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Home My WebLink About20173416.tiffC/Or*'tU O4 cos B3 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF COLORADO, INC. This Agreement Amendment, made and entered into day of 2018 by and between the Board of Weld County Commissioners, on behalf of the Weld Cou ty De rtment of Human Services, hereinafter referred to as the "Department", and Specialized Alternatives for Families and Youth of Colorado, Inc., hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home -Based Intensive Services (Multi - generational Treatment Services) (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2017-3416 approved on October 4, 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. bcs ilsA,K.t- .icAs)--. c.,c : 1-a3 -1 NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2018. • The Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Agreement: 1. WHEREAS, the Colorado Department of Human Services has provided Core Services or other funds to the Department for Home -Based Intensive Services (Multi -generational Treatment Services) and Animal Assisted Therapy (AAT). 2. Paragraph 1, Term This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and shall expire May 31, 2019, unless sooner terminated as provided herein. 3. Payment The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to prova the needed se ice; 1j7-3cf110 tiRDM v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. 4. Exhibit C, Scope of Services, amended as attached. 5. Exhibit D, Payment Schedule, amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST:/„4tr,44) 6: •� •/ Weld o nt Clerk to the Beard By: Deputy Clerk ti the Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair CONTRACTOR: JUL232018 Specialized Alternatives for Families and Youth of Colorado, Inc. 710 11th Avenue, Suite 103 Greeley, Colorado 80631 (970) 494-5891 By: •,Mti lVc Ryann Vernetson, Executive Director Date: May 31, 2018 2/7J'/G EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Multi -Generational Treatment Services (Family Preservation and Family Reunification Services) and Animal Assisted Therapy as outlined below. 2. For Multi -Generational Treatment Services, referred families must meet each of the following criteria: o The family has at least one child between 4 and 21 years of age who is at risk of out -of -home placement due to the abuse, neglect, parent -child conflict or family instability; or o Pre- or post -adoptive families with at least one child between 4 and 21 years of age at risk of disruption; or o Children placed in foster care, congregate care or juvenile detention with a permanency goal to return home to parent(s) or kin; and o Children can be safely maintained in the home with services; and o Family and/or kin, including children, as age appropriate, are willing to engage and commit to program participation. 3. Children residing in a placement where sexual or physical abuse could re -occur would exclude families from services. Contractor will review referrals on a case -by -case basis. 4. Contractor utilizes a structured team approach that includes family and kinship as colleagues in developing their own intervention goals and plans. Each plan will be developed with the unique needs of the referred family as determined by the referral source and the assessment process. 5. Multi -generational Treatment Services under this agreement shall include: o Integrated staffing team consisting of a master's level family specialist and a bachelor level family coach. o Evaluation of the safety of the child and ongoing safety planning. o Assessment for trauma, family needs and service priorities. o Coordination of the service planning process includes the development of an individualized service plan for each family identifying specific interventions, or skill -based strategies to assist the family in increasing functioning and attaining the lasting change needed to successfully maintain or reunify the children in their home. o Documentation of program progress, including keeping the referring agency abreast of changes impeding a child and family'ssuccess. o Crisis support services available in -person and via telephone 24 hours day/7 days a week. o Flexible staff work schedule to meet the needs of each family. 1 o Communication with school, employer, counselor, and/or any other identified relationship/provider for which intervention is necessary. o Attendance of family team meetings and court hearings to provide relevant information o Direct in -home support services for the family. This may include: o Homemaker supports o Basic life skills o Budgeting o Parental Strategies/CopingSkills o Assistance with primary medical care coordination o Self-esteem building through activities, teaching self -care, empowering self-control, assist in acknowledgment of ability to affect and control both environment and behaviors, and self- awareness building. o Conflict resolution skill -building o Communication skill -building ("I" statements, active listening) o Modeling, coaching, empowerment through the relationship with the Specialist and Coach team. o Developing sustainable, natural networks of support for family members o Supporting healthy living and self -care through positive recreation opportunities and positive leisure time activities o Providing short term respite options (provided available capacity) up to 2 overnights per month ideally planned or for de-escalation when needed (youth must meet criteria) o Arranging for individual, family and/or group alcohol and drug counseling, if directed by the service plan, and assistance in developing a rehabilitation plan that may include: o Drug education o Relapse prevention planning and activities o Linkage to relevant community resources o Support at court hearings and other appointments, as necessary. o Parent education, including developmentally appropriate discipline techniques and child development information. o Therapeutic services provided in -home, with community referrals for intensive therapy needs. o Advocacy for the family to assist them in "finding their voice." o Brokering of community services to meet basic needs, connect the family with long-term support and overcome barriers to services, including flexible spending funds for concrete supports. o Family Team Meetings and collaboration on established goals including identifying and overcoming potential obstacles. 6. In addition to the deliverables provided to the family, SAFY of CO will provide the following service deliverables to DHS: 2 o A service plan will be created within 30 days of family participation with specific objectives and target dates. o Written monthly reports indicating specific dates of services, the child/family member receiving services, general topics being discussed and weekly progress, o Missed appointments and/or significant events will be communicated to DHS within 48 hours. o Discharge reports will be provided giving SAFY of CO's opinion of success of services within 30 working days from the close of service. o Outcomes will be reported on a quarterly basis. 7. Contractor will provide services at three (3) intensity levels; high, low and stepdown. o High Intensity: Minimum of 20 contact hours per month combined services, with an average of 20-40 hours of services per month. Services will include a Family Specialist and a Family Coach, 24/7 Crisis Support, Respite Services (if eligible), and Family Support/Education Group. Specifically designed to facilitate a safe environment, develop a permanent and sustainable living arrangement and address trauma among other well-being needs. This level is focused on families needing a higher level of involvement to mitigate risks and/or support family reunification. ■ Aimed at serving the identified child and his/her family (as they define it) simultaneously to increase family engagement and sustain child safety. Enhanced Trauma Treatment Services are designed for families necessitating a high level of involvement to mitigate risks and support the permanency goal. Specific goals are mutually set around lowering dependency on contracted services, developing safety plans and increasing protective factors. Services will include oversight of coordination and implementation of the Trauma Assessment recommendations and communication to the entire team around progress, obstacles and challenges. Master level. ■ Family Specialists provides Trauma Education to caregivers, as well as therapeutic insight into the caregiver's possible own trauma narrative while the Family Coach helps the caregivers and any involved family members (including extended and natural supports) generalize the interventions throughout the family system, school placement and community settings for sustainable change. The family (or alternate caregiver in the event of a relative overnight or respite) has 24/7 direct access to a clinician with knowledge of the family's goals, strengths, challenges and safety plan. SAFY works to empower and support the family rather than "do it for" the family and thus the clear majority of crisis calls are managed over the phone. When available and appropriate, Contractor may utilize its Treatment Foster Care resource 3 families for High Level services to provide occasional, planned respite to support the family if no other resources are identified. o Low Intensity: Minimum of 10 contact hours per month combined services, with an average of 10-20 hours of services per month. Services will include a Family Specialist and a Family Coach. Specifically designed to facilitate a safe environment, develop a permanent and ■ sustainable living arrangement and address trauma among other well- being needs. This level is focused on families needing a lower level of involvement to mitigate risks and/or support family reunification through increasing healthy communication and developing safety plans. Ideal for preparing families for a youth who is transitioning home. ■ Aimed at serving the identified child and his/her family (as they define it) simultaneously to increase family engagement and support the permanency goal. Multigenerational Treatment Services are designed for families to learn the effects of trauma on all family members, develop specific interventions that are tailored to the individual strengths and needs of all family members and develop sustainable supports to support permanency long term. Specific goals are mutually set around lowering dependency on contracted services, developing safety plans and increasing communication cohesion between family members. Family Specialists provide Trauma Education to caregivers, as well as therapeutic insight into their own trauma narrative. Additionally, the Family Coach helps the caregivers and any involved family members (including extended and natural supports) generalize the interventions throughout the family system for sustainable change, as well as support educational placements and community settings. ■ Twenty-four/seven services are available for low level services; however, the family is not anticipated to utilize the service routinely. SAFY of CO works to identify sustainable community supports that the family can utilize as a warm line post discharge. Low level services can be used as a step down when families begin to see evidence of improved functioning and diminished crisis cycles in the home. o Step Down: Minimum of 7.5 contact hours per month combined services, with an average of 7.5- 15 hours of services per month (75% of Low Intensity). Services will include a Family Specialist and a Family Coach. Requires Department approval. Maximum of 30 days from approval of step- down to discharge. Contractor agrees to provide a discharge report at the end of the 30 days, or upon discharge of the client; whichever occurs first. 8. Respite Services: Families authorized at the high intensity level will be able to access up to 2 nights/3 days of respite, when available, per month through Voluntary Parent Agreements with SAFY of CO who will recruit, screen, train, support and reimburse respite families. This component of the proposed services is not available to youth who are in the custody of Department of Housing and Human Services and must stay in a licensed foster home. Families who utilize respite services must complete all consent paperwork and abide by program expectations. 9. Aftercare Planning: Contractor will provide aftercare planning to facilitate a smooth transition when the family is discharged from the program. Aftercare will include Medicaid services such as continuation with individual or family therapy, as needed. An aftercare plan will be developed with the family with the following elements considered: o Planning will begin as a part of the initial service plan o Identifying any services needed or desired by the family and include specific plans for obtaining these services (i.e. transportation and other feasibility issues) o Describing the nature and frequency of follow up or aftercare services 10. Animal Assisted Therapy (AAT): AAT provides a dynamic, effective mental health treatment for youth and families who have endured trauma through the integration of a professionally trained canine in therapy. AAT is particularly effective for those who have not had success in traditional therapeutic services. o Services will occur at 710 11th Avenue, Suite 103, in Greeley, Colorado o Services available in English only o Services are billable to Medicaid o Contractor does not offer transportation for this service o Appropriate for ages 4 years through adulthood o Sessions will be one (1) time per week for one (1) hour o Average duration of service is 3-6 months but is dependent upon the client. o Goals of AAT: • Cultivate a healing, recovery -based treatment experience • Build relational skills that impact other relationships and ability to engage in community • Resiliency 11. Contractor agrees that referrals that do not include the Family Coach component are not appropriate for the services provided under this agreement, and referred families who decline the Family Coach component will be discharged. Contractor further agrees that any family referred by the Department for services will be required to work with both a Family Specialist and a Family Coach for the duration of the authorized referral, 5 unless otherwise approved as noted in Exhibit B, Paragraph 14. 12. Contractor will provide services in the family's natural home environment. If that is not possible due to safety or other concerns, services will be provided outside the home as appropriate, and agreed to by the Department. 13. Average length of services is between three (3) and nine (9) months, depending on the needs of the referred family as well as their progress. 14. Contractor will offer an initial appointment within seven (7) days of receiving the referral and will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 15. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 16. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 17. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will clearly identify monthly contacts with the Family Coach or Family Specialist as applicable. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 18. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 19. 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. 6 20. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 7 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 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 $2,400.00/Month (High Intensity; No Medicaid. Includes: Family Specialist, Family Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 20 contact hours per month combined services, with an average of 20-40 hours of service per month. Pro -rated for any partial month of service.) $1,510.00/Month (High Intensity; With Medicaid. Includes: Family Specialist, Family Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 20 contact hours per month combined services, with an average of 20-40 hours of service per month. Pro -rated for any partial month of service.) $1,500.00/Month (Low Intensity; No Medicaid. Includes: Family Specialist, Family Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 10 contact hours per month combined services, with an average of 10-20 hours of service per month. Pro -rated for any partial month of service.) $1,000.00/Month (Low Intensity; With Medicaid. Includes: Family Specialist, Family 8 Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 10 contact hours per month combined services, with an average of 10-20 hours of service per month. Pro -rated for any partial month of service.) $400.00/Month (Step-down Only; With Medicaid. Last 30 days -75% of Low Intensity. Minimum of 7.5 contact hours per month combined services, with an average of 7.5-15 hours of service per month. Pro- rated for any partial month of service.) $100.00/Episode (Animal Assisted Therapy. Episode = 1 Hour Session.) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. 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. 9 �Rd CERTIFICATE OF LIABILITY INSURANCE DATEznnD( n 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 POUCIES 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 have ADDITIONAL INSURED provisions orbs 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 Peoples O2 DInsurance Agcy -Ashland Marietta OH 45750 C David Lucas a4� 806 �/� 0.4489 I WC.Nok 7404764401 PH Davld.Luceselpebo.CDm -mss: DISURIERIa1AFFORDING COVERAGE NAIC$ ONIURERAI Philadelphia Insurance Company 18068 INSURED SAFY-1 Specialized Alkunatives for Families and Youth of Colorado, Inc. DBA SAFY of Colorado. Inc 10100 Elide Rd Delphos OH 45833 n IRMER B I Argonaut Insurance Company 18828 mumsc INSURER D INSURER E: INSURER P: • GUI/CHAHC= ..nn.WOWS •...v,....im....... ...••..-•• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY EXCLUSIONS AND CONDITIONS OF S—UCHH7LIMITS SHOWN MAY HAVE BEEN REDUCED ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, BY PAID CLAIMS. TYPO OP0BURA INSURANCE �wioPOLICIES. li POUCYRUNBBI nrPllq�FfYY1�n sWPX1 MOTS A X IVE CC WCIALGBLERAL ABLLRY I X OCCUR Y Y PNFK18O4001 211/2015 I 2112010 EACH O0CURR91ce S 1,004080 tie 000WRIesi $100.00 CIAIMS.W,DE _IMAM HEE EXP (My ono person) $5,000 Lx Pew f DN IN PERSONAL s AJURY S1,006000 GENT. —t—' AGGREGATE pLRIM�ITAPPLIES PER; POLICY JECr LOC O I GENERAL AGGREGATE $ 7,000,000 PRODUCTS .COMPIOP AGO 57.00,000 $ A AIITNNNCe1LEUAaiLITY X ANY AUTO I Y SCHEDULED UTOS EO AUTOS ONLY Y PHPKH04001 2M010 211/201e l i LAMED SINGLE DST S 1 � ' isooiLVV UIJURY (Per pin) S 1 BODEY INJURY (Per AooMau) S ' PROPERTY DAMAGE °0^I S t S A X UMBRELLAims �_ EXCESS U BE X OCCUR CLAIMS•M DE Y Y PHU8870645 21112018 21112019 EACHOCCURIBNce 54,000,000 I AGGREGATE$ 4,000.000 DWI X I RETENTION Sino00 B Vn AND EMPLOYERS' MUMMY Y C E OFFICEITAMSABERB1rCLI1D®Yflardatauy In NN) OF OPERA yS prta4t N IA WC112027037286/ 8/12017 015 8112015X SrAT I MUTE i 1 FJt f EL EACH ACCIDENT S f 004000 ' E.LDISEASE -EAEMPLOYEE! 51,000,000 I EL DISEASE - POLICY UNIT I S 1,000,000 A AAewnmNrumn PHPK1e01001 PHs0121e114 2/12010 2112019 I Em dNNIe,r4y 1.004000 imam 2112016 I Au eswe4n I oesenemosiOPOPERAT1ON81LOCATIDNs!YBIIISJ:a5 (ACORD101.arivai ndRmwMu8du*k mga4noeiedamma4 'The certificate holder is additional Insured as required by written contract, coverage is notice of cancellation" emu mood) primary and non contributory, waiver of subrogation applies, 30 day CANCELLATION Weld County Department of Human Resources 1150 O Street Greeley CO 80834 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. iss'�BITATarE I ® 1986.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SPECIALIZED ALTERNATIVES FOR FAMILIES YOUTH OF COLORADO, INC. This Agreement, made and entered into th&day of 2017, 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 Specialized Alternatives for Families and Youth of Colorado, Inc., 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 Core Services funding to the Department for Home -Based Intensive Services (Multi -generational Treatment Services). NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and shall expire May 31, 2018, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c:00708e-d-e--/-167) 2017-3416 c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. 2 b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. 3 - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional 4 has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/Contract Professionals must secure, at or before the 5 time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non- payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. iii.Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; 6 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. Trainin 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: 8 - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Ryann Vernetson, 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: Ryann Vernetson, Executive Director 710 11th Avenue, Suite 103 Greeley, CO 80631 (970) 494-5891 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 9 reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records 10 Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be 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 11 insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A, and provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 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, 12 shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions 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 13 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. 14 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ddcalt4/1) JCL, 4k Weld Co ty Clerk to the Board By: Deputy Clerk tot a BoarJulie Cozad, Chair BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO CONTRACTOR: Specialized Alternatives for Families and Youth of Colorado, Inc. 710 11`h Avenue, Suite 103 Greeley, Colorado 80631 (970) 494-5891 By: Rnn Vernetson, Executive Director Date: 8//8//7 15 ,Zo 17-3 W& 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.) AftercareServices Services provided to prepare a c other permanent placement and to preven of the child. ith hi ure out- of -home placement Anger Management/Domestic Violence Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve familycommunication, functioning and relationships, and to prevent further domesticviolence. 1 Therapeutic intervention typically with all family members to improve family communication, functioning and relationships. e Mediation/Intensive Family Therapy Services tl' crisis, 24 hours Compret and theca servie Coon quality of in- person week. home response to d as a situation or circumstance, usually acute the normal functioning of an End results in the inability of the individual and/or throught normal coping behaviors, orwithout d to foster and. d youth in t g provided. ces that provide education to children es. amities caring for Weld o enhance and improve the parents, sses the pervasive patter conduct disor years old. arily in the home of the client that inc ude therapeutic services, concrete services, ervention directed to meet the needs of the child and *Crisis Intervention is defined as 24/7 phone acc Kinship services in the areas of (1) consultation and kinship parent support specific to a chit 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 plain 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. Visitation Moth in -home and in -office) and services provided primarily in the home that teat household management, effective accessto community resources, parenting techniques and family conflict management. 2 nd/ar therapeutic es plan, to assess a and relationships. and community -based ous social s ribute to the set' vents who are at risk for out-of- nd/or therapeutic s+ ce Plan (FSP), to ass and relationships, a B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Ihereby waive my right to a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi Vegterat 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 Vegterat 970-400-6392 or vegterta@weldgov.com if you have any questions. 3 II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described above). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III.INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 4 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5- 101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age orolder is lawfully present in the United States pursuant to C.R.S. 24-76.5-103(4) if such individual applies for public benefits provided under this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M.AII goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 5 O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV.GENERAL SPECIFICATIONS A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24- 10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by 6 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. V. Insurance Requirements i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant tothis request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: 7 • $1,000,000 each occurrence; • $2,000,000 general aggregate; • $50,000 any one fire; and • $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: • If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; • Unlimited defense costs in excess of policy limits; • Contractual liability covering the indemnification provisions of this Agreement; • A severability of interests provision; • Waiver of exclusion for lawsuits by one insured against another; • A provision that coverage is primary; and • A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. iii. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub- vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 8 Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. VI.Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. CONFIDENTIAL INFORMATION Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staffand/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Contract Period and Pricing: 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is madeavailable. 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 WHEREAS, the Colorado Department of Human Services has provided funding to the Department for NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on , upon proper 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. S. 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 Specialized Alternatives for Families and Youth of Colorado, Inc. AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID (If Known) Ryann Vernetson, MA, LPCC Executive Director PRIMARY CONTACT — FULL NAME PRIMARY CONTACT - TITLE (970 ) 494-5891 PHONE NUMBER vernetsonr@safy.org 4101 (970 ) 494-5895 EXT. FAX NUMBER www.safy.org PRIMARY CONTACT— E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) 710 11th Avenue, Suite 103 AGENCY MAILING ADDRESS same as above Greeley 80631 CITY ZIP REFFERAL CONTACT- FULL NAME (IF DIFFERENT THAN PRIMARY CONTACT) REFERRAL CONTACT - TITLE REFERRAL CONTACT- PHONE NUMBER EXT. REFERRAL CONTACT - E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. Signature of Authorized Representative: --Icemetp.,,i itAk` I-pcx- 4/21/2017 ft nn vernetson, LXecULIve Director Date of Signature: Specialized Alternatives for Families and Youth of Colorado, Inc. SAFY Preservrng Families Securing Futures April 21, 2017 Weld County Department of Human Services Division of Child Welfare 822 7th Street, Suite 150 Greeley, CO 80631 Dear Ms. Vegter: 1600 Specht Point Rd Suite 105 Fort Collins, CO 80525 710 11th Avenue Suite 103 Greeley, CO 80631 On behalf of Specialized Alternatives for Families and Youth of Colorado, Inc. (SAFY of CO), thank you for the opportunity to submit this proposal for the Annual Request for Various Services. SAFY of CO is willing to comply with all work requirements, other terms and conditions and agree to enter an agreement as specified in this Request for Bids. Founded in 2014, SAFY of CO began providing services in Colorado in response to the need to serve children and youth sustainably while supporting family or other permanent connections. Through our mission of Preserving Families and Securing Futures, SAFY of CO provides evidence -based programming designed and delivered with fidelity throughout Douglas, Larimer, Weld and Boulder Counties. In regards to the enclosed proposal, our target area will be Weld County through our office located at: 710 11th Avenue, Suite 103, Greeley, CO 80631. SAFY of CO's cohort of staff are led by Executive Director of Colorado, Ryann Vernetson, MA, LPCC. Ms. Vernetson has clinical, administrative and fiscal oversight of all operations throughout Colorado. Ms. Vernetson has held her current position since July 2016 when she received a promotion from Program Director. Throughout Ms. Vernetson's time with SAFY of CO, she has helped to pioneer the Northern Colorado division developing innovative community -based programming in new markets while overseeing treatment, providing clinical supervision and monitoring a $1.2 million annual budget. SAFY of CO's Greeley office currently consists of four staff members while staff from neighbouring offices may work in this program, as needed (specific qualifications and resumes can be found as attachments within our proposal). All employees are screened for suitability of qualifications before hire through competency based questions, role playing and through extensive background checks. SAFY of CO employs individuals who are present as strengths -based, engaging and creative in their approach to working with families. All family specialists hold a minimum of a Master's degree or current enrollment in a qualified program. All family coaches possess a minimum of a Bachelor's degree in the human services field and one year of experience working with the targeted population. Additionally, SAFY of CO requires all eligible staff to be registered with the Colorado Department of Regulatory Agencies. Thank you for your time and consideration in the review of our proposal. Any questions or comments can be directed to myself, Ryann Vernetson, at the following physical/mailing address: 1600 Specht Point Rd, Suite 105, Fort Collins, CO 80525; phone: 970-494-5891 ext. 4101; email address: vernetsonr@safy.org; website: www.safy.org. Sincerely, 7c(14,) likt; Ryann Vernetson, MA, LPCC Preserving Families Securing Futures Weld County Department of Human Services Annual Request for Various Services Bid Number #B1700080 April 24, 2017 PRESENTED TO: Weld County Department of Human Services Attn: Tobi Vegter Division of Child Welfare, Financial Unit 822 7,h Street, Suite 150 Greeley, CO 80632 PRESENTED BY: Specialized Alternatives for Families and Youth of Colorado, Inc. (SAFY of CO) 710 11th Avenue, Suite 103 Greeley, CO 80631 Phone: 970-515-6219 Fax: 970-494-5895 Specialized Alternatives for Families and Youth of Colorado, Inc. Bid #: B1700080 Annual Request for Various Services/Home-Based Intervention TABLES OF CONTENTS April 24, 2017 TABLES OF CONTENT 1.0 Organization Overview 1 1.1 Experience & Past Performance 1 1.2 Staff Qualifications 2 1.3 Collaborative Commitment 2 2.0 SCOPE OF SERVICES - MULTIGENERATIONAL TREATMENT SERVICES 2 2.1 Target Population 2 2.2 Referral, Intake & Crisis Intervention 3 2.3 Family Engagement 4 2.4 Treatment Planning 4 2.5 Approach 5 2.6 Service Deliverables 8 2.7 Respite Services 10 2.8 Aftercare 10 2.9 Team Method 10 2.10 Levels of Service 11 2.11 Trauma Model 12 2.12 Supervision 14 2.13 Initial and Ongoing Training in Child Abuse 14 2.14 Concrete Need Funds 15 2.15 Documentation and Outcomes Reporting 15 2.16 Communication with DHS 16 3.0 DETAILED FEE SCHEDULE 17 ATTACHMENT 1- Resumes 18 ATTACHMENT 2 - Licensures and Professional Documentation 41 ATTACHMENT 3 - Training Logs 49 ATTACHMENT 4 - Organizational Chart 61 ATTACHMENT 5 - Standard Certificate of Insurance 62 SAW Preserving Families Securing Futures Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #. B1700080 April 24, 2017 1.0 ORGANIZATION OVERVIEW Specialized Alternatives for Families and Youth of Colorado, Inc. (SAFY of CO) was founded in 2014 and currently contracts with Douglas, Larimer, Weld and Boulder Counties. SAFY of CO began providing Multigenerational Treatment Services in Colorado in July 2014 after responding to the need to serve children and youth sustainably while supporting family or other permanent connections. Through a multi -generation approach (including grandparents, kinship providers, foster and adoptive families, etc.), SAFY partners with families to create meaningful change through effective supervision, accountability, restoration and responsibility. In our first two years of operation, we served approximately 150 families identified with complex trauma throughout Northern Colorado. 1.1 Experience & Past Performance SAFY of CO's mission of Preserving Families and Securing Futures is achieved through evidence -based programming designed and delivered with fidelity to best facilitate safe and stable family environments and to achieve desired treatment outcomes. Central to the philosophy of treatment evidenced in all our programs is to empower the child and the family in treatment planning, service design and evaluation. Services are designed with the goal of permanency with biological and kinship relationships for families whenever possible. SAFY of CO's model of care is based on a family systems approach combined with trauma -informed behavioral health interventions to provide programming in our five major lines of service: • Treatment Foster Care; • Family Preservation and Family Reunification; • Preparation for Adulthood; • Adoption; and • Behavioral Health Treatment. Founded in 1984, Specialized Alternatives for Families and Youth of America, Inc. (SAFY of America) serves as the managing services organization for the national network of independently incorporated SAFY organizations across eight states including Ohio, Indiana, Kentucky, South Carolina, Alabama, Oklahoma, Nevada and Colorado. SAFY provides administrative, financial and operational support for each state SAFY organization that is separately and fully incorporated as a 501(c)3 nonprofit. This unique organizational structure allows for economies of scale and systems knowledge that translate to greater efficiencies while maintaining dedicated executive leadership in each state. SAFY of CO benefits from the national presence and decades of experience of SAFY of America, a leader in the provision of programs and services improving the safety and well-being of families, children and communities with a history formed on the reputation of a quality therapeutic foster care provider. Through evidence -based programming designed and delivered with fidelity, SAFY facilitates safe and stable family environments to achieve desired treatment outcomes. Today, SAFY's Model of Care provides community -based services for families and children who have experienced trauma and are at risk for or have experienced family disruption or out -of -home placement. Caring for more than 12,000 families and children each year, SAFY of America delivers a progression of care through demonstrated best practices that provides a brighter today and strengthens families and children throughout their lifetime. SAFY Preserving Families Securing Futures 1 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 1.2 Staff Qualifications As Colorado Executive Director, Ms. Ryann Vernetson, MA, LPCC, has clinical, administrative and fiscal oversight of SAFY's state operations in Colorado. Possessing extensive experience, Ms. Vernetson administers outcomes -driven, highly organized programs through which she has earned increased responsibility throughout her career from a hands-on clinician to Executive Director. A native of Colorado, Ms. Vernetson leverages long-standing community relationships with an unwavering commitment to holistic, trauma -informed care. She is flexible, adaptable, and a poised team leader driving excellence and growth in service delivery and treatment through continuous improvement and cutting edge research in the programs she manages. Ms. Emily Ullrich, M.S., Registered Psychotherapist, serves as the Lead Family Specialist reporting directly to Ms. Vernetson and overseeing the Family staff in the Greeley office. Having held this position since July 2015, Ms. Ullrich has extensive experience managing treatment and clinical services and supervising staff. Additionally, Ms. Ullrich is knowledgeable in Trauma Informed Care and has presented to stakeholders within the community on the topic. Please see ATTACHMENT 1 for resumes of all staff and ATTACHMENT 2 for licensures and professional documentation. 1.3 Collaborative Commitment In pursuit of our mission, SAFY of CO has established ourselves as an active member in each community in which we provide services. The nature of the services we provide mandate our organization develop and maintain collaborative relationships with child welfare agencies, juvenile justice agencies, community mental health agencies, schools, medical facilities and local resources. SAFY has had a track record in Colorado of partnering with community partners, particularly with Larimer County in the development of the Trauma Continuum of Services along with working directly with Dr. Jim Henry and Amy Perricone. SAFY of CO is proud of the collaborative outcomes to date resulting in keeping families with complex trauma together, as well as moving youth out of congregate care settings into sustainable community settings. We are dedicated to working closely with Weld County community partners and multidisciplinary teams assigned to families, to help advance accountable, sustainable, and effective services for the families and children we serve together. 2.0 SCOPE OF SERVICES - MULTIGENERATIONAL TREATMENT SERVICES 2.1 Target Population SAFY of CO will provide Multigenerational Treatment Services under Home Based Intervention to families in Weld County with children ages 4 — 21 years who are at risk of removal and in immediate need of crisis stabilization/intervention and conflict resolution. SAFY of CO provides a cafeteria plan of innovative, trauma effective services allowing the family to engage and choose services to meet their unique needs. The package of optional services available to the family include multi -generational trauma healing, trauma education to the youth's entire ecosystem (including teachers, child care, extended family, respite providers, etc.), trauma focused skill building, emotional regulation strategies (generalized and practiced in the community, school and home), basic needs assistance, youth and caregiver Trauma Sensitive Yoga practices, and additional innovative services. SAFY of CO is open to work with all families including foster, pre/post adoptive, kinship, non-traditional and blended. For families working toward reunification, SAFY of CO can work with both environments in preparation SAFY Preserving Families Securing Futures 2 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 for transition and sustainable permanency. We understand desired services should be tailored to individual needs, be evidence -informed, strengthen family relationships, increase protective factors and advance the family's responsible decision -making. 2.2 Referral, Intake & Crisis Intervention SAFY of CO responds to all referrals by attempting to contact the family within 1 business day of the referral due to the emergent nature of all referrals. SAFY of CO reviews the available information to match the family with the competencies of available staff. Staff attempts a phone call to the referring caseworker within 48 hours of receiving the referral to collect additional information assisting in assigning staff and setting treatment goals. While referrals typically identify a target child(ren) for services, all involved family and kinship members in the home are included in the assessment, intervention and discharge planning and services. The Family Specialist will attempt to contact the family within one business day of receiving the referral to set up a meeting that will be within 72 hours of the initial call (if the family is able and willing). At the initial meeting, the Family Specialist will outline services in an informed consent manner and determine if the family is open to engaging in services voluntarily. If the family consents to services, the Family Specialist will complete intake documentation and begin the assessment process. At this point, the case is considered "open" and SAFY begins billing for services. Voluntary consent/choice is an important aspect of being trauma informed with families. SAFY of CO utilizes assessments to guide treatment, and target clinical outcomes. For families who have consented to assessment, SAFY of CO may administer (depending on age and appropriateness) the Resiliency Scales for Children and Adolescents, the Trauma Symptom Checklist for Children, and the Family Advocacy and Support Tool- Trauma. Accordingly, SAFY of CO will be able to track outcomes before and after services, to demonstrate clinical outcomes. Additionally, SAFY of CO clinicians are trained in delivering the following: • Comprehensive Psychosocial Diagnostic Assessment • Family Assessment of Needs and Strengths- Trauma (FANS -T) • Kaufman Brief Intelligence Test -2 (as needed) • Genogram Staff schedules are driven by client need rather than by worker or program convenience. Workers are available to clients whenever the families feel their services can be helpful, particularly when they are most likely to experience stress. This allows the staff to teach alternative methods to handle these stressful times at the time they typically occur. Staff are hired with an expectation of working an 11-7 shift rather than the typical 9-5 shift with flexibility on both ends. SAFY of CO has an established and effective on -call process for responding to family and peer needs 24/7. Rather than families calling into an answering service or being "triaged", their call goes directly to a staff person apprised of their family and who has access to pertinent information such as active Releases of Information, effective interventions and the family's crisis plan. All staff utilize a rotating on call schedule and back up supervisor schedule to be available to families 24 hours per day, seven days per week to allow for hours of service per the needs of the family. Staff are in close contact about family interventions and crisis/safety planning. At weekly staff meetings, the crisis support phone is passed to the assigned staff person and "hot spots" are reviewed so the on -call staff person and their supervisor are as prepared as possible and so families can receive a responsive, informed support. SAFY Preserving Families Securing Futures 3 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 Staff are responsible for responding to all calls made by families 24 hours a day, 7 days a week. If the call involves a crisis, the on -call staff will assess the situation to determine which type of intervention would be most appropriate. Types of intervention to be used for crisis calls may include: • Phone intervention (de-escalating the problem over the phone) • Face -to -Face intervention with the family alone or with the support of the Supervisor/State Director in the family's home when warranted. If risk factors are present, face-to-face intervention will occur in a safe and neutral location. • If necessary, notifying police or hospital (if a serious safety threat exists) 2.3 Family Engagement Family engagement is a major component of SAFY of CO's services. Our approach is to help the family view us as a voluntary service they agree to rather than "another" service infringing on their life and privacy. The sheer act of asking a family if they want services can be very empowering for the family and create a level of trust from the beginning. Upon referral, SAFY of CO will contact the family within one business day. The Family Specialist will review the referral, assessment and all other collateral information available. The Family Specialist will meet the family to identify collateral agencies and individuals important to the success and sustainability of the family's work. The Specialist will obtain signed releases and consents to contact all involved agencies and individuals with the family's permission. The Specialist will be in close contact with the DHS caseworker to identify treatment goals from the agency's perspective as well as identify any conflicting goals as identified by the family. The Specialist will mediate, as needed, ensuring all systems and parties are working uniformly for the family's benefit. The Specialist will attend all family meetings, as invited by the family and will also work with DHS to understand the process for calling family meetings, as needed. While we adhere to the treatment goals, we also recognize the importance of Maslow's Hierarchy of Needs. It is imperative for a family to have basic needs met and feel safe in their home before they can attend to higher level conversations, such as trauma triggers and healing. For instance, if a staff person plans to provide trauma psychoeducation at a scheduled visit yet they arrive and the family's electricity has been turned off, they will not sit in a dark home and continue with their agenda. They will problem solve with the family, possibly transport them to sign up for a community resource all while checking in on the child's behaviors and providing trauma education in the teachable moment. Another concrete family engagement practice is helping families with scheduling and organizing professionals in their life to allow for "down time" as well as "family time". Often, when SAFY of CO staff meet a caregiver for the first time, the caregiver will hold up their calendar with an appointment on every day and look completely bewildered as how they can be expected to fit more in their days. SAFY of CO staff identify opportunities to consolidate appointments and schedule their time effectively. 2.4 Treatment Planning The comprehensive family assessment helps to identify areas of need for potential inclusion in the service plan. Initial treatment plans will be submitted within two weeks of enrollment to DHS with specific goals, objectives and target dates. SAFY of CO believes the treatment planning process is a dynamic one and the treatment plan document is a "working" plan that is reviewed frequently, amended as needed and essentially becomes the roadmap for all service delivery. The family is encouraged to invite anyone they see as a support to their success. The referring SAFY Preserving Families Securing Futures 4 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 DHS worker and/or additional professionals identified by the family through written consent will be invited to participate or provide input into the treatment plan. The collaborative effort is documented via the signature of all team members on the Family Specialist/Family Coach. The treatment plan will reflect the least restrictive or intrusive service effectively meeting the needs of the family. The Family Specialist/Family Coach team will illicit child and family strengths and what the family views as positive aspects of their life. Concerns about the presenting issues will be discussed, as well as areas of change that would make the family life better and what everyone is willing to do to support a needed change. Treatment planning ultimately involves the development of specific, measurable, attainable, relevant, and outcomes -driven goals. SAFY of CO works to be honest and transparent with the family involved in services. It is important to include the reasons for court orders into the treatment plan to address the root causes. When a court order is involved for the family, SAFY of CO will communicate the role of staff and its responsibility to report factually and honestly when testifying in court. It will also be made clear; staff will report any violations to the county and other pertinent team members. To this, supervisors and staff are acutely aware and experienced in providing court testimony, when required. As well, it is not SAFY of CO's practice to provide placement or custody recommendations. 2.5 Approach SAFY of CO's proposed service continuum for families, as outlined in greater detail below, is centered on family engagement through a multi -generational approach to home -based family preservation and reunification services. Delivered in a 24/7 flexible service and crisis support service paradigm, including respite as needed/available, SAFY of CO's services will benefit children and families in Weld County by promoting permanency, safety and well-being. Understanding the goal is to safely maintain children in their natural environment, our multigenerational approach is rooted in Family System Theory. The basis for a family centered approach is focusing attention on the family as a whole, on sub -systems within the family and on the family's interaction with the community. This includes recognizing and placing value on the family's cultural background and individual needs including: • Race/Ethnicity • Gender • Sexual Orientation • Physical Abilities • Age • Nationality • Geographic Region • Religion Families that have experienced challenges related to abuse, neglect, and high emotional stress in the areas of parenting, addiction and controlling substances, serious and pervasive mental illness, employment, intended and unintended grief, loss and numerous kinds of trauma, often demonstrate deficits in attachment skills necessary to function efficiently and effectively. Other factors contribute to an inherent legacy of hopelessness, helplessness and powerlessness that frequently sets them up for further negative actions or behavior which can only be reversed through intentional, purposeful and mindful intervention. Based in research and experience, SAFY has identified these core issues when designing effective programming: • When families are engaged in a relationship of trust with the provider, they are open to SAW Preserving Families Securing Futures 5 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 new insights into their own behaviors and will cooperate with the healing process and treatment goals. • Providers will not be able to affect change, create healing and increase protective factors without "being in relationship" with parents, youth and multiple community partners. • Children and youth's severe behaviors are often driven by fear based emotions that can increase the likelihood that caregivers will react with fear, emotional dysregulation and control rather than respond with empathy, and trauma informed approaches to intervention. • Parents who have been identified in the child welfare system as in need of services are often attachment -challenged because of trauma in their own past that has been unprocessed and unresolved. • Family intervention approaches which embrace relationship engagement are based on mutual respect for parent's ability to be committed to their family's healing process with accountability and insight, but without shame or blame. Coordination of effective services is a critical component of service design for children and families that are involved in multiple systems and community resources. SAFY of CO personnel assist the family in coordinating the many resources often involved in the parent(s) and child(ren)'s life, which can be overwhelming and time-consuming. SAFY of CO borrows from Trauma Systems Theory (Saxe) to inform practice on collaborating and coordinating all child and family serving systems involved with each family. Coordination within each level of the child's social ecology to provide the same trauma -focused response increase the child's ability to successfully navigate new environments and situations, which may lead to a decrease in escalations and problematic behaviors. We communicate between systems with the families' input and help to translate the professional jargon the family may not know or are afraid to ask for the definitions. SAFY of CO personnel also assist by preparing the family for meetings that might be intimidating for them, such as Multi -Disciplinary Team (MDT) meetings and court hearings and help them have a voice in the process. SAFY of CO ensures staffing or available resources are accessible for families who speak English as a second language (ESL). SAFY of CO uses a multigenerational approach to support children returning into their family and community by engaging all available family members as defined by the MDT, including kinship, foster, adoptive and non -familial guardians. By educating and regulating the family system, parent(s) and child(ren) begin to regulate and change in response to their natural environment while being empowered to change their own behavior. Healthy communication, coping skills and awareness of attitudes/beliefs can only be sustained if practiced within the context of the youth's day-to-day life. The goal is to provide contextual instruction and experiences so parents (and children as age appropriate) are more confident and motivated to use positive coping skills when faced with stressful problems. SAFY of CO strives for all interactions with children and families to be therapeutic. The therapeutic alliance between staff and families is critical to engagement and success. Building a relationship based on trust, accountability and ethical boundaries is essential to promoting change. Trained SAFY of CO staff counsel families using Motivational Interviewing (MI), which is identified by SAMSHA as an evidence -based practice. MI is used as an engagement tool for individuals and families, including those with mental health and substance abuse issues. Families who have histories of abuse, neglect, familial violence and out of home placements feel the weight of these events and can be triggered by environmental stimuli which can lead to violent outbursts, substance abuse relapse, loss of employment and loss of housing resulting in re -engagement with the child welfare system. SAFY Preserving Families Securing Futures 6 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 The duration of a typical case will be 6- 9 months, depending on the family's needs and progress. SAFY of CO's state leadership routinely monitors the progress made by families and reviews the status of the anticipated termination date for services for the family during weekly individual consultation meetings with the Specialists. SAFY internally staffs, as needed, ensuring the SAFY team is providing a cohesive service. Families at great risk of disruption are assessed at a High Intensity of services and can expect to receive 8-10 hours of service per week along with the 24/7 on -call service. As families begin to regulate and heal or if they are not experiencing severe crisis impacting the family functioning, they can be decreased to a low level of services, averaging 4-6 hours of service per week per family. From here, families can receive services under the Step Down category (with DHS permission) where they'll receive a minimum of 7.5 hours of contact per month. Program Elements: • Family Preservation/Reunification services for families with children at risk of removal or recently returned to the home/community • Two generation approach (or more as indicated by family structure) • Applicable to all families (adoptive, biological, kinship, separated) • Team staffing to address two generation needs, reduce impact of turnover and improve coordination of service delivery and collaboration with treatment team • Program tenets of Motivational Interviewing, Trauma Systems Theory and Family Wellness (a SAMSHA evidence based practice) • Family driven goals with individualized programming (not a one size fits all approach) • Culturally and linguistically appropriate services • Focus on sustainability and self-sufficiency through organic family supports • Development of positive supports/influences through Circles of Support (social connection mapping exercises) • 24/7 crisis on call support/flexible scheduling • Respite services while working with the family to cultivate natural family supports • Trauma Sensitive Whole Family Yoga as certified by Trauma Center at the Justice Resource Institute (Boston) provided through class or individually in the home for eligible children/caregivers • Connection with other contracted SAFY of CO services such as Reunification -Focused Treatment Foster Care, Animal Assisted Canine Therapy, Trauma- Focused Individual and Family Therapy SAFY of CO understands we are building an organization -wide mindset about trauma that reflects adherence to key principles (Safety; Trustworthiness and Transparency; Peer support; Collaboration and Mutuality; Empowerment, Voice and Choice; Cultural, Historical, and Gender Issues) rather than a prescribed set of practices or procedures. SAFY went through an extensive assessment and training process with Chadwick Center for Children and Families on "Creating a Trauma Informed Child Welfare Culture" within the organization. Specifically working with our organization as a whole, the goal of the process brought awareness to our leadership and staff that: • Our organization can either help mitigate the impact of trauma or inadvertently add new traumatic experiences. • The culture of the child and family influences the child's response to trauma. • Child and family resiliency after trauma can be enhanced. • Current and past trauma impacts the families with whom child welfare workers interact. SAFY Preserving Families Securing Futures 7 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 • Adult trauma interferes with adult caregivers' ability to care and support their children. • Vicarious trauma impacts the child welfare workforce. • Exposure to trauma is part of the child welfare job. • Trauma has shaped the culture of the child welfare system; the same way trauma shapes the world view of child victims. Changing the lens in which we plan, resource, implement and provide our services, SAFY of CO examines how we think and respond to those who have been exposed or at risk for exposure to trauma, including not only the families, but our staff and community members seeking to help and support. While not exhaustive, practical tools we use include: • Engagement initiated at first contact with a family which is warm and compassionate while stressing the voluntary nature of our services to policies • Behavior management policy which focuses on positive reinforcement with no physical contact • Organization -wide trainings on the most up to date brain development research and complex trauma impact • Family engagement services that are designed to be culturally/linguistically competent • Strong emphasis on self -care for our staff • Comprehensive staff orientation, peer mentoring, ongoing training, supervision and coaching In addition to our work in developing a trauma informed organization, SAFY of America has spent many years of research and study on attachment and the many ramifications of how it plays out in creating a "healing home" and permanency for children and youth. Research shows us that nothing is more effective or important than creating relationships with families who are in crisis. Staff have been trained in emotional regulatory principles that create a paradigm of trauma healing in conjunction with any treatment/program model. For example, while we employ the Family Wellness curriculum (a SAMSHA evidence -based practice) to help families toward healthy relationships and communicate effectively, the family will be more open to these new skills when we apply emotional regulatory principles in how we approach the treatment based on the family's unique strengths and needs. Please see ATTACHMENT 3 for trauma informed care training logs of all staff. 2.6 Service Deliverables SAFY of CO utilizes a structured team approach including family and kinship as colleagues in developing their own intervention goals and plans. In addition, SAFY of CO will maintain collaboration with the referring agency, other community providers (i.e. counselors, school personnel, medical practitioners, therapist) and, as applicable, faith -based providers/partners, to provide a coordinated program of interventions designed to meet the needs of each family served and either prevent removal from the caretaker or facilitate the reunification. Each service plan is oriented to the unique needs of the individual family as directed by the referral and the assessment process. All services are provided in a culturally and linguistically responsive manner. Listed below is a partial breakdown of the typical services families in this program may receive: • Integrated staffing team consisting of a master's level family specialist and a bachelor level family coach. • Evaluation of the safety of the child and ongoing safety planning. SAFY Preserving Families Securing Futures 8 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid # B1700080 April 24, 2017 • Assessment for trauma, family needs and service priorities. • Coordination of the service planning process includes the development of an individualized service plan for each family identifying specific interventions, or skill -based strategies to assist the family in increasing functioning and attaining the lasting change needed to successfully maintain or reunify the children in their home. • Documentation of program progress, including keeping the referring agency abreast of changes impeding a child and family's success. • Crisis support services available in -person and via telephone 24 hours day/7 days a week. • Flexible staff work schedule to meet the needs of each family. • Communication with school, employer, counselor, and/or any other identified relationship/provider for which intervention is necessary. • Attendance of family team meetings and court hearings to provide relevant information • Direct in -home support services for the family. This may include: o Homemaker supports o Basic life skills o Budgeting o Parental Strategies/Coping Skills o Assistance with primary medical care coordination • Self-esteem building through activities, teaching self -care, empowering self-control, assist in acknowledgment of ability to affect and control both environment and behaviors, and self-awareness building. • Conflict resolution skill -building • Communication skill -building ("I statements," active listening) • Modeling, coaching, empowerment through the relationship with the Specialist and Coach team. • Developing sustainable, natural networks of support for family members • Supporting healthy living and self -care through positive recreation opportunities and positive leisure time activities • Providing short term respite options (provided available capacity) up to 2 overnights per month ideally planned or for de-escalation when needed (youth must meet criteria) • Arranging for individual, family and/or group alcohol and drug counseling, if directed by the service plan, and assistance in developing a rehabilitation plan that may include: o Drug education o Relapse prevention planning and activities o Linkage to relevant community resources • Support at court hearings and other appointments, as necessary. • Parent education, including developmentally appropriate discipline techniques and child development information. • Therapeutic services provided in -home, with community referrals for intensive therapy needs. • Advocacy for the family to assist them in "finding their voice." • Brokering of community services to meet basic needs, connect the family with long-term support and overcome barriers to services, including flexible spending funds for concrete supports. • Family Team Meetings and collaboration on established goals including identifying and overcoming potential obstacles. In addition to the deliverables provided to the family, SAFY of CO will provide the following service deliverables to OHS: SAFY Preserving Families Securing Futures 9 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 • A service plan will be created within 30 days of family participation with specific objectives and target dates. • Written monthly reports indicating specific dates of services, the child/family member receiving services, general topics being discussed and weekly progress, • Missed appointments and/or significant events will be communicated to DHS within 48 hours. • Discharge reports will be provided giving SAFY of CO's opinion of success of services within 30 working days from the close of service. • Outcomes will be reported on a quarterly basis. 2.7 Respite Services At -risk families typically have few viable respite options for caretakers to receive the break all parents and caregivers need when raising children. Ideally, planned respite gives all members of the family a time to rejuvenate and rest from the hard work of change they are engaged in. Crisis respite is occasionally needed to de-escalate emotionally charged environments and work individually with family members through a crisis until they can come back at a lower intensity level and work through the challenges. Families authorized at the high intensity level will be able to access up to 2 nights/3 days of respite, when available, per month through Voluntary Parent Agreements with SAFY of CO who will recruit, screen, train, support and reimburse respite families. Respite providing families are caring and compassionate community members who will provide shelter and care to youth in respite and ideally create an extended family type of natural support. This component of the proposed services is not available to youth who are in the custody of Department of Housing and Human Services and must stay in a licensed foster home. Families who utilize respite services must complete all consent paperwork and abide by program expectations. 2.8 Aftercare Aftercare planning will be provided to facilitate a smooth transition when the family is discharged from the program. Aftercare will include Medicaid services such as continuation with individual or family therapy, as needed. An aftercare plan will be developed with the family with the following elements considered: • Planning will begin as a part of the initial service plan • Identifying any services needed or desired by the family and include specific plans for obtaining these services (i.e. transportation and other feasibility issues) • Describing the nature and frequency of follow up or aftercare services 2.9 Team Method Typically, at -risk families have experienced challenges or traumas that have led them to be system -involved and may have added to the complexity of their trauma from experiences with systems that left them feeling disempowered, distrustful and/or disenfranchised. SAFY of CO staff are selected and trained based on their engagement abilities along with clinical knowledge and experience related to working with fragile families. Additionally, all staff are hired to work towards positive outcomes in the areas of safety, permanency and well-being in line with the CFSR. Due to the complex needs and specialized skills, we require Family Specialists to be a master level clinician. SAFY Preserving Families Securing Futures 10 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 Each family with high intensity needs will receive services from a paired team of a Family Specialist and a Family Coach, with a combined caseload of 8-10 families assigned by the supervisor per the intensity level of each staff person's current caseload (i.e. more cases if families are in step-down and less cases if current families are new or stepping up in service needs). The team approach allows the staff to work in depth on service goals while also meeting the more day to day tasks and providing teaching to family members one on one. This model of a paired team provides additional benefits such as consistency of care when staff are on vacation, sick leave or turnover as well as the advantage of blending competencies and assets (e.g.; Spanish speaking, gender preference, etc.) for the benefit of the family. Families with low intensity needs will have the availability of a family coach but one will only be assigned as needed based on the treatment plan. 2.10 Levels of Service SAFY of CO proposes to provide services at three levels: Multigenerational Treatment Services (High): Aimed at serving the identified child and his/her family (as they define it) simultaneously to increase family engagement and sustain child safety. Enhanced Trauma Treatment Services are designed for families necessitating a high level of involvement to mitigate risks and support the permanency goal. Specific goals are mutually set around lowering dependency on contracted services, developing safety plans and increasing protective factors. Services will include oversight of coordination and implementation of the Trauma Assessment recommendations and communication to the entire team around progress, obstacles and challenges. Master level SAFY Family Specialists provides Trauma Education to caregivers, as well as therapeutic insight into the caregiver's possible own trauma narrative while the Family Coach helps the caregivers and any involved family members (including extended and natural supports) generalize the interventions throughout the family system, school placement and community settings for sustainable change. The family (or alternate caregiver in the event of a relative overnight or respite) has 24/7 direct access to a SAFY clinician with knowledge of the family's goals, strengths, challenges and safety plan. SAFY works to empower and support the family rather than "do it for" the family and thus the clear majority of crisis calls are managed over the phone. When available and appropriate, SAFY may utilize its Treatment Foster Care resource families for High Level services to provide occasional, planned respite to support the family if no other resources are identified. Multigenerational Treatment Services (Low): Aimed at serving the identified child and his/her family (as they define it) simultaneously to increase family engagement and support the permanency goal. Multigenerational Treatment Services are designed for families to learn the effects of trauma on all family members, develop specific interventions that are tailored to the individual strengths and needs of all family members and develop sustainable supports to support permanency long term. Specific goals are mutually set around lowering dependency on contracted services, developing safety plans and increasing communication cohesion between family members. SAFY of CO Family Specialists provides Trauma Education to caregivers, as well as therapeutic insight into their own trauma narrative. Additionally, the Family Coach helps the caregivers and any involved family members (including extended and natural supports) generalize the interventions throughout the family system for sustainable change, as well as support educational placements and community settings. Twenty-four/seven services are available for low level services; however, the family is not anticipated to utilize the service routinely. SAFY of CO works to identify sustainable community supports that the family can utilize as a warm line post discharge. Low level services can be used as a step down when families begin to see evidence of improved functioning and diminished crisis cycles in the home. SAFY Preserving Families Securing Futures 11 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 Step Down: Step down services will be provided upon approval of DHS at a minimum of 7.5 hours per month with an average of 7.5 to 15 hours of services per month. Services will include a Family Specialist and a Family Coach. There will be a maximum of 30 days from approval of step down to discharge. Overall, Multigenerational Treatment Services provide whole family, trauma -focused, therapeutic services to families (bio, step, adoptive, kin) 24/7. SAFY of CO values partnering with the family and community to address all levels of the child's social ecology, with an added emphasis on school. SAFY clinicians support families to lead the treatment process based on their expertise of their own family including their strengths and resilience. Specifically, the emphasis of Multigenerational Treatment Services is to provide trauma -focused services to youth and their support systems while coordinating recommended services for the child and family to promote permanency, safety, and wellbeing. 2.11 Trauma Model SAFY of CO's treatment team will provide trauma education to the family, develop behavioral interventions with all involved support systems and collaborate/communicate with the treatment team and child -involved systems to create a unified approach to treatment and healing. The multigenerational treatment services SAFY of CO provides also includes identifying all key members of the family's circle of support or treatment team. This may include formal, professional treatment providers as well as informal, organic family supports. This holistic approach identifies all the domains of the child and treats them as a whole, not solely focusing on their mental health. SAFY of CO also works with siblings of the youth and identifies family activities or family leisure time to develop bonding and promote healing through nurturing and family. Utilizing both Trauma Systems Theory and Dr. Jim Henry's trauma assessment work, SAFY has developed its own Trauma Model delineating approaches to match the assessed trauma functioning of a family. Figure 1 and the associated chart outlines how SAFY of CO staff delivers services within each family's context. Please note the chart is proprietary information of SAFY of CO and not to be reproduced or distributed without written permission. Figure 1 - SAFY Trauma a m N SAFY Preserving Families Securing Futures V Revving High FS Moderate FC :;12 Q3 • Q1 Q4 Regulating High FS 141. Low FC Reexperiencing Low FS High FC Reconstituting High FS High FC 12 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 Quadrant 1 Family Specialist Psychoeducation, trauma education, establishing/ practicing regulatory activities, practicing parenting skills (role playing, modeling), engaging natural supports, teach caregivers coping skills, engage with family and child to practice skills. Case Management Role Meeting basic needs (e.g., food, shelter, clothing, safety), community activities, practicing regulation skills, practicing affect expression, adhering to a schedule, modeling structure and consistency, connection to resources Intervention Style -Openly make gentle suggestions -Active listening/venting ok -Invite families to problem solve -Setting "higher" standards okay (e.g., asking child not to use f word) Quadrant 2 Increase in- home/community support, explore and plan for respite options, increased encouragement for caregivers, discuss challenging situations and plan accordingly, identify caregiver triggers, practice coping skills with caregivers, increase communication with treatment team Increase in- home/community support, provide caregiver respite through activities, practice coping skills with child, support caregivers and child, discuss with child what they need to de-escalate, increase communication with FS and family -Move from problem to solution faster (less venting but still listen) -Higher degree of modeling -Choose battles -Increase family "buy in" -Non-judgmental listening re: family's frustration -Point out strengths Quadrant 3 Provide in -home support as needed, high encouragement of caregivers, focus on parental regulation, pull in additional treatment team members as needed, focus on safety, additional safety planning if needed Provide multiple respite options through coaching, engage children in regulatory activities, focus on safety, practice coping skills with child, high level of communication with FS and family, consider weekend visits/check-in -Safety/de-escalation is priority (not cussing, attitude, etc.) -Intensive joining with parents -More directive interventions -Families should feel highly supported Quadrant 4 Root cause analysis/sequencing of crisis, adaptation to crisis plans, identify strengths/skills to be built on, facilitate healthy dialogue between family members regarding the incident(s), identify weaknesses in treatment plan and adjust accordingly, increased communication with treatment team members Child version of root cause analysis, help child identify what they need/don't need to be more successful, encourage family engagement rather than isolation, engage in regulatory activities, balance community and in -home work. -Carefully make suggestions -Invite families to problem solve -Standards should be adapted so child is not re -triggered -Facilitate healing rather than enforcing punishment (e.g., child isolation) -Reduce blame/shame SAFY Preserving Families Securing Futures 13 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid # B1700080 April 24, 2017 Family Specialist Case Management Role Intervention Style regarding any intervention adjustments To summarize, SAFY of CO's evidence of experience and expertise includes: • Family Engagement skills • Integration of Trauma -Focused services • Community -based, least restrictive approach • System advocacy to provide family voice and family choice • NCSTN Resource Parent training for families, staff and resource parents • Secondary Traumatic Stress assessment and care for staff • Practice coaching in the environment by a Supervisor to ensure fidelity to SAFY's Trauma Model • Commitment to feedback and Continuous Quality Improvement • Effective collaboration with formal and informal family supports • Utilization of Trauma System Theory principles • Utilization of Dr. Henry's assessment and training • Utilization of collateral information to minimize re -traumatization by family in their re -telling of traumatic events 2.12 Supervision SAFY of CO supervisors monitor the consistency in staff service delivery as a routine component of each staff person's performance evaluation. Supervision is a weekly hour long activity and often takes place in the community (home visits, team meetings, etc.) or office to provide immediate feedback to the staff person, as well as identify areas for service that might have gone unnoticed. Supervisors are master level, licensed or working toward licensure clinicians. Currently, Lead Family Specialist, Ms. Emily Ullrich provides direct supervision of staff in this program in the Greeley office. Ms. Ullrich has held this position for 1.5 years and is a registered psychotherapist with a Master's of Science degree. Please see ATTACHMENT 4 for the organizational chart for demonstrating supervisory structure and ratio. Please note, additional offices and their staff are included on the chart as they can serve across counties, when needed. 2.13 Initial and Ongoing Training in Child Abuse and Neglect Beyond the intensive orientation, onboarding and training that all service delivery staff receive specific to SAFY of CO's trauma -focused work, all staff receive annual training that addresses skill development in specific areas of focus (i.e. motivational interviewing, substance use) in addition to general areas requiring ongoing awareness (i.e. cultural awareness, supervision, CPI). SAFY of CO's 2017 Training Plan is listed below with the following topics: • Suicide Prevention • Family Engagement Principles • Informed Supervision • Motivational Interviewing • Treating Complex Trauma • School Advocacy • Substance Abuse and Trauma SAW Preserving Families Securing Futures 14 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention • CPI Nonviolent Crisis InterventionNerbal De-escalation • Cultural and Linguistic Competency • Secondary Traumatic Stress • Trauma System Theory • Psychopharmacology of Psychotherapy • Shame and Self Loathing in the Treatment of Trauma • The Body Keeps the Score • Cultural Humility and Cultural Competency Bid #: B1700080 April 24, 2017 We believe training and supervision helps workers see through the lens of the family they are there to serve. Workers become aware of their own personal triggers and are able to lay them aside so they can create a relationship with the family that becomes safe, supportive and emotionally regulated. SAFY of CO has incorporated training in the key principles of trauma informed care (i.e. cultural awareness, advocacy/client voice, safety, etc.) to provide ongoing strengthening and growth for staff and our organizational culture. In addition, SAFY of CO utilizes the resources/tools from the Chadwick Center for Children and Families and the National Child Traumatic Stress Network, as well as expertise from national trainers such as James Henry, Ph.D. of the Children's Trauma Assessment Center at Western Michigan University to ensure our staff and organization have current and ongoing trauma informed training and development. As well, in Larimer County, SAFY of CO has been one of several agencies selected to support the design and implementation of a training series for child welfare professionals. 2.14 Concrete Need Funds The program model proposed by SAFY of CO also integrates the use of "flex funds," which may be used at the Family Specialist's recommendation with approval from the supervisor/Executive Director, to enhance the success of the interventions used. These funds are to be used only for goal -directed activities in the treatment plan and are not intended to be utilized as a substitute for community -based resources for which the family may be eligible. As an example, SAFY of CO has used funds to purchase "thera putty" for an adolescent male that learned to use it as a tool to regulate emotions and cope with stress. 2.15 Documentation and Outcomes Reporting The team also provides a monthly report includes treatment goals, behavior specific progress, obstacles and successes, as well as updates to the treatment plan. Additionally, the monthly reports will include specific dates of services, the child/family member receiving services, general topics being discussed during sessions and weekly progress towards the approved treatment plan. SAFY of CO will work with the participating systems to include their input. Reports are submitted and distributed to caseworkers to share relevant information. Families are made aware of and given the right to review progress reports. We believe families should be included in all information and no discussion occurs without the family's knowledge. If awarded, SAFY of CO agrees to track outcome data related to services per contract, upon request. Upon closure of a case, a discharge report will be issued at the conclusion of treatment within thirty days. The report will provide SAFY of CO's evidence of the success of services for the client, challenges or obstacles encountered, a concrete plan for aftercare and sustainable community connections/support. SAW Preserving Families Securing Futures 15 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid # B1700080 April 24, 2017 SAFY of CO utilizes an Electronic Health Record (EHR) to store all client documentation. Our protocol mandates staff complete progress notes for all contact (face to face, phone or electronic) within 3 days of the contact. These progress notes are tied to the treatment plan and demonstrate the interventions, services or planning SAFY of CO staff provide within the context of each contact. Progress notes are reviewed monthly by a supervisor and are integrated into the monthly report to communicate progress, areas of concern and obstacles. If a staff person falls behind in completing documentation, the supervisor will initiate supportive assistance to identify training opportunities and organizational strategies. Continued failure to complete required documentation would lead to a staff Corrective Action Plan and possible dismissal as this documentation is a critical component of the overall service. 2.16 Communication with DHS SAFY of CO strives to maintain excellent communication with all agencies with which we work. In communicating availability of SAFY of CO services to DHS, we try to anticipate and hire to meet need in order to avoid having wait lists. Given the nature of the family served and the rapidly changing trauma escalations, SAFY of CO seeks a variety of ways to keep the team in close communication and collaboration. We believe the family's voice is the most important in driving change and, therefore, includes the family in communication by asking permission before sharing updates. SAFY of CO utilizes email often to update treatment planning and behavioral interventions. Electronic communications will help connect the Department, therapist, school and other providers in situations involving after hours updates that typically might not get communicated through traditional service provider routes. SAFY of CO will seek to collaborate with DHS to develop a process for calling team and family meetings quickly to facilitate dialogue and bring wraparound services to families in times of crisis or destabilization. SAFY of CO will alert DHS with any missed appointments or significant events within 48 hours of said appointment. Additionally, any events considered pertinent to the child's welfare will also be reported within 48 hours. SAFY of CO does realize families are often hesitant due to past experiences from being system involved and we anticipate some missed appointments during this period as staff actively engage these families who are often labeled as 'resistant' or 'defensive.' SAFY of CO trains and supervises staff to work with the resistance and engage successfully with caregivers. SAFY Preserving Families Securing Futures 16 Specialized Alternatives for Families and Youth of Colorado, Inc. Annual Request for Various Services/Home-Based Intervention Bid #: B1700080 April 24, 2017 3.0 DETAILED FEE SCHEDULE SAFY of CO proposes to provide the services at the following unit rates: Multigenerational Treatment Services (High): $1,510 per month base rate for children with Medicaid and an eligible health diagnosis. $2,400 per month for children without Medicaid. Average face-to-face service Include: Family 20-40 hours/month hours Specialist, Family average Coaching, Respite (as available), Family Support Groups, Trauma Treatment Coordination and Crisis Stabilization Multigenerational Treatment Services (Low): $1,000 per month base rate for children with Medicaid and an eligible behavioral health diagnosis. $1,500 per month for children without Medicaid. Average face-to-face service Includes Family 10-20 hours/month hours Specialist and Family average Coaching (available to low cases, but not required), Respite (as available), Family Support Groups, Trauma Treatment Coordination and Crisis Stabilization Travel: Mileage reimbursement for travel to/from areas outside (but not including) a 30 -mile radius from the SAFY of CO home office will be negotiated. Please Note: SAFY of CO is open to discussing alternative funding solutions including cost reimbursement. Additionally, SAFY of CO is a certified Medicaid provider and this service is billable to Medicaid. However, while all SAFY of CO services are therapeutic, therapy is not a service provided within this service. SAFY of CO seeks innovative, trauma informed practices such as animal -assisted therapy, Trauma Sensitive Yoga and other practices to provide in addition to Multigenerational Treatment Services when a family would benefit from the additional service. SAFY of CO uses internal controls to verify Medicaid eligibility, bill for medically necessary services, internally audit for compliance and bill/remit electronically. SAFY of CO can use these same general accounting principles to ensure all billing is accurate and timely. SAFY Preserving Families Securing Futures 17 ATTACHMENT 1 Jane Campbell, MSW EDUCATION University of Denver Master of Social Work Concentration: Family Systems Certification: Animal -Assisted Social Work San Francisco State University Bachelor of Arts in Psychology SOCIAL WORK EXPERIENCE Specialized Alternatives for Families & Youth Outpatient Animal -Assisted Therapist & Family Specialist Deliver a series of complex, trauma -informed clinical services to children, adolescents, and adults. Clinical modalities include animal -assisted, attachment -based, and trauma -systems therapy. June 2015 December 2007 June 2015 -Current • In partnership with a professionally trained therapy canine, provide dynamic, effective mental health treatment on an individual and familial basis. Administer, score, and interpret a moderate range of diagnostic assessments. Construct client -centered, individualized treatment plans and develop clinical documentation for service delivery including progress notes and billing and submit said documentation as specified by Medicaid standards. Participate in professional meetings with other service agencies and develop/maintain consultative relationships with other mental health practitioners, family advocates, and legal representatives. Serve as a collaborative member of SAFY's 24/7 on -call support line, providing crisis management and de-escalation strategies for families needing after-hours support Thunder Ridge Middle School: Aurora, CO Mental Health Practitioner -Intern August, 2014 -May 2015 • Provide individual and group mental health support to caseload of 8 students experiencing social and/or emotional disabilities specifically through the use of Solution Focused Brief Therapy. • Deliver individual and group Animal -Assisted Therapy to caseload of 10 students as well as 3 Affective Education classes with the assistance of a Professional Therapy Dog. • Facilitator of 12 -week female empowerment group for 6th and 8th grade students. • Serve as a collaborative member of the IEP team by assessing students for special education services, conducting parent interviews and advocating for or against the implementation of services. • Co -facilitator of the Signs of Suicide psycho -education program for 6th, 7th, and 8`'' grade students. • Participate in weekly individual supervision, staff meetings, and monthly district -wide mental health trainings. Warren Village: Denver, CO September, 2013 -June, 2014 Family Advocate -Intern • Provided clinical case management and education counseling to 3 low income single -parent families • Conducted 2-3 weekly bio-psychosocial intake assessments for resident applicants, completed assessment reports, and advocated for/against program placement with the family services staff. CAMPBELL, PG 1 OF 2 18 ATTACHMENT 1 Primary designer and facilitator of weekly ESL program for refugee/immigrant residents. Co -facilitator of professional development and life skills courses. San Diego Center for Children: San Diego, CA Child Development Counselor/Therapeutic Coordinator • Counselor to at -risk adolescents (ages 12-17) with behavioral and emotional disabilities by utilizing Trauma - Focused Cognitive Behavioral Therapy and Motivational Interviewing. Therapeutic Coordinator for SDCC's treatment team serving as primary counselor advocate for client's cases • Responsible for milieu management and facility crisis prevention/intervention. • Reported daily on the progression of individual client's treatment plans through modified DAP notes • Provided one-to-one educational assistance to students requiring assistance in the classroom. VOLUNTEER EXPERIENCE March, 2008 -July, 2010 United States Peace Corps: Cambodia Program Director/Peace Corps Volunteer Leader Third -year extension role included serving as Peace Corps Cambodia's first -ever volunteer/staff liaison (PCVL) and assisting in the design and implementation of pre- and mid -service trainings for Peace Corps Trainees. • Provided ongoing technical education trainings and emotional support to volunteers in the field. • As Program Director, supervised and trained fifteen student interns at the Royal University of Phnom Penh to develop their leadership, public speaking, and mentoring skills, and lead coordinator for the bi-weekly "Planning your Future Workshops." Served in rural Cambodia for two years as an English Teacher and Youth Development Advisor in public high schools, NGO's, and private centers for education and youth development. • Awarded two Small Project Assistance Grants through USAID and two Peace Corps Partnership Program Grants to promote youth volunteerism and women's development on the micro and macro level. • Lead coordinator of the Baray Flood Relief Project and responsible for media outreach, local community and NGO collaboration, and fundraising efforts totaling $2,500. • Co-author and editor of Youth Development; A PCV's Guide to Working with Youth in Cambodia. TRAININGS & CERTIFICATIONS July 2010 -August 2013 • First Aid & CPR Certified by Red Cross Registered Psychotherapist through DORA Certified as a Crisis Prevention/Interventionist by the Crisis Institute of Colorado • Colorado Department of Education; PLACE Certified Certified as a Professional Therapy Dog handler by the American Kennel Club Foreign Language -Khmer tested at advanced level according to the U.S. State Department LEADERSHIP ROLES & ACTIVITIES March 2016 October 2015 October 2016 May 2015 October 2014 June 2013 • Vice President of Phi Alpha National Honor Society, Xi Delta Chapter • Founder & chairperson of the PC Cambodia Gender and Development Committee • Member of the PC Cambodia Diversity Task Force & Volunteer Advisory Council • Four-year letter NCAA Division I1 Women's Soccer player January 2014 -Current July 2012 -July 2013 February 2011 -July 2013 August 2003 -November 2007 CAMPBELL, PG 2 OF 2 19 Nicole Cochran ATTACHMENT Education ➢ Undergraduate: Regis University, May 2012: B.A. in Sociology with a Minor in Criminology o Scholarships: St. John Francis Regis Award, Regis Achievement Award, Student Employment ➢ Study Abroad: James Cook University, Townsville, QLD, Australia. July 2011 - November 2011 ➢ Graduate School: Colorado State University, School of Social Work (MSW), May 2015. o Grant: Colorado Graduate Grant Relevant Experience ➢ Specialized Alternatives for Families and Youth July 2015 -PRESENT o Family Specialist. Providing trauma informed, in home, therapeutic support to caregivers and working to preserve and reunify families. ➢ CSL Plasma May 2014 -July 2015 o Reception Technician. In charge of screening donors in order to ensure they are healthy enough to donate plasma. ➢ Partners Mentoring Youth Intern August 2014 -May 2015 o School -Based Mentor. Providing support through mentoring to identified at -risk high school students. ➢ Fossil Ridge High School Social Work Intern January 2014 -May 2014 o Conducted one-on-one and group social skill therapeutic interventions, created a mental health resource handbook and engaged in the Integrated Services department meetings. ➢ Park Hill Residence February 2013 -January 2014 o Worked as a qualified medication administration personnel (QMAP) and as a care provided for individuals living in Assisted Living under Senior Care Housing. ➢ Aurora Atomics Club Volleyball November 2012 -April 2013 o Head Coach. Ran practices and coached weekend tournaments, including a National qualifying tournament. Helped to educate student athletes. ➢ Bishop Machebeuf High School August 2012 -November 2013 o Head coach for volleyball, basketball, and soccer teams. Helped to educate student athletes on their sport and on how to become a better individual and team player both on and off the court. ➢ Follett Educational Services May 2012 -August 2012 o As an Account Executive I was in charge of traveling to Colorado schools and in order to make sure they are able to sell back their unused textbooks and to ensure they have all the materials needed for the upcoming year. ➢ Aurora Police Department Intern June 2010 -August 2010 o Followed and collaborated with 13 different departments. ➢ Active Minds (Regis University) August 2009 -May 2012 o VP in 2009 and President in 2010. I was in charge of education those on campus about mental health and suicide prevention. I collaborated with the University when it came to events and I put on programs to help create awareness and a safe environment. ➢ Leadership Club (Regis University) August 2008 -May 2009 o Attended conferences, worked with team members, and integrated leadership 20 ATTACHMENT 1 Nicole Cochran Certifications/Professional Development ➢ Certifications o Working Minds Train -the -Trainer, Nonviolent Crisis Intervention (CPI), Mental Health First Aid, Psychological First Aid, Human Subjects Protection, CPR/AED First Aid, Qualified Medication Administration Personnel (QMAP), CHSAA Coaching/Concussion ➢ Professional Development: Continuing Education Credits o NASW Code of Ethics, Prescription Drugs: Abuse and Addiction, Marijuana Abuse, Rural Child Welfare Practice, Addressing the Gendered Dimensions of Harassment and Bullying. Community Involvement ➢ 3 Hopeful Hearts (2014) Camp BraveHeart counselor. This is a day camp for kids who have lost a sibling. ➢ Kids at Heart (2014) Helped the group leader with the various activities with children ages 5-7. ➢ Loyola School (2012) Helped out with the book sale the school was having by selling the items and helping customers carry items. ➢ Denver Area Youth Services (DAYS) (2010/2011) Helped out in the office and observed how the case workers worked with the kids. ➢ The Comfort Caf� (2010/201 1) Helped to serve and make food. ➢ Rocky Mountain MS Center (2010)Worked with the King Adult Day Program (KADEP) people and made art work for their "Tree of Hope" ➢ New Orleans and Alabama (2008) A two-week immersion service trip -worked to help restore areas affected by Hurricane Katrina ➢ Eastridge Elementary School (2007) Worked as an aide in the 4thgrade class room ➢ Boys Hope/Girls Hope (2007) Helped host a dinner party ➢ Volunteered with Volunteers of America (2006, 2007) Assisted teachers in an elementary school ➢ Volunteer at St. Thomas More Parish/American Girl Fashion Show fundraiser benefiting (2007) The Gabby Krause Foundation - helping kids cope with cancer Memberships ➢ National Association of Social Workers (NASW) January 2014 ➢ AmeriCorps: Healthy Futures January 2014 -May 2014 o Careers in the Common Good Scholarship Publication ➢ Bullying and Suicide: The Complex Connection (September 10, 2013), published by Carson J. Spencer Foundation 21 ATTACHMENT 1 Carley Collison EDUCATION Bachelor of Health and Human Services, Social Work Colorado State University (CSU), Fort Collins, CO May 2015 WORK EXPERIENCE Specialized Alternatives for Families and Youth (SAFY), Lead Family Coach, Fort Collins, CO May 2016 - Present • Provide clinical supervision to the Family Coaching team; supporting these employees to apply training and education of trauma- informed care to direct client care. • Assess for safety and support frontline staff in delivering de-escalation interventions to families utilizing SAFY's 24/7 On Call Service. • Support youth and families experiencing complex and multigenerational trauma in building regulatory coping skills using a trauma- informed lens. • Provide onboarding training and orientation to new Family Coaches and support them in ongoing trainings and professional development throughout the duration of their work as Family Coaches. • Provide support to staff in navigating burnout and secondary traumatic stress as encountered in the field. Specialized Alternatives for Families and Youth (SAFY), Family Coach, Fort Collins, CO May2015- May 2016 • Support youth and families experiencing complex and multigenerational trauma in building regulatory coping skills using a trauma- informed lens. • Assess for safety and provide crisis support and de-escalation interventions to families and youth via SAFY's 24/7 On Call Service. • Collaborate internally and among Treatment Team members to identify and advocate for trauma- informed avenues of family/ placement preservation and reunification for youth and families. • Develop trauma -informed interventions to support youth in building emotion identification, regulatory, and prosocial skills. • Engage in a variety of specialized trainings and certifications to further interviewing skills, psychoeducation, trauma- informed care, and ethical and professional practice. Premier Gymnastics of the Rockies, Xcel Director, Loveland, CO September 2013- May 2015 • Conceptualized and developed a competitive program that enabled gymnasts of all backgrounds to compete in the sport. • Supervised the professional development of coaches within the program. • Developed budgets, planned events, and coordinated fundraising to help ease the financial burden on participants. • Directed and participated in team meetings between athletes, families, and coaches. City of Westminster, Seasonal Summer Day Camp Leader, Westminster, CO June 2010- August 2012 • Supervised daily care and play for children ages 5- 12. • Developed and enforced behavioral plans for children with behavioral challenges and needs. • Mediated conflict between children and enforced organizational and community rules for creating a caring and supportive environment. • Provided one-on-one care and supervision for children ages 5- 7 with developmental disabilities. • Participated in meetings and goal setting with coworkers, supervisors, parents and children. LEADERSHIP AND SERVICE Larimer County Child Advocacy Center, BSW Intern, Fort Collins, CO January 2015- May 2015 22 ATTACHMENT 1 • Assisted and conducted intake and referrals. • Advocated for families whose members have experienced child abuse, by providing resources and support during the forensic interview process. • Participated in agency and community- wide multidisciplinary team meetings on prevention and response to child abuse in Northern Colorado. Catholic Charities of Larimer County, Volunteer, Fort Collins, CO September 2012- May 2013 • Provided companionship for elderly clients of the Friendly Visitors Program. • Assisted Catholic Charities case workers in analyzing the needs of elderly clients and obtaining necessary services for them. CERTIFICATIONS AND TRAININGS • Motivational Interviewing • CPR and First Aid Certified • Bridges Out of Poverty • Informed Supervision Training • Trauma- Sensitive Yoga Training Avani Dilger, Motivational Interviewer Network of Trainers Susan Jimenez, American Heart Association Jodi Par, Bridges Out of Poverty Doug Blocksma, LPC Morgan Vanderpool, MSW 23 ATTACHMENT 1 Lindsay G. Dickson, M.S., Registered Psychotherapist Professional Experience Specialized Alternatives for Families and Youth (SAFY) January 2015 - Present Lead Family Specialist June 2015 - Present • Provide in -field and in -office supervision for other Larimer County Family Specialists including team meetings, clinical work, and community -based work • Conduct interviews and complete new hire orientations for other Larimer County Family Specialists • Oversee service delivery for 20-30 families in Larimer County • Provide 24/7 on -call supervisory support every 5-6 weeks • Present to community partners regarding SAFY services • Deliver monthly face-to-face updates on all Larimer County families receiving SAFY services to our contractors • Provide in-home/community-based trauma services for 4-5 families living in Larimer County Family Specialist January 2015 -June 2015 • Provide in-home/community-based trauma -focused multigenerational treatment services to families in Larimer County to prevent out -of -home placement or achieve reunification • Communicate and collaborate with entire treatment teams on a weekly basis • Advocate for families' strengths and needs using a trauma -focused perspective • Provide 24/7 on -call support for families working with SAFY Early Childhood Council of Larimer County May 2014 - January 2015 Outreach Coordinator, Resource and Referrals Specialist, and Parent Educator • Assess family needs and provide families with necessary resource referrals and child care referrals • Develop and maintain social media outlets (newsletter, email distribution, Facebook, and website) • Interview, orient and supervise undergraduate and graduate student interns • Collaborate with other parent educators to prepare 10 -week parent education classes for low-income families with a child under one • Implement in -class educational activities and presentations that increase knowledge of infant/ toddler development • Organize follow up home -visits for families to present parents with information from a missed class Colorado State University August 2012 -May 2014 Development Assessment Intern, Poudre School District January 2014 -May 2014 • Assisted early childhood teachers with conducting developmental assessments on children ages 0-5 • Managed a preschool classroom twice a day with 15-17 children 3-5 years old Best Start for Babies Program Intern, Early Childhood Council of Larimer County January 2014 -May 2014 • Co -facilitated a 10 -week parent education program for families with children under one • Partnered with community agencies to present during the program • Conducted home -visits for families who were unable to attend any of the classes 24 ATTACHMENT 1 Graduate Assistant, Grand Families Coalition Engagement Work Team August 2012 -May 2014 • Designed and distributed a needs assessment for grandparents in Northern Colorado to gain valuable information and insight on how to better provide services to local grandparents raising their grandchildren • Presented information on the needs of grandparents raising their grandchildren in Northern Colorado to service providers and other organizations • Created and distributed informative resources for grandparents raising their grandchildren in Northern Colorado Take Charge of Your Money Matters Evaluation Team • Designed and completed implementation evaluation research • Compiled data in Excel August 2012 -May 2014 The Parenting Young Children Project August 2012 -May 2013 • Completed targeted recruitment for families with young children to participate in the research project • Implemented surveys with families who have children under the age of 2 • Entered quantitate survey data Graduate Teaching Assistant- Human Development and Families Studies Department • Created and facilitated lectures for 100 students • Held weekly office hours • Created and graded exams for 100 students • Graded essays for 100 students Johnson County Social Services 2013 May 2011- August 2011 Community Outreach Intern May 2011- August 2011 • Assisted in the development and implementation of a summer employment program for low-income teenagers on building confidence, employment skills and applying their experience to various industries Education Masters of Social Work (anticipated May 2017) Colorado State University, Fort Collins, Colorado Masters of Science in Human Development and Family Studies (May 2014) Colorado State University, Fort Collins, Colorado Thesis: Implementation Evaluation of Best Start for Babies Bachelor of Arts in Psychology, Bachelor Social Work (July 2011) University of Iowa, Iowa City, Iowa Presentations "Family Preservations Services in Larimer County", for Health Harbors Advisory Council, 2016. "Implementation Evaluation of Best Start for Babies", for the 29th Zero to Three's National Training Institute 2014. Poster Presentation: "Best Start for Babies", 10 -week parent education program, co -facilitated with Emily Ullrich, 2014, Topics included: "Brain, Stress, and Self -Regulation", "Consequences and Discipline", "Early Literacy", and Nutrition" 25 ATTACHMENT 1 "Couplehood and Marriage", co -facilitated with Emily Ullrich, CSU HDFS Family Theory Class, 2014 "Sex and Gender", co -facilitated with Emily Ullrich, CSU HDFS Family Theory Class, 2014 26 Ashley Krause EDUCATION ATTACHMENT 1 Bachelor of Science, Human Development and Family Studies Colorado State University (CSU), Fort Collins, CO Related Coursework • Family studies • Families in the legal environment • Child, adolescent, and adult development • Social work with children and families, juvenile offenders, adult offenders, substance abusers PROFILE May 2014 • Experience in handling conflict in various settings • Certified in Crisis Prevention Intervention, First Aid/CPR • Demonstrate reliable work ethic from past and present experiences EXPERIENCE Family Coach, Specialized Alternatives for Families and Youth, Greeley, CO April 2016 -Present • Provide services to support in home family preservation and reunification • Work directly with clients to build skills in various areas utilizing trauma informed and strengths based interventions • Establish mutually respectful rapport and implement interventions necessary to meet needs of client and collaterals • Participate in the development of the Individual Service Plan and provide ongoing mental health services • Develop and maintain consultative and liaison relationships with various professionals to cultivate work relations, provide consultative services, and/or promote the coordination and development of mental health services Transitions Program Facilitator, Alternative Homes for Youth, Greeley, CO January 2015 -April 2016 • Teach independent living skills to youth committed to the Department of Youth Corrections • Supervise youth in the community for volunteer work and life skills education • Ensure compliance with federal, state and local laws including licensing rules and regulations regarding child welfare, mental health services, and alcohol and drug abuse • Enforce rules and consequences based on program procedures and individual treatment plans • Perform on call duties for emergencies and scheduling conflicts Youth Advisor, Alternative Homes for Youth, Greeley, CO July 2014 -January 2015 • Enforced rules and consequences based on program procedures and individual treatment plans • Executed appropriate procedures regarding medication administration and Therapeutic Crisis Intervention Intern/Volunteer, 8th Judicial District Probation Department, Fort Collins, CO • Received the Outstanding Deputy Probation Officer award • Completed Drug Lab Identification and Awareness class • Completed administrative tasks that are necessary for supervision of caseload • Conducted office visits with clients to check in and monitor their progress • Accompanied probation officers on client home and school visits • Attended multidisciplinary team meetings for youth who committed sexual offenses Aug 2013 -July 2014 Fall 2013 June 2014 27 ATTACHMENT 1 Hanna Mallette EDUCATION Colorado State University, Fort Collins, CO Bachelor of Science Human Development and Family Studies, May 2014 SKILLS/O UALIFICA TIONS I Experience implementing Trauma Informed behavior interventions. I Experience supporting children's social/emotional development. I Ability to be flexible and organized. ✓ Strong written and verbal communication skills. I CPR/First Aid certified I Colorado Registered Psychotherapist RELEVANT EXPERIENCE Family Coach; Specialized Alternatives for Families and Youth, Fort Collins, CO Sep 2015- Present • Provide intensive family preservation services utilizing Trauma Informed Approaches to support family preservation and reunification • Participate in the development of the Individual Service Plan and provide ongoing mental health services • Interpret various psychometric assessments to develop activities and interventions specific to the needs of each client • Provide caregivers with resources and support in the areas of behavior management, positive communication, and trauma informed parenting skills • Maintain consistent communication with referral agencies and mental health service providers • Provide 24 hour support to families in crisis Early Childhood Paraprofessional; Thompson School District Loveland, CO Aug 2014 -Sep 2015 • Assist teacher in maintaining a positive and safe environment for all children in classroom. • Create and implement developmentally appropriate lesson plans that address all learning styles, including developmentally disabled and behaviorally challenged students. • Utilize positive reinforcement to achieve desired classroom behavior and learning environment. • Conduct monthly home -visits with assigned Head Start families. • Record and submit data in a timely manner. Line Behavior Therapist; Consultants for Children, Inc. Lakewood, CO Mar 2014 -Jan 2015 • Implement 1:1 behavioral intervention programs to children with Autism and related behavior disorders in their homes. • Create activities and lessons to teach desired skill or behavior. • Trained to implement techniques of Applied Behavioral Analysis, Discrete Trial Teaching, Verbal Behavior therapy, Cognitive -Behavioral Play Therapy and TEACCH to manage maladaptive behaviors and increase independence. • Communicate regularly with parents and Lead Therapists about child's progress. • Enter data and progress reports. 28 ATTACHMENT 1 BENJAMIN L. STEPHENS EDUCATION Colorado State University Fort Collins, Colorado Master of Social Work GPA: 3.8 Henderson State University Arkadelphia, Arkansas Bachelor of Science in Human Services Minor in Sociology GPA: 3.44 PROFESSIONAL EXPERIENCE Expected Graduation: May 2016 May 2011 FAMILY SPECIALIST Specialized Alternatives for Families and Youth (SAFY) Fort Collins, Colorado o Provide short-term family preservation services o Collaborate and connect outside treatment teams o Family treatment planning and assessment CASE MANAGER SummitStone Health Partners/ Crisis Stabilization Services Fort Collins, Colorado o Assess clients safety, and provide effective crisis interventions o Assist clinical staff during community assessments o Link clients to community resources INDIVIDUAL PLACEMENT SERVICES COORDINATOR VOCATIONAL COUNSELOR SummitStone Health Partners/Spirit Crossing Clubhouse Fort Collins, Colorado March 2016 - Present February 2015 - March 2016 July 2014 - February 2015 October 2011 - July 2014 o Incorporate the Individual Placement Services Model of Supported Employment into existing vocational programs o Manage a caseload of members belonging to the Division of Vocational Rehabilitation o Coordinate fundraising events, drawing from the skills and resources of clubhouse members, collaborative agencies, and community volunteers o Identify members' areas of need and strength through initial case plan development and regular goal setting meetings o Provide employment services, including vocational counseling, job development training, transitional employment assistance, and transportation RELIEF RESIDENTIAL COUNSELOR August 2011- July 2014 SummitStone Health Partners / Choice House Fort Collins, Colorado o Supervised clientele while promoting a therapeutic -based milieu o Ensured residents are provided a safe, aesthetically pleasing environment to enhance interpersonal and intrapersonal growth by: • Ensuring compliance with federal, state, and local regulations regarding mental health services, alcohol and drug abuse, etc. 29 ATTACHMENT 1 Kimberly A. Sworn Objective Energetic and organized Licensed Clinical Social Worker and Approved Clinical Supervisor with a reputable professional background seeking position as a provider and leader in trauma focused clinical interventions, training, and supervision. Qualification Highlights Strengths: Organized, leadership skills, flexibility, effective communicator, computer proficiency (excel, word, and PowerPoint) Employment History Specialized Alternatives for Families and Youth (SAFY) of Colorado, Director of Clinical Services March 2017- present • Coordination of Treatment Foster Care program • Review and approve foster home studies and certifications • Provide clinical supervision to clinical staff Military Family Life Counselor, Adult and Child and Youth Behavior Specialist October 2014 -March 2017, various locations • Brief solution focused, client centered clinical interventions • Behavior management • Variety of individual, groups, family, and marital counseling • Community outreach and referrals • Family support • Academic support Mental Health Coordinator August 2009- October 2014, Promise Place Sexual Assault Resource Center, New Bern, NC • Clinical supervision of master's level interns and clinical trainees • Consistent coordination with several universities to ensure quality education • Selection of full and part-time mental health staff • Policies and procedure development • Evidence -based trauma focused individual, group, and family therapy • Community outreach • Provided local and national trainings on effective trauma based interventions • Fiscal management of the mental health program • Grant and Proposal development and reporting for program sustainability • Program evaluation • Fundraising development and implementation • Organizational Strategic Planning 30 ATTACHMENT 1 • Mental health representative on community multi -disciplinary teams Intensive In -Home Lead Clinician June 2008 -August 2009 RHA, New Bern, NC • Provided formal clinical assessments • Individual and family clinical interventions • Crisis Intervention • Coordinate care for the treatment team • Active participant in community and academic multidisciplinary treatment team meetings Social Worker III October 2004 -May 2008 Craven County Department of Social Services, New Bern, NC • Conducted child safety assessments ■ Developed goals, activities, and interventions with families to ensure continued safety and health of children • Established permanency for children in the child welfare system • Identified adoptive placements for children • Trainer for adoptive and foster parents • Provided independent living skills for adolescents • Coordinated with teams for continuity of care and effective services Child Protective Services Investigator June 2004 -October 2004 Johnston County Department of Social Services, Smithfield, NC • Assessed children's safety within the home • Developed treatment and intervention plans with families to ensure continued safety and health of children Education August 1999 -June 2003 University of Central Florida, Orlando, FL ■ Bachelors in Social Work (BSW) June 2003 -June 2004 East Carolina University, Greenville, NC • Masters in Social Work (MSW) Other Experience Licensed Clinical Social Worker (LCSW), NC, 2008 Certified Trauma Specialist, The National Institute for Trauma and Loss in Children (TLC), 2011 Certified Trauma Consultant, TLC, 2012 Certified Trainer, TLC, 2012 Approved Clinical Supervisor (ACS), Center for Credentialing and Education 2014 31 ATTACHMENT 1 Awards Certified Trauma Consultant of the Year, TLC, 2013 Presentations Trauma, It Can Happen To You, 2012 Trauma as an Experience, 2012-2013 Using Sensory Interventions in Trauma Recovery, 2013 Engaging Parents in the SITCAP Model, 2014 32 Emily R. H. Ullrich, M.S., Registered Psychotherapist Professional Experience Specialized Alternatives for Families and Youth (SAFY) March 2015 -Present Lead Family Specialist July 2015 -Present • Supervise and train Family Specialist clinicians, involving team meetings, community work, and face-to-face clinical work, and billing. • Oversee the treatment and clinical services of 20-30 children in Larimer and Weld County • Offer 24/7 on -call backup support to clinicians every 5-6 weeks. • Complete and audit billing for Weld County client's monthly • Present to county stakeholders regarding SAFY services and Trauma Informed Care as needed. • Carry a half case load of 4-5 clients, provide clinical, community based trauma informed care to caregvier's and families. Trauma Treatment Coordinator, Family Specialist March 2015 -July 2015 • Provided intensive, trauma informed treatment for children and their caregivers. • Coordinated and support families in finding and engaging in trauma informed services for children with a trauma history. • Collaborated with families professional treatment teams in order to best serve the family. • Provided 24/7 on -call support for families involved with SAFY Spring Creek Healthcare Center June 2014 -March 2015 Discharge Planner, Social Services Assistant • Administered and analyzed psycho -social assessments on new patients • Provided discharge planning for patients including home health set up, durable medical equipment set up, mental health services • Organized and lead care conferences for patients and their families • Provided support and assessment during times of crisis for patients, including suicidal lethality scales and safety contracts • Assisted families and patients with CO Medicaid process and followed through with Medicaid application process Colorado State University August 2012 — May 2014 Graduate Assistant, Grand Families University Engagement Work Team • Wrote informational articles for a support website for grandparents raising grandchildren including articles about parenting techniques, how to deal with bullying, and health awareness for children • Designed a quarterly information newsletter for grandparents raising grandchildren • Created marketing tools for the support website • Worked with IT to maintain updated informational resources and articles for the support website • Planned, facilitated, and recruited participants for a 4 week online workshop for grandparents Take Charge of Your Money Matter Evaluation Team • Contributed to design of follow up evaluation of program • Implemented evaluation and input data into excel files Research Assistant November 2012 - Present AgrAbility, Colorado State University Extension • Managed and cleaned program evaluation data • Entered quality of life survey data from farmers and rangers with disabilities The Parenting Young Children Project 2012-2013 33 • Recruited families with young children as participants for the project ATTACHMENT 1 • Entered and manage quantitative survey data • Coded patterns of interactions between parents and children • Managed the audio and video process of data collection • Participated in data collection with families and children which consisted of implementing surveys; coding physiological data; executing cognitive ability assessments, and observing control and executive function tasks of the child. Graduate Teaching Assistant Department of Human Development and Family Services • Organized and facilitated review sessions for 100 students • Wrote and delivered guest lectures on a variety of topics • Held weekly office hours • Created exam questions • Graded exams and essay papers 2013 The Early Childhood Council of Larimer County Best Start for Babies program intern January - May 2014 • Co -facilitated a 10 -week parent education program • Recruited and organized guest lectures on various topics • Conducted home visits for clients unable to attend programs • Attended monthly council meetings Family Leadership Training Institute, CSU Extension Inten August 2013 - December 2014 • Prepared and helped organize community sessions teaching leadership and civic skills to families • Developed a new curriculum incorporating youth into the program • Planned and lead a focus group for curriculum development • Represented the Institute in meetings, calls, and at conferences United Action for Youth May 2012 - August 2012 Family Support Worker Intern, Teen Parent Program • Assisted on parent education focused home visits for teen parents • Worked with teen parents on crisis intervention and resources to improve lives • Organized, lead, and attended teen parent support groups • Planned, organized, and implemented Teen Parent Summer Party • Planned and helped implement an annual fundraising event • Provided support and guidance for court appearances with teen parents Family and Children's Council of Blackhawk County February 2011 - May 2012 • Provided home visitation and support for new mothers enrolled in Parent to Parent program • Assisted in calling new mothers and parents to recruit for Parent to Parent program • Supported agency though general office duties and interpersonal communication • Educated elementary students on sexual abuse prevention Education Colorado State University, Fort Collins Colorado Masters of Science Human Development and Family Studies Thesis: Parenting Style as a Moderator of Child Internalization of Parental Values University of Northern Iowa, Cedar Falls Iowa Bachelor of Arts Interpersonal Communication and Family Services Presentations: August 2012 -May 2014 August 2008 - May 2012 • "Secondary Traumatic Stress and Your Triggers", for Larimer County Creating a Trauma Lens Group, 2016. 34 ATTACHMENT 1 • "Trauma 101", Clinicians at SAFY, 2016 • Multigenerational Treatment Services", Co -Facilitated with Ryann Vernetson, presentation for Weld County DHS, 2015 • "Best Start for Babies", 10 -week parent education program, co -facilitated with Lindsay Dickson, 2014, Topics included: o "Brain, Stress, and Self -Regulation" o "Consequences and Discipline" o "Early Literacy" o "Nutrition" • "Couplehood and Marriage", co -facilitated with Lindsay Dickson, CSU HDFS Family Theory Class, 2014 • "Sex and Gender", co -facilitated with Lindsay Dickson, CSU HDFS Family Theory Class, 2014 Additional Professional Experience and Publications Koeppel, M.D.H., Bouffard, L.A., 86 Koeppel-Ullrich, E.R.H. (2014). Sexual orientation and substance use: The moderation of parental attachment. Deviant Behavior, 36. Lucas -Thompson, R.G., Graham, D.J., Ullrich, E., 86 Macphee, D. (2016). General and food -selection specific parenting style in relation to the healthfulness of parent -child choices while grocery shopping. Appetite, 108. Provisional Status of Certified Family Life Educator - 2013 Emotional Availability Training, Colorado State University, Fort Collins, CO — 2012 Study Abroad, University of College Cork, Cork, Ireland - 2011 35 ATTACHMENT 1 RYANN VERNETSON, M.A., LPCC EXECUTIVE DIRECTOR, SAFY OF COLORADO Outcomes -driven, highly organized programs administrator earning increased responsibility throughout career from hands-on clinician to Executive Director. Native of Colorado leveraging long-standing community relationships with an unwavering commitment to holistic, trauma -informed care. Flexible, adaptable, and poised team leader driving excellence and growth in service delivery and treatment through continuous improvement and cutting edge research. • Program Development & Management • Service Delivery Growth & Expansion • Trauma -Informed Therapeutic Care • Assessment & Evaluation • Compliance & Quality • Cultural Sensitivity • Team Leadership & Training • Community Partnerships • Relationship Building PROFESSIONAL EXPERIENCE Specialized Alternatives for Families and Youth, Colorado 2014 -Present Program Director (2015 -July 2016) • Oversee treatment and quality of care for all youth in the division through Multigenerational Treatment Services with approximately 65 families in care. Tailor interventions to individual client populations. • Monitor $1.2M annual budget. • Provide clinical supervision for 15 clinicians across 4 divisions in 4 counties. • Lead clinical and programmatic development of community -based services in 4 counties. • Assign and monitor program goals and workload. Ensure compliance. • Train clinicians and develop/deliver presentations to community -based organizations on trauma -informed care and trauma's impact on the brain and development. • Develop new leaders to support quality growth through sufficient infrastructure and leadership. • Modify service delivery to community -based service delivery model using current research and best practices. • Offer 24/7 on -call backup support to clinicians every 3 weeks. • Initiate continual continuous quality improvement processes to ensure efficiency and quality through programmatic growth. Major Accomplishments: • Pioneered Northern Colorado division, SAFY's 1st new state in 15 years, in collaboration with State Director. • Developed innovative community -based programming in new markets, focusing on community needs. • Consistently meeting all business development goals and programmatic outcomes. • Established meaningful relationships with national leaders in trauma -focused assessments and care, creating a direct, positive impact on SAFY's practices and community reputation. • Successful roll -out of select clinical assessments to better customize treatment and monitor outcomes. Lead Family Specialist (2014-20151 • Supervised and trained 6-9 clinicians, involving team meetings, coaching, and face-to-face client meetings. • Conducted side -by -side coaching of Family Specialist and Family Coaches to ensure quality service delivery and fidelity measures. Provided support to clinicians in crisis intervention, consultation/case planning, client advocacy, and family/child sessions. • Oversaw the treatment and clinical services of 30-40 children and families in Larimer County. • Built strong, collaborative relationships with community and national champions in trauma -informed care. • Offered 24/7 on -call backup support to clinicians every 3 weeks. 36 ATTACHMENT 1 Ryann Vernetson, M.A., LPCC • Page 2 Specialized Alternatives for Families and Youth, Northern Colorado continued Major Accomplishments: • Played a key role in developing SAFY Northern Colorado's clinical framework to promote multigenerational healing with a trauma -based approach and innovative, evidence -based modalities. • Increased team accountability and collaboration, improved interventions, and promoted proactive service delivery by initiating internal clinical case staffings. • Designed Trauma 101 training for internal staff and external community stakeholders. • Established a voluntary process group for clinicians experiencing symptoms of compassion fatigue or secondary traumatic stress using cutting edge research to inform the group design. Family Specialist (2014) • Managed caseload of 18 children and families who experienced trauma. • Served on -call bi-weekly with 24/7 on -call support. • Provided quality, individualized treatment in a therapeutic climate to achieve favorable outcomes. • Aligned and educated referring parties and treatment team members to advocate for trauma -informed interventions across the child's social ecologies. • Researched and implemented appropriate interventions for a wide variety of needs and symptoms. Major Accomplishments: • Surpassed expectations by meeting the annual fiscal goals for 2014 within the 1st month. • Achieved significant program growth, including exceeding referrals goals by 300% within 1 year. • Successfully engaged with unengaged families using innovative interventions and motivational interviewing. • Spearheaded the development and implementation of a new framework for program and service delivery using family -friendly learning tools, materials/handouts, and intervention guides. THE MATTHEWS HOUSE, Ft. Collins, Colorado 2011-2014 Family Program Director (2013-2014) • Oversaw 4 large family programs representing a spectrum of services, including prevention, intervention, and continuing care. • Supervised 10 staff with caseloads of 300 individuals (130 families) served per year using trauma -informed and a culturally sensitive lens to promote holistic care targeting family permanency, safety, and wellbeing. • Built and maintained relationships with contractors to ensure quality. Major Accomplishments: • Led successful implementations of 2 new programs in Larimer County to meet community and family needs. • Increased referrals by 50% within 3 months to facilitate significant programmatic growth. • Secured 2 new funding sources through marketing and by leveraging program reputation. • Achieved goal of 80% employee utilization through strong management of staff caseloads. • Improved service delivery and employee satisfaction by spearheading comprehensive staff orientation process. • Hired as Youth & Family Transition Facilitator (2011-2012), and earned multiple promotions to Family Team Leader (2012-2013), and Family Program Director (2013-2014). EDUCATION Master of Arts in Clinical Mental Health Counseling, Adams State University Bachelor of Arts in Psychology, University of Nebraska -Lincoln Thesis: The Perception of Cuteness: Physiognomy and Caregiving to Older Adults Intern & Coordinator, Teen Parents, 2010-2011 37 ATTACHMENT 1 Ryann Vernetson, M.A., LPCC • Page 3 CERTIFICATION & LICENSURE Licensed Professional Counselor Candidate (LPCC.0014357) Licensed Professional Counselor (L.P.C.), Expected 2017 Certified A.R.I.S.E. Drug & Alcohol Interventionist, 2014 PRESENTATIONS "Trauma -Effective, Multigenerational Services" at Attach National Conference, 2016. "Trauma, Child Development, and Resiliency", for Boulder County Health and Human Services Foster and Kinship Unit, 2016. "From Obligation to Opportunity: Data Driven Supervision", at FFTA National Conference, 2016. "Secondary Traumatic Stress and Your Triggers", for Larimer County Creating a Trauma Lens Group, 2016. "Impact of Trauma and Child Development", for Creative Kids Corner Daycare, 2016. "Trauma, Development, and Resiliency", Guest Presenter for CSU MSW Student, Colorado State University, 2016. "Trauma, Child Development, and Resiliency", for Boulder County Health and Human Services Foster and Kinship Unit, 2016. "Trauma and Family Systems", Guest Presenter for CSU BSW Students, Colorado State University, 2016. "Data Driven Supervision", Guest Presenter, Leadership Conference, 2015. "Permanency Begins at Home", Co -Facilitated with Gwen Koenig, FFTA, 2015. "Trauma Informed Care and Multigenerational Services", Guest Presenter for CSU MSW Students, Colorado State University, 2015. "Trauma Informed Care", Guest Presenter for CSU HDFS Students, Colorado State University, 2015. "Community Based Services and Family Care", Guest Presenter for CSU BSW Students, Colorado State University, 2014. "Strengthening Families Program", for Youth and Family Services supervisors in South Dakota, 2014. "The Bandwidth of Chromatic Mechanisms is Mediated by Visual Attention", for Psychology Symposium, Colorado State University, 2010. COMMITTEES Level of Care State Committee, State of Colorado, 2016. FFTA Transformational Collaborative Outcome Management Community, 2016. LANGUAGES Basic Conversational Spanish 38 ATTACHMENT 1 Katy Watt Education The University of Northern Colorado (UNC) Master of Arts in Clinical Counseling: Couples and Family Therapy Colorado State University (CSU) Bachelor of Science in Human Development and Family Studies Work Experience Greeley, CO May, 2016 Fort Collins, CO December, 2012 SAFY of Colorado Family Specialist Fort Collins, CO May 16, 2016 -present • Provide in -home trauma informed therapeutic services for children and families who have experienced trauma. • Work with both foster parents and biological or kinship caregivers to safely reunify children with a permanent family • Complete psychosocial assessments for clients to inform treatment • Prepare and update individualized treatment plans for clients and their families using a collaborative approach • Timely documentation of each session • Collaboration with treatment teams, including case workers, GAL's, probation officers, and schools • Practice and promote cultural competency by using therapeutic interventions that are most effective for the family as a whole, regardless of race, ethnicity, sexual orientation, or other factors. Harmony House Supervised Visitation and Exchanges Fort Collins and Loveland, CO Relief Staff January 2012 — February 2016 • Supervise visits and exchanges between children and their non -custodial family members • Careful documentation of visits, exchanges, phone conversations and any other form of communication between parties • Schedule visit and exchange times, application and orientation set-ups, answering phones, filing, and receiving payments First United Methodist Church Preschool Durango, CO Preschool Teacher (3 and 4 year olds) March 2013 -August 2013 • Taught basic skills such as colors, shapes, numbers, and letter recognition • Read books, organized and planned activities to promote physical, mental, and social development like games, arts and crafts, music, and field trips • Attended to children's basic needs such as changing diapers, feeding them, and helping them Relevant Experience Psychological Services Clinic, The University of Northern Colorado Greeley, CO Counselor in Training -Individual Practicum January, 2015 - May 2015 • Provide individual counseling services for a variety of populations, including current college students. • Practice and promote cultural competency by using therapeutic interventions that are most effective for my individual clients, regardless of race, ethnicity, sexual orientation, or other factors. 39 ATTACHMENT 1 • Ensure the welfare of all clients by providing care that is in compliance with the most current professional and ethical standards. Psychological Services Clinic, The University of Northern Colorado Greeley, CO Counselor in Training: Couples and Family Practicum June -August 2015 • Provide both couples and family counseling services for a variety of populations, using chosen therapeutic models such as Transgenerational Therapy and Emotionally Focused Couples Therapy • Practice and promote cultural competency by using therapeutic interventions that are most effective for the family as a whole, regardless of race, ethnicity, sexual orientation, or other factors. • Ensure the welfare of all clients by providing care that is in compliance with the most current professional and ethical standards • Work collaboratively with a co -therapist in each session SAFY of Colorado Masters in Couples and Family Therapy Intern Fort Collins, CO August 2015- May 2016 • Provide individual, couples, and family therapy to a variety of clients as referred by Family Specialists • Using Trauma Informed interventions when working with both families and children • Practice and promote cultural competency by using therapeutic interventions that are most effective for the family as a whole, regardless of race, ethnicity, sexual orientation, or other factors. • Ensure the welfare of all clients by providing care that is in compliance with the most current professional and ethical standards • Work collaboratively with other SAFY employees on the treatment of families Professional Development TIPS MAPP Training June 14th -17th & June 27th -30th Garden City, KS SAFE Home Study Training SAFY of Colorado CANS Assessment Training SAFY of Colorado Motivational Interviewing Training SAFY of Colorado Trauma Approach to Supervised Visitation Training Harmony House, Fort Collins Impact Therapy and Creative Counseling Techniques Workshop University of Northern Colorado Suicide Prevention Gatekeeper Program (Online) QPR Institute Memberships January 26 & 27, 2016 February 25, 2016 March 24, & April 21, 2016 September 23, 2014 2014 September 3, 2013 American Counseling Association (ACA) 2013 International Association of Marriage and Family Counselors (IAMFC) 2013 40 1/4/2016 Print Lookup Details ATTACHMENT 2 :COLORADO Department of Regulatory Agencies Lookup Detail View Licensee Information This serves as primary source verification * of the license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Jane Katherine Campbell Fort Collins, CO 80525 Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date NLC.0105917 Original Registered Psychotherapist Active 11/02/2015 11/02/2015 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 1/4/2016 10:26:39 AM 41 https:/Iwww.colorado.gov/dora/licensing/Lookup/PrintLicenseDetails.aspx?creel=1064216&contact=1145230 1/1 ATTACHMENT 2 COLORADO Department of Regulatory Agencies Division of Professions and Occupations Congratulations! Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time through your Online Services account by visiting our homepage at www.dora.colorado.gov/professions and clicking on the "Print your License" link under the label "Quick Links". If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. if you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information, please contact our Customer Service Team at 303-894-7800 or dora_registrations@state.co.us. Colorado Department ofiltegulttory Agendas Division of Professions' and Occupations Sfatg� and of Registered Psychootherapists tI i t ' Nicole Renee Cochran Registered Psychotherapist \ NLC.0106130 08/10/2016 Number issue Date Active 0873112017 Credential Status Expire Date Verify this credential at: www.dora.colorado.sovforofesslon s Uisf 4. r_ ion Director: Lauren Larson Credential Holder Signature Cut along the line Colorado Depa ment ooRegelatory Agendas Division of Pra essions and Occupations State $hard of Registered Psychpttierapitts y� e v Nicole Renee Cochran 7 Registered Psychotherapist 1 NLC.0106730 I Number Active 08/10/2016 issue Date `0813172017 Credential Status Expire Date Verify this Crgnentiatat: www.dora.colorado.rtovJorofession a r .fa ' I ion Director. Lauren ta`rson""Credentfal Holder Signature 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 www.dora.colorado.gov/professions ATTACHMENT 2 COLORADO Department of Regulatory Agencies Division of Professions and Occupations Congratulations! Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time through your Online Services account by visiting our homepage at www.dora.colorado.gov/professions and clicking on the "Print your License" link under the label "Quick Links". If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information, please contact our Customer Service Team at 303-894-7800 or dora_registrations@state.co.us. Cut abng the line Colorado Department of Regulatory Agencies Division of Professions and Occupations State Board of Registered Psychotherapists Lindsay Gayle Dickson Registered Psychotherapist NLC.0106735 Number Active Credential Status 08/10/2016 Issue Date 08/31/2017 Expire Date Verify this credential at: www.dora.colQrado.Rov/profession s biGision Director. Lauren Larson Credential Holder Signature NLC.0106735 Number Active Credential Status Expire Date Verify this credential at: www.dora.colorado.a ov/profession s. Colorado Department of Regulatory Agencies Division of Professions'aaind Occupations State Board of Registered Psychotherapists Lindsay Gayle Dickson Registered Psychotherapist 08/10/2016 issue Date 08/31/2017 Jftt*t .,. t ion Director: Lauren Larson ` Credential Holder Signature 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 www.dora.colorado.gov/professions NLC.0106873 Number Active Credential Status pire Date Velify this credential at: www.colorado.gov/dora/dpo ATTACHMENT 2 COLORADO Department of Regulatory Agencies I Division of Professions and Occupations Congratulations! Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dory/DPO_Print_License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_registrationsSstate.co.us. Colorado Department -of -Regulatory Agencies Division of"Proressions an 'Occupations State Board of Registered Psyctiottieraprsts Benjamin Stephens Registered Psychotherapist 08/29/2016 Issue Date 08/ 1/2017 Ronne Hines Credential Holder Signature Colorado Department -of Regulatory Agencies Division off ofessi¢ns it d Occupation State Board of Registered PsychOerap sts Benjamin Stephens Registered Psychotherapist ' ff 08/29/2016 Nsue Date 08/3}/2017 Division Direct NLC01068+/3 Number Active Credential Stain ``;Expire Date Vepfy this credential at: www.cotorado.gov/dora/dpo Ronne Hines Credential Holder Signature 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 www.colorado.gov/dora/dpo 44 Print Lookup Details Page 1 of 1 ATTACHMENT 2 Lookup Detail View Licensee Information This serves as primary source verification * of the license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S. Name Public Address Kimberly Ann Sworn New Bern, NC 28560-7022 Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date CSW.09924691 Endorsement Licensed Clinical Social Worker Active 01/20/2017 01/20/2017 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 1/31/2017 12:44:17 PM 45 https://apps.colorado.gov/dora/licensing/Lookup/PrintLicenseDetai ls.aspx?cred=1119127... 1/31/2017 ATTACHMENT 2 Lookup Detail View Licensee Information This serves as primary source verifications of the license. *Primary source verification: License rnfonnadon provided by the Colorado Division of Professions and Occuvauopis. esmt fished Av da-;a_ Name Public Address Emily Rose Herring Ullrich Fort Collins, CO 80525 Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date NLC.0106795 Original Registered Psychotherapist Actire 08/10/2016 08/10/2016 08/31/2017 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 41312017 1:3102 PM 46 Print Lookup Details Lookup Detail View ATTACHMENT 2 Page I of I Licensee Information This serves as primary source verification * of /he license. *Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 14-34-102 CRS. Name Public Address Ryann Lindsey Vernetson Fort Collins, CO 80525-2325 Credential Information License Number License Method License Type License Status Original Issue Date Effective Date Expiration Date LPCC.00 14357 Temporary Permit Licensed Professional Counselor Candidate Active 07/28/2015 07/28/2015 07/28/2019 Board/Program Actions Discipline There is no Discipline or Board Actions on file for this credential. Generated on: 6/6/2016 1:27:33 PM https://www.colorado.gov/dora/licensing/Lookup/PriniLicenseDetails.aspx?cred=1052607&.. 6/6/2016 47 ATTACHMENT 2 COLORADO Department of Regulatory Agencies Cowman of Professions and Occupalions Management Branch Office of Licensing Katy Watt 7724 Amour Hilt Dr Greeley, CO 80634-9749 PERMIT NUMBER: LPCC.0014880 This temporary permit grants authority to practice as a: Licensed Professional Counselor Candidate Begin Date: 09/07/2016 Until Date: 09/07/2020 The following restrictions apply to this permit: 1. The holder of this permit is allowed to practice Professional Counseling under the supervision of a Licensed Professional Counselor or equivalent while completing the requirements for licensure as a Professional Counselor. 2. This permit does not allow the holder to use the protected term licensed Professional Counselor"or otherwise suggest to the public that the holder is a Licensed Professional Counselor. 1560 Broadway, Suite 1350. Denver, CO 80202 P 303.894.7800 F 303.894.7693 www.colorado.gov/dora/dpo A.,- ' ,N 4T wyHi rA?i 48 ATTACHMENT 3 Training Transcript For Campbell, Jane NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Title/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Guidelines to Serving Latino Children and Families Affected by Trauma 1.5 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 The Body Keeps the Score Webinar 1 The Psychopharmacology of Psychotherapy 6 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 16 Administering the Trauma Symptom Checklist for Children 2.5 Resiliency Scales for Children and Adolescents Assessment Training 1.5 Trauma Sensitive Yoga 16 A research strategy for documenting and measuring the effects of animal and nature -based therapies in complex environments such as Green Chimneys 0.5 Animal abuse, conduct disorder, and callous -unemotional traits: Issues in assessment and intervention 0.5 Animals in the biological lives of children 0.5 Examining the effect of anima -assisted intervention on physiologic stress biomarkers in hospitalized military veterans: A landmark VA hospital based study 0.5 Neurobiological systems that promote social competence and mental and physical wellbeing & Warrior Canine Connection's trauma recovery model 0.75 Overview research trends in HAI and social neurobiology 0.5 The effects of intranasal oxytocin on the development of PTSD symptoms in recently traumatized individuals 0.5 Horse boy method: Social Neurobiology of equine- assisted interactions 1 How Autism Gave me Insight to Animals 1.5 Social Neurobiology of Equine -Assisted Work 0.5 49 ATTACHMENT 3 Training Transcript For Cochran, Nicole NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Training/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Guidelines to Serving Latino Children and Families Affected by Trauma 1.5 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 The Body Keeps the Score Webinar 1 The Psychopharmacology of Psychotherapy 6 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 16 Administering the Trauma Symptom Checklist for Children 2.5 Resiliency Scales for Children and Adolescents Assessment Training 1.5 Trauma Sensitive Yoga 16 The Impact of Trauma and Neglect on the Developing Child with Dr Bruce Perry 6 50 ATTACHMENT 3 Training Transcript For Collison, Carley NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Title/Subject Hour(s) Therapeutic Communications 2 Informed Supervision 2 Bridges Out of Poverty 5 Guidelines to Serving Latino Children and Families Affected by Trauma 1.5 Motivational Interviewing Skills Training - Day 1 8 Brain Based Strategies for Kids and Teens 8 Brain -Based Strategies for Kids and Teens 7 MEC Creating a Community Action Plan for the Prevention of Child Sexual Abuse 8 MEC Creating a Community Action Plan for the Prevention of Child Sexual Abuse 8 Overcoming Trauma- Related Shame and Self- Loathing 1 Trauma Skills Sharing and Training- Internal 2 Strategies for Behavior Change Training 1.5 Creating a Trauma Lens 2 Colorado Medicaid Documentation 3 Creating a Trauma Lens: Regulation Strategies 2 Darkness to Light 2.5 Motivational Interviewing Skills Training - Day 2 8 Cultural Diversity 1.25 Cultural Training in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 Crisis Management 1.5 DSM-5 Overview 2.75 Domestic and Intimate Partner Balance 1.25 The Body Keeps the Score Webinar 1 CPI Nonviolent Crisis Intervention 8 Trauma -Sensitive Yoga 8 Trauma -Sensitive Yoga 8 Trauma Informed Treatment for Children with Challenging Behavior 1.75 Fundamentals of Fetal Alcohol Spectrum Disorders 1.25 Seeking Safety: PTSD and Substance Abuse 8 51 Training Transcript For Dickson, Lindsay ATTACHMENT 3 NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Title/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Guidelines to Serving Latino Children and Families Affected by Trauma 1.5 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 The Body Keeps the Score Webinar 1 The Psychopharmacology of Psychotherapy 6 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 16 Administering the Trauma Symptom Checklist for Children 2.5 Resiliency Scales for Children and Adolescents Assessment Training 1.5 Trauma Sensitive Yoga 16 PTSD and Creativity: Visiting the Muses 1 Sensory Integration & Arousal Regulation in Child Complex Trauma Treatment 8 Neuroimaging the Traumatized Self 0.75 Self and Identity in Traumatic Stress 0.5 The Enduring Neurobiological Effects of Abuse and Neglect 1 The stages of neuroplastic healing: How sensory input can stimulate, modulate and prepare the brain for healing and new learning 1 What the Spontaneous Activity in the Midline Regions of the Brain Can tell us about Self and Identity 1 Attachment focused EMDR: Healing Relational Trauma 1 Somatic Experiencing 1 Theraplay: How Play and Nurturing Can Help 1 52 ATTACHMENT 3 Training Transcript For Krause, Ashley NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Training/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 8.0 53 Training Transcript For Mallette, Hanna ATTACHMENT 3 NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Training/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 8.0 Informed Supervision 2 Darkness to Light 2 54 ATTACHMENT 3 Training Transcript For Stephens, Benjamin NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Title/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Guidelines to Serving Latino Children and Families Affected by Trauma 1.5 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 The Body Keeps the Score Webinar 1 The Psychopharmacology of Psychotherapy 6 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 16 Administering the Trauma Symptom Checklist for Children 2.5 Resiliency Scales for Children and Adolescents Assessment Training 1.5 Seeking Safety: PTSD and Substance Abuse 8 Conflict Resolution 6.5 55 ATTACHMENT 3 Training Transcript For Kimberly Sworn Ms. Sworn is in her first 30 days of employment with SAFY of CO. Her transcript will be updated as trainings are completed. 56 ATTACHMENT 3 Training Transcript For Ullrich, Emily NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Training/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Guidelines to Serving Latino Children and Families Affected by Trauma 1.5 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 The Body Keeps the Score Webinar 1 Trauma Sensitive Yoga 16 The Psychopharmacology of Psychotherapy 6 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 16 Informed Supervision 2 Darkness to Light 2 Administering the Trauma Symptom Checklist for Children 2.5 Resiliency Scales for Children and Adolescents Assessment Training 1.5 57 Training Transcript For Vernetson, Ryann ATTACHMENT 3 NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Title/Subject Hour(s) Motivational Interviewing Day 1 8 Motivational Interviewing Day 2 8 Sensory Motor Arousal Regulation Treatment Day 1 6.25 Sensory Motor Arousal Regulation Treatment Day 2 6.25 Calming the Fear -driven Brain: An Insider's View of Treating Developmental Trauma with Neurofeedback 1 Connecting Neuroscience Research with Effective Treatments for Traumatic Stress 1 How to Set Up a Trauma Informed Clinic 1 Minding the Baby: Trauma, Threat, and the Clinical Process 1 Treating Severely Dissociative Patients: Insights from the Treatment of Patient with Dissociation Disorders Study 1 Contributions to Energy Medicine to the Treatment of Traumatic Stress 1 Creating a New Narrative: Voices of Young People of Color 1 Trauma & Healing: Nurturing the Whole Child 1 The Body Keeps the Score Webinar 1 Trauma Sensitive Yoga 8 Trauma Sensitive Yoga 8 Resource Parent Curriculum Trainers Discussion with Dr. Henry 1.5 CPI 8 CPI 6 Trauma Treatment Coordinator Training 4 Creating Trauma Informed Systems: Utilizing a Trauma Perspective to Advocate for Your Clients and Inform Court Decisions 4 Informed Supervision Training 2 Resiliency Scales for Children and Adolescents Assessment Training 3 Motivational Interviewing Skills Training - Day 1 8 Administering the Trauma Symptom Checklist for Children 2.5 Motivational Interviewing Skills Training - Day 2 8 A research strategy for documenting and measuring the effects of animal and nature -based therapies in complex environments such as Green Chimneys 0.5 Animal abuse, conduct disorder, and callous -unemotional traits: Issues in assessment and intervention 0.5 Animals in the biological lives of children 0.5 58 ATTACHMENT 3 Examining the effect of anima -assisted intervention on physiologic stress biomarkers in hospitalized military veterans: A landmark VA hospital based study Neurobioloigcal systems that promote social competence and mental and physical wellbeing & Warrior Canine Connection's trauma recovery model Overview research trends in HAI and social neurobiology 0.5 0.75 0.5 The effects of intranasal oxytocin on the development of PTSD symptoms in recently traumatized individuals Horse boy method: Social Neurobiology of equine - assisted interactions 0.5 1 How Autism Gave me Insight to Animals 1.5 Social Neurobiology of Equine -Assisted Work Sensory Integration & Arousal Regulation in Child Complex Trauma Treatment Neuroimaging the Traumatized Self 0.5 8 0.75 Self and Identity in Traumatic Stress 0.5 The Enduring Neurobiological Effects of Abuse and Neglect The stages of neuroplastic healing: How sensory input can stimulate, modulate and prepare the brain for healing and new learning The Vestibular Network, Multisensory Integration, and Psychotherapeutic work with Traumatized Children and Adolescents What the Spontaneous Activity in the Midline Regions of the Brain Can tell us about Self and Identity Attachment focused EMDR: Healing Relational Trauma 1 1 2 1 1 PTSD and Creativity: Visiting the Muses 1 Somatic Experience 1 Theraplay: How Play and Nurturing Can Help Trauma Skills Sharing and Training- Internal 1 2 Disruptive Innovation Adapted for the Family -Serving Sector Effective Advocacy: How to Become Your Legislator's Go - to Issue Specialist Public Policy Issues Impacting Treatment Foster Care 1.5 1.5 1.5 Transformational Leadership 1.5 Colorado Medicaid Documentation 8 CPI 3 59 Training Transcript For Watt, Katy ATTACHMENT 3 NOTE: This is not a comprehensive training log, but a selection of trainings applicable to trauma informed care. Title/Subject Hour(s) Trauma 101 2.0 Brain Based Strategies for Kids and Teens 8.0 Trauma Informed Treatment for Children with Challenging Behaviors 1.75 Trauma Systems Theory 8.0 Guidelines to Serving Latino Children and Families Affected by Trauma 1.5 Seeking Safety: PTSD and Substance Abuse 8.0 Building the Therapeutic Relationship 2.0 The Psychopharmacology of Psychotherapy 6 Crisis Management 1.5 Cultural Diversity 1.25 Cultural Issues in Mental Health Treatment 1.25 De-escalating Hostile Clients 2.75 DSM-5 Overview 2.75 Identifying And Preventing Child Abuse and Neglect 1.75 Person -Centered Planning 1 Motivational Interviewing 16 Administering the Trauma Symptom Checklist for Children 2.5 Resiliency Scales for Children and Adolescents Assessment Training 1.5 Seeking Safety: PTSD and Substance Abuse 8 CANS 6 TIPS MAPP Training 48 SAFE Home Study Training 12 The Impact of Trauma and Neglect on the Developing Child 5.5 60 ATTACHMENT 4 Specialized Alternal SAFY of America, Inc. Management Services Human Resources Financial Services Management Information Systems Quality Improvement Training Business Development Legal Services Emily Ullrich Lead Family Specialist Nicole Cochran Family Specialist Katy Watt Family Specialist and Outpatient Therapist or Families and Youth of Colorado, Inc. Board Jane Wintz, LISW-S, Interim President & Chief Executive Officer Nathan Leonhard, MBA, Chief of Finance & Business Administration Specialized Alternatives for Families and Youth (SAFY) of Colorado, Inc. Ryann Vernetson, MA, LPCC Executive Director of Colorado Carley Collison Lead Family Coach 1 Ashley Griego Family Coach Hanna Mallette I Family Coach L. Lindsay Dickson Lead Family Specialist Benjamin Stephens Family Specialist Jane Campbell Family Specialist Kimberly Sworn Director of Clinical Services 61 ATTACHMENT 5 SAFY--1 OP ID: VM �'��"" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/18/2017 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 Peoples Insurance Agcy -Ashland NAME: David Luca3 PO Box 210 PHONE 606-329-2200 Marietta, OH 45750 (Palo. EXt): (NC, No): 606-325-7787 MAIL ADDRESS: David Lucas INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Philadelphia Insurance Company 1 18058 INSURED Specialized Alternatives for Families and Youth Colorado, INSURER B: Best Rating A+ INSURER C : Argonaut Insurance Company 19828 Inc dba SAFY of Colorado, Inc. 10100 Elida Rd INSURER D : INSURER E : Delphos, OH 45833 INSURER F : • ___ ____._.._...__. RCVIOIIJIYPIUMbMK: 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. I INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY I OCCUR X X PHPK1604001 PHPK1604001 02/01/2017 02/01/2017 02/01/2018 02/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 .__I - MED EXP (Any one person) $ 5,000 X 1 Professional PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT I LOC I OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO _ �- j ALL OWNED l_._1 AUTOS HIRED AUTOS SCHEDULED I X X PHPK1604001 02/01/2017 02/01/2018 ED GLE LIMIT (Ea accdent)SIN $ 1,000,000 BODILY INJURY (Per person) I $ BODILY INJURY (Per accident) $ I PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB I OCCUR I EXCESS UAB I I CLAIMS -MADE X X PHUB570945 02/01/2017 02/01/2018 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 I DED I X I RETENTION $ 10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y/ N N I A WC928038372694 06/01/2016 06/01/2017 PER I I 0TH - X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 below E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A A Crime Abuse/Mol I 'PHPK1604001 PHPK1604001 02/01/2017 02/01/2017 02/01/2018 02/01/2018 Abuse/Mol 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is additional insured as required by written contract, coverage is primary and non contributory, waiver of subrogation applies, 30 day notice of cancellation CANCELLATION WELDC-1 Weld County Department of Human Resources 1150 O Street Greeley, CO 80634 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 62 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Multi -Generational Treatment Services (Family Preservation and Family Reunification Services) as outlined below. 2. Referred families must meet each of the following criteria: • The family has at least one child between 4 and 21 years of age who is at risk of out -of -home placement due to the abuse, neglect, parent -child conflict or family instability; or • Pre- or post -adoptive families with at least one child between 4 and 21 years of age at risk of disruption; or • Children placed in foster care, congregate care or juvenile detention with a permanency goal to return home to parent(s) or kin; and • Children can be safely maintained in the home with services; and • Family and/or kin, including children, as age appropriate, are willing to engage and commit to program participation. 3. Children residing in a placement where sexual or physical abuse could re -occur would exclude families from services. Contractor will review referrals on a case -by -case basis. 4. Contractor utilizes a structured team approach that includes family and kinship as colleagues in developing their own intervention goals and plans. Each plan will be developed with the unique needs of the referred family as determined by the referral source and the assessment process. 5. Services under this agreement shall include: ■ Integrated staffing team consisting of a master's level family specialist and a bachelor level family coach. ■ Evaluation of the safety of the child and ongoing safety planning. ■ Assessment for trauma, family needs and service priorities. ■ Coordination of the service planning process includes the development of an individualized service plan for each family identifying specific interventions, or skill -based strategies to assist the family in increasing functioning and attaining the lasting change needed to successfully maintain or reunify the children in their home. ■ Documentation of program progress, including keeping the referring agency abreast of changes impeding a child and family's success. ■ Crisis support services available in -person and via telephone 24 hours day/7 days a week. ■ Flexible staff work schedule to meet the needs of each family. ■ Communication with school, employer, counselor, and/or any other identified relationship/provider for which intervention is necessary. ■ Attendance of family team meetings and court hearings to provide relevant information ■ Direct in -home support services for the family. This may include: • Homemaker supports • Basic life skills • Budgeting • Parental Strategies/Coping Skills • Assistance with primary medical care coordination ■ Self-esteem building through activities, teaching self -care, empowering self-control, assist in acknowledgment of ability to affect and control both environment and behaviors, and self- awareness building. ■ Conflict resolution skill -building ■ Communication skill -building ("I" statements, active listening) 1 • Modeling, coaching, empowerment through the relationship with the Specialist and Coach team. ■ Developing sustainable, natural networks of support for family members • Supporting healthy living and self -care through positive recreation opportunities and positive leisure time activities • Providing short term respite options (provided available capacity) up to 2 overnights per month ideally planned or for de-escalation when needed (youth must meetcriteria) • Arranging for individual, family and/or group alcohol and drug counseling, if directed by the service plan, and assistance in developing a rehabilitation plan that mayinclude: • Drug education • Relapse prevention planning and activities • Linkage to relevant community resources • Support at court hearings and other appointments, as necessary. • Parent education, including developmentally appropriate discipline techniques and child development information. • Therapeutic services provided in -home, with community referrals for intensive therapy needs. • Advocacy for the family to assist them in "finding their voice." ■ Brokering of community services to meet basic needs, connect the family with long-term support and overcome barriers to services, including flexible spending funds for concrete supports. • Family Team Meetings and collaboration on established goals including identifying and overcoming potential obstacles. 6. In addition to the deliverables provided to the family, SAFY of CO will provide the following service deliverables to DHS: • A service plan will be created within 30 days of family participation with specific objectives and target dates. • Written monthly reports indicating specific dates of services, the child/family member receiving services, general topics being discussed and weekly progress, • Missed appointments and/or significant events will be communicated to DHS within 48 hours. • Discharge reports will be provided giving SAFY of CO's opinion of success of services within 30 working days from the close of service. • Outcomes will be reported on a quarterly basis. 7. Contractor will provide services at three (3) intensity levels; high, low and stepdown. • High Intensity: Minimum of 20 contact hours per month combined services, with an average of 20-40 hours of services per month. Services will include a Family Specialist and a Family Coach, 24/7 Crisis Support, Respite Services (if eligible), and Family Support/Education Group. Specifically designed to facilitate a safe environment, develop a permanent and sustainable living arrangement and address trauma among other well-being needs. This level is focused on families needing a higher level of involvement to mitigate risks and/or support family reunification. Aimed at serving the identified child and his/her family (as they define it) simultaneously to increase family engagement and sustain child safety. Enhanced Trauma Treatment Services are designed for families necessitating a high level of involvement to mitigate risks and support the permanency goal. Specific goals are mutually set around lowering dependency on contracted services, developing safety plans and increasing protective factors. Services will include oversight of coordination and implementation of the Trauma Assessment recommendations and communication to the entire team around progress, obstacles and challenges. Master level 2 Family Specialists provides Trauma Education to caregivers, as well as therapeutic insight into the caregiver's possible own trauma narrative while the Family Coach helps the caregivers and any involved family members (including extended and natural supports) generalize the interventions throughout the family system, school placement and community settings for sustainable change. The family (or alternate caregiver in the event of a relative overnight or respite) has 24/7 direct access to a clinician with knowledge of the family's goals, strengths, challenges and safety plan. SAFY works to empower and support the family rather than "do it for" the family and thus the clear majority of crisis calls are managed over the phone. When available and appropriate, Contractor may utilize its Treatment Foster Care resource families for High Level services to provide occasional, planned respite to support the family if no other resources are identified. • Low Intensity: Minimum of 10 contact hours per month combined services, with an average of 10-20 hours of services per month. Services will include a Family Specialist and a Family Coach. Specifically designed to facilitate a safe environment, develop a permanent and sustainable living arrangement and address trauma among other well-being needs. This level is focused on families needing a lower level of involvement to mitigate risks and/or support family reunification through increasing healthy communication and developing safety plans. Ideal for preparing families for a youth who is transitioning home. Aimed at serving the identified child and his/her family (as they define it) simultaneously to increase family engagement and support the permanency goal. Multigenerational Treatment Services are designed for families to learn the effects of trauma on all family members, develop specific interventions that are tailored to the individual strengths and needs of all family members and develop sustainable supports to support permanency long term. Specific goals are mutually set around lowering dependency on contracted services, developing safety plans and increasing communication cohesion between family members. Family Specialists provide Trauma Education to caregivers, as well as therapeutic insight into their own trauma narrative. Additionally, the Family Coach helps the caregivers and any involved family members (including extended and natural supports) generalize the interventions throughout the family system for sustainable change, as well as support educational placements and community settings. Twenty-four/seven services are available for low level services; however, the family is not anticipated to utilize the service routinely. SAFY of CO works to identify sustainable community supports that the family can utilize as a warm line post discharge. Low level services can be used as a step down when families begin to see evidence of improved functioning and diminished crisis cycles in thehome. • Step Down: Minimum of 7.5 contact hours per month combined services, with an average of 7.5- 15 hours of services per month (75% of Low Intensity). Services will include a Family Specialist and a Family Coach. Requires Department approval. Maximum of 30 days from approval of step- down to discharge. Contractor agrees to provide a discharge report at the end of the 30 days, or upon discharge of the client; whichever occurs first. 8. Respite Services: Families authorized at the high intensity level will be able to access up to 2 nights/3 days of respite, when available, per month through Voluntary Parent Agreements with SAFY of CO who will recruit, screen, train, support and reimburse respite families. This component of the proposed services is not available to youth who are in the custody of Department of Housing and Human Services and must stay in a licensed foster home. Families who utilize respite services must complete all consent paperwork and abide by program expectations. 3 9. Aftercare Planning: Contractor will provide aftercare planning to facilitate a smooth transition when the family is discharged from the program. Aftercare will include Medicaid services such as continuation with individual or family therapy, as needed. An aftercare plan will be developed with the family with the following elements considered: • Planning will begin as a part of the initial service plan • Identifying any services needed or desired by the family and include specific plans for obtaining these services (i.e. transportation and other feasibility issues) • Describing the nature and frequency of follow up or aftercare services 10. Contractor agrees that referrals that do not include the Family Coach component are not appropriate for the services provided under this agreement, and referred families who decline the Family Coach component will be discharged. Contractor further agrees that any family referred by the Department for services will be required to work with both a Family Specialist and a Family Coach for the duration of the authorized referral, unless otherwise approved as noted in Exhibit B, Paragraph 14. 11. Contractor will provide services in the family's natural home environment. If that is not possible due to safety or other concerns, services will be provided outside the home as appropriate, and agreed to by the Department. 12. Average length of services is between three (3) and nine (9) months, depending on the needs of the referred family as well as their progress. 13. Contractor will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 14. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 15. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 16. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will clearly identify monthly contacts with the Family Coach or Family Specialist as applicable. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 17. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 18. 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. 4 19. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 5 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 2018. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $2,400.00/Month (High Intensity; No Medicaid. Includes: Family Specialist, Family Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 20 contact hours per month combined services, with an average of 20-40 hours of service per month. Pro -rated for any partial month of service.) $1,510.00/Month (High Intensity; With Medicaid. Includes: Family Specialist, Family Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 20 contact hours per month combined services, with an average of 20-40 hours of service per month. Pro -rated for any partial month of service.) $1,500.00/Month (Low Intensity; No Medicaid. Includes: Family Specialist, Family Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 10 contact hours per month combined services, with an average of 10-20 hours of service per month. Pro -rated for any partial month of service.) $1,000.00/Month (Low Intensity; With Medicaid. Includes: Family Specialist, Family Coach, Respite as available, Family Support Groups, Trauma Treatment Coordination, and Crisis Stabilization. Minimum of 10 contact hours per month combined services, with an average of 10-20 hours of service per month. Pro -rated for any partial month of service.) $400.00/Month (Step-down Only; With Medicaid. Last 30 days -75% of Low Intensity. Minimum of 7.5 contact hours per month combined services, with an average of 7.5-15 hours of service per month. Pro- rated for any partial month of service.) 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. 1 Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. 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. 2 A` ORL7' CERTIFICATE OF LIABILITY INSURANCE ATTACHMENT 5 SAFY--1 OP ID: VM DATE (MMIDDIYYYY) 04/18/2017 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 Peoples Insurance Agcy -Ashland PO Box 210 Marietta, OH 45750 David Lucas INSURED Specialized Alternatives for Families and Youth Colorado, Inc dba SAFY of Colorado, Inc. 10100 Elide Rd Delphos, OH 45833 COVERAGES NAME: David Lucas PHONE (A/C, No, Ext): 606-329-2200 E-MAIL ADDRESS: (A m, No): 606-325-7787 INSURER(S) AFFORDING COVERAGE INSURERA: Philadelphia Insurance Company INSURER B: Best Rating A+ INSURER C: Argonaut Insurance Company INSURER D : NAIC # 18058 19828 INSURER E : INSURER F : CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE LJ OCCUR X Professional GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- I �J � JECT �LOC OTHER: AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED AUTOS C A A HIRED AUTOS X X PHPK1604001 PHPK1604001 02/01/2017 02/01/2017 02/01/2018 02/01/2018 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL 8 ADV INJURY $ 1,000,000 $ 100,000 $ 5,000 $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG 3,000,000 $ SCHEDULED AUTOS NON -OWNED AUTOS X X PHPK1604001 02/01/2017 02/01/2018 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ 1,000,000 BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA UAB EXCESS UAB DED OCCUR CLAIMS -MADE X I RETENTION $ 10000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Crime Abuse/Mol YIN X X PHUB570945 N/A WC928038372694 ,PHPK1604001 PHPK1604001 02/01/2017 02/01/2018 06/01/2016 06/01/2017 02/01/2017 02/01/2018 02/01/2017 02/01/2018 EACH OCCURRENCE 4,000,000 AGGREGATE X PER STATUTE E EACH ACCIDENT OTH- ER $ 4,000,000 $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Abuse/Mol 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is additional insured as required by written contract, coverage is primary and non contributory, waiver of subrogation applies, 30 day notice of cancellation CERTIFICATE HOLDER WELDC-1 Weld County Department of Human Resources 1150 O Street Greeley, CO 80634 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 62 Hello