inpatient hospital setting. I helped assist clients to identify and manage personal, psychological, and interactive problems, associated with personal adjustment and mental health challenges. I developed individual treatment plans based on a psychiatric diagnosis and identified problems and treatment needs for each case. I utili• ed social work systems and psychological theories, principles, and techniques in treatment plan development. I coordinated with a patient's work and home environments, social service agencies, primary care clinics, specialty clinics, and other organizations, to promote seamless service and support to the patient. I provided case management to improve individual family and occupational functioning, and mitigate crisis. I worked closely with a multiple disciplinary treatment staff to include psychiatrists, nurses, and plan of care liaisons to synchronize efforts across the continuum of care. I was responsible for documentation, which includes weekly and monthly reports on patients, outcome assessment results, and clinical issues of significance. I worked with highly complex cases in which individuals are severely impacted by moderate to severe psychiatric diagnosis, to include factors such as a history of trauma, co-occurring conditions, and suicidal ideations. I provided individual and group clinical counseling services using various evidence -based modalities as clinically indicated for adults to assist client to Aevum identify and manage personal, psychological, and interactive problems and to achieve effective personal, occupational, marital, and family development and adjustment. I collected bio psychosocial information about patients using interviews, case history, observation techniques, and assessment methods. I analyzed information collected to determine psychiatric diagnosis, treatment plans, and/or advisability of counseling or referral to other specialist or institutions. I reviewed notes and information collected to identify problems and concerns. I consulted reference material such as the DSIMf V, textbooks, manuals, and journals to identify symptoms, formulate diagnoses, and develop therapeutic treatment plans. I also provided case management and follow-up services to effectively manage patients enrolled in behavioral intensive outpatient behavioral programs and prevent crisis. I regularly coordinated with other clinics, family advocacy programs, substance -abuse programs, social service agencies, and other organizations, that support the patients where such collaboration does not already exist. I assisted in providing patients with community resources, to include Social Security and Medicaid, encouraging family contact and support, and provided resources to family members, to include the National Alliance for Mental Illness (NAMI) and local community support groups. I performed a variety of quality management quality assurance duties to meet state Department of Human Service requirements, as well as established and monitored objective behavioral outcome measures. I provided concise documentation of care and recommendations and discharge plans. I also utilized written and oral communication skills in case formulation, presentations, and community outreach. HOME STUDY PROVIDER Maple Star 2250 N Circle Drive — Suite 101 Colorado Springs, CO 80909 01/2012 - PRESENT $750 pay per project S: Heather Morris P: 303-433-1975 I provide Structured Analysis Family Evaluation (SAFE) Certified home Studies for prospective foster, adoptive, kinship, and families that will assist in determining the interested applicant's eligibility as foster, adoptive, kinship, or families. All SAFE home studies include structured questionnaires, interviews, assessment guides, structured family references, and the pre -formatted home study report. The Home Study process is comprised of comprehensive psychosocial assessments that require three to five in -person visits, during which I conduct in-depth face-to-face interviews with applicants. Each Home Study typically requires twenty hours of time between interviews and concise, professional writing, which typically generates 20 pages of applicant data and is generally to be completed within 30 days of receiving the assignment. Topics covered during the Home Study process include the following: applicant motivation for care, home and community environment, personal profile and biographical history for each individual applicant, developmental and criminal history, family lifestyle, personal characteristics, marital/domestic partner relationship, sons/daughters/others frequently residing in applicant's home, extended family relationships, physical/social environment, general parenting, specialized parenting, and psychosocial evaluation conclusions. Each new family presents with its own unique history and culture, requiring an ability of the [tome Study Provider to build a rapport, listen actively, and communicate effectively within diverse environments. CASEWORKER III — YOUTH IN CONFLICT UNIT El Paso County DHS 1675 W Garden of the Gods Road Colorado Springs, CO 80907 01/2012 - 01/2013 40 hours per week $42,000 per year S: Julie Nedrow, P: 719-641-8503 Interviewed clients and developed appropriate treatment plans. Provided intensive casework services to families and children. Investigated allegations of child abuse and assessed imminent danger for children. Made referrals to community resources and collateral contacts. Monitored clients' progress and ensured that needed services were being provided and that treatment plans were being followed through in a timely manner while determining the appropriateness of the placement and services provided. Provided support services and crisis management for clients to resolve problems and conflicts. Consulted with other caseworkers and community professionals on each case regarding treatment/case plans issues and concerns. Attended court hearings and mediations, which included completion of appropriate documentation, petitions, reports, and reviews, and monitored clients' compliance with court orders. Documented all contacts and ensured that all paperwork and documentation were accurately completed and filed, which included inputting updates into department database. Provided each client with a treatment plan based on family needs, which was then implemented as a court order for the family to complete. Worked with each family as a whole in attempts to maintain familial unit and prevent our-of- Aevum home placement. Regularly attended court hearings and provided updates to the court regarding the family, court order compliance, and treatment. Held forty-eight clients as a Caseworker III within the Youth in Conflict Unit. Each caseload consisted of a minimum of three active clients in addition to each parent's lawyers, the Guardian ad Litem (Child Attorney), county attorneys, and service providers. Two cases involved a child death, which brought the family to DHS attention. This position allowed for development in skills associated with the following: setting boundaries with aggressive and non -aggressive offenders, substance abusers, and sexual offenders; identifying power and control; recognizing abuse and neglect; and the knowledge of local resources valuable to both civilian and military families. HOME SUPERVISOR Maple Star -Colorado 2220 E Bijou Street — Suite 221 Colorado Springs, CO 80909 04/2009 -12/2012 40 hours per week $38,000 per year S: Kim Charles, P: 719-406-9551 Responsible for the supervision of foster homes and children within Maple Star. Managed homes licensed through the agency with the standards set by the state of Colorado. Served as an internal investigator for critical incidents and as a liaison for reporting to the Department of Human Services. Provided monthly training for licensed providers. Counseled both youth and foster parents in dealing with challenges and successes of foster care. Routinely applied rules set by the state of Colorado and implemented those rules in foster homes. Participated in weekly collaboration with a myriad of resources in the community, including DES, foster families, and other child -placement agencies, to publicize the need for foster parents and to recruit foster families. Became SAFE Certified in order to interview potential foster families for eligibility and wrote Home Studies for the agency. Conducted in-depth face-to-face interviews with potential foster parents during the Home Study process, which was comprised of comprehensive psychosocial assessments that required 3-5 in -person visits. Each Home Study typically required twenty hours of time between interviews and concise, professional writing, which typically generated 20+ pages of applicant data and was generally to be completed within 30 days of receiving the assignment. Topics covered during the Home Study process included the following: applicant motivation for care, home and community environment, personal profile and biographical history for each individual applicant, developmental and criminal history, family lifestyle, personal characteristics, marital/domestic partner relationship, sons/daughters/others frequently residing in applicant's home, extended family relationships, physical/social environment, general parenting, specialized parenting, and psychosocial evaluation conclusions. Each new family presented with its own unique history and culture, requiring an ability of the Home Study Provider to build a rapport, listen actively, and communicate effectively within diverse environments. EDUCATION MASTER OF SOCIAL WORK Newman University Wichita, KS 67213 (GPA: 4.0, Summa Cum Laude) Passed ASWB Clinical Social Work Examination (03/30/2012) Attained LCSW in March 2014 BACHELOR OF COMMUNICATIONS University of West Florida Pensacola, FL 32514 (GPA: 3.25) HIGH SCHOOL DIPLOMA Crestview High School Crestview, FL 32536 05/2011 03/2002 05/1997 HONORS & AWARDS PI ALPHA HONOR SOCIETY, LAMBDA UPSILON Newman University Wichita, KS 67213 PI GAMMA MIJ INTERNATIONAL HONOR SOCIETY IN SOCIAL SCIENCES 05/2011 05/2011 Aevum Newman University Wichita, KS 67213 JOB -RELATED TRAINING THE JOURNEY HOME, MILITARY CHILD EDUCATION COALITION, 6.5 hours of instruction 09/2014 CPR/FIRST AID CERTIFIED — American Heart Association, Expires 01/2017 01/2015 PASSED SOCIAL WORK CLINICAL LICENSING EXAM, Received LSW License 03/30/2012 03/2012 CHILD WELFARE TRAINING ACADEMY, 8 Weeks — Full Time 03/2012 AUTISM SPECTRUM DISORDERS, ESSENTIAL LEARNING — Online, Colorado Springs, CO, 2 02/2011 hours of instruction GAF/DSM IV TRAINING, ESSENTIAL LEARNING — Online, Colorado Springs, CO, 2 hours of 11/2010 instruction UNDERSTANDING PREVENTING WORKPLACE HARASSMENT, ESSENTIAL LEARNING - 01/2010 Online, Colorado Springs, CO, 2 hours of instruction PARENTS WITH MILD COGNITIVE IMPAIRMENT — DHS, Colorado Springs, CO, 6.5 hours of 10/2010 instruction ABUSE AND THE HUMAN SERVICES, ESSENTIAL LEARNING — Online, Colorado Springs, CO, 1 10/2010 hour of instruction COGNITIVE -BEHAVIORAL THERAPY, ESSENTIAL LEARNING — Online, Colorado Springs, CO, 10/2010 2.5 hours of instruction CASE MANAGEMENT BASICS, ESSENTIAL LEARNING — Online, Colorado Springs, CO, 3 hours 10/2010 of instruction MOTIVATIONAL INTERVIEWING, ESSENTIAL LEARNING — Online, Colorado Springs, CO, 4 10/2010 hours of instruction SAFE CERTIFIED TO CONDUCT HOME STUDIES — Maple Star Foster Care, Colorado Springs, CO, 12 hours of instruction OTHER INFORMATION 09/2008 I certify that I can type 50+ words per minute and that the information within this resume is accurate, including the following additional skills and achievements: • Well versed in Microsoft Office Suite, Outlook, and PC and Mac operating systems. • Developed child welfare reporting system to update mandatory reports on child abuse/neglect and the process. • Developed and implemented stress management program for patients in an inpatient hospital. • Developed and implemented DBT education and groups for patients, including active -duty military and veterans. • Volunteered 120+ hours for Big Brothers, Big Sisters in Colorado Springs, CO. • Volunteered 130+ hours for Habitat for Humanity in Colorado Springs, CO. BARB KATHRYN D'ALBEY, Ph.D. Licensed Clinical Psychologist 8308 Everett Way, Arvada, CO 80005 Phone: 303.421.0443 Email: bkdalbey@comcast.net Education: Ph.D. Educational Psychology: University of Colorado - Boulder 1992 M.S. Education: Illinois State University - Normal, Illinois 1969 B.S. Education: Illinois State University - Normal, Illinois 1968 Licensure: Licensed as a psychologist in Colorado Licensed as a professional teacher in Colorado Licensed as a professional counselor in Colorado 2000 1971 1996 PRIVATE PRACTICE CURRENT EMPLOYMENT Contract with Jefferson County Human Services: Golden, Colorado 1994 - present Conduct SAFE home studies to assess out -of -home placements for children Employed with Metropolitan State College: Denver, Colorado 1996 - present • As part-time faculty supervise and teach student teachers in their field. placements • Serve as liaison between the college and schools Specialize in evaluating and tutoring children with learning difficulties 1979 - present • Consult: children/adolescent educational, developmental, behavioral, relational issues Consult regarding family and trauma - emotional abuse issues ADDITIONAL WORK EXPERIENCE On Call Case Manager for Catholic Charities May 2004 — August 2008 Conduct SAFE home studies for Denver Human Services and Arapahoe Human Services Research Psychologist, Radiant Research 1992-1994, Aug. 1997 - Nov, 2003 Conducted DSM-IV, TR diagnosis, assessed volunteers for double blind clinical trials for new medications including schizophrenia, depression, anxiety, Alzheimer's Disease, ADHD, panic disorder, social anxiety disorder, posttraumatic stress disorder, pediatric studies Management/Team Leader — train and supervise, monitor day-to-day team operations HIPAA (privacy health information) officer and quality assurance manager Interim Director, Office of Clinical Services March 1998 - January 1999 Metropolitan State College, School of Professional Studies: Denver, Colorado Managed day-to-day operations in the placement of student teacher candidates each semester Oversaw teacher candidate licensing readiness process Supervised approximately sixty full and part-time faculty in the supervision process Faculty. University of Colorado, Denver August 1994 - August 1996 • Taught in the Counseling -Psychology and Teacher Education Programs Supervised Student Teachers and supervised in the Family and Individual Counseling Clinic Counselor and Director: Homeless Education Program 1989 -1992 Women in Crisis Women's Safehouse Shelter: Arvada, Colorado Led trauma support groups to adult, child victims of violence Supervised staff, volunteers, interns Wrote grants, managed, taught literacy program for McKinney Act for homeless adults Completed internship training in forensic interviewing of abused children and adults Barb K D'Albey Page 2 of 2 Director, Head Start Program: Commerce City, Colorado Managed day-to-day operations Supervised and trained staff Developed opportunities for increased volunteer -parent participation Taught pre-school 1971 -1972 Professional Educator: Central Illinois and Adams County District #12, Colorado 1963 - 1979 Taught: Head Start — One year: Commerce City, Colorado First grade — Ten years: Metamora, and Pekin, Illinois and Thornton, Colorado Second grade — two years: Peoria, Illinois Sixth grade — one year: Thornton, Colorado Served as Team Leader At Woodglen Elementary School 1975-1979 Served on District #12 Testing Assessment Team 1977-1979 Served as Building CEA Representative — Woodgien Elementary School 1974-1977 Served on Salary Negotiation Team — Metamora Elementary School 1967-1969 RESEARCH, EVALUATION, AND SYSTEMS RENEWAL Rose Hill Elementary School: Commerce City, Colorado 1995 - 1997 • While serving as part-time faculty at the University of Colorado, created and launched a site based research study and pilot project in collaboration with the school faculty to train teacher candidates in the teaching of reading and tutoring of students who were in need of individual reading instruction. Helped write a successful Eisenhower Grant in collaboration with Dr. Estella Almonza de Schonewise, Ph.D. Participation of the parents and local community was a critical and necessary component of the project. Ph.D. Dissertation Research 1992 Emotional abuse of children in school settings Project manager: Evaluation of the School Counseling Program St. Vrain School District: Longmont, Colorado 1988 -1989 • Research assessment of school counselor attitudes, evaluated counseling program Prepared written report for the school board Master's Thesis 1969 Creating Reading Curriculum: A First Grade Study in Metamora, Illinois PRESENTATIONS Efficacy of Teacher Education Training in the Teaching of Reading June 1996 University of Colorado Partnership Summer Institute: Northglenn, Colorado Healthy Adult Communications in the Workplace June 1996 • University of Colorado Partnership Summer Institute: Northglenn, Colorado Presented in collaboration with Dr. Estella Almonza de Schonewise, Ph.D. PROFESSIONAL AFFILIATIONS American Psychological Association National Education Association — Life Member American Education Research Association National Association for the Mentally Ill (NAMI) 4 STEPHANIE WALKER, MSW Johnstown, Colorado Cell 970.581.2435 Stephaniejp@msn.com EXPERIENCE 2014/1 -Present: Adoption Choices of Colorado Child Placement Supervisor and Adoption Counselor • Write homestudies for families wishing to adopt through their domestic or international adoption program. • Supervise social workers and birthparent counselors -provide supervision, review homestudies and post placement reports, attend and provide trainings, state licensing paperwork, keeping files current and do in office documents. • Post Placement work with families • Birthparent Relinquishment Counseling • Adoption counseling with families • Trainings and staffing as needed 2008/7 — 2014/7: A Love Beyond Borders, Denver, CO Child Placement Supervisor /Adoption Counselor • Northern Colorado contract adoption counselor/social worker -write homestudies, updates, and post adoption reports for families adopting internationally and domestically. • Children's Hope International families transferred to A Love Beyond Borders when CHI closed their branch. (see below) • Adoption Counseling with families • Trainings, staffings and educational seminars as needed • Coordinate international post adoption reports with social workers when families return home with their children; work with social workers across the country at various adoption agencies. (April 2011 January 2013) • Review post adoption reports and help supervise social workers who write them. (as needed) • Review homestudies and help supervise social workers who write them. (as needed) 2014/3-2015/8 El Paso County SSP Homestudj Contractor • Write Strengths, Safety and Permanency Assessments for families wishing to do kinship care. 2007/5 — 2008/7: Children's Hope International, Centennial, CO Contract Social Worker • Northern Colorado contract social worker -write homestudies and post adoption reports for families adopting internationally. • Notary Public -help families with dossier preparation • Branch office of Children's Hope International closed in July 2008. All families transferred to A Love Beyond Borders. 2006/3 — 2007/1: Lutheran Family Services, Fort Collins, Colorado Adoption and Birthparent / Options Counselor • Client caseload of 5-10/month. Homestudies, education, and post adoption services. • Work out of home office part time approx. 15-20 hours per week. • Notary Public • Open and unbiased decision and options counseling with birthparents. EDUCATION 2003-2005 Completed LCSW supervision hours 2006 Completed SAFE training for Colorado homestudies 2006 -current Completed various educational courses pertaining to child development, grief and loss, discipline methods, and adoption. 2007-2009 Board of Directors for Community Preschool 2010 Completed SAFE update training 2011 Completed CORE adoption education (16 hours) 2012 Certified Child Placement Supervisor in Colorado 2014 Completed SAFE Supervisor Training in Colorado 1999-2001 University of Denver Masters Degree in Social Work 1992-1997 North Dakota State University • Bachelor of Science Degree- Psychology • Bachelor of Science Degree -Sociology • Child Development/Family Science Minor 3 Lauren L Patterson, MA 11350 S Holmes Road, Colorado Springs, CO 80908 patfamfiveemsn.com 719-208-6860 ;CAREER OBJECTIVE To continue utilizing my expertise and skills by supporting families and children in foster care and adoption. To assist families in obtaining healthy relationships and provide safety, stability, and love for all children. SUMMARY OF QUALIFICATIONS Professional integrity and commitment to excellence. Expert in the field of Foster Care and Adoption. Qualified in the supervision and writing of SAFE home studies, placement of children in foster care and placement workers in the field. Proven ability to provide training and guidance for foster families and other professionals. Ability to counsel children and families in crisis. Resourceful and creative in problem solving. Proficient at working in fast -paced environments that demand strong organizational, leadership, and interpersonal skills. Exceptional at building productive relationships with colleagues and clients. Beyond foster care and adoption qualified school and community counselor. ACCOMPLISHMENTS Serve on the senior management team of one of the largest foster care agencies in Colorado. Supervise the Licensing Department; including placement workers, home study evaluators, licensing specialists and paraprofessionals. Oversee the certification of over 175 foster families in Colorado in the past 5 / years. Supervise the assessment of all home studies on the families. Spearhead the startup of foster families and community support in the San Luis Valley Area in 2015. Supervise the yearly CDHS (Colorado Department of Human Services) Supervisory ROI (Report of Inspection) Audit. Three years in a row having exemplary results. Exceptional professional relationships with CDHS and El Paso DHS and other Child Placement Agencies. PROFESSIONAL EXPERIENCE Hope & Home Child Placement Agency, Colorado Springs, Colorado July 2010 - present Director of Licensing & Placement Supervisor. Oversee the Licensing Department at Hope & Home including; supervising staff, certifying nurturing and qualified foster & foster/adopt parents for children in Colorado, placing children in the best fit home for each child, ensuring our agency understands and follows the State of Colorado rules regulating foster care and child placement agencies, maintain healthy, cooperative, and professional working relationships with Hope & Home staff, foster parents, DHS, CDHS and other professionals involved with foster children. Maple Star Foster Care Agency, Colorado Springs, Colorado, Oct. 2008 - June 2010 Family Development Coordinator: Recruitment, training, and licensing of foster parents; experience in assessing families and writing home studies; assisting in matching foster parents with foster/adoptive children; experience in working with families and children in trauma. Academy School District 20, Colorado Springs, Colorado, August 2005 — May 2008 School Counselor and Intern: Maintain and grow counseling program, build positive rapport with staff and students, implement counseling curriculum, including group counseling, individual counseling, classroom life skills lessons, student studies, 504s, and collaborating with staff and parents. Planning student class schedules using Infinite Campus student information system, crisis response, parent/student conferences, experience in standardized testing, and special education meetings. Schools included Foothills Elementary, Frontier Elementary, Liberty High School, & Discovery Canyon Campus. Lauren L Patterson, MA 11350 S Holmes Road, Colorado Springs, CO 80908 patfamfive@msncom 719-208-6860 CAREER OBJECTIVE To continue utilizing my expertise and skills by supporting families and children in foster care and adoption. To assist families in obtaining healthy relationships and provide safety, stability, and love for all children. SUMMARY OF QUALIFICATIONS Professional integrity and commitment to excellence. Expert in the field of Foster Care and Adoption. Qualified in the supervision and writing of SAFE home studies, placement of children in foster care and placement workers in the field. Proven ability to provide training and guidance for foster families and other professionals. Ability to counsel children and families in crisis. Resourceful and creative in problem solving. Proficient at working in fast -paced environments that demand strong organizational, leadership, and interpersonal skills. Exceptional at building productive relationships with colleagues and clients. Beyond foster care and adoption qualified school and community counselor. ACCOMPLISHMENTS Serve on the senior management team of one of the largest foster care agencies in Colorado. Supervise the Licensing Department including placement workers, home study evaluators, licensing specialists and paraprofessionals. Oversee the certification of over 175 foster families in Colorado in the past 5 1/2 years. Supervise the assessment of all home studies on the families. Spearhead the startup of foster families and community support in the San Luis Valley Area in 2015. Supervise the yearly CDHS (Colorado Department of Human Services) Supervisory ROI (Report of Inspection) Audit. Three years in a row having exemplary results. Exceptional professional relationships with CDHS and El Paso DHS and other Child Placement Agencies. PROFESSIONAL EXPERIENCE Hope & Home Child Placement Agency, Colorado Springs, Colorado July 2010 - present Director of Licensing & Placement Supervisor: Oversee the Licensing Department at Hope & Home including; supervising staff, certifying nurturing and qualified foster & foster/adopt parents for children in Colorado, placing children in the best fit home for each child, ensuring our agency understands and follows the State of Colorado rules regulating foster care and child placement agencies, maintain healthy, cooperative, and professional working relationships with Hope & Home staff, foster parents, DHS, CDHS and other professionals involved with foster children. Maple Star Foster Care Agency, Colorado Springs, Colorado, Oct. 2008 - June 2010 Family Development Coordinator: Recruitment, training, and licensing of foster parents; experience in assessing families and writing home studies; assisting in matching foster parents with foster/adoptive children; experience in working with families and children in trauma. Academy School District 20, Colorado Springs, Colorado, August 2005 — May 2008 School Counselor and Intern: Maintain and grow counseling program, build positive rapport with staff and students, implement counseling curriculums including group counseling, individual counseling, classroom life skills lessons, student studies, 504s, and collaborating with staff and parents. Planning student class schedules using Infinite Campus student information system, crisis response, parent/student conferences, experience in standardized testing, and special education meetings. Schools included Foothills Elementary, Frontier Elementary, Liberty High School, & Discovery Canyon Campus. Safe Havens of Komerstone Foster Care Agency, Arlington, Texas, September 1998 - February 2002 Administrative assistant to the director: experience in processing mail, maintaining office supplies, maintaining current insurance, maintaining inventory, filing, and other administrative duties. Case manager: July 2000; Experience in case management to children and support services to their foster parents, as well as participating in service plan development, also known as treatment plans for children; experience in supervising and writing reports for visitations with biological parents. All Church Home for Children, Fort Worth, Texas, August, 1989 - April, 1990 Intern: individual and group counseling, play therapy, intakes, case recording, six month assessments, home visits, and referrals to community resources. Women's Haven, (shelter for women and their children), Fort Worth, TX, Jan.1998 - April,1998 Intern: supervise and plan activities for preschool children, and play therapy. Young Life, (high school ministry), Fort Worth, & Arlington, Texas, December 1987 - March 2002 Leader: organize and supervise excursions including summer and weekend camps, coordinate and lead weekly club meetings, and prepare and lead weekly bible study meetings. Executive Committee: Chairperson for annual fund-raising banquet, 1995 & 1996 Saint Luke's Day Camp, Houston, Texas, June - August of 1988, 1987, 1986, and 1985. Camp Counselor: supervise and counsel children ranging front ages seven to thirteen, plan field trips, and organize daily activities. EDUCATION Masters in Counseling and Human Services, University of Colorado at Colorado Springs, May, 2006 Bachelor of Science in Social Work, Texas Christian University, Fort Worth, Texas, August, 1990 Unlicensed Psychotherapist, #11043 Qualified Placement Supervisor 2010 -present SAFE Home Study Supervisor 2010 -present EXTRACURRICULAR AND VOLUNTEER ACTIVITIES International Committee member for Young Life Middle East Countries January 2015- present Mission Trips in Peru, Rwanda, & Middle East 2007 -present Volunteer with refugees in Colorado Springs 2015 -present Volunteer with Young Life Colorado Springs 2002 -present Enjoy family & friends, skiing, hiking and camping E FOR SUPERVISORS - Structur 44411,1101.1 .014 BETH A. RISDON 1185 Purdue Drive Longmont, CO 80503 EDUCATION (720) 352-5237 risdonbeth@gmail.com 1996 M.S.W., University of Denver, Denver, Colorado 1989 B.A., French/Political Science, James Madison University, Harrisonburg, Virginia SKILLS/COMPETENCIES • Experience working with kinship and foster families for the past 18 years. • Excellent writing skills with over 200 home studies completed. • Ability to engage and work with people from a variety of socioeconomic, ethnic and cultural backgrounds. • Experience collaborating with many different agencies in order to best support families. • Ability to work with parents, teachers, therapists and others who impact children. • High comfort level with technology and social media. • Ongoing knowledge of trauma informed parenting, and issues related to adverse childhood experiences. SOCIAL WORK EXPERIENCE Home Study Provider, Boulder County Department of Human Services. 2/2014 -present Interview prospective adoptive, kinship and foster families to determine their eligibility to adopt through the Division of Children, Youth and Families of Boulder County. Write comprehensive SAFE (Structured Analysis Family Evaluation) home studies detailing the family's social, marital, familial and religious histories. Make recommendations concerning the appropriateness of placing a child in the home. Complete all paperwork required to certifying families to provide foster care and attend Certification Review Team Meetings to present the family and to recommend certification given a family's strengths and challenges. Home Study Provider Supervisor, Maple Star Colorado, Denver, Colorado. 7/2012 -present Supervise a team of nine Home Study Providers by reading, evaluating and editing their kinship, foster care and adoption home studies. Provide verbal and written feedback and consultation. Submit all time sheets for payroll. Homestudy Provider, Jefferson/Arapahoe County Departments of Human Services, Golden, CO. 1/1998 — 5/2012 Interview prospective adoptive, kinship and foster families to determine their eligibility to adopt through the Division of Children, Youth and Families. Write comprehensive SAFE (Structured Analysis Family Evaluation) homestudies detailing the family's social, marital, familial and religious histories. Make recommendations concerning the appropriateness of placing a child in the home. Social Caseworker 111- Child Specialist, Expedited Permanency Planning Program, Jefferson County Department of Human Services, Golden, CO. 8/1996 —10/1997 The primary goal of this program was to assess, prepare and place children six years of age and younger in permanent out- of -home placements and to ensure that permanency is maintained. This is accomplished through the use of both therapeutic and case management skills. • Provided therapy to children to help them resolve issues of separation and loss of birth parents and attachment to substitute caregivers • Coordinated necessary developmental, psychological, medical and/or genetic evaluations for children • Prepared children's social histories • Provided family preservation services to families adopting or considering the adoption of children • Completed of court reports and child discrete case plans • Trained potential foster and adoptive parents in child development. Victim Services Coordinator — Aurora Police Department, Aurora, CO. 8/1995-5/1996. • Provided crisis intervention and assistance to victims of crime • Worked closely with detective, non profits and other collaterals • Wrote a grant to fund a second victim advocate position • Attended monthly victim advocate meetings, workshops and trainings VOLUNTEER WORK TRU Hospice of Boulder County (10/2016 — present) Longmont High School Booster Club (2012-2015) President, Parent Teacher Organization, Longmont Estates Elementary (2007 - 2008). Coordinated fundraising, hospitality and public outreach events. Managed $20,000 PTO budget. Bead for Life, Boulder, Colorado (2007). Assisted with fulfillment of internet orders and inventory. Fundraising Coordinator, PTO, Longmont Estates (2005-2007). Coordinated all school fundraising events including annual silent auction. Raised over $15,000 in funds for the school. Richmond AIDS Ministry (1/93-12/93). Provided emotional and practical support to adult males living with AIDS. Children's Hospital Program for HIV -infected Children, Washington, D.C. (3-8/91). Provided emotional support to children and families living with HIV and AIDS. MEMBERSHIPS National Association of Social Workers (NASW) Road Runner's Club of America (RRCA) PERSONAL INTERESTS Social media, marathon running, Ironman triathlons, blogging, yoga, cooking, reading, international issues, traveling. REFERENCES AVAILABLE UPON REQUEST W ORS - Struct E FOR SUPERVL is is to certify that N 8 ■ I r r -e L• I 1 a • Gov • • • Y I • • F }� C la L_ 1441 coo �•rr r 30 • • • a w • • • • a ■ • • • • ♦ • • • • • • .• • •0 ire . ••i• "J 171 tem/- , • as J 'ate •-••+ 40141 r Ca: • a r►• }%di • 1 Coy . 5 y O rigs T� Lama •I • • • T s art • • • • ear ♦04 SRO c r. eels • s • a r- r r. I • w r • J 0.4 'S• r.. • h• o :Jet Lid sP •r.. • '4•% • ♦ J 1 • • �• •- • a-• _ vas -J ra ardi 1 -r• r ►r •= —a I- r r •.. 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Oneida St., Ste.100 Denver, CO 80224 (303) 433-1975 phone (303) 433-1980 fax www.maplestar.net Approved Staff: Debi Grebenik** Patricia Chase** Josh Aevum** Jeremy Chisum* Julie Berland* Barb D'Albey** Renee Dixon* Sherry Riggs* Tracy Naviaux Stacey Hiatt Nadia Thrower Suzanne Miller Blake Renee Neswadi* Triad Adoption Consultants, Inc. 8103 Silver Glen Dr. Fountain, CO 80817 (719) 231-7845 phone (719) 302-5149 fax www.adopttriad.orq Approved Staff: Linda H. Gansler, MSW Jennifer Shupp, MSW WhimSpire Child Placement Agency 9540 E. Jewell Ave. Denver, CO 80247 (303) 912-8954 phone (866) 833-5796 fax www.whimspire.com Approved Staff: Alletta Bode, MSW Rebekah Lansdown, MA *Vendor requires SAFE supervision Heather Morris** Christopher Totter Sarah Crafty* Beth Risdon** Amy Ferriter* Maureen Dempsey* Laura Graber* Doug Taylor* Maureen Foley Brittany Kerlin Jeff Veesaert Llynnette Osorio Karen R. Murphy** Maria Spencer, MSW Krystal McManis, MSW **Provides SAFE supervision Weld County RFP Bid No. B1700080 Attachment 3 �a fi a j I 01 cr 1 if �a Z ,11 Z 5 a` i EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide home study and relinquishment counseling services for families within Weld County, as referred by the Department. 2. Contractor utilizes the Structured Analysis Family Evaluation (SAFE) tool developed by the Consortium of Children. Contractor is SAFE certified and on the State's approved home study vendor list. Contractor also is certified as a SAFE supervisor. 3. Contractor will attend SAFE Refresher training during the term of this contract. 4. Contractor will ensure that all studies are completed utilizing the most up-to-date forms and templates as found on www.consortforkids.org or www.SAFEhomestudv.org. 5. All services will be provided by Helene Wurth, BSW. 6. Contractor will complete a Department of Motor Vehicle background check at no additional charge. All CBI, FBI and LexisNexis background check information will be completed by the Department, unless otherwise directed by the Department. 7. Contractor will submit a completed home study to the Department with their billing within 60 days of receipt of the home study referral. A complete home study will include the study in SAFE format, background check information, SAFE questionnaires completed by the applicants, references and all other original documents submitted by the home study applicant. 8. Relinquishment counseling services will be provided to all adult individuals referred by the Department, as well as associated children 12 years of age and older, utilizing the required State format. Contractor will submit a written report and the appropriate affidavits and interrogatories. 9. Contractor will document in detail any and all observed or verbalized concerns regarding any specific Weld County home. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Child abuse must be reported immediately per law. 10. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 92 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after June 30, 201 . Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $1,375.00/Episode (Home Study, 2 Adults) $1,550.00/Episode (Expedited Home Study, 2 Adults) $700.00/Episode (Home Study Update) $50.00/Hour (Incomplete/Canceled Home Study) Mileage shall be reimbursed after the first 30 miles at two cents below the most current IRS rate/mile. Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. 93 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. Accmcr CERTIFICATE OF LIABILITY INSURANCE DATE (MAAIDD/TYYY1 03/20/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License /10437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: heaM1care.accountscss@marsh.cwn Fax: 212-948-1307 -TECH--17-18 CONTACT �__ PHONE FAX LUG. 1a E*+1:..,_ ( (Aic, Ne): — E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A : Ailed Works National Assurance Company 10690 INSURED Maple Star Colorado 2250 South Oneida Street Suite 20O Denver, CO 80224 INSURER B INSURER C INSURER 0 : MiSURER E : INSURER F : • rti vrown nrrmmcrcv 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' �� ADDL1SUBR� LTR ( TYPE OF INSURANCE I INSD WVit POLICY EFF POLICY NUMBER I (MM/DDIYYYYI POLICY EXP ) IMM/DDIYTYY1 LIMITS 1 COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ JCLAIMS -MADE I J OCCUR I DAMAGE TO RENTED __-- ',.. .. PREMISES (Ea occurrence) $ . - -.. ... __.. MED EXP (Arty one person) $ — ! PERSONAL & ADV INJURY $ GEN'L AGGREGATE ATE LIMIT APPLIES PER: ( PRO- GENERAL AGGREGATE $ POLICY _ JECT L l LOC PRODUCTS • COMPOP AGG $ ',.. OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ ANY AUTO ALL OWNED BODILY INJURY (Per person) $ 7 SCHEDULED _ _; AUTOS AUTOS NON ---- BODILY INJURY (Per accident) ------ $ HIRED AUTOS - -OWNED AUTOS '.... PROPERTY DAMAGE —_ I (Per accidi !t) $ 1 __. UMBRELLA LUAB OCCUR F EACH OCCURRENCE $ EXCESSL CLAIMS -MADE AGGREGATE , $I DEDI RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER 1 DTI - STATUTE ER ANY PROPRIETOR/PARTN RIEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCENT ID�$_ (Mandatory In NH} yes, describe under E.L. DISEASE - EA EMPLOYE $ ._.. !If DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Tech/Security 1 & Privacy I � 0309.4884 L 03/1512017 03(15/2018 Limit of Liability $10,000,000 SIR $2,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if more space is required) Iserf INC.. a Te t IAA Arw CANCELLATION Weld County Weld County Department of Human Services 1150 O St. PO Box 758 Greeley, CO 8O632 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 of Marsh Risk & Insurance Services Sarah Lawrence S u va..t-A t -4w t s ce ACORD 25 (2014/01) O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .acVKIJ CERTIFICATE OF LIABILITY INSURANCE _ �" DATE diTM/DDITYYY) 03131/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 CONTACT Marsh Risk & Insurance Services _ NAME: CA License #0437153 PHONE r FAX 777 South Figueroa Street No. ExtY. (A/C, No): IL Los Angeles, CA 90017 ADDRESS: INSURER(S) AFFORDING COVERAGE N#JC a PROV-CASUA-17-18 91SURER A_N,'A N/A INSURED -..... Maple Star Colorado INSURER B : Zurich American Insurance Company 16535 2250 South Oneida Street Suite 200 _ INSURER c : Travelers Property Casually Company Of America 25674 Denver. CO 80224 INSURER D : N/A N/A INSURER E rnvenwn..... cc .._,........_ •.-_r ... INSURER F : - -- ------ --- - --- _- -.—---._.--.-. ___ _............._...., racvrawn mum:K:a 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. MSR LTR -_.- TYPE OF INSURANCE ADDLISUBR� - -__-. -- POLICYEFF POLICYEXP 11150 WVD POLICY NUMBER (MMIDDrYYYYL (MfiVDD/YYYY1 I LIMITS X COMMERCIAL GENERAL LIABILITY ,SELF -INSURED 04i0172017 03101/2018 EACH OCCURRENCE I $ 1,000,000 '.. CLAIMS -MADE Lx. ) OCCUR DAMAGE TO RENTED " PREMISES(Eaoccurrence). —:. MED EXP (My one person) $ �� --- --- PERSONAL — & ADV INJURY G_EN'L AGGREGATE LIMIT APPLIES PER!GENERAL X L AGGREGATE $ 3,000,000 POLICY JE ( LOG PRODUCTS - COMP/OP AGG $ OTHER: I $ I AUTOMOBILE LIABILITY COM .. Ea accident SINGLE LIMIT $ 1,000,000 _ I ANY AUTO !BAP 014176500 ALL OWNED 7 SCHEDULED I 03101/2017 03/0112016 BODILY INJURY (Per parson) $ 1 AUTOS AUTOS .. NON -OWNED '.. I BODILY INJURY (Per accident) $ X H HIRED AUTOS AUTOS PROPERTY DAMAGE .- (Paraccident) ---- -- _--- $ --- ( $ UMBRELLA LIAB ( OCCUR I EXCESS EACH OCCURRENCE $ LIAB _`-1 CLAIMS -MADE'. --r- AGGREGATE $ DED -.. RETENTIONS I $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y., N ( HC2JUB-42579395-16 ! n101/2016 10/0112017 C X PER I OTH- (STATUTE I ER ANY PROPRIETOR/PARTNERJEXECUTIVE , OFFICER/MEMBER EXCLUDED? ' N IN/AIJ j I LE.L EACH ACCIDENT - $ 1,000,000 (Mandatory In NH) ` If yes, describe under EL DISEASE - EA EMPLOYEE1,000,000 DESCRIPTION OF OPERATIONS below I ( _I E.L. DISEASE - POLICY LIMIT I $ 1,000,000 HEALTHCARE PROFESSIONAL LIAB ( I CLAIMS MADE ISELF-INSUR.ED 104/01/2017 103/01/2018 ! EACH OCC 1,000,000 AGGREGATE $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) Weld County !s/are included as additional insured where required by written contract with respect to general liability PGOTIGin IL Te .1... fs�w TION Weld County Weld County Department of Human Services 1150OSL POBox 758 Greeley, CO 80632 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 et Marsh Risk & Insurance Services Charles Shin C .e p , _ ACORD 25 (2014/01) 1131988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACC71RD® EVIDENCE OF PROPERTY INSURANCE DATE (MMIDDIYYYY) 03/02/2017 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY JPHONE COMPANY Marsh Risk & Insurance Services c` No. Eau: North .American Elite insurance Company CA License 00437153 777 South Figueroa Street Los Angeles, CA 90017 Attn. HealthcareaccountsCSS@marsh.arn/FAX: 212-948-1307 -PROVI-Prop-17-18 AJL WC, Not A DRESS _. .... -_. .. CODE: AGENCY GUSTQMES IR N; INSURED Maple Star Colorado 2250 South Oneida Street Suite 200 Denver, CO 80224 SUB CODE: LOAN NUMBER EFFECTIVE DATE I EXPIRATION DATE IPOUCY NUMBER NAP 2001079 01 CONTINUED UNTIL 03/01/2017 03/01/2018 1 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED I I BASIC I BROAD 1 1 SPECIAL I COVERAGE I PERILS / FORMS All Risk of direct physical loss or damage to real property on a replacement cost basis, subject to policy terms, conditions and exclusions. Coverage Includes, but is not limited to fire, extended perils such as vandalism, malicious mischief and equipment breakdown. Real Property Personal Property Business Income Other deductibles may apply as per poicy leans and conditions. AMOUNT OF INSURANCE I DEDUCTIBLE 250.000,000 INCLUDED ABOVE NCLUDED ABOVE 250,000 REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST LOS -002050624-04 NAME AND ADDRESS Beacon Health Options, Inc. 9925 Federal Drive, Suile 100 Colorado Springs, CO 80921 ADDITIONAL INSURED I _ MORTGAGEE LOANh NOER'S LOSS PAYABLE AUTHORIZED REPRESENTATIVE of Marsh Risk 6 Insurance Services Charles Shin LOSS PAYEE ACORD 27 (2016/03 O 1993-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Hello