HomeMy WebLinkAbout20173417.tiffIv /f7d
AGREEMENT AMENDMENT
BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND STRONG FOUNDATIONS, LLC
This Agreement Amendment, made and entered into L day of 2018 by and
•
between the Board of Weld County Commissioners, on behalf of the Weld C my D artment of Human
Services, hereinafter referred to as the "Department", and Strong Foundations, LLC, hereinafter referred to
as the "Contractor".
WHEREAS the parties entered into an Agreement for Home Studies and Relinquishment Counseling
(the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as
document No. 2017-341approved 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.
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 Studies and Relinquishment Counseling.
2. Paragraph 1, Term
This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement
and shall expire May 31, 2019, unless sooner terminated as provided herein.
3. Payment
The Department and the Contractor agree that all benefits from private insurance and/or other
funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's
Compensation must be exhausted before Core Services or other Department funds can be accessed
for services. Exceptions to this Paragraph may include, if approved by the Department, the
following:
i. The service being provided by the contractor is not a Medicaid eligible service;
ii. The service is not deemed medically necessary;
iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or
service be used;
iv. A Medicaid provider is not available to provide the needed service;
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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: dart ..) v• 'tik BOARD OF COUNTY COMMISSIONERS
Weld ' ou ty Clerk to the Bo. rd WELD COUNTY, COLORADO
By:
Deputy Clerk t •' he Board � 4 �► �� Steve Moreno, Chair
CONTRACTOR:
Strong Foundations, LLC
1702 68th Avenue
Greeley, Colorado 80634
(970) 302-1471
By:
JUL 16 2018
, Executive Director
Date: c 5 2- t 2
O2,O / 7- 34/7
EXHIBIT C
SCOPE OF SERVICES
1. Contractor will provide home study and relinquishment counseling services for families within Weld
County, as referred by the Department.
2. Contractor utilizes the Structured Analysis Family Evaluation (SAFE) tool developed by the Consortium
of Children. Contractor is SAFE certified and on the State's approved home study vendor list.
Contractor also is certified as a SAFE supervisor.
3. Contractor will attend SAFE Refresher training during the term of this contract.
4. Contractor will ensure that all studies are completed utilizing the most up-to-date forms and
templates as found on www.consortforkids.org or www.SAFEhomestudv.org.
5. All services will be provided by Helene Wurth, BSW.
6. Contractor will complete a Department of Motor Vehicle background check at no additional charge.
All CBI, FBI and LexisNexis background check information will be completed by the Department,
unless otherwise directed by the Department.
7. Contractor will submit a completed home study to the Department with their billing within 60 days of
receipt of the home study referral. A complete home study will include the study in SAFE format,
background check information, SAFE questionnaires completed by the applicants, references and all
other original documents submitted by the home study applicant.
8. Relinquishment counseling services will be provided to all adult individuals referred by the
Department, as well as associated children 12 years of age and older, utilizing the required State
format. Contractor will submit a written report and the appropriate affidavits and interrogatories.
9. Contractor will document in detail any and all observed or verbalized concerns regarding any specific
Weld County home. Areas of concern may include, but are not limited to, any physical, emotional,
educational or behavioral issues. Child abuse must be reported immediately per law.
10. Contractor understands that the Department will not reimburse Contractor for "no shows" or
cancelled appointments, either on the part of the client or the Contractor.
92
EXHIBIT D
PAYMENT SCHEDULE
1. Funding and Method of Payment
The Department agrees to reimburse the Contractor in consideration of the work and services performed
under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the
Contractor during the term of this Agreement shall be reported by the Department after 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
$950.00/Episode (Home Study, 2 Adults)
$425.00/Episode (Home Study Update)
$250.00/Episode/Per Person (Additional fee per adult after 2 adults)
$225.00/Hour (Home Study Cancellation after 3.5 hours of direct face-to-face contact.)
$300.00/Episode (Flat rate interpretive services for family home study.)
$150.00/Episode (Flat rate interpretive services for individual home study.)
$110.00/Hour (Relinquishment Counseling)
Mileage shall be reimbursed after the first 30 miles at two cents below the most current IRS rate/mile.
Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is
responsible, but which a particular client refuses or fails to pay.
Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment
received on the monthly billing.
3. Submittal of Vouchers
Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if
applicable, certifying that services authorized were provided on the date(s) indicated and the charges
made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A.
Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the
month following the month the cost was incurred. Failure to submit by the aforementioned deadline may
result in forfeiture of payment.
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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.
rim ALLIECI ALLIED WORLD INSURANCE COMPANY 023
ALWORLD A stock insurance company, incorporated under the laws of New
2/28/18 CLAIMS -MADE SOCIAL WORKERS' PROFESSIONAL AND BUSINESS LIABILITY POLICY
THIS IS A CLAIMS MADE POLICY - PLEASE READ CAREFULLY
NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGEMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT
(SEE THE SPECIAL PROVISION "SEXUAL MISCONDUCT" IN THE POLICY).
Hampshire
1690 New Britain Avenue, Suite 101, Farmington, CT 06032 (1-800-421-6694)
POLICY NO: 5605-7357
ITEM 1. (a) NAME AND ADDRESS OF INSURED:
JULIENNE E BOX
1702 68TH AVE
GREELEY, CO 80634
ITEM 2. ADDITIONAL INSUREDS:
WELD COUNTY DEPT OF
HUMAN SERVICES
822 7TH ST
GREELEY, CO 80525
ITEM 3. POLICY PERIOD:
ITEM 4. LIMITS OF LIABILITY:
(0$ 1,000,000
ITEM 5.
ITEM 6.
(b)$ 1,000,000
DECLARATIONS
ACCOUNT NO: CO-BOXJ170-0 06132337
ITEM 1. (b) ADDITIONAL NAMED INSUREDS:
TYPE OF ORG: INDIVIDUAL
LARIMER COUNTY DHS
2601 MIDPOINT DR
FORT COLLINS, CO 80525
FROM: 02/20/18 TO: 02/20/19
12:01A.M. STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN:
PER -CLAIM -INSURING AGREEMENT A.
(c)$ 3,000,000
AGGREGATE
PER -CLAIM -INSURING AGREEMENT B.(1) and B.(2) (d) $ 35, 000 PER PROCEEDING
PREMIUM SCHEDULE:
CLASSIFICATION
NUMBER
RATE
ANNUAL PREMIUM
PROFESSIONALS
DEFENSE LIMIT
ADDITIONAL INSUREDS
1
2
67.00
13.00
67.00
.00
26.00
RETROACTIVE DATE: 02/20/18 TOTAL PREMIUM:
74.00
ITEM 7. EXTENDED REPORTING PERIOD
ADDITIONAL PREMIUM (if exercised):$ 74.00 SCHEDULED RATING CREDIT INCLUDED
ITEM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY
APA-SW 00002 00 (06/14) APA 00127 05 (06/14)
APA 00102 00 (6/14)
AUTHOR ED COMPANY REPRI,SENTATIVE
APA-SW 0000100 (06/14) THIS IS NOT A BILL. PREMIUM HAS BEEN PAID American Prof tonal Agency * 95 Broadway, Amityville. NY 11701
ENDORSEMENT
SPECIFIC ACTIVITIES OR SERVICES EXCLUDED FROM COVERAGE
This Endorsement, effective at 12:01 a.m. on 02/20/18, forms part of
Policy No.
Issued to
Issued by
560-000057357
JULIENNE E BOX
ALLIED WORLD INSURANCE COMPANY
In consideration of the premium charged, it is hereby agreed
this Policy shall not cover any Defense Expenses or Damages in
connection with any Claim or Proceeding arising out of, based upon
or attributable to, the following types of services or activities
by any Insured, whether or not for a fee or other consideration:
-ADOPTION PLACEMENT
-FOSTER CARE PLACEMENT
All other terms, conditions and limitations of this Policy shall
remain unchanged.
AUIORIZED REPRESENTATIVE
APA 00102 00 (6/14)
ENDORSEMENT NO.
COLORADO STATE AMENDATORY
This Endorsement, effective at 12:01 a.m. on , forms part of
Policy No.
Issued to
Issued by : Allied World Insurance Company
In consideration of the premium charged, it is understood and agreed that:
Section XI. CANCELLATION is deleted in its entirety and replaced as follows:
XI. CANCELLATION AND NON -RENEWAL
1. The first Named Insured may cancel this Policy by surrendering it to the Insurer
or to any of its authorized agents, or by mailing the Insurer written notice stating
when thereafter the cancellation will be effective. If the first Named Insured cancels
this Policy, the unearned premium will be computed in accordance with the customary
short rate table and procedure.
2. If coverage under the Policy has been in effect sixty (60) days or less, and is not a
renewal policy, the Insurer may cancel this Policy by mailing by first class mail to the
first Named Insured, at its last known address, written notice of cancellation at least
fifteen (15) days before the effective date of cancellation if cancellation is for
nonpayment of premium or at least ninety (90) days before the effective date of
cancellation if cancellation is for another reason. Such notice shall include the
reason(s) for cancellation.
3. If coverage under the Policy has been in effect for more than sixty (60) days, or is a
renewal policy, the Insurer may only cancel this Policy for one of the following reasons
by mailing by first class mail written notice to the first Named Insured at least ninety
(90) days before the effective date of cancellation, except for 3(a) below where at least
fifteen (15) days notice will be given:
(a) Failure to pay a premium when due;
(b) If the Insured knowingly makes a false statement on the application;
(c) A substantial change in the exposure or risk.
Such notice shall include the reason(s) for cancellation. If notice is mailed, proof of
mailing will be sufficient proof of notice.
4. If the Insurer cancels, unearned premium will be computed pro -rata. Premium
adjustment may be made either at the time cancellation is effected or as soon as
practicable after cancellation becomes effective, but payment or tender of
unearned premium is not a condition of cancellation.
5. The Insurer will not be required to renew this Policy upon its expiration. If the Insurer
elects not to renew this Policy, the Insurer will mail by first class mail written notice, to
APA 00127 05 (06/14) Page 1 of 2
the first Named Insured, at its last known address, to that effect, at least forty-five (45)
days before the expiration date set forth in Item 3. of the Declarations. Such notice shall
state the specific reason(s) for non -renewal. If notice is mailed, proof of mailing will be
sufficient proof of notice.
6. If the Insurer unilaterally increases the premium upon renewal or decreases
coverage upon renewal of the Policy, the Insurer will mail by first class mail to the first
Named Insured, at its last known address, written notice to that effect at least forty-
five (45) days before the expiration date set forth in Item 3. of the Declarations.
All other terms, conditions and limitations of this Policy shall remain unchanged.
horized Representative
APA 00127 05 (06/14) Page 2 of 2
Re: Privacy Policy
Dear Policyholder:
Recognizing that certain information you provide to us is of a confidential nature we
have formally adopted a policy to protect your privacy. This policy states that the
information you provide to us that is not generally available to the public will be kept
confidential and will not be distributed or shared with other persons or organizations without
your approval.
An exception to this policy is sharing information with the insurance company who
insures you and to the association that sponsors a program for its members. Our
association sponsors only receive information on members of that particular association and
we only share basic information such as names, addresses, and basic statistical
information. Claim detail on a particular insured is not released without the insured's
consent. In addition, we make no representations to you about the insurer's privacy policy.
If they do in fact have one, it may be significantly different from ours.
Our policy has always been to keep your information confidential and to protect your
privacy. However, the Gramm-Leach-Billey Act adopted in 1999 requires companies to
establish formal in-house privacy policies, so we have done so.
As always, we strive to provide you with the best service. We promise to keep your
personal data confidential and look forward to handling your professional liability insurance
needs now and in the future.
Sincerely yours,
Richard C. Imbert
President
privacypol 4/03
CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND STRONG FO NDATIONS, LLC
This Agreement, made and entered into th day of(,5�'(i(i , 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 Strong Foundations, LLC, hereinafter referred to as the "Contractor".
The parties to this Agreement understand and agree that the provisions of this Agreement specifically
include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal,
Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and
incorporated herein by this reference.
WITNESSETH
WHEREAS, required approval, clearance, and coordination have been accomplished from and with
appropriate agencies; and
WHEREAS, the Colorado Department of Human Services has provided Child Welfare Administration
funding to the Department for Home Studies and Relinquishment Counseling.
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. 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.
CG: /-6D
2017-3417
d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month
following the month of service for each client receiving ongoing services. One-time services will be
verified through receipt of the completed product (ex. psychological evaluation, substance abuse
evaluation). Verification of Monitored Sobriety Services will be the test result.
Contractor will document in detail any and all observed or verbalized concerns regarding any child
whom the Contractor is working with under the Agreement. Areas of concern may include, but are
not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be
reported immediately to the caseworker AND on the required monthly report.
Monthly reports will be submitted through the Department's online reporting system, unless
otherwise directed or agreed to by the Department.
4. Payment
a. The Department and the Contractor agree that all benefits from private insurance and/or other
funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's
Compensation must be exhausted before Core Services or other Department funds can be accessed
for services.
b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit
B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached
hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in
accordance with the Agreement.
c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent
upon, the continuing availability of said funds for the purposes hereof.
d. The Department may withhold reimbursement if Contractor has failed to comply with any part of
the Agreement, including the Financial Management requirements, program objectives, contractual
terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may
appeal such circumstance in writing to the Director of Human Services. The decision of the Director
of Human Services shall be final.
5. Financial Management
At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall
comply with the administrative requirements, cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133.
6. Payment Method
Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D,
Payment Schedule:
a. If services are funded through Core Services, Contractor agrees to accept reimbursement
through ACH direct deposit one time per month.
b. If Contractor is not currently set up with the State of Colorado to accept direct deposit,
Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be
provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of
2
Colorado per the directions on the form. Failure to complete and submit this form in a timely and
accurate manner may result in a delay of payment.
c. Contractor agrees to accept payment through county warrant when funding source does not
allow for direct deposit.
7. Compliance with Applicable Laws
a. At all times during the performance of this Agreement, Contractor will strictly adhere to all
applicable Federal and State laws, order, and applicable standards, regulations, interpretations
and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all
applicant/recipient records, papers, documents, tapes and any other materials that have been or may
hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws
and regulations, including, but not limited to the following:
- Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil
Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45
C.F.R. Part 80 et. seq.; and
- all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of
race, creed, color, sex, or national origin, be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination under the approved Agreement.
- Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its
implementing regulations, 45 C.F.R. Part 84; and
- the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its
implementation regulations, 45 C.F.R. Part 91; and
- Title VII of the Civil Rights Act of 1964; and
the Age Discrimination in Employment Act of 1967; and
the Equal Pay Act of 1963; and
the Education Amendments of 1972; and
Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and
- all regulations applicable to these laws prohibiting discrimination because of race, color,
national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome
(AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of
1973, as amended, cited above. If necessary, Contractor and the Department will resist in
judicial proceedings any efforts to obtain access to client records except as permitted by 42
C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken
to assure that small and minority businesses are utilized, when possible, as sources of
supplies, equipment, construction and services. This assurance is given in consideration of
and for the purpose of obtaining any all Federal and/or State financial assistance.
- Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks
for all employees, contractors and sub -contractors.
3
b. Contractor is further charged with the knowledge that any person who feels that s/he has been
discriminated against has the right to file a complaint either with the Colorado Department of Human
Services or with the United States Department of Health and Human Services, Office for Civil Rights.
c. Contractor assures that it will fully comply with all other applicable Federal and State laws which
may govern the ability of the Department to comply with the relevant funding requirements.
Contractor understands the source of funds to be accessed under the Agreement is Core Services.
d. Contractor assures and certifies that it and its principals:
- Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transaction by a Federal or State department or agency;
and
- have not, within a three-year period preceding this Agreement, been convicted of or
had a civil judgment rendered against them for commission of fraud or criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State or
Local) transaction or contract under public transaction; violation of federal or state antitrust
statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction
of records, making false statements, or receiving stolen property; and
- are not presently indicted for or otherwise criminally or civilly charged by a government
entity (federal, state or local) with commission of any of the offenses enumerated in this
certification; and
- have not, within a three-year period preceding this Agreement, had one or more public
transactions (federal, state, or local) terminated for cause or default.
e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and
agrees that it does not knowingly employ or contract with an illegal alien who will perform work under
this contract. Contract Professional will confirm the employment eligibility of all employees who are
newly hired for employment in the United States to perform work under this Agreement, through
participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S.
§8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to
perform work under this Agreement or enter into a contract with a subcontractor that fails to certify
with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal
alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or
State of Colorado program procedures to undertake pre -employment screening or job applicants while
this Agreement is being performed. If Contract Professional obtains actual knowledge that a
subcontractor performing work under the public contract for services knowingly employs or contracts
with an illegal alien Contract Professional shall notify the subcontractor and County within three (3)
days that Contract Professional has actual knowledge that a subcontractor is employing or contracting
with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or
contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall
not terminate the contract if within three days the subcontractor provides information to establish that
the subcontractor has not knowingly employed or contracted with an illegal alien. Contract
Professional shall comply with reasonable requests made in the course of an investigation, undertaken
pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract
Professional participates in the State of Colorado program, Contract Professional shall, within twenty
days after hiring a new employee to perform work under the contract, affirm that Contract Professional
has examined the legal work status of such employee, retained file copies of the documents, and not
altered or falsified the identification documents for such employees. Contract Professional shall deliver
to County, a written notarized affirmation that it has examined the legal work status of such employee,
4
and shall comply with all of the other requirements of the State of Colorado program. If Contract
Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq.,
County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be
liable for actual and consequential damages.
f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if
Contract Professional receives federal or state funds under the contract, Contract Professional must
confirm that any individual natural person eighteen (18) years of age or older is lawfully present in
the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits
provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears
or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully
present in the United States pursuant to federal law, (b) shall produce one of the forms of
identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of
identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract.
8. Compliance with Child and Family Services Review
The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas;
Safety, Permanency and Well Being of families. For each outcome, data and performance indicators
measure each state's performance according to national standards and monitor progress over time.
Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance
services to families.
Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well
Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under
this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under
the Child and Family Services Review (CFSR), and will address the aforementioned three areas when
completing monthly reports as required by Paragraph 3(d) of this Agreement.
9. Insurance Requirements
Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County,
its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or
omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing
duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County,
the Board of County Commissioners of Weld County, its employees, volunteers and agents.
Contractor shall provide the liability insurances (including professional liability insurances where
necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged
in the performance of this Agreement which are required under Weld County's Request for Proposal, and
required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the
acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement.
At a minimum, Contractor shall procure, either personally or through its employer as applicable to the
Contractor's business, at its own expense, and maintain for the duration of the work, the following
insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners
of Weld County, its employees and agents, shall be named as additional named insured on the insurance,
where permissible the insurance provider.
a. General Requirements: Contractors/Contract Professionals must secure, at or before the
time of execution of any agreement or commencement of any work, the following insurance
covering all operations, goods or services provided pursuant to this request. Contractors/Contract
Professionals shall keep the required insurance coverage in force at all times during the term of
5
the Agreement, or any extension thereof, and during any warranty period. The required insurance
shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best
Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating
"Should any of the above -described policies by canceled or should any coverage be reduced
before the expiration date thereof, the issuing company shall send written notice to the Weld
County Director of General Services by certified mail, return receipt requested. Such written
notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-
payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess
of a deductible or self -insured retention, County must be notified by the Contractor/Contract
Professional. Contractor/Contract Professional shall be responsible for the payment of any
deductible or self -insured retention. County reserves the right to require Contractor/Contract
Professional to provide a bond, at no cost to County, in the amount of the deductible or self -
insured retention to guarantee payment of claims. The insurance coverages specified in this
Agreement are the minimum requirements, and these requirements do not decrease or limit the
liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at
its own expense, any additional kinds or amounts of insurance that it may deem necessary to
cover its obligations and liabilities under this Agreement.
b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all
times during the term of any Agreement, insurance in the following kinds and amounts:
i.Workers' Compensation Insurance as required by state statute, and Employer's Liability
Insurance covering all of Contractor's Contract Professional's employees acting within
the course and scope of their employment. If Contractor is an Independent Contractor,
as defined by the Colorado Worker's Compensation Act, this requirement shall not apply.
Contractor must submit to the Department a Declaration of Independent Contractor
Status Form prior to the start of this agreement.
ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93
or equivalent, covering premises operations, fire damage, independent Contractors,
products and completed operations, blanket contractual liability, personal injury, and
advertising liability with minimum limits as follows:
$1,000,000 each occurrence;
$2,000,000 general aggregate;
$50,000 any one fire; and
$500,000 errors and omissions.
iii.Automobile Liability: Contractor/Contract Professional shall maintain limits of
$1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident,
and $1,000,000 for property damage applicable to all vehicles operating both on County
property and elsewhere.
iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor
liability and pollution liability must provide the following:
If any aggregate limit is reduce by twenty-five percent (25%) or more
by paid or reserved claims, Contractor shall notify County within ten (10) days
and reinstate the aggregates required;
Unlimited defense costs in excess of policy limits;
Contractual liability covering the indemnification provisions of this
Agreement;
A severability of interests provision;
Waiver of exclusion for lawsuits by one insured against another;
A provision that coverage is primary; and
A provision that coverage is non-contributory with other coverage or
self-insurance provided by County.
v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and
professional liability policies, if the policy is a claims -made policy, the retroactive date
must be on or before the contract date or the first date when any goods or services were
provided to County, whichever is earlier.
c. Contractors/Contract Professionals shall secure and deliver to County's Risk
Administrator ("Administrator") at or before the time of execution of this Agreement, and shall
keep in force at all times during the term of the Agreement as the same may be extended as
herein provided, a commercial general liability insurance policy, including public liability and
property damage, in form and company acceptable to and approved by said Administrator,
covering all operations hereunder set forth in the related Bid or Request for Proposal.
d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this
information to its insurance agent or broker, and shall have its agent or broker provide proof of
Contractor/Contract Professional's required insurance. County reserves the right to require
Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of
insurance as required by the County's Risk Administrator in his sole discretion.
e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability,
liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as
an additional insured as follows:
County of Weld
1150 'O' Street
Greeley, Colorado 80631
f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer
shall waive subrogation rights against County.
g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub -
vendors, suppliers or other entities providing goods or services required by this Agreement shall
be subject to all of the requirements herein and shall procure and maintain the same coverages
required of Contractor/Contract Professional. Contractor/Contract Professional shall include all
such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds
under its policies or shall ensure that all subcontractors maintain the required coverages.
Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors,
independent contractors, sub -vendors suppliers or other entities upon request by the County.
A provider of Professional Services (as defined in the Bid or RFP) shall provide the following
coverage:
Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and
$2,000,000 aggregate limit for all claims.
7
10. Certification
Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all
necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies
covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the
Contractor prior to the start of any Agreement.
11. Training
Contractor may be required to attend training that the request of the Department specific to services
provided under this Agreement. The Department will not compensate the Contractor for said training in
the form of registration fees, time spent traveling to and from training, attending the training or any other
associated costs unless otherwise agreed to by the Department.
12. Subpoenas
Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the
Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For
this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the
Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will
contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the
subpoena must be personally served.
13. Monitoring and Evaluation
Contractor and the Department agree that monitoring and evaluation of the performance of this
Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and
evaluation shall be provided to the Board of Weld County Commissioners, the Department and the
Contractor.
Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to
monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the
monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special
analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such
monitoring shall be performed in a manner that will not unduly interfere with the work conducted under
this Agreement.
14. Modification of Agreement
All modifications to this Agreement shall be in writing and signed by both parties.
15. Remedies
The Director of Human Services or designee may exercise the following remedial actions should s/he find
the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial
failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
- Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed.
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- 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 Julie Box, 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:
Julie Box, Executive Director
1702 68th Avenue
Greeley, CO 80634
(970) 302-1471
Contractor shall promptly notify the Department in the event that Contractor learns of any actual
litigation in which it is a party defendant in a case that involves services provided under this Agreement.
Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any Federal or State court or administrative agency, shall deliver copies of such
document(s) to the Director of Human Services. The term "litigation" includes an assignment for the
benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure.
19. Termination
This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the
individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an
obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise
appropriated in each succeeding year, as this Agreement is subject to the availability of funding.
Therefore, the Department may terminate this Agreement at any time if the source of funding for the
services made available to the Contractor is no longer available to the Department, or for any other
reason. Contractor reserves the right to suspend services to clients if funding is no longer available.
9
20. No Third -Party Beneficiary Enforcement
It is expressly understood and agreed that the enforcement of the terms and conditions of this
Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the
undersigned parties and nothing in this Agreement shall give or allow any claim or right of action
whatsoever by any other person not included in this Agreement. It is the express intention of the
undersigned parties that any entity other than the undersigned parties receiving services or benefits
under this Agreement shall be an incidental beneficiary only.
21. Governmental Immunity
No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of
any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental
Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended.
22. Partial Invalidity of Agreement
If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held
or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions.
The parties hereto declare that they would have entered into this Agreement and each and every section,
subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more
sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional
or invalid.
23. Improprieties/Conflict of Interest
No officer, member or employee of Weld County and no member of their governing bodies shall have any
pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof.
The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department
when the Contractor also maintains a relationship with a third party and the two relationships are in
opposition. In order to create the appearance of a conflict of interest, it is not necessary for the
Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor
know that the two relationships are in opposition. During the term of the Agreement, Contractor shall
not enter into any third -party relationship that gives the appearance of creating a conflict of interest.
Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the
Department, a full disclosure statement setting forth the details that create the appearance of a conflict
of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute
grounds for the Department's termination, for cause, of its Agreement with the Contractor.
Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of
Contractor, to any person for influencing or attempting to influence an officer or employee of an agency,
a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of an Federal contract, loan, grant, or cooperative agreement.
24. Storage, Availability and Retention of Records
Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during
business hours, have access to inspect and copy records, and shall be allowed to monitor and review
through on -site visits, all activities related to this Agreement, supported with funds under this Agreement,
10
to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and
evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The
results of the monitoring and evaluation activities shall be provided to the appropriate and interested
parties.
All such records, documents, communications, and other materials created pursuant or related to this
Agreement shall be maintained by the Contractor in a central location and shall be made available to the
Department upon its request, for a period of seven (7) years from the date of final payment under this
Agreement, or for such further period as may be necessary to resolve any matters which may be pending,
or until an audit has been completed with the following qualifications: If an audit by or on behalf of the
Federal and/or State government has begun but is not completed at the end of the seven (7) year period,
or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until
the resolution of the audit finding.
25. Confidentiality of Records
Contractor shall protect the confidentiality of all applicant records and other materials that are
maintained in accordance with this Agreement except for purposes directly connected with the
administration of Child Protection. No information about or obtained from any applicant/recipient in
possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's
parent or guardian unless in accordance with the Contractor's written policy governing access to,
duplication and dissemination of, all such information, in any form, including social networks. Contractor
shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality
requirements.
Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written
explanation of these confidentiality requirements before access to confidential data is permitted.
Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality
agreement and shall provide a copy of such agreement to the Department, if requested.
26. Proprietary Information
Proprietary information for the purposes of this Agreement is information relating to a party's research,
development, trade secrets, business affairs, internal operations and management procedures and those
of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third
parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither
party shall use or disclose directly or indirectly without prior written authorization any proprietary
information concerning the other party obtained as a result of this Agreement. Any proprietary
information removed from the Department's site by the Contractor in the course of providing services
under this Agreement will be accorded at least the same precautions as are employed by the Contractor
for similar information in the course of its own business.
27. Independence of Contractor: Not an Employee of Weld County
Contract Professional agrees that it is an independent Contract Professional and that Contract
Professional's officers, agents or employees will not become employees of County, nor entitled to any
employee benefits from County as a result of the execution of this Agreement. Contract Professional shall
perform its duties hereunder as an independent Contract Professional. Contract Professional shall be
solely responsible for its acts and those of its agents and employees for all acts performed pursuant to
this Agreement. Contract Professional, its employees and agents are not entitled to unemployment
insurance or workers' compensation benefits through County and County shall not pay for or otherwise
provide such coverage for Contract Professional or any of its agents or employees. Unemployment
insurance benefits will be available to Contract Professional and its employees and agents only if such
11
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,
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
12
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
Governmental actions.
39. Severability
13
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: './,dr..1 4. JCL '•A
Weld Cu ty Clerk to the Board
By:
Deputy Clerk to th
15
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Q
Julie Cozad, Chair OCT 0 4 7
CONTRACTOR:
Strong Foundations, LLC
1702 68th Avenue
Greeley, Colorado 80634
(970)
Date:
Julie :.x, Executive Director
c g.Z4. l �(
olo / 7,.94i
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 PAGES.
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.)
A
d to prepare a child
cation with hi
permanent placement and to prevent future out- of -home placement
the child.
Diagnostic and/or therapeutic services to assist in the development of the
Cy services plan, to assess and/or improve family communication,
functioning and relationships, and to prevent further domesticviolence.
1
Kin
(Thera
Life Skills
Mediation/Intensive Family Therapeutic intervention typically with all family members to improve
Therapy family communication, functioning and relationships.
Kinship se
cific to
child
child
maintali
of -home p
resources,
ther defined a
e, which breai
he areas of (1) saltation and kinship parent ri
d in a kinship home, (2) corrective consultation specific
ship how aid (3) critical care consultation specific
nship home. Chi ren placed in kinship care are.
est level of rare a#least restrictive setting when out
necessary.
e and
hold ma
hnique
es provided primarily in the
ive accessto community
conflict management.
2
designed to make
community, peer
irs of children and
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: "Thereby waive my right to a sealed bid". Mailed bids should be
addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare,
Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi Vegter at 970-400-6392 or
vegterta@weldgov.com if you have any questions.
Hand Delivery. Hand -delivered bids should be submitted in a sealed envelopewith the bid title and bid number
on it. Bids must include the following statement on the email: "I hereby waive my right to a sealed bid". Hand -
delivered bids can be dropped off at: Weld County Department of Human Services, Attn: Tobi Vegter, Financial
Unit, 822 7th Street, Suite 150, Greeley, CO 80631. Please call or email Tobi Vegter at 970-400-6392 or
vegterta@weldgov.com if you have any questions.
3
II. INVITATION TO BID
A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human
Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various
Services (as described above).
B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the
total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if
awarded the bid.
C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to
submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed
bid must contain the following statement: "I hereby waive my right to a sealed bid."
D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid
document, which will be the only official copy of the bid, shall be filed at the Weld County Department of
Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable
review. An e-mail confirmation will be sent when we receive your bid/proposal.
III.INSTRUCTIONS TO BIDDERS
A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him
with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed
with the partnership name by one of the partners of the partnership or by an authorized representative,
followed by the signature and title of the person signing. Bids by corporations must be signed with the legal
name of the corporation, followed by the name of the state of the incorporation and by the signature and
title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by
limited liability companies must furnish the full names of all members and managers and must be signed by a
manager or by an authorized representative, followed by the signature and title of the person signing. The
name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes
to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may
be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of
the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by
the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements,
specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be
fully and clearly set forth.
B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received
from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid
confers no right for the withdrawal of the bid after it has been opened.
C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure
to do so will be at the bidder's risk.
D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and
specifications herein unless specifically requested by the special instructions attached hereto. Any proposal
which fails to comply with the letter of the instructions and specifications herein may be rejected.
E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that
the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the
time indicated in Section I., entitled "Notice to Bidders."
F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity
as best fits its needs.
4
G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids.
H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County
Commissioners of Weld County will give preference to resident Weld County bidders in all cases where
said bids are competitive in price and quality. It is also understood that the Board of County
Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance
with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records,
printing, lithographing or other supplies for any officer of Weld County.
I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of
an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and
acceptance.
J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which
are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior
to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's
Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms,
conditions, or specifications of this bid without written approval of Families, Youth and Children's
Commission. This is not to imply that bids will not be accepted or considered with specifications which are
different from those herein. Any item which does not meet all the terms, conditions, or specifications of this
bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal
sheets and returned with the bid.
K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for
royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the
material to be furnished.
L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5-
101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under
this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the
subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this
Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any
illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the
Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the
requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the
course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If
Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may
terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor.
Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor
receives federal or state funds under this Contract, Contractor must confirm that any individual natural person
eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. 24-76.5-103(4)
if such individual applies for public benefits provided under this Contract. If Contractor operates as a sole
proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or
is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms
of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification
required by C.R.S. 24-76.5-103 prior to the effective date of a Contract.
M.All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado.
N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will
attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or
the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and
identified.
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0. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County
Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board
of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any
informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best
interests of the Board and of the County of Weld, State of Colorado.
P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the
standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your
cooperation is invited.
Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by
Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid
opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the
terms, conditions, or specifications of this bid without written approval of said Director of the Weld County
Department of Human Services. This is not to imply that bids will not be accepted or considered with
specifications which are different from those herein. Any item which does not meet all the terms, conditions,
or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid
specification and proposal sheets and returned with the bid.
IV.GENERAL SPECIFICATIONS
A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are
contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By
acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the
current fiscal year.
B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver,
express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado
Governmental Immunity Act §§24- 10-101 et seq., as applicable now or hereafter amended.
C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent
contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and
employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or
employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its
employees and agents are not entitled to unemployment insurance or workers' compensation benefits
through Weld County and Weld County shall not pay for or otherwise provide such coverage for the
successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the
successful bidder and its employees and agents only if such coverage is made available by the successful bidder
or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes
and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have
authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as
expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to
workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force
workers' compensation and unemployment compensation insurance in the amounts required by law, and (b)
provide proof thereof when requested to do so by Weld County.
D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws,
rules and regulations in effect or hereafter established, including without limitation, laws applicable to
discrimination and unfair employment practices.
E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the
interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by
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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:
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• $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.
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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.
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SCOPE OF SERVICES
PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English-
speaking and bilingual (English/Spanish) providers in various service areas under various funding sources.
Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment,
Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services
(Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health,
Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention,
Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services.
SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED
TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT
FOR UNIQUE AND CREATIVESERVICES.
Qualifications:
To be considered, a bidder must meet the following minimum qualifications:
1) Complete a Provider Information Form (PIF).
2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full
Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below.
• Full Professional Proficiency: Able to use and read the language fluently and accurately on all
levels pertinent to professional needs
• Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking
and reading).
3) A bidder must agree to language proficiency testing that may include assessment of reading, writing
and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient
Spanish speaker selected by Weld County.
4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's
location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A
bidder must include current contact information including physical address, mailing address, phone
number, email address and website, if applicable.
5) A bidder must submit sufficient information concerning each proposed service for Weld County to
evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be
submitted as its own proposal, inclusive of scope of services and rate information. The scope of service
should include at a minimum the following information for each service proposed:
• Detailed description of service components, modalities used, appropriate use of service, etc.
• Target population including age range, specific population characteristics, area of service, etc.
• Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid.
Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are
preferred.
• Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service.
6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does
not directly address the requirements set forth in this Request for Bid.
7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s).
8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and
contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if
applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board
Providers).
9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the
bidder. This should include the ratio of supervisor to staffand/or contractors, frequency and duration of
supervision, credentials of supervisor and length of time as a supervisor.
10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol,
including communication to the referring agency.
11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of
applicable training certificates, or proof of registration for training, for all staff members who manage
and/or administer services under this proposal.
12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly
and successfully schedule services as requested.
13) A bidder must agree to track outcome data related to services proposed if awarded a contract and
report outcomes upon request.
14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County
Department of Human Services and comply with all requirements of the agreement.
Contract Period and Pricing:
1) The initial contract period is to be determined and shall continue as allowable by the funding source,
so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit
annually.
2) The initial contract will be funded through Core Services Program or other funding, so long as funding
is made available.
3) The selected vendor will bill the Weld County Department of Human Services monthly according to
billing requirements set forth by the Weld County Department of Human Services.
Submittal Requirements for All Proposals:
A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All
proposals must contain the following specific information:
1) Provider Information Form (PIF).
2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish)
services.
3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her
experience and qualifications, and staff, if applicable.
4) A bidder must submit sufficient information concerning each proposed service for Weld County to
evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must
be submitted as its own proposal, inclusive of scope of services and rate information. The scope of
service should include at a minimum the following information for each service proposed:
• Detailed description of service components, modalities used, appropriate use of service, etc.
• Target population including age range, specific population characteristics, area of service, etc.
• Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid.
Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are
preferred.
• Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service.
5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not
directly address the requirements set forth in this Request for Bid.
6) Current resume, proof of licensure and copies of applicable training certificates for all staff members
who will manage and/or administer services under this proposal.
7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio
of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor
and length of time as a supervisor.
8) Internal referral acceptance and assignment protocol, including communication to the referring
agency.
9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and
comply with the specific requirements set forth by the Weld County Department of Human Services.
10) All proposals must include a clear and concise rate schedule that accurately correlates to the
proposed services and is inclusive of all possible charges related to the proposed service(s). The rate
schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of
rates for a service will not be accepted.
11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance
company authorized to do business in the State of Colorado stating its willingness to insure the bidder
pursuant to the terms of this Request for Bid.
Evaluation of Proposals:
All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the
Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the
following:
• Qualifications, appropriate licensure, and experience.
• Cost structure.
• Relationships and collaboration.
• Organizational experience and past performance.
The FYC Commission will make recommendations to the Board of Weld County Commissioners by and
through the Weld County Department of Human Services. The Weld County Department of Human
Services will make its award of contract to the successful bidders upon final approval of the Board of
Weld County Commissioners.
EXHIBIT A
SAMPLE AGREEMENT
CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND
This Agreement, made and entered into the _ day of , 2015, by and between the Board of Weld
County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as
the "Department' and «Contractor», hereinafter referred to as the "Contractor".
The parties to this Agreement understand and agree that the provisions of this Agreement specifically
include the following documents: Exhibit A, Weld County's Reuquest for Proposal, Exhibit B, Contractor's Proposal,
Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and
incorporated herein by this reference.
WITNESSETH
WHEREAS, required approval, clearance, and coordination have been accomplished from and with
appropriate agencies; and
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 7"' of the month,
following the month of service, utilizing billing forms required by the Department.
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d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month
following the month of service for each client receiving ongoing services. One-time services will be
verified through receipt of the completed product (ex. psychological evaluation, substance abuse
evaluation). Verification of Monitored Sobriety Services will be the test result.
Contractor will document in detail any and all observed or verbalized concerns regarding any child
whom the Contractor is working with under the Agreement. Areas of concern may include, but are
not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be
reported immediately to the caseworker AND on the required monthly report.
Monthly reports will be submitted through the Department's online reporting system, unless
otherwise directed or agreed to by the Department.
4. Payment
a. The Department and the Contractor agree that all benefits from private insurance and/or other
funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's
Compensation must be exhausted before Core Services or other Department funds can be accessed
for services.
b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit
B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached
hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in
accordance with the Agreement.
c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent
upon, the continuing availability of said funds for the purposes hereof.
d. The Department may withhold reimbursement if Contractor has failed to comply with any part of
the Agreement, including the Financial Management requirements, program objectives, contractual
terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may
appeal such circumstance in writing to the Director of Human Services. The decision of the Director
of Human Services shall be final.
5. Financial Management
At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall
comply with the administrative requirements, cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133.
6. Payment Method
Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services , and Exhibit D,
Payment Schedule:
a. If services are funded through Core Services, Contractor agrees to accept reimbursement
through ACH direct deposit one time per month.
b. If Contractor is not currently set up with the State of Colorado to accept direct deposit,
Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be
provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of
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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.
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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,
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
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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. Trainin
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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.
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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.
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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
PHONE NUMBER
PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld
County Department of Human Services
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AGENCY OR PRIVATE PRACTICE` e TRAILS PROVIDER ID HE Known)
PRIMARY CONTACT- FULL NAME PRIMARY CONTACT - TITLE
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EXT. FAX NUMBER
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PRIMARY CONTACT - E-MAIL ADDRESS
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AGENCY MAILING ADDRESS
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REFFERAL CONTACT- FULL NAME (IF DIFFERENT THAN PRIMARY CONTACT)
(CM l( ` -1411
REFERRAL CONTACT - PHONE NUMBER
EXT.
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AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE)
CITY
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ZIP
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REFERRAL CONTACT - TITLE �, eA\I150-r
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FL 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 alwhere the bids are competitive in price and quality.
Signature of AuthorizerA Repr sentative:
Date of Signature: C 41 2 4 • Ail
Provider Contract Checklist and Reference
FY2013-14
Home Studies and Relinquishment Counseling
General Description of Contractor:
Contractor is a Licensed Clinical Social Worker located at 1702 68th Avenue, Greeley,
Colorado, 80634, and provides professional, timely home studies using the State
mandated SAFE home study protocol. Contractor also provides professional and timely
relinquishment counseling. Both home studies and relinquishment counseling are
provided for families within a 100 -mile radius of Greeley. South County services will
occur in South County.
Type of Service:
Contractor uses the Structured Analysis Family Evaluation (SAFE) protocol developed by the
Consortium for Children. This is the format that was taught in state sponsored training that
Contractor attended in Greeley, Colorado, on October 10 and 11, 2005. Contractor has also
attended the SAFE Supervisor Training on November 16, 2006, and is now certified to supervise
other's using the SAFE format. Contractor has also attended the SAFE Refresher Course on
November 16, 2010. These home studies are `adoptive quality' and meet the state prescribed
format. The Psychosocial Inventory aspect of the SAFE format provides quantitative measures as
they directly relate to the applicant's abilities to provide for a foster child's safety, permanency
and the well being of the family. There is no difference between adoption, foster care or kinship
care home studies. Contractor is currently on the state vendor list for adoptive home study
providers. Services are provided at the Home Study applicant's home.
All background check information will be completed by the Weld County Department of Human
Services with the results being forwarded to Contractor as soon as it is received. A copy will be
retained in Contractor's files, per State Regulations for 7 years. Also included with the final
home study will be the SAFE questionnaires one and two, completed by the applicants, the four
references and any other original documents submitted to the Contractor by the applicant(s).
The goal for each home study referral is to complete a quality, comprehensive, written home
study within eight weeks of initiation of the home study. Outcomes will be measured through
timely submission of the home study to the referring caseworker, therefore ensuring more
expedient placement of children. Contractor will also track the number of home studies referred
that Contractor did not accept and the number of home studies referred and subsequently
cancelled by the Department. The SAFE protocol provides a psychosocial inventory used to
measure the risk of the placement in an applicant foster family or adoption of a child in any given
home. Contractor will use the psychosocial inventory to measure, evaluate and monitor safety,
permanency and the well being of the family.
Contractor agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and
any identifying information in those reports are strictly confidential.
RELINQUISHMENT COUNSELING SERVICES
Relinquishment counseling services will be provided to all adult individuals referred for this
service by the WCDHS as well as to their children age 12 and older. Services will be provided
individually and Contractor will submit a written report and the appropriate
affidavits/interrogatories.
Relinquishment counseling referrals will be tracked and measured in the same way as home
studies. Contractor uses the state format to interview and assess consumer's intent regarding
relinquishment. Services are provided at the applicant's home.
Rates:
Home studies:
$950: Flat rate for full home study.
$425: Updated home study.
$250: Per adult for each additional adult living in the home; after initial 2 adults.
$225: Cancellation fee after 3.5 hours of direct, face-to-face contact.
$100: Per hour for court preparation and court testimony.
$300.00/Episode/Flat rate for interpretive services for family home study
$150.00/Episode/Flat rate for interpretive services for individual home study
Relinquishment counseling:
$110.00: Per hour for face-to-face interviews.
Julie Box, LCSW
Julie Box, LCSW
1702 68 Avenue
Greeley, CO, 80634
970.339.9036 or 970.302.1471
Education:
Adams State College; BA in Psychology. Graduated 1984.
Colorado State University; MSW; Masters in Social Work. Graduated 1996.
Licensed Clinical Social Worker as of January of 2003; License # 992996.
Clinically Certified Juvenile Treatment Specialist since November 29, 2007.
Work History:
Strong Foundations, LLC, Adoption Agency
September 2010 to Present
Strong Foundations, LLC, has been licensed as a CPA, foster care and private,
for-profit, domestic adoption agency in the state of Colorado. Julie Box, LCSW, is
currently acting as executive director of Strong Foundations, LLC. Responsibilities
include CORE Adoptive Parent Trainings, marketing, engaging with potential
clients, completing SAFE Home Studies, relinquishment counseling, provision of
court reports, managing the budget and all other necessary activities attached to
an adoption agency.
Private Practice:
June 01, 2004, to present
This clinician currently has a contract with the Weld County Department of
Human Services (WCDHS) to complete SAFE home studies for individuals applying
as foster/adoptive parent(s) in Weld County, to provide CORE Foster Parent
Trainings, relinquishment counseling and to provide individual and group
consultations with foster parents. Responsibilities for home studies include the
use of the SAFE, Structured Analysis Family Evaluation, a written, narrative home
study provided to the WCDHS, with recommendations, background checks
through the Department of Motor Vehicles and local law enforcement, four
letters of reference for the applicant parent(s) and SAFE Questionnaires one and
two, completed by the applicant parent(s). The WCDHS completes other
background checks through the CBI and FBI, Trails, and Lexis Nexis on their own.
Responsibilities for the CORE Foster Parent Trainings include providing 27 hours
of state mandated training for applicant foster parents. Responsibilities for
individual and group foster parent trainings include meeting with foster parents
to address clinical issues with which foster children and the families may be
struggling. Responsibilities for relinquishment counseling include meeting with
the parent(s) that wish to relinquish their parental rights, providing counseling,
explaining the court process and completing all relevant paperwork for the court.
Clinician at Lutheran Family Services
May 11, 1998, to January 13, 2006.
Program Manager for Family Preservation Program, Home Study Program and
Relinquishment Counseling Program for Lutheran Family Services
June of 2003 to January of 2004. The rest of the time was a position as clinician.
Responsibilities as a clinician included crisis intervention, therapeutic services for
foster children dealing with grief and loss issues in LFS homes, case management
services for foster children, foster parents, birth parents and county caseworkers,
attending and testifying at court hearings, completion of home studies for
Lutheran Family Services homes as well as for the Weld County Department of
Human Services, completion of all related paperwork including but not limited to
monthly reports, ongoing progress notes, interactional assessments, monthly
staffing notes and development of treatment plans.
Responsibilities as a program manager included responsibility for clinical and
administrative oversight of the three programs listed above, assisting in selecting
staff, assisting in program development and definition, identifying community
resources to supplement program activities and ensuring that consistently high
quality clinical care and case management services are provided for each program
consumer.
Social Caseworker III: Child Protection for the Boulder County Department of
Social Services
August 05, 1996, to May 11, 1998
Responsibilities included family assessments, family and individual therapy,
updated written reports on case progress, written court reports, attendance and
testimony at court hearings, school staffing's, therapeutic staffing's, crisis
intervention, written social histories, attending interagency staffing's,
development of treatment plans and general case management.
Supervisor for Work Release and Home Detention Inmates for the Weld County
Sheriff's Department
December of 1994 to July of 1996
Responsibilities include direct supervision of inmates in the work release and
home detention programs, daily record keeping of inmate activities, home visits
to verify the inmate's whereabouts, crisis intervention and counseling of inmates.
Counselor II/Assistant Program Director for the Weld County Shelter Home and
Alternative Homes for Youth
November of 1986 to August of 1994
Responsibilities included all financial management, supervision of adjudicated
delinquent youth aged twelve to eighteen, counseling youth with a focus on grief
and loss issues, development of treatment plans, USDA liaison, supervision of
staff, training for all new staff and interns, assumption of the program directors
duties when the director was absent, communicating effectively with all other
professionals and the upkeep of statistics.
Continuing training
Family Group Decision Making: November 1998
Understanding Anxiety: October 1999
Play Therapy and Therapeutic Care of Children in Foster Care and Adoption:
October 1999
Oppositional Behavior and ODD: 2000
Attachment and Bonding: January 2001
Verbal De-escalation and Personal safety: February 2002
Psychiatric Medications in Children Placed in Foster or Adoptive Care: March 2002
Building Skills in High Risk Families: June 2002
Confirming Safe Environments: September 2002
Foster Family Assessment Training: September 2002
EMDR; Basic Training: November 2002
Attachment and Bonding: February 2003
Understanding and Responding to the Sexual Behavior of Children: May 2003
Advanced Training for Special Advocates: September 2003
Helping Grieving Children and Teens: October 2003
Structured Analysis Family Evaluation (SAFE) Training 2005
Mediation Course: June 2006
SAFE Supervision Training 10 of 2006
Trauma, PTSD, and Traumatic Grief: October 2007
2007 Child and Adolescent Mental Health Conference: November 2007
Ethics in Court Testimony 2009
Family Centered Parenting for Foster Kids 2009
SAFE Refresher Training 11.16.2010
Beyond Consequences 02.22.2012
Anxiety Disorders 04.19.2012
75 Quick On The Spot Techniques For Children With Emotional and Behavioral
Problems 03.01.2013
Early Attachment Theory 08.12.2013
Gang Violence in America 08.12.2013
Bullying in Children and Youth 08.12.2013
Taking Care of Yourself While Helping Others 08.13.2013
Trauma Informed Care for Adolescent Survivors of Sexual Assault-Webinar
03.13.2014
References:
Lutheran Family Services Human Resources Department: 1.800.579.9496; 363 S.
Harlan, Suite 200, Denver, CO., 80226-3552.
Sharon Thomas: Supervisor at LFS from May of 1998 to December of 2003:
970.663.1039; 3733 Lincoln Court, Loveland, CO, 80538. Email: Skt1225@aol.com
Diane Baird: LCSW Consultant: Private Practice. 720.217.9352.
Maria Baladez: Caseworker at the Boulder County Department of Social Services:
303.441.1505; 640 Gooseberry Drive, #402, Longmont, CO., 80503. Email:
mbass@co.boulder.co.us.
EXHIBIT C
SCOPE OF SERVICES
1. Contractor will provide home study and relinquishment counseling services for families within Weld
County, as referred by the Department.
2. Contractor utilizes the Structured Analysis Family Evaluation (SAFE) tool developed by the Consortium
of Children. Contractor is SAFE certified and on the State's approved home study vendor list.
Contractor also is certified as a SAFE supervisor.
3. Contractor will attend SAFE Refresher training during the term of this contract.
4. Contractor will ensure that all studies are completed utilizing the most up-to-date forms and
templates as found on www.consortforkids.org or www.SAFEhomestudy.org.
5. All services will be provided by Helene Wurth, BSW.
6. Contractor will complete a Department of Motor Vehicle background check at no additional charge.
All CBI, FBI and LexisNexis background check information will be completed by the Department,
unless otherwise directed by the Department.
7. Contractor will submit a completed home study to the Department with their billing within 60 days of
receipt of the home study referral. A complete home study will include the study in SAFE format,
background check information, SAFE questionnaires completed by the applicants, references and all
other original documents submitted by the home study applicant.
8. Relinquishment counseling services will be provided to all adult individuals referred by the
Department, as well as associated children 12 years of age and older, utilizing the required State
format. Contractor will submit a written report and the appropriate affidavits and interrogatories.
9. Contractor will document in detail any and all observed or verbalized concerns regarding any specific
Weld County home. Areas of concern may include, but are not limited to, any physical, emotional,
educational or behavioral issues. Child abuse must be reported immediately per law.
10. Contractor understands that the Department will not reimburse Contractor for "no shows" or
cancelled appointments, either on the part of the client or the Contractor.
92
EXHIBIT D
PAYMENT SCHEDULE
1. Funding and Method of Payment
The Department agrees to reimburse the Contractor in consideration of the work and services performed
under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the
Contractor during the term of this Agreement shall be reported by the Department after 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
$950.00/Episode (Home Study, 2 Adults)
$425.00/Episode (Home Study Update)
$250.00/Episode/Per Person (Additional fee per adult after 2 adults)
$225.00/Hour (Home Study Cancellation after 3.5 hours of direct face-to-face contact.)
$300.00/Episode (Flat rate interpretive services for family home study.)
$150.00/Episode (Flat rate interpretive services for individual home study.)
$110.00/Hour (Relinquishment Counseling)
Mileage shall be reimbursed after the first 30 miles at two cents below the most current IRS rate/mile.
Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is
responsible, but which a particular client refuses or fails to pay.
Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment
received on the monthly billing.
3. Submittal of Vouchers
Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if
applicable, certifying that services authorized were provided on the date(s) indicated and the charges
made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A.
Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the
month following the month the cost was incurred. Failure to submit by the aforementioned deadline may
result in forfeiture of payment.
93
a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by
the client and a monthly report submitted in accordance with Paragraph 3(d) of this
Agreement.
b. For one-time services, proof of services rendered shall be receipt of the completed product.
c. For Monitored Sobriety services, proof of services rendered shall be the test result.
VIM ALLIED ALLIED WORLD INSURANCE COMPANY 023
A► I WORLD A stock insurance company, incorporated under the laws of New Hampshire
I 1690 New Britain Avenue, Suite 101, Farmington, CT 06032 (1-800-421-6694)
1712 12 /17 CLAIMS -MADE SOCIAL WORKERS' PROFESSIONAL AND BUSINESS LIABILITY POLICY
THIS IS A CLAIMS MADE POLICY - PLEASE READ CAREFULLY RENEWAL
NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGEMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT
(SEE THE SPECIAL PROVISION "SEXUAL MISCONDUCT" IN THE POLICY).
POLICY NO: 5602-1881
ITEM 1. (a) NAME AND ADDRESS OF INSURED:
STRONG FOUNDATIONS LLC
1702 68TH AVE
GREELEY, CO 80634
DECLARATIONS
ACCOUNT NO: CO-STRO170-0 04269747
ITEM I. (b) ADDITIONAL NAMED INSUREDS:
JULIE E BOX
TYPE OF ORG: LLC/LLP
ITEM 2. ADDITIONAL INSUREDS:
STATE OF COLORADO/THE LARIMER COUNTY DEPT OF SEE ATTACHED ENDORSEMENT
WELD CNTY. DEPT. OF S.S. HUMAN SERVICES
P.O. BOX A 2601 MIDPOINT DR STE 112
GREELEY, CO 80631 FORT COLLINS, CO 80525
ITEM 3. POLICY PERIOD:
ITEM 4. LIMITS OF LIABILITY:
(0$ 1,000,000
FROM: 02/20/17 TO: 02/20/18
12:0IA.M. STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN:
PER -CLAIM -INSURING AGREEMENT A. (c) $ 1,000,000 AGGREGATE
(b) $ 1,000,000 PER -CLAIM -INSURING AGREEMENT B.(1) and B.(2) (d) $ 35 , 000 PER PROCEEDING
ITEM 5. PREMIUM SCHEDULE:
ITEM 6
CLASSIFICATION
NUMBER
RATE
ANNUAL PREMIUM
PROFESSIONALS
1
186.00
186.00
INDEPENDENT CONTRACTORS
1
22.00
22.00
DEFENSE LIMIT
.00
ADDITIONAL INSUREDS
3
42.00
126.00
RETROACTIVE DATE: 02/20/04 TOTAL PREMIUM:
334.00
ITEM 7. EXTENDED REPORTING PERIOD
ADDITIONAL PREMIUM (if exercised):$ 334.00
ITEM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY
APA-SW 00002 00 (06/14) APA 00127 05 (06/14)
APA 00121 00 (6/14)
APA-SW 0000100 (06/14) THIS IS NOT A BILL. PREMIUM HAS BEEN PAID
AUTHOR) ED COMPANY REPRESENTATIVE
American Prof sional Agency * 95 Broadway, Amityville, NY 11701
ENDORSEMENT
ADDITIONAL INSURED
This Endorsement,
Policy No.
Issued to
Issued by
effective at 12:01 a.m. on 02/20/17, forms part of
560-000021881
STRONG FOUNDATIONS LLC
ALLIED WORLD INSURANCE COMPANY
In consideration of the premium charged, it is hereby agreed that
any individual, partnership or corporation identified below is an
Additional Insured under this Policy, but only as to matters for
which a Named Insured may be liable:
Additional Insured
THE COUNTY OF BOULDER
STATE OF COLORADO
A BODY CORPORATE AND POLITIC
IS NAMED AS ADDITIONAL INSURED
PAM STONECIPHER, RISK MANAGER
P.O. BOX 471
BOULDER, CO 80306
All other terms, conditions and limitations of this Policy shall
remain unchanged.
APA 00121 00 (06/14)
AU
ORIZED REPRESENTATIVE
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